Montessori Elder and Dementia Care, and Trauma-Informed Approaches
A Thematic Analysis Examining Connections Between the Models
DOI:
https://doi.org/10.17161/jomr.v9i2.19480Palabras clave:
Montessori Method, dementia, trauma, trauma-responsive, trauma-informed practiceResumen
According to the World Health Organization, there are currently more than 55 million people living with dementia worldwide, and this figure is expected to triple by 2050. Recent studies suggest that there may be a link between childhood trauma (which refers to exposure to overwhelmingly stressful experiences before the age of 18 years) and the onset of dementia in later life. Therefore, in communities caring for persons living with dementia, some residents may have been exposed to trauma in childhood. Currently, there is an increasing awareness of the negative impact of childhood trauma on later adult health and well-being, and a corresponding recognition of the need for services, including for dementia care, to be trauma-informed. In the last decade, the Montessori Method has become established as a legitimate approach to elder/dementia care. However, it has not yet been examined as a trauma-informed approach. The aim of this paper is to address that gap by (a) highlighting how Maria Montessori took steps to integrate interdisciplinary knowledge of trauma into her Method when she began to understand the potential of childhood trauma to adversely impact adult health and well-being, and (b) outlining how the Montessori Method, when applied to dementia care, incorporates many of the core principles of trauma-informed practice. This paper concludes that the Montessori Method for dementia care has the built-in capacity to be trauma-sensitive and trauma-responsive, but that its ongoing rollout should follow Montessori’s lead by specifically integrating knowledge about the neurobiology of trauma into its training programs.
Referencias
Alzheimer’s Association. (2023). 2023 Alzheimer’s disease facts and figures. Alzheimer’s and Dementia, 19(4), 1598–1695. https://doi.org/10.1002/alz.13016
Babini, V. (2000). Science, feminism, and education: The early work of Maria Montessori. History Workshop Journal, 49(1), 44–67. https://doi.org/10.1093/hwj/2000.49.44
Babini, V., & Lama, L. (2000). Una donna nuova: Il femminismo scientifico di Maria Montessori [A new woman: The scientific feminism of Maria Montessori]. Franco Angeli.
Bellis, M. A., Hughes, K., Ford, K., Ramos Rodriguez, G., Sethi, D., & Passmore, J. (2019). Life course health consequences and associated annual costs of adverse childhood experiences across Europe and North America: A systematic review and meta-analysis. The Lancet Public Health, 4(10), e517–e528. https://doi.org/10.1016/S2468-2667(19)30145-8
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa
Braun, V., & Clarke, V. (2022). Thematic analysis: A practical guide. SAGE. Brenner, T., & Brenner, K. (2020). The Montessori Method for connecting to people with dementia: A creative guide to communication and engagement in dementia care. Jessica Kingsley Publishers.
Brush, J. (2020). Montessori for elder and dementia care. Health Professions Press.
Brush, J., & Benigas, J. (2019). Meaningful engagement through Montessori. Provider 47(12).
Brush, J., Douglas, N., & Bourgeois, M. (2018a). Implementation of the Montessori program in assisted living: positive outcomes and challenges. Journal of Nursing Home Research Sciences 4, 42–48. http://dx.doi.org/10.14283/jnhrs.2018.9
Brush, J., Douglas, N., & Bourgeois, M. (2018b). Increased positive affect and life engagement as a result of Montessori programming. The Journal of Nursing Home Research Sciences 4, 64–70. https://doi.org/10.1016/j.jalz.2018.06.55678
Burke Harris, N. (2019). The deepest well: Healing the long- term effects of childhood adversity. Marine books.
Camp, C. J. (1999). Montessori-based activities for persons with dementia (Vol. 1). Health Professions Press.
Camp, C. J. (2010). Origins of Montessori programming for dementia. Non-Pharmacological Therapies in Dementia 1(2), 163–174.
Camp, C. J. (2012). Hiding the stranger in the mirror: A detective’s manual for solving problems associated with Alzheimer’s disease and related disorders. Center for Applied Research in Dementia.
Camp, C. J., Schneider, N., Orsulic-Jeras, S., Mattern, J., McGowan, A., Antenucci, V. M., Malone, M. L., & Gorzelle, G. J. (2006). Montessori-based activities for persons with dementia (Vol. 2). Health Professions Press.
Camp, C. J., & Shelton, E. G. (2023). Montessori education-based interventions for persons with dementia (pp. 535–543). In A. Murray, E.-M. T. Ahlquist, M. McKenna, & M. Debs (Eds.) The Bloomsbury handbook of Montessori education. (2023). Bloomsbury.
Cations, M., Laver, K., Couzner, L., Flatman, S., Bierer, P., Ames, C., Huo, Y., & Whitehead, C. (2021). Trauma- informed care in geriatric inpatient units to improve staff skills and reduce patient distress: a co-designed study protocol. BMC Geriatrics, 21, Article 492. https://doi.org/10.1186/s12877-021-02441-1
Cations, M., Laver, K. E., Walker, R., Smyth, A., Fernandez, E., & Corlis, M. (2020). The case for trauma-informed aged care. International Journal of Geriatric Psychiatry, 35(5), 425–429. https://doi.org/10.1002/gps.5247
Centers for Disease Control and Prevention. (2023). About dementia. https://www.cdc.gov/aging/alzheimers-disease-dementia/about-dementia.html
Chandrasekar, R., Lacey, R. E., Chaturvedi, N., Hughes, A. D., Patalay, P., & Khanolkar, A. R. (2023). Adverse childhood experiences and the development of multimorbidity across adulthood: A national 70-year cohort study. Age and Ageing, 52(4), 1–10. https://doi.org/10.1093/ageing/afad062
Corney, K. B., West, E. C., Quirk, S. E., Pasco, J. A., Stuart, A. L., Manavi, B. A., Kavanagh, B. E., & Williams, L. J. (2022). The relationship between adverse childhood experiences and Alzheimer’s disease: A systematic review. Frontiers in Aging Neuroscience, 14. https://doi.org/10.3389/fnagi.2022.831378
Couzner, L., Spence, N., Fausto, K., Huo, Y., Vale, L., Elkins, S., Saltis, J., & Cations, M. (2022). Delivering trauma-informed care in a hospital ward for older adults with dementia: An illustrative case series. Frontiers in Rehabilitation Sciences, 3. https://doi.org/10.3389/fresc.2022.934099
De Stefano, C. (2022). The Child is the teacher. Other Press.
Fallot, R. D., & Harris, M. (2009). Creating cultures of trauma-informed care: A self- assessment and planning protocol. Community Connections.
Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., Koss, M. P., & Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) Study. American Journal of Preventive Medicine, 14(4), 245–258. https://doi.org/10.1016/s0749-3797(98)00017-8
GBD 2019 Dementia Forecasting Collaborators. (2022). Estimation of the global prevalence of dementia in 2019 and forecasted prevalence in 2050: An analysis for the Global Burden of Disease Study 2019. The Lancet Public Health, 7(2), e105–e125. https://doi.org/10.1016/s2468-2667(21)00249-8
Gutek, G., & Gutek, P. (2016). Bringing Montessori to America: S.S. McClure, Maria Montessori, and the campaign to publicize Montessori education. University of Alabama Press.
Herman, J. L. (1994). Trauma and recovery: The aftermath of violence—from domestic abuse to political terror. Pandora Press.
Kramer, R. (1976). Maria Montessori: A biography. Addison-Wesley.
Maloney, B., & Lahiri, D. K. (2016). Epigenetics of dementia: Understanding the disease as a transformation rather than a state. The Lancet Neurology, 15(7), 760–774. https://doi.org/10.1016/S1474-4422(16)00065-X
Montessori, M. (1897). Contributo clinico allo studio delle Allucinazioni a contenuto antagonistico [A Clinical Contribution to the Study of Delusions of Persecution]. Policlinico.
Montessori, M. (1936). The Secret of Childhood (B. B. Carter, Ed. and Trans.). Longmans; Green and Co.
Montessori, M. (1964). The Montessori Method (A. E. George, Trans.). Schocken Books. (Original work published in 1912)
Montessori, M. (1967). The Absorbent Mind (C. A. Claremont, Trans). Dell. (Original work published in 1949) 79Elder and Dementia Care, and Trauma-Informed Practices
Montessori, M. (2013a). The white cross. AMI Journal, 1–2, 37–41. (Original work published in 1917)
Montessori, M. (2013b). The house of children, Lecture, Kodaikanal, 1944. The NAMTA Journal, 38(1) 11–19.
Moretti, E. (2021). The best weapon for peace: Maria Montessori, education, and children’s rights. University of Wisconsin Press.
National Scientific Council on the Developing Child. (2020). Connecting the brain to the rest of the body: Early childhood development and lifelong health are deeply intertwined. Working Paper No. 15. https://developingchild.harvard.edu/resources/connecting-the-brain-to-the-rest-of-the-body-early-childhood-development-and-lifelong-health-are- deeply-intertwined/
Perry, B. D. (1999). Memories of fear: How the brain stores and retrieves traumatic experience. In J. M. Goodwin and R. Attias (Eds.), Splintered reflections: Images of the body in trauma. Basic Books.
Perry, B. D. (2009). Examining child maltreatment through a neurodevelopment lens: Clinical applications of the Neurosequential Model of Therapeutics. Journal of Loss and Trauma, 14(4), 240–245. https://doi.org/10.1080/15325020903004350
Perry, B. D., & Pollard, R. (1998). Homeostasis, stress, trauma, and adaptation: A neurodevelopmental view of childhood trauma. Child and Adolescent Psychiatric Clinics, 7(1), 33–51.
Perry, B. D., & Winfrey, O. (2021). What happened to you? Conversations on trauma, resilience, and healing. Pan Macmillan.
Phillips, S., & Phillips, B. (2015). Montessori works for dementia: Everyday activities for people living with dementia. CreateSpace Independent Publishing.
Povell, P. (2010). Montessori comes to America: The leadership of Maria Montessori and Nancy McCormack Rambusch. University Press of America.
Radford, K., Delbaere, K., Draper, B., Mack, H. A., Daylight, G., Cumming, R., Chalkley, S., Minogue, C., & Broe, G. A. (2017). Childhood stress and adversity is associated with late-life dementia in Aboriginal Australians. The American Journal of Geriatric Psychiatry, 25(10), 1097–1106. https://doi.org/10.1016/j.jagp.2017.05.008
Schickedanz, H. B., Jennings, L. A., & Schickedanz, A. (2022). The association between adverse childhood experiences and positive dementia screen in American older adults. Journal of General Internal Medicine, 37(10), 2398–2404. https://doi.org/10.1007/s11606-021-07192-8
Shonkoff, J. P., Garner, A. S., & The committee on psychosocial aspects of child and family health; Committee on early childhood, adoption, and dependent care; The section on developmental and behavioral pediatrics. (2012). The lifelong effects of early childhood adversity and toxic stress. Pediatrics, 129(1), e232–e246. https://doi.org/10.1542/peds.2011-2663
Standing, E. M. (1957). Maria Montessori: Her life and work. Plume.
Substance Abuse and Mental Health Services Administration. (2014). SAMHSA’s concept of trauma and guidance for a trauma-informed approach. https://ncsacw.acf.hhs.gov/userfiles/files/SAMHSA_Trauma.pdf
Tani, Y., Fujiwara, T., & Kondo, K. (2020). Association between adverse childhood experiences and dementia in older Japanese adults. JAMA Network Open, 3(2), Article e1920740. https://doi.org/10.1001/jamanetworkopen.2019.20740
Trabalzini, P. (2011). Maria Montessori through the seasons of the “Method.” The NAMTA Journal 36(2). 1–218.
Vance, D. E., Camp, C. J., Kabacoff, M., & Greenwalt, L. (1996). Montessori methods: Innovative interventions for adults with Alzheimer’s disease. Montessori Life 8, 10–12.
van der Kolk, B. A. (2003). The neurobiology of childhood trauma and abuse. Child and Adolescent Psychiatric Clinics of North America, 12(2), 293–317. https://doi.org/10.1016/s1056-4993(03)00003-8
van der Kolk, B. A. (2014). The body keeps the score: Mind, brain and body in the transformation of trauma. Penguin.
World Health Organization. (2023). Global Dementia Observatory. http://globaldementia.org
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