Direct Observation of Behavioral Disturbances of Dementia and Their Environmental Context

Extract

The cognitive domain has long been the focus of clinical and scientific efforts in dementia research. Only recently has behavior, and more specifically behavioral problems, been recognized as a legitimate focus of research. In its summary statement of September 1991, the Alzheimer's Association Task Force on Behavior Management noted the following with regarding behavioral disturbances: “(a) the study of assessment and treatment of behavioral problems must develop in its own right as well as complement studies on improving cognition; (b) controlled clinical trials of behavioral treatments of behavioral disturbances are desperately needed; and (c) both standardized rating scales and direct behavioral observations should be used to assess problems and determine treatment efficacy.” [Emphasis added by author.]