title: [Activity and rehabilitation of senile dementia. Methodological suggestions for an ergotherapy in psychogeriatrics].
abstract: The aim of this study is to make clear the conditions of an ergotherapy particularly fit for the aged suffering from senile dementia. It should keep the intellectual instruments in working condition and, eventually, postpone their impairment. The general frame in which theory and experiment are inscribed is the Piaget's theory. Especially the part that concerns the different stages of childhood development of which, one thinks, can be observed the deterioration "in reverse" during the senile dementia impairment processes. Some special hypothesis concern:--the different parts of reality in which relations between patient and society are disturbed --the activities that are connected in a network of relations between the conceptual instruments required to realize these activities --the fact that the steadiness of a particular activity should help to recover another one, thought to be close in the way by which its realization puts into action the same cognitive processes. Thus, we have been able to fix the way of directing a first examination for the taking in charge in ergotherapy; examination that should point out the fields in which the patient can be mobilized (as well from the level where he is as from the investment one can expect in regard to the pleasure or the interest that he shows for a work rather than another). Besides, we tried to represent the channels of activities and their relations, starting from the most elementary one to reach the most complicated one, that is to say the ones that allow us to work on reality. It is in the network of these channels that the proposed activities should find their place in the ergotherapy workshop and their application should permit the readaptation to everyday actions in a progressive way.
mesh_terms: D000368:Aged; D002657:Child Development; D003071:Cognition; D003704:Dementia / Q000523:psychology / Q000534:rehabilitation*; D006801:Humans; D026741:Physical Therapy Modalities / Q000295:instrumentation / Q000379:methods*; D011582:Psychological Theory
vernacular_title: Activité et réhabilitation dans les démences de la vieilesse. Propositions méthodologiques pour une ergothérapie en psychogériatrie.