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This may complicate the delivery of health interventions since the individual with learned helplessness may assume that no care provider or treatment intervention can be of assistance. Elderly patients with Alzheimer's disease and other dementias are not immune to this stance of learned helplessness. This paper presents one possible psychosocial rehabilitation approach, the Project SMART (Stress Management and Relaxation Training) program, to the problem of learned helplessness. Based on the skills of adaptive stress-resistant problem solvers, Project SMART can be adapted to the needs of the elderly demented. The clinical and research implications are discussed.<\/jats:p>","DOI":"10.1177\/153331750201700605","type":"journal-article","created":{"date-parts":[[2006,5,12]],"date-time":"2006-05-12T03:30:46Z","timestamp":1147404646000},"page":"345-349","source":"Crossref","is-referenced-by-count":30,"title":["Treating learned helplessness in the elderly dementia patient: Preliminary inquiry"],"prefix":"10.1177","volume":"17","author":[{"suffix":"Jr.","given":"Raymond B.","family":"Flannery","sequence":"first","affiliation":[{"name":"Massachusetts Department of Mental Health and Harvard Medical School, Cambridge, Massachusetts."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2002,11,1]]},"reference":[{"key":"atypb1","volume-title":"The Hardy Executive: Health Under Stress","author":"Maddi SR","year":"1984"},{"key":"atypb2","volume-title":"Becoming Stress-Resistant through the Project SMART Program","author":"Flannery RB Jr","year":"1994"},{"key":"atypb3","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.158.6.839"},{"key":"atypb4","first-page":"S355","volume":"8","author":"Rovner BW","year":"1998","journal-title":"Alzheimer Dis Assoc Disord"},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1979.tb06035.x"},{"key":"atypb6","doi-asserted-by":"publisher","DOI":"10.1097\/01376517-200006000-00006"},{"key":"atypb7","volume-title":"On Depression, Development, and Death","author":"Seligman MED","year":"1975"},{"key":"atypb8","doi-asserted-by":"publisher","DOI":"10.1037\/0033-295X.91.3.347"},{"key":"atypb9","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.103.2.163"},{"key":"atypb10","volume-title":"Human Helplessness: Theory and Implications","author":"Garber J","year":"1980"},{"key":"atypb11","doi-asserted-by":"publisher","DOI":"10.3928\/0098-9134-19890501-04"},{"key":"atypb12","first-page":"13","volume":"4","author":"Morrison S","year":"1990","journal-title":"Dimens Oncol Nurs"},{"key":"atypb13","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.1994.20040597.x"},{"key":"atypb14","doi-asserted-by":"publisher","DOI":"10.1037\/0278-6133.9.4.377"},{"key":"atypb15","doi-asserted-by":"publisher","DOI":"10.1002\/1529-0131(199912)12:6<411::AID-ART9>3.0.CO;2-B"},{"key":"atypb16","doi-asserted-by":"publisher","DOI":"10.1037\/0278-6133.20.2.141"},{"key":"atypb17","first-page":"24","volume":"5","author":"Kube M","year":"1990","journal-title":"Adv Clin Care"},{"key":"atypb18","doi-asserted-by":"publisher","DOI":"10.1037\/0022-3514.56.3.471"},{"key":"atypb19","first-page":"13","volume":"49","author":"Paul SM","year":"1988","journal-title":"J Clin Psychol"},{"key":"atypb20","volume-title":"Stress Inoculation Training","author":"Meichenbaum D","year":"1985"},{"key":"atypb21","first-page":"487","volume":"1","author":"Flannery RB Jr","year":"1986","journal-title":"J Soc Behav Pers."},{"key":"atypb22","doi-asserted-by":"publisher","DOI":"10.1037\/0033-3204.30.4.646"},{"key":"atypb23","doi-asserted-by":"publisher","DOI":"10.1037\/h0079698"},{"key":"atypb24","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.2001.01797.x"},{"key":"atypb25","first-page":"411","volume":"35","author":"Teri L","year":"1998","journal-title":"J Rehabil Res Dev."},{"key":"atypb26","doi-asserted-by":"publisher","DOI":"10.1177\/153331750101600209"},{"key":"atypb27","doi-asserted-by":"publisher","DOI":"10.1177\/153331750101600214"},{"key":"atypb28","doi-asserted-by":"publisher","DOI":"10.1097\/00019442-200105000-00008"},{"key":"atypb29","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1099-1166(200002)15:2<181::AID-GPS96>3.0.CO;2-I"},{"key":"atypb30","first-page":"113","volume":"5","author":"Andrieu S","year":"2001","journal-title":"J Nutri Health and Aging"},{"key":"atypb31","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/39.6.729"},{"key":"atypb32","first-page":"67","volume":"30","author":"Forbes DA","year":"1998","journal-title":"Can J Nurs Res."},{"key":"atypb33","first-page":"309","volume":"3","author":"Bauer EJ","year":"1996","journal-title":"Health Serv Res."},{"key":"atypb34","doi-asserted-by":"publisher","DOI":"10.1177\/153331750101600206"},{"key":"atypb35","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1988.tb05780.x"}],"container-title":["American Journal of Alzheimer's Disease &amp; 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