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Validation Breakthrough: Simple Techniques for Communicating with People with Alzheimer's and Other Dementias 3ed

by Naomi Feil Health Professions Press
Pub Date:
Pbk 328 pages
AU$78.00 NZ$82.61
Product Status: In Stock Now
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Validation is a practical way of communicating with and managing problem behavior in older adults with Alzheimer's-type dementia. It helps reduce stress, enhance dignity, and increase happiness. Since its inception in 1989, Validation has helped thousands of professional and family caregivers improve their relationships with residents and loved ones with dementia. Caregivers who use these techniques validate older adults' expressed feelings, rather than focusing on disorientation and confusion.

In this Anniversary Edition of The Validation Breakthrough, you'll learn how to

re-create relationships between confused older adults and their caregivers.
be caring and non-judgmental
understand and handle challenging behaviors
interpret non-verbal cues in a way that promotes communication
implement Validation in your own care setting through the experiences of Authorized Validation Organizations around the world

The Validation method is easy to learn and positive results can be seen in both caregivers and residents.

Residents express less anger and anxiety, decreasing the need for chemical and physical restraints.
Residents communicate more and exhibit an increased sense of humor
Residents often move better and experience an improved sense of self-worth.
Staff members express a greater sense of fulfillment at work and feel better prepared for handling difficult situations.
Staff members demonstrate a higher level of camaraderie
Families visit more often.

The Validation Breakthrough is an essential resource for all settings providing dementia care including assisted living facilities, nursing homes, skilled nursing facilities, hospice, home health care, adult day services, family care settings, and more.

Join the 10,000+ agencies in over 16 countries that are successfully implementing Validation in their organizations and start changing how you care for individuals with dementia today.


About the Authors Foreword to the Third Edition, by David Nilson Foreword to the Second Edition, by George M Leader Preface, by Vicki de Klerk-Rubin Prologue, Florence Trew 1872–1963: ''I died,'' by Naomi Feil

Part I Alzheimer's-Type Dementia and the Use of Validation

Chapter 1: Aging, Delopment, and Alzheimer's Disease
How I Learned: The Case of Isadore Rose: ''You Castrated Me with Words''
A Theory of Life Development and the Need for Validation
Who Are the Old-Old and What Is Dementia?
The Old-Old, Dementia, and Human Needs
The Power of Empathy, by Cinzia Siviero
Chapter 2 The Concept and Techniques of Validation
What Is Validation?
The Four Phases of Resolution
The Principles of Validation
The Techniques of Validation
Using Mirroring to Make Contact, by Vicki de Klerk-Rubin
Chapter 3 Using Validation with People Who Are Maloriented
The Case of Frances, the Accuser
The Case of George, the Loner
The Case of Jenny, the Gardener
The Case of June, the Blamer
How to Read the Vital Signs of the Maloriented
''Helping'' Techniques that Make the Maloriented Worse
Validation Techniques for Communicating with the Maloriented
The Case of Mrs Hara, by Fumie Inatani
Chapter 4 Using Validation with People Who Are Time Confused
The Case of Martha, the Birther
How to Read the Vital Signs of the Time Confused
''Helping'' Techniques that Make the Time Confused Worse
Validation Techniques for Communicating with the Time Confused
Chapter 5 Using Validation with People Who Are Repetitive Movers
The Case of Marvin, the Pounder
How to Read the Vital Signs of the Repetitive Mover
''Helping'' Techniques that Make Repetitive Movers Worse
Validation Techniques for Communicating with Repetitive Movers
All Behavior Is Communication, by Rita Altman
Chapter 6 Using Validation with People Who Are in Vegetation
The Case of Nora, the Nonmover
How to Read the Vital Signs of People in Vegetation
Validation Techniques for Communicating with People in Vegetation
Combining Validation with Sensitive Massage and Focused Touch, by Ann Catlin
Chapter 7 Using Validation with People with Early-Onset Alzheimer's Disease
The Case of Richard, the Mumbler
How to Read the Vital Signs of People with Early-Onset Alzheimer's Disease
''Helping'' Techniques that Make People with Early-Onset Alzheimer's Disease Worse
Validation Techniques for Communicating with People with Early-Onset Alzheimer's Disease
Luigia, a Wife: My First Experience with Validation, by Luigia Crippa
Chapter 8 Who Benefits from Validation?
The Benefits of Validation for Disoriented Old-Old People
The Benefits of Validation for Professional Caregivers
The Benefits of Validation for Families
Validation: Seeing Is Believing, by Rita D'Alfonso
Chapter 9 How Validation Differs from Other Therapies Used with Old-Old People
Life Review
Reality Orientation
Behavior Modification
Diversion and Redirection
Patronizing with the Therapeutic Lie
You Can't Fool Millie
A Reminiscing Group or a Validation Group? What Is the Difference?
Get Her Outta' Here
My Meeting with Mrs Buchmann, by Christiane Grüenenwald
Part II Validation in Practice

Chapter 10 Communicating with People Who AreMaloriented
Ellen, the Hoarder: ''When You Listen, I Speak Clear''
Lucy, the Spitter: ''Bitch! Get Out of My Room!''
Sadie, the Martyr: ''One Mother Has 10 Kids Ten Kids Can't Care for One Mother!''
Peg, the Worrier: ''There's a Man Under My Bed!''
Stewart, the Complainer: ''You're Killing Me Here!''
Chapter 11 Communicating with People Who Are Time Confused
David, the Toucher: ''I Am Not Dr Willard: He's on an Extended Holiday!''
Margaret, the Mother: ''I'm Living in My Own Home, These People Don't Belong Here!''
Harry, the Hitter: ''Come in, You Old Battle Ax!''
Validating at Home: Karl, the Flasher
Relieving the Fear, by Cinzia Siviero
Chapter 12 Communicating with People Who Are Repetitive Movers
Isobel, the Poet: ''I Untangle the Noodles in the Mirrors of My Mind''
Mary, the Pacer: ''I Am Not a Sheep!''
The Wisdom of Disorientation, by Heidrun Tegeler
Chapter 13 Communicating with Maloriented and Time Confused People Living in the Community
The Apartment House Manager, the Policeman, the Emergency Medical Squad, and Thomas Konig
The Mailman, the Grocery Clerk, the Hairdresser, and Millie Stonewall
The Doctor, the Meals on Wheels Volunteer, and Samuel Goode
Chapter 14 Validating Family Members
Ann and Her Mother, Trudy
Validating a Family Member
Tips For Family Members Who Want to Validate Disoriented Relatives
Ann and Trudy—with Validation
Frequently Asked Questions About Validation
Part III Group Validation

Chapter 15 Setting Up Validation Groups
The Value of a Validation Group
Who Benefits from Group Validation?
The Role of the Validation Group Worker
The Role of the Validation Group Co-worker
Establishing a Validation Group
Conducting a Validation Group Meeting
Example of a Validation Group
Who Can Practice Validation?
Appendix: Experiences of Professionals in the United States and Abroad

Implementing Validation at Country Meadows Retirement Communities
Using Validation as a Consultant in a Richmond, Virginia, Continuing Care Retirement Community
Using Validation in a 60-Bed Skilled Medicare Facility in the Kansas City Metropolitan Area: An Administrator's Perspective
Using Validation at a 422-Bed Veterans' Home in Minneapolis, Minnesota
Using Validation at a Newly Purchased Facility in Maine
Using Validation at an Urban Nursing Home in Brooklyn, New York
Using Validation in a 28-Bed Dementia Unit in Rural Wisconsin
Using Validation at a Rural Nursing Home in Missouri
Using Validation at Eldercare in South Australia
Using Validation at the South Port Community
Nursing Home in Australia
Using Validation at a University Hospital in France
Authorized Validation Organizations



''Naomi Feil has developed practical techniques to open doors previously shut, span bridges across vast communication divides, and bring comfort and joy to disoriented elderly, their caregivers and loved ones.''

–Fran Bulloff, J.D., President, Validation Training Institute


''Validation can and does help individuals with agitation and aggressive behavior. This book gives you the approach, the tools, and the opportunity for healing. I highly recommend it to my medical colleagues and all those caring for individuals with Alzheimer's or other dementias.''

–Craig P. Solberg, MD, HealthEast Medical Care for Seniors, St. Paul, Minnesota


''Validation is a moral imperative in our time. Read this book and learn how to communicate with people—with and without dementia. On virtually every page is an insight that helps us break through the fears of aging, dependency, and death.''

–Michael Verde, Memory Bridge, Founder and President


''The previous editions of this vibrant book have influenced and instructed so many people—including me—in how to better communicate with and care for older people with dementia…it was life changing…This third edition offers even more stories, ideas, directions, and information about the Validation Method and the respect, fulfillment, and human connections it creates. It deserves to be read and applied by everyone having a sincere interest in dementia work and caregiving.''

–Stephen Klotz, Certified Validation Master, M.Div., and Executive Director of Validation Education, Country Meadows Retirement Communities, Hershey, PA


''Naomi Feil and Vicki de Klerk-Rubin present an artful, sensitive, and caring intervention approach to working with confused and disoriented older adults. The case studies and examples are rich with insight and provide clear examples of techniques that may be used. The approach is empowering to older adults and to their caregivers.''

–Harvey L. Sterns, Ph.D., Director, Institute for Life-Span Development and Gerontology, The University of Akron


''As an organization we have a goal to spread the message about Validation Therapy and provide training so that people with the disease can receive the care that they deserve.''

–Wayne Olson, Senior Vice President of Healthcare Operations, Volunteers of America


''The Validation Breakthrough teaches caregivers and families how to stay connected to their loved ones even in the late stages of Alzheimer's and how to communicate with them even when they no longer can.''

–Donna Beveridge, watercolorist, teacher, and literacy specialist diagnosed with probable early-stage Alzheimer's in 2007
Naomi Feil, M.S., A.C.S.W., is the developer of Validation. She was born in Munich in 1932, and grew up in the Montefiore Home for the Aged in Cleveland Ohio, where her father was the administrator and her mother, the head of the Social Service Department. After graduating with a Masters degree in Social Work from Columbia University in New York, she began working with the elderly. Between 1963 and 1980 Mrs. Feil developed Validation as a response to her dissatisfaction with traditional methods of working with the severely disoriented old-old people who were her clients. In 1982 she published her first book, Validation: The Feil Method, which was revised in 1992. Her second book, The Validation Breakthrough, was published in 1993, and updated and revised in 2012. Feil and her husband have made many films and videos about aging and Validation. Feil is the Executive Director of the Validation Training Institute and a popular speaker in North America and Europe. Since 1989 she has toured Europe 3 times a year offering workshops in Validation to participants in Germany, the Netherlands, Scandinavia, France, Belgium, Italy, Great Britain, and Austria. Her books have been translated into French, Dutch, German, Italian, Finnish, Danish, Swedish, Spanish and Japanese.

Ms. De Klerk Works full-time as a Validation Master-Teacher and lecturer as well as Naomi Feil's manager in Europe. As European Manager, she was a founding member of the European Validation Association (1993) and assisted in the development of Authorized Validation Organizations in Austria, Belgium, Finland, France, Germany, Italy, Japan, Sweden and Switzerland. She taught the first formal Validation course in 1994 and since then has been training internationally, delivering certification courses at all levels. As AVO Coordinator for the Validation Training Institute, she has assisted in the development of Authorized Validation Organizations in the United States and written the AVO Guidelines. Ms de Klerk-Rubin, working with teams of Validation Teachers, has shepherded the development of standardized course curricula, levels of certification, quality guidelines and testing materials. She has been an advisor to the Validation Training Institute Board of Trustees since its inception and a member since 2009. She currently holds the dual positions of Board Secretary and AVO Coordinator. Ms de Klerk-Rubin received her BFA from Boston University (1978), an MBA from Fordham University (1983), and a Nursing degree from Hogeschool Holland, Amsterdam (1997). She has published numerous articles on Validation in Dutch and British magazines and co-authored the revisions of Naomi Feil's publications. Her book, Validation Techniques for Dementia Care: The Family Guide to Improving Communication (English edition 2008) has been published in German (2006), Japanese (2009) and Swedish (2010).