Doug, I love the way you wonder.
Michael, I echo your recommendation to have clarity in what one's role is. 
Charles, your insight and experience deepens our understanding.

As some of you know, I, too, in my caring for my parents, had a mother with 
dementia - and spent (as I still do, with my still-independent father) many 
hours in a mixed-care-level elders residence and community.
As Charles says - dementia means and is so very many diverse things, and is so 
completely diversely differently present in each unique individual who has (or 
has not) been diagnosed with it.

For some, it is (heartbreakingly to some family members, magical in my own 
experience of and lens about it), a person being completely and totally in the 
now, and now, and now, with zero memory of the moment before now. For some, it 
is one day acting like a sweet little old man, and the next day acting like a 
scary angry frighteningly mean creature who looks a lot like your father. For 
some, there is nothing you could read by looking, so you may or may not feel 
they are 'in there'. Some may recognize their loved ones, some may not, some 
may shift back and forth. And there are a million more uniquenesses.

My real question to you, Doug, is to any facilitator who sees a need, wishes to 
serve. 
And for this, I go right back to how I look at all facilitation, leaving the 
'how' - the selection of process - for last. I start with the analysis. 
Questions.

Who is this for? Is it your need / vision for them that is driving this, or are 
they asking for this? Is it to serve a need that they are articulating? or that 
you are assuming?
Are they fine, exactly as they are, in themselves?
Is it their families who might need something? Are their families yearning for 
them to be something they cannot be or are not? Do the families need something 
for themselves - perhaps a way to articulate a shared-yet-diverse experience? 

If so, what is the time available for - whomever you will be working with? What 
is the environment? 
(quiet? private? people walking or wheeling through speaking in loud voices to 
themselves or others? distracting sounds? differing medication schedules? rooms 
in a facility that are used for food + recreation + meetings + quiet time, all 
in the same room, all at the same time? lots of wheelchairs? clear pathways?)
Is there ability to 'opt out', for those who do not have voices or ability to 
move their own wheelchairs or find their own way down the hall?

These and a million other things would be my questions, before knowing who has 
the need and asks for the service / would benefit from it, what are the 
physical or time or multi-tasking boundaries, all that, and more. Before ever 
selecting an existing or designing a custom dialogic process.

One of the things I observe really works well (my observation is visual and 
intuitive - I cannot know from inside peoples' own thoughts) - is an activity 
that each individual can be present for (if they are able) in their own unique 
individual way. My dad plays jazz piano for the health center patients and the 
Alzheimer unit where he lives, on a regular basis. With music, you can see 
muscles relax, people who would have seemed catatonic sway, little smiles on 
some faces that looked otherwise set. With an art class a wonderful daughter 
provides on a regular basis, individuals touch things, or do things, or just 
look at things, or are just around others doing creative things - in the same 
room, but each in her or his own unique way.

In this way the piano player or art volunteer are not trying to 'help' people 
'do' anything, or have the group do anything together - but instead, are 
providing a nutritious and be-however-you-are environment. And what I observe 
is a group of amazingly diverse people, in their own space and in a shared 
space, with no task, no 'outcome', simple being. With love surrounding them.

Lisa





On Nov 8, 2013, at 10:41 AM, Charles Morrow-Jones <[email protected]> wrote:

> I've been lurking quietly on the list for a while now, but feel compelled to 
> speak on this topic, since my father suffers from dementia.
> 
> Please tread cautiously - dementia is not a single monolithic condition, but 
> rather ranges from somewhat mild forgetfulness to delusional states for some, 
> and near-catatonic states for others.  It encompasses Altzheimers and a 
> variety of other diagnoses.
> 
> I would suggest that OST could be highly useful for dementia *caregivers* and 
> that those folks, rather than the dementia sufferers, should be the focus.
> 
> 
> 
> On Fri, Nov 8, 2013 at 12:52 PM, Elisabeth Tepper Kofod 
> <[email protected]> wrote:
> Dear Doug... what a wonderful title!
> I have been revolving around the idea of opening space for families and our 
> issues.
> With love
> Elisabeth
> 
> 
> On Fri, Nov 8, 2013 at 11:39 AM, doug <[email protected]> wrote:
> Friends--
> 
> Have been thinking that a population OST could serve in a major good way is 
> among people who have dementia. How?
> 
> Perhaps we have a mixed group of people with dementia living in a congregate 
> housing setting and teenagers. We gather them in a circle and do the normal 
> things. The teenagers could help the oldsters remember the instructions and 
> post topics. The title could be “Issues and Opportunities with Growing 
> Younger Every Day.”
> 
> How, if at all, would you change the normal format of OST for this group? 
> What other mixture of people would you invite? What other titles?
> 
> Perhaps we could get family members to gather with them around the topic 
> “Issues and Opportunities to Still Be Family” or “Meet Me Here Today.”
> 
> I wonder.... I invite you to wonder with me....
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> 
> 
> -- 
> Elisabeth Tepper Kofod
> Facilitadora de Procesos de Transformación
> Genuine Contact Professional & Co-owner
> Master Practitioner. Coach & Trainer PNL
> Terapia Sistémica - Constelaciones Familiares
> A proud member of the Genuine Contact Leadership Management Team
> [email protected]
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> 
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> -- 
> Charles R. Morrow-Jones
> Morrow-Jones Associates
> [email protected]
> (614) 571-3533
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