Specific Stressors of
Spousal Caregivers: Difficult
Behaviors, Loss of Sexual
Intimacy, and Incontinence
Mary Mittelman, Antonette Zeiss, Helen Davies, and DeLois Guy
This chapter features three distinct programs, each of which focuses on a common stressful situation faced by spousal dementia caregivers whose husbands and wives still live at home. The first section details the program developed at New York University's Alzheimer's Disease (AD) Center to delay or prevent institutionalization. The second and third segments reflect the authors' clinical experience in helping spousal caregivers to cope with two common (but infrequently discussed) issues that arise in the later stages of dementing illness; namely, changes in sexual intimacy and management of urinary incontinence. In all three sections, numerous practical suggestions are provided for the use of clinicians whose clients are struggling with these concerns.
SPOUSE-CAREGIVER INTERVENTION PROJECT
The goals of the NYU Spouse-Caregiver Intervention Project were to improve or maintain the well-being of caregivers and to make it possible for them to