The Psychology of Dementia Care

Despite the burgeoning technologies in the field of "helping", on many levels psychotherapy is still a crapshoot. Some of the goal of training, I think, is to help students accept that fact. The work is part science, part art, and part luck. Learning to tolerate the anxiety inherent in that recipe is critical for any clinician.

The great shift … is the movement away from the value-laden languages of … the “humanities,” and toward the ostensibly value-neutral languages of the “sciences.” This attempt to escape from, or to deny, valuation is … especially important in psychology … and the so-called social sciences. Indeed, one could go so far as to say that the specialized languages of these disciplines serve virtually no other purpose than to conceal valuation behind an ostensibly scientific and therefore nonvaluational semantic screen.

We cannot describe how the mind is made without having good ways to describe complicated processes. Before computers, no languages were good for that. Piaget tried algebra and Freud tried diagrams; other psychologists used Markov Chains and matrices, but none came to much. Behaviorists, quite properly, had ceased to speak at all. Linguists flocked to formal syntax, and made progress for a time but reached a limit: transformational grammar shows the contents of the registers (so to speak), but has no way to describe what controls them. This makes it hard to say how surface speech relates to underlying designation and intent–a baby-and-bath-water situation. I prefer ideas from AI research because there we tend to seek procedural description first, which seems more appropriate for mental matters.