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Dementia and I Marko Van Gerven MD Christina Van Tellingen MD BOLK’S COMPANIONS ON THE PRACTICE OF MEDICINE (Eds.) Dementia and I Marko van Gerven MD Gerven van Marko Christina van Tellingen MD Tellingen van Christina INSTITUTE About the Kingfisher Companion Group NIONS FOR THE PRACTICE OF MEDICINE The Kingfisher Companion Group Dementia and I aspires to broaden the perspective Marko van Gerven MD of science by elucidating the context Christina van Tellingen MD behind health and disease. To this aim, (Eds.) the Group strives to pioneer investigative methods to complement and innovate Publication number: GVO 14 conventional scientific views and ISBN/EAN: 978-90-74021-44-9 research techniques. It examines the Price € 15 exploration of conscious-intuitive study Postage Shipping € 2 in the research and practice of medicine Chamber of Commerce number 41197208 such as the 4-step approach employed Triodos Bank IBAN: NL77 TRIO 0.212.185.764 in the Bolk’s Companion series. The BIC/Swift code: TRIONL 2U Kingfisher Foundation supports this development of new approaches for Credit card order via our website: medical practice both logistically and www.bolkscompanions.com financially. Information: The Kingfisher Companion Group Kingfisher Companion Group works at the Louis Bolk Institute Louis Bolk Institute where scientific research to further the Hoofdstraat 24 development of sustainable agriculture, NL 3972 LA Driebergen nutrition, and healthcare has been Tel: (++ 31) (0) 343-523860 conducted since 1976. The basic tenet of Fax: (++ 31) (0) 343-515611 the Institute regarding the life sciences www.bolkscompanions.com is that nature is the source of knowledge [email protected] about life. Through its groundbreaking [email protected] research, the institute seeks to contribute to a healthy future for people, Colophon: animals, and the environment. © 2015 Kingfisher First published in 2015 Original title: ‘Dementie en Ik’, (Pub. Kolisko, 2014) About Professor Louis Bolk Translation Caitlin Bevvino Ring and Christina van Tellingen Louis Bolk (1866-1930) was a professor Cover: www.fingerprint.nl of anatomy and embryology at the Cover painting: see page 32 of this Companion University of Amsterdam. He developed and employed comparative scientific The Bolk’s Companions are written / created with methods of investigation that conveyed great care. The information contained in them is new insights into his subjects. With the not intended as a substitute for a consultation with insights he gained, he was able to place your doctor. For personal advice, please contact his subjects into a meaningful context. your physician. The Kingfisher Foundation accepts To employ his method, he instructed his no liability for any damages or consequences that students to use the ‘macroscope’ rather arise directly or indirectly from use of the published than the microscope! information. ON THE PRACTICE OF MEDICINE Dementia and I BOLK ’S COMPANIONS Marko van Gerven MD Christina van Tellingen MD (Eds.) About the authors Marko van Gerven MD (1947) worked for more as a teacher of art therapy at the University than thirty years as a psychiatrist in various of Applied Sciences Leiden for twenty years. anthroposophic and allopathic clinics. He was Following her art education training, she stu- one of the founders of Bernard Lievegoed Clinic died humanities, became artistic counselor, and in Bilthoven, the Netherlands, specializing in the trained herself at the Trimbos Institute in the treatment of people with chronic trauma. Upon practice of artistic life stories. She developed retirement, he began teaching psychiatry and further work in this discipline for the elderly is a senior researcher at the Bolk's Companions and refugee populations. She supervises gradu- Group, Driebergen, Netherlands. He had also ate students in research in artistic reminiscence published an earlier Companion on Depressive projects and provides training in the artistic life Disorders (2010). story methodology for art therapists. Christina van Tellingen MD (1949) has worked as Marjolein Baars (1958) has worked as a physio- a general physician since 1975, both in Europe therapist, haptonomist, actress, clown, adviser, and in California, USA. She teaches medical and coach. She is specialized in the Michael students, doctors, nurses, and therapists in the Chekhov acting technique and clowning and US, Canada and Europe, among others at the their application in a social (non-verbal) context. University of Witten/Herdecke in Germany. Since She works in Europe, Australia, USA, Russia, and 1999 she has worked as a senior researcher at Lithuania. From 2005, she developed training the Bolk's Companions project in Driebergen and for people with dementia, their families, careers, is (co-)author of the Companions Biochemistry and artists in her ‘Suitcase Foundation.’ She (2001), Physiology (2003), Pharmacology gives performances such as ‘Black holes & loose (2006), The Healing Process (2008), Respiratory ends’ and is co-author of ‘Dementia from the System Disorders and Therapy (2009), and Suitcase.’ www.destichtingkoffer.nl, marjolein@ Depressive Disorders (2010). destichtingkoffer.nl. Arie Bos MD (1947) has been an anthroposophic Mieke Merckx-van Spaandonk (1946), sculp- GP and GP trainer in Amsterdam for more than tor, art therapist, art therapist MA, and Art thirty years. He teaches philosophy of science Psychotherapist BA, has worked for thirty years and neuroscience philosophy to medical students with terminal patients at an internal medicine at UMC Utrecht. He also wrote: AIDS (Zeist, department, a psychiatric ward, in pediatrics, 1987), How Matter Got the Spirit (Zeist, 2008) and in addiction as well as with traumatized which was nominated for the shortlist of Eureka refugee children and in nursing homes. She has Price in 2009, and My Brain Does Not Think, I taught and lectured on various topics. Do (Zeist, 2014). Connie Alblas (1959) is a registered music the- Jacqueline Stoop (1950) has been working rapist and has specialized in psycho-geriatrics. She works as a music therapist in an institution in geriatric medicine and consultant palliative for people with psycho-geriatric disorders, and in care. Currently she works in a nursing home near private practice. She has lectured in art therapy Amsterdam, and as a physician-consultant at the training at the University of Applied Sciences Comprehensive Cancer Centre of the Netherlands Leiden. (IKNL) in the palliative team. She has finished a PhD study on Spiritual Care at the End of Life in Marie-José Gijsberts MD (1952) is a specialist Dutch Nursing Homes. About the Project B The project Renewal of Medical Education, aims BOLK ’S COMPANIONS FOR THE STUDY OF olk ’ s to produce Companions that complement medical MEDICINE are designed to complement medi- C study by demonstrating how the insights of cur- cal education, specifically as it relates to human ompanions rent biomedical science can be broadened by the facets of current biomedical sciences. insights of inclusive thinking inherent in compara- tive science. Companion authors apply a scientific BOLK'S COMPANIONS FOR THE PRACTICE OF methodology that uses four consecutive steps to MEDICINE contribute to a broader scientific basis achieve an integrated understanding of wellness for the clinical years of medical study and for and disease. These steps are described in Chapter developing the intuitive facets of medical practice. 12 as the 4-step approach. This approach seeks to D recapture a coherent and comprehensive under- BOLK'S COMPANIONS ON THE FUNDAMENTALS ementia standing of human nature and the environment. OF MEDICINE explore fundamental medical con- cepts and seek to broaden the medical paradigm. an D i - 3 Acknowledgments This Companion was written at the Louis Bolk Institute The funds that made this project possible are under the auspices of the Kingfisher Foundation. Triodos Foundation, Iona Stichting, Stichting We are grateful for the advice and support of our Phoenix, Stichting Raphael Fonds, Brigiite colleagues at the Kingfisher Companion Group: Rogman Fonds of the Stichting ter Bevordering Kore Luske, Loes van den Heuvel, Wouter Endel, van de Heilpedagogiek, and Stichting Vrienden Tom Scheffers, and Guus van der Bie. Karen van Bronlaak. Siebeling, Oeke de Ruiter, and Tom van der Meulen gave us helpful practical advice each with their own Thank you all! expertise. Marko van Gerven MD Christina van Tellingen MD Inhoud 1. Introduction by Christina van Tellingen MD 7 Part I Experiential and Practical Research 11 Introduction to Chapters 2-6 12 2. Artistic Reminiscence: The Fruits of Life by Jacqueline Stoop 14 2.1. First Example of Slow Narratives in Swift Time: ‘Your Own Hands’ 14 2.2. Second Example of Slow Narratives in Swift Time: ‘Your Own Feet’ 17 2.3. Inspiration and Subsequent Development of The Fruits of Life 18 2.4. The Fruits of Life and Artistic Reminiscence 19 2.5. The Fruits of Life Program 21 3. Crafting Context in Creative Encounter by Marjolein Baars 23 3.1. Case History 23 3.2. Encounters 24 3.3. What is the Goal and Role(s) of the Coach, and What Are the Premises for This Work? 25 3.4. How Does the Coach Prepare? 25 3.5. How Does the Coach Orient Himself? How Does He Tune In? 26 3.6. How Do Coaches Know Whether What They Do is Right, Useful, and Correct? 28 3.7. Rules of the Game 29 3.8. How Does the Coach Act in Accordance with the Context of the Event? 29 4. Finding Self in Image by Mieke Merckx 31 4.1. Introduction 31 4.2. The Reality of the Image 31 4.3. Basic Principles in the Work with Elderly People with Dementia in Advanced Stages 32 4.4. The Attitude of Open-Mindedness 33 4.5. The Therapeutic Relationship and the Encounter With the Patient 34 4.6. The Significance of the Image 35 5. Where Words Fail, Music Can Speak by Connie Alblas 37 5.1. Introduction. About Music and Music Therapy 37 5.2. Defining the Problem and Diagnosis 39 5.3. Silence 43 6.
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