Sandra Evans has been an NHS psychiatrist, teacher and trainer for over 30 years. Sandra is a group analyst also in private practice with GANLondon.

Jane Garner has over 30 years clinical experience in the NHS using psychodynamic ideas to inform psychiatric practice and teaching, particularly in the areas of old age and dementia services, continuing care, institutional abuse, sex and relationships.

Rachel Darnley-Smith is a music therapist and senior lecturer at Roehampton University, UK. She has worked with people with dementia over many years, mostly in the NHS and published widely on music therapy, aesthetics and psychoanalysis .

List of figures and illustrations

List of contributors

Foreword by Nori Graham

Acknowledgements

Introduction

Sandra Evans, Jane Garner and Rachel Darnley-Smith

1. Encountering dementia

Louis Resnick

2. Where lies the expert?

Jane Garner

3. Working with people with mild neurocognitive disorders (mild NCD) or mild cognitive impairments (MCI)

Julia C. Segal

4. Prognosis and planning: advance care planning through a psychoanalytic frame

Juliette Brown

5. The experience of loss in dementia; melancholia without the mourning?

Sandra Evans

6. Dementia and dialogue: acute hospitals and Liaison psychiatry

Matthew Hagger

7. Psychodynamic interventions in dementia: the Australian and New Zealand experience

Neil Jeyasingam

8. Art therapy with people with dementia: the present and the past

Angela Byers

9. Attachment in confusional states and in dementia: theory into practice

Sandra Evans

10. The fragile thread of connection: living as a couple with dementia

Andrew Balfour

11. Maintaining boundaries: counselling in a care home

Susan Maciver, Chris McGregor and Tom C. Russ

12. Music as mirror in the care of elderly people with dementia

Rachel Darnley-Smith

13. Groups for people with cognitive impairment and with dementia: what should we be doing?

Sandra Evans

14. Disintegration and integration in dementia care: mentalisation as a means to keep whole

Stephanie Petty, Michelle Potts and Daniel Anderson

15. A psychoanalytic and philosophical exploration of boredom and disengagement in dementia

Sandra Evans

16. Continuing care review: a report on a thoughtful project and its untimely demise

Jane Garner

17. Negotiating the border: music therapy for people in the last hours of dementia

Adrienne Freeman

18. Can anything good be born of a dementia: potential for reparation?

Jane Garner

Index