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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$79.00 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.W., A.C.S.W., is the Executive Director of the Validation Training Institute, in Cleveland, Ohio. She is the creator of Validation, currently recognized throughout the world as a state-of-the-art therapy for older people diagnosed as having Alzheimerâ??s dementia or related disorders. Ms. Feil earned her masterâ??s degree of social work from Columbia University and studied at the New School for Social Research, Case Western Reserve University, and the University of Michigan. In 1963, she became dissatisfied with traditional therapies for older people with dementia and began to develop her own methods for helping older people cope with the disorientation that is sometimes part of the aging process. In addition to her earlier book on Validation, Ms. Feil has published numerous journal articles and has produced nine award-winning films on Validation. The first edition of The Validation Breakthrough: Simple Techniques for Communicating with People with â??Alzheimerâ??s Type Dementiaâ? has sold 40,000 copies. She is internationally recognized for her work with older people and is one of the most sought-after trainers in the field. More than 30,000 facilities in the United States of America, Canada, Europe, and Australia have adopted Validation, and nearly 90,000 professional and family caregivers have attended her workshops in North America, Australia, and Europe. There are 16 Validation centers that teach Validation certification courses in 11 countries. In Switzerland, every agency that serves older people uses Validation.