{"id":831926,"date":"2026-11-02T12:30:34","date_gmt":"2026-11-02T11:30:34","guid":{"rendered":"https:\/\/www.dynseo.com\/alliance-therapeutique-malgre-les-troubles-construire-la-confiance\/"},"modified":"2026-11-02T12:35:46","modified_gmt":"2026-11-02T11:35:46","slug":"therapeutic-alliance-despite-disturbances-building-trust","status":"publish","type":"post","link":"https:\/\/www.dynseo.com\/en\/therapeutic-alliance-despite-disturbances-building-trust\/","title":{"rendered":"Therapeutic Alliance Despite Disturbances: Building Trust"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;Article HTML&#8221; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;0px||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row admin_label=&#8221;Contenu&#8221; _builder_version=&#8221;4.16&#8243; width=&#8221;100%&#8221; max_width=&#8221;100%&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; 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script generer-articles.py injecte, dans l'ordre : le header color\u00e9,\nl'encadr\u00e9 formation ou outil, le corps r\u00e9dig\u00e9, puis les donn\u00e9es structur\u00e9es.\n\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\n--><\/p>\n<div class=\"dyn-article\">\n<header class=\"dyn-pagehead dyn-pagehead--eau\">\n  <span class=\"dyn-pagehead__cat\">Families &amp; caregivers \u00b7 Behavioral disorders<\/span><\/p>\n<h1>Therapeutic alliance despite disorders: Building trust<\/h1>\n<pee class=\"dyn-pagehead__lead\">When an elderly person goes through cognitive or behavioral disorders \u2014 disorientation, mistrust, agitation, opposition to care \u2014 what is at stake first is not technical. It is a connection. The <strong>therapeutic alliance<\/strong> precisely refers to the quality of this connection: the underlying trust that allows a person to accept being helped, accompanied, cared for, even when the disease clouds their perception of the situation. Without this trust, the best protocol remains a dead letter. With it, daily gestures that seemed impossible the day before become possible again.<\/pee>\n<ul class=\"dyn-pagehead__meta\">\n<li>\u23f1\ufe0f 24 min read<\/li>\n<li>\ud83d\udc65 For families and caregivers<\/li>\n<li>\ud83d\udd04 Updated in September 2026<\/li>\n<\/ul>\n<\/header>\n<aside class=\"dyn-hero\" aria-label=\"DYNSEO resources related to this article\">\n<div class=\"dyn-hero__grid\">\n<div class=\"dyn-hero__body\">\n      <span class=\"dyn-hero__eyebrow\">DYNSEO resources related to this article<\/span>\n      <pee class=\"dyn-hero__title\"><a href=\"https:\/\/www.dynseo.com\/en\/our-tools\/\">DYNSEO games and stimulation tools<\/a><\/pee>\n      <pee class=\"dyn-hero__pitch\">Applications and resources designed to stimulate, learn, and create connections, at home as well as in facilities.<\/pee>\n<ul class=\"dyn-badges\">\n<li>\ud83e\udde0 Cognitive stimulation<\/li>\n<li>\ud83d\udc68\u200d\ud83d\udc69\u200d\ud83d\udc67 Families &amp; professionals<\/li>\n<li>\ud83d\udcbb On tablet and online<\/li>\n<\/ul>\n<div class=\"dyn-hero__actions\">\n        <a class=\"dyn-btn\" href=\"https:\/\/www.dynseo.com\/en\/our-tools\/\">Discover DYNSEO resources<\/a><br \/>\n        <a class=\"dyn-btn dyn-btn--ghost\" href=\"https:\/\/www.dynseo.com\/en\/our-tests\/\">See all tests<\/a>\n      <\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/aside>\n<pee>This article does not sell a miracle recipe. It explains what the therapeutic alliance really is, why disorders put it to the test, and especially how to build it \u2014 then repair it when it cracks. It addresses both family caregivers and health and social care professionals, as trust cannot be decreed: it is cultivated, gesture by gesture, word by word, over time.<\/pee>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 SHORT RESPONSE (GEO) \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<section class=\"dyn-tldr\">\n<h2>The essentials in 30 seconds<\/h2>\n<pee>The <strong>therapeutic alliance<\/strong> is the bond of trust and collaboration between a supported person and those who help them. Originally described in the field of psychotherapy, it is based on three pillars: an <strong>emotional bond<\/strong>, <strong>shared goals<\/strong>, and a <strong>agreement on the means<\/strong> to achieve them.<\/pee>\n<ul>\n<li><strong>Disorders weaken it<\/strong> \u2014 faltering memory, disorientation, mistrust, or anosognosia (lack of awareness of difficulties) make it harder to establish and maintain trust.<\/li>\n<li><strong>It is built<\/strong> \u2014 through regularity, predictability, respect for rhythm, and recognition of emotions rather than correction of facts.<\/li>\n<li><strong>It is repaired<\/strong> \u2014 a refusal or a moment of agitation is not a definitive break: it is a signal to decode, often related to a fear, pain, or unexpressed need.<\/li>\n<li><strong>It concerns everyone<\/strong> \u2014 family, home helpers, caregivers: coherence among interveners strengthens trust, contradictions undermine it.<\/li>\n<li><strong>What damages it<\/strong> \u2014 haste, infantilization, clumsy lying, forceful actions. What nourishes it: time, attention, keeping one&#8217;s word.<\/li>\n<\/ul>\n<\/section>\n<nav class=\"dyn-toc\" aria-label=\"Table of contents\">\n  <pee>In the table of contents<\/pee>\n<ol>\n<li><a href=\"#dyn-definition\">The therapeutic alliance, beyond the word<\/a><\/li>\n<li><a href=\"#dyn-troubles\">Why disorders weaken trust<\/a><\/li>\n<li><a href=\"#dyn-fondations\">The foundations of trust<\/a><\/li>\n<li><a href=\"#dyn-communication\">Communication that restores the bond<\/a><\/li>\n<li><a href=\"#dyn-rupture\">Navigating moments of rupture<\/a><\/li>\n<li><a href=\"#dyn-professionnel\">The alliance from the health professional&#8217;s perspective<\/a><\/li>\n<li><a href=\"#dyn-famille\">The alliance from the family caregiver&#8217;s perspective<\/a><\/li>\n<li><a href=\"#dyn-leviers\">What strengthens the alliance, what destroys it<\/a><\/li>\n<li><a href=\"#dyn-duree\">Preserving the alliance over time<\/a><\/li>\n<li><a href=\"#dyn-faq\">Frequently asked questions<\/a><\/li>\n<\/ol>\n<\/nav>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 1 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-definition\">The therapeutic alliance, beyond the word<\/h2>\n<pee>The expression may seem reserved for psychologists and doctors. However, it belongs to anyone who supports a vulnerable person. Originally, the concept was formalized in the field of psychotherapy: psychologist Edward Bordin proposed, at the end of the 1970s, to break down this alliance into three dimensions that remain a reference today. This model remarkably illuminates what is at play in the home of an elderly person or in an establishment.<\/pee>\n<h3>The three pillars of the alliance<\/h3>\n<div class=\"dyn-cards\">\n<div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83e\udd1d<\/span><\/p>\n<h3>The emotional bond<\/h3>\n<pee>The basic relationship: feeling safe, respected, recognized as a person and not as a file or a list of tasks. Without this foundation, nothing holds.<\/pee>\n  <\/div>\n<div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83c\udfaf<\/span><\/p>\n<h3>Shared goals<\/h3>\n<pee>An agreement, even implicit, on what we are seeking together: to stay at home as long as possible, regain some autonomy, feel better, suffer less.<\/pee>\n  <\/div>\n<div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83e\udde9<\/span><\/p>\n<h3>Agreement on means<\/h3>\n<pee>A consent to the gestures and activities proposed: personal care, medications, exercises, visits. The person understands, at least in part, the meaning of what is being asked of them.<\/pee>\n  <\/div>\n<\/div>\n<pee>What makes this model so useful is that it shifts the perspective. We stop asking &#8220;how to gain acceptance?&#8221; to ask &#8220;on which of these three pillars is the alliance faltering today?&#8221;. A refusal of personal care does not have the same origin depending on whether it is a problem of bond (the person does not feel safe with the caregiver), of goal (they do not see the point of washing now) or of means (too cold water, uncomfortable position, disrupted modesty).<\/pee>\n<div class=\"dyn-note\">\n  <strong>\ud83d\udca1 Alliance is not submission<\/strong>\n  <pee>Building the alliance does not mean obtaining obedience. A person can be in a full therapeutic alliance and refuse a proposal that day: the bond of trust allows us to hear this refusal, understand it, and revisit it differently. The goal is not to make them bend, but to team up.<\/pee>\n<\/div>\n<h3>A concept, several recognized approaches<\/h3>\n<pee>Several methods of supporting elderly people, particularly those affected by neurodegenerative diseases, explicitly rely on this idea of a trust bond. The <strong>validation method<\/strong>, developed by Naomi Feil, invites us to welcome the emotion and lived reality of the person rather than forcibly bringing them back to objective reality. The <strong>person-centered approach<\/strong>, theorized by Tom Kitwood, places dignity and identity at the heart of care. The <strong>Humanitude method<\/strong> by Gineste and Marescotti structures the encounter around gaze, speech, touch, and verticality. These approaches are not interchangeable, but they share a conviction: the relationship is the primary care.<\/pee>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 2 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-troubles\">Why disorders undermine trust<\/h2>\n<pee>Building trust with a person who has all their abilities is already demanding. Doing so when the disease alters memory, language, judgment, or perception of reality presents another challenge. Understanding <em>what the disorder does<\/em> to the relationship helps avoid interpreting resistance as bad will.<\/pee>\n<h3>What cognitive disorders disrupt<\/h3>\n<div class=\"dyn-tablewrap\">\n<table>\n<thead>\n<tr>\n<th>What the disorder affects<\/th>\n<th>Consequence on the alliance<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Recent memory<\/td>\n<td>The person does not remember the previous visit or the agreement made yesterday. Each meeting sometimes starts from scratch: trust must be rebuilt, not just maintained.<\/td>\n<\/tr>\n<tr>\n<td>Orientation in time and space<\/td>\n<td>Not knowing where one is or why these people are there generates a fundamental insecurity, a breeding ground for mistrust.<\/td>\n<\/tr>\n<tr>\n<td>Language<\/td>\n<td>Difficulty understanding instructions or expressing a need, discomfort, or pain. Misunderstanding replaces dialogue.<\/td>\n<\/tr>\n<tr>\n<td>Judgment and awareness of the disorder<\/td>\n<td>Anosognosia \u2014 not perceiving one&#8217;s own difficulties \u2014 makes the help imposed on the person incomprehensible from their point of view.<\/td>\n<\/tr>\n<tr>\n<td>Emotion regulation<\/td>\n<td>Reactions can be more intense, more brutal, less filtered. Sometimes, a small thing triggers a storm.<\/td>\n<\/tr>\n<tr>\n<td>Perception (sight, hearing)<\/td>\n<td>Poor vision or hearing transforms a caring caregiver into a threatening silhouette approaching without warning.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<pee>Remember this principle, as it changes everything: <strong>what resembles a refusal, aggression, or stubbornness is almost always the expression of a need, a fear, or a pain that the person can no longer articulate otherwise<\/strong>. Behavior is a message. Decoding it is already beginning to repair the alliance.<\/pee>\n<h3>Mistrust is not malice<\/h3>\n<pee>Ideas of harm \u2014 \u201cI am being robbed\u201d, \u201cthey want to lock me up\u201d, \u201cthis person does not belong in my home\u201d \u2014 are common in certain neurodegenerative diseases. They do not reflect a character flaw. They are often an attempt, by a brain that can no longer find its bearings, to make sense of a situation that has become incomprehensible: if I cannot find my wallet and I do not remember moving it, the only explanation left is that it has been taken from me. Discussing the fact is pointless. Acknowledging the emotion \u2014 the worry, the feeling of loss of control \u2014 opens many more doors.<\/pee>\n<h3>When the environment adds to the confusion<\/h3>\n<pee>The weight of the material framework is often underestimated. A noisy, cluttered, poorly lit, or constantly changing environment increases the load the brain has to manage and exhausts already limited resources. A television playing in the background, several people talking at the same time, reflections on a shiny floor mistaken for water, a cluttered hallway: all sources of insecurity that make the person more tense, thus harder to reach. Simplifying the environment \u2014 reducing noise, stabilizing landmarks, improving lighting \u2014 is not a detail of comfort: it is a way to prepare the ground for the alliance. A person less assaulted by their environment is a person more available for the relationship.<\/pee>\n<h3>The weight of life history<\/h3>\n<pee>The same gesture does not mean the same thing for everyone. A person who has experienced war, a traumatic hospitalization, a night job, or great modesty will not react like another to personal care, bedtime, or a closed door. Knowing the life history \u2014 the trials, habits, values \u2014 allows us to anticipate certain reactions and make sense of them rather than endure them. This work of knowledge is not curiosity: it is a concrete key to avoid clumsiness and build tailored trust.<\/pee>\n<div class=\"dyn-alerte\">\n  <strong>\u26a0\ufe0f Never trivialize a sudden change<\/strong>\n  <pee>A new mistrust, sudden agitation, unusual refusal, or confusion that sets in quickly should never be immediately attributed to \u201cthe disease progressing.\u201d A sudden change in behavior may signal pain, an infection (especially urinary), dehydration, a side effect of medication, or another medical problem. <strong>Observe, note, report to the doctor<\/strong>: only a healthcare professional can make a diagnosis. In case of serious signs, contact the emergency services in your country.<\/pee>\n<\/div>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 3 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-fondations\">The foundations of trust<\/h2>\n<pee>Trust is not earned through a grand gesture, but through a sum of small, consistent gestures over time. For a person whose factual memory is impaired, one thing often remains intact longer: <strong>emotional memory<\/strong>. They may no longer know <em>who<\/em> you are, but retain the feeling that your presence is gentle or, conversely, unpleasant. It is on this emotional trace that the essential plays out.<\/pee>\n<h3>Safety above all<\/h3>\n<pee>A person who feels safe lets their guard down. A person who feels threatened defends themselves \u2014 and what is then called \u201cbehavioral disorders\u201d is often a perfectly logical defensive behavior. Creating safety involves concrete elements: announcing what you are going to do before doing it, never appearing from behind, positioning yourself at eye level, slowing down your movements, maintaining a calm and low tone of voice. The body speaks before words.<\/pee>\n<h3>Predictability and ritual<\/h3>\n<pee>When memory can no longer anticipate, repetition reassures. A stable routine \u2014 same schedules, same faces as much as possible, same sequence \u2014 becomes a reference point that calms. Ritual is not rigidity: it is a reassuring framework within which the person regains a sense of control. This is also why the <strong>continuity of caregivers<\/strong> matters so much: each new face forces reconstruction, which is exhausting for the person.<\/pee>\n<div class=\"dyn-cards\">\n<div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83d\udc40<\/span><\/p>\n<h3>The gaze<\/h3>\n<pee>A sought, held gaze, at eye level, says \u201c&nbsp;you exist, I see you&nbsp;\u201d. It is often the first channel that remains open when words fail.<\/pee>\n  <\/div>\n<div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83d\udde3\ufe0f<\/span><\/p>\n<h3>The speech<\/h3>\n<pee>Speak to the person, never about them in the third person in front of them. Name what you are doing, even without a response&nbsp;: the silence of the caregiver is experienced as abandonment.<\/pee>\n  <\/div>\n<div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\u270b<\/span><\/p>\n<h3>The touch<\/h3>\n<pee>A slow, announced, respectful touch \u2014 the hand before the forearm, never abrupt \u2014 conveys presence and gentleness where words no longer reach.<\/pee>\n  <\/div>\n<div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\u23f3<\/span><\/p>\n<h3>The time<\/h3>\n<pee>Allow time to understand, to respond, to do it oneself. Haste is the first destroyer of alliance&nbsp;: it turns help into aggression.<\/pee>\n  <\/div>\n<\/div>\n<h3>The held speech<\/h3>\n<pee>Keeping what you announce is a discreet but decisive pillar. If you say \u201c&nbsp;I\u2019ll be back in five minutes&nbsp;\u201d, come back. If you announce \u201c&nbsp;we\u2019ll stop if it\u2019s too much&nbsp;\u201d, really stop when the person asks. Even if consciously forgotten, a broken promise leaves a mark of mistrust&nbsp;; a kept promise leaves a mark of reliability. Trust is built on this repeated consistency between what is said and what is done.<\/pee>\n<div class=\"dyn-note\">\n  <strong>\ud83d\udca1 Lying out of kindness&nbsp;: caution<\/strong>\n  <pee>Should we enter the person&#8217;s reality when they are waiting for a deceased loved one or believe they need to \u201c&nbsp;go to work&nbsp;\u201d? Validation approaches invite us not to confront them harshly with reality, while also avoiding creating false complex scenarios that may backfire on the caregiver. The guideline&nbsp;: never lie about the essentials, welcome the emotion, redirect attention to the present. Delicate situations benefit from being discussed with the caregiving team or a psychologist.<\/pee>\n<\/div>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 4 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-communication\">Communication that restores the link<\/h2>\n<pee>Many breaks in alliance arise from a misunderstanding, not from a fundamental disagreement. Adapting one\u2019s way of communicating is not condescending&nbsp;: it is making oneself understandable. Here are the principles that make the most difference in daily life.<\/pee>\n<h3>Simplify without infantilizing<\/h3>\n<pee>One idea at a time, short sentences, simple words, a slowed pace&nbsp;: this helps a brain that processes information more slowly. But simplifying the message never means speaking as if to a child. The \u201c&nbsp;are we going to do our little pee&nbsp;?\u201d, the systematic diminutive, the sing-song tone used with an adult are experienced \u2014 consciously or not \u2014 as humiliation. We maintain the formal address if it is customary, we address an adult, we preserve dignity.<\/pee>\n<div class=\"dyn-tablewrap\">\n<table>\n<thead>\n<tr>\n<th>\u2705 What opens the dialogue<\/th>\n<th>\u274c What closes it<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>\u201c&nbsp;We are going to get up, I\u2019ll give you my arm.&nbsp;\u201d<\/td>\n<td>\u201c&nbsp;Come on, get up, we don\u2019t have all day.&nbsp;\u201d<\/td>\n<\/tr>\n<tr>\n<td>\u201c&nbsp;Do you prefer the blue sweater or the gray one&nbsp;?&nbsp;\u201d<\/td>\n<td>\u201c&nbsp;Put that on, it\u2019s very good.&nbsp;\u201d<\/td>\n<\/tr>\n<tr>\n<td>\u201c&nbsp;I see that this worries you. Shall we look together&nbsp;?&nbsp;\u201d<\/td>\n<td>\u201c&nbsp;But no, there\u2019s no reason, stop.&nbsp;\u201d<\/td>\n<\/tr>\n<tr>\n<td>\u201c&nbsp;We can take a break if you want.&nbsp;\u201d<\/td>\n<td>\u201c&nbsp;One more effort, it\u2019s almost over.&nbsp;\u201d<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<h3>Offer choices, not commands<\/h3>\n<pee>The feeling of control is a fundamental need, particularly threatened by illness. Offering a simple choice \u2014 between two pieces of clothing, two activities, two moments \u2014 gives a bit of power back to the person and transforms a confrontation into collaboration. Be careful not to overwhelm with options: two concrete possibilities are better than an open question that leads to failure.<\/pee>\n<h3>Validate the emotion before correcting the fact<\/h3>\n<pee>This is probably the most powerful communication gesture. In response to \u201cI want to go home, my mother is waiting for me,\u201d replying \u201cyour mother passed away thirty years ago\u201d reopens a mourning and breaks the bond. Responding \u201care you thinking of your mom, do you miss her?\u201d acknowledges the real emotion behind inaccurate words. We meet the person where they are, instead of forcibly bringing them back to where we are.<\/pee>\n<div class=\"dyn-steps\">\n<li><strong>I observe.<\/strong> What emotion is hidden behind the words or behavior? Fear, sadness, anger, boredom, discomfort, pain?<\/li>\n<li><strong>I name and welcome.<\/strong> \u201cI see that you are upset.\u201d We put words to what we perceive, without judgment.<\/li>\n<li><strong>I join.<\/strong> I stay in the realm of emotion rather than contradicting the facts.<\/li>\n<li><strong>I propose an exit.<\/strong> A gentle diversion, a familiar activity, a move to another room, a comforting object.<\/li>\n<li><strong>I note to communicate.<\/strong> What triggered it, what calmed it: this written memory benefits all caregivers.<\/li>\n<\/div>\n<h3>What the body says without words<\/h3>\n<pee>A huge part of communication goes through non-verbal cues, and this part becomes central when language fails. Posture, speed of gestures, distance, facial expression, tone of voice: all of this is captured and interpreted, even by a person who no longer understands sentences. A tense, hurried caregiver with abrupt gestures conveys their tension, regardless of their reassuring words. Conversely, a relaxed face, an authentic smile, wide and slow movements soothe even before the first sentence is spoken. It is sometimes said that, in the disoriented person, \u201cit&#8217;s the music that matters more than the words\u201d: the tone, rhythm, and melody of the voice carry the message as much as its content.<\/pee>\n<div class=\"dyn-note\">\n  <strong>\ud83d\udca1 A concrete support to identify signals<\/strong>\n  <pee>Many families benefit from formalizing what they observe. The <a href=\"https:\/\/www.dynseo.com\/en\/our-tools\/warning-signs-card-dynseo-training\/\">alert signal map<\/a> provided by DYNSEO helps identify and record behavioral changes to communicate them to professionals. Objectifying what we observe prevents everything from being categorized under the vague label of \u201cthe illness\u201d and facilitates dialogue with the care team.<\/pee>\n<\/div>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 CTA MILIEU \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<div class=\"dyn-cta\">\n<h3>Maintain the bond, also, through shared moments<\/h3>\n<pee>Activities for cognitive stimulation adapted for seniors are a wonderful support for alliance: we are not \u201cadministering a test,\u201d we are sharing a moment of pleasure and success. The application <strong>SCARLETT<\/strong>, designed for seniors and people with neurodegenerative diseases, offers games at an adjusted level to build confidence without ever leading to failure.<\/pee>\n  <a class=\"dyn-btn\" href=\"https:\/\/www.dynseo.com\/en\/brain-games-apps\/scarlett-brain-games-for-seniors\/\">Discover SCARLETT<\/a>\n<\/div>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 5 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-rupture\">Navigating moments of rupture<\/h2>\n<pee>No matter how strong it is, the alliance experiences moments of tension: a categorical refusal, a surge of agitation, a hurtful accusation, a withdrawal. These episodes are normal. What matters is not to avoid them at all costs \u2014 that\u2019s impossible \u2014 but to know how to navigate through them without breaking the bond.<\/pee>\n<h3>Decoding the refusal<\/h3>\n<pee>A refusal is rarely a whim. It is almost always a response to something. Before trying to convince, we seek to understand: is the person afraid, in pain, cold? Are they tired, embarrassed in their modesty, humiliated by the way we are approaching them? Do they simply need a little more time? The right question is not \u201chow to make them accept?\u201d but \u201cwhat does this refusal tell me?\u201d.<\/pee>\n<div class=\"dyn-tablewrap\">\n<table>\n<thead>\n<tr>\n<th>What you observe<\/th>\n<th>What it might mean<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>\u201cShe systematically refuses the shower\u201d<\/td>\n<td>Fear of water, falling, cold; modesty disrupted; pain during movement \u2014 rarely stubbornness<\/td>\n<\/tr>\n<tr>\n<td>\u201cHe pushes his plate away and turns his head\u201d<\/td>\n<td>Dental pain, swallowing disorder, fatigue, altered tastes, or poorly chosen moment<\/td>\n<\/tr>\n<tr>\n<td>\u201cShe is agitated in the late afternoon\u201d<\/td>\n<td>Accumulated fatigue, falling dusk, hunger, need to go to the bathroom not expressed<\/td>\n<\/tr>\n<tr>\n<td>\u201cHe becomes aggressive during bathing\u201d<\/td>\n<td>Too rapid movements, feeling of intrusion, lack of announcement, unrecognized pain<\/td>\n<\/tr>\n<tr>\n<td>\u201cShe no longer wants to see a certain caregiver\u201d<\/td>\n<td>An unpleasant episode that remains in emotional memory, even if the fact is forgotten<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<h3>De-escalate without forcing<\/h3>\n<pee>Forcing the issue resolves the problem of the moment and destroys the alliance for tomorrow. The person may not remember the imposed care, but the trace of fear will remain \u2014 and the refusal, next time, will be more pronounced. In the face of opposition, the golden rule is often to <strong>step back to come back better<\/strong>: give up the moment, change the timing, change the caregiver, change the approach. Non-vital care can almost always wait thirty minutes or come back later in the day.<\/pee>\n<div class=\"dyn-alerte\">\n  <strong>\u26a0\ufe0f What to avoid in a moment of crisis<\/strong>\n  <pee><strong>\u274c To avoid:<\/strong> raising your voice, arguing at length, contradicting directly, immobilizing the person, reasoning with logic, surrounding them with multiple people. These reactions increase the feeling of threat and fuel escalation. We prioritize: a low tone, a step back, an open space, a short sentence, a diversion. Any restraint measure is exclusively subject to a medical prescription; it is never improvised at home.<\/pee>\n<\/div>\n<h3>Prevent rather than manage<\/h3>\n<pee>The best management of a crisis is the one that does not occur. Many episodes of agitation follow recognizable patterns: a time of day, a moment during personal care, a location, a too-rapid succession of requests, hunger, thirst, the unexpressed need to go to the bathroom. By maintaining a simple observation over a few days \u2014 when, where, with whom, after what \u2014 recurring triggers are often identified that can then be defused in advance. Anticipating a need before it turns into distress, arranging sensitive moments, lightening an overloaded day: this discreet prevention avoids many disruptions and preserves everyone&#8217;s energy.<\/pee>\n<h3>Repairing after the storm<\/h3>\n<pee>A moment of rupture does not erase what has been built. After a crisis, we do not lecture, we do not revisit the episode that the person has often already forgotten. We simply restore the connection: a calm presence, a gentle gesture, a familiar activity, a smile. The ability to repair is better than the illusion of controlling everything. It is even one of the signs of a strong alliance: it withstands storms and then reconstitutes itself.<\/pee>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 6 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-professionnel\">The alliance from the healthcare professional&#8217;s side<\/h2>\n<pee>For caregivers, nursing assistants, nurses, home care workers, or medical-social professionals, the therapeutic alliance is not an added bonus: it is a working tool. An accepted care is better delivered, less traumatic for the person, and less exhausting for the professional. The High Authority of Health in France recommends prioritizing non-drug and relational approaches in the management of behavioral disorders related to neuro-evolutionary diseases.<\/pee>\n<h3>Relational care as the first gesture<\/h3>\n<pee>Before any technical act, there is the encounter. Taking thirty seconds to introduce oneself, catch the gaze, announce one&#8217;s arrival and intention radically changes what follows. These &#8220;lost&#8221; seconds are actually an investment: they often prevent long minutes of struggle. The experienced professional knows that haste costs more than slowness.<\/pee>\n<div class=\"dyn-cards\">\n<div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83d\udccb<\/span><\/p>\n<h3>Transmit<\/h3>\n<pee>Record what calms and what triggers for each person. The alliance is a collective knowledge: what one discovers benefits all the caregivers.<\/pee>\n  <\/div>\n<div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83d\udd04<\/span><\/p>\n<h3>Coordinate<\/h3>\n<pee>A coherent approach between the team, family, and external caregivers. Contradictory messages unsettle the person and weaken trust.<\/pee>\n  <\/div>\n<div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83e\udded<\/span><\/p>\n<h3>Individualize<\/h3>\n<pee>Know the life history, habits, preferences, past professions. What makes sense for one person is unique: there is no universal protocol for connection.<\/pee>\n  <\/div>\n<\/div>\n<h3>Taking care of one&#8217;s own posture<\/h3>\n<pee>The professional is a human being: fatigue, workload, lack of time weigh on the quality of the relationship. Recognizing one&#8217;s own reactions \u2014 annoyance at a repeated refusal, discouragement, feelings of failure \u2014 is part of the job. These emotions are not faults; they are signals. Practice analyses, team support, and ongoing training help to avoid being alone in facing heavy situations.<\/pee>\n<div class=\"dyn-note\">\n  <strong>\ud83d\udca1 Objectify to better support<\/strong>\n  <pee>The <a href=\"https:\/\/www.dynseo.com\/en\/our-tests\/\">cognitive tests<\/a> and screening tools can help identify the preserved abilities of a person \u2014 those on which we will rely to maintain autonomy and connection. Note: these markers never replace a clinical evaluation. Diagnosis and prognosis are solely the responsibility of the doctor and authorized professionals.<\/pee>\n<\/div>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 7 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-famille\">The alliance with the caregiver<\/h2>\n<pee>For a loved one \u2014 spouse, son, daughter, grandchild \u2014 the question of alliance takes on a particular, sometimes painful, hue. You do not support a stranger: you support a person you have always known differently. The parent who protected becomes the one who needs protection. This role reversal is one of the most difficult trials, and it can damage the relationship if not handled carefully.<\/pee>\n<h3>Accept that the relationship changes form<\/h3>\n<pee>The person from before does not return as they were, and wanting to &#8220;find them&#8221; at all costs leads to frustration. The alliance, for a loved one, often consists of mourning the previous relationship to invent another one in the present: no longer based on equal conversation or shared memory, but on presence, gesture, and the emotion experienced together here and now. It is a renunciation, but also an opening: many caregivers describe unprecedented moments of tenderness, born precisely from this new way of being together.<\/pee>\n<h3>Do not take everything personally<\/h3>\n<pee>\u201cHe no longer recognizes me, he pushes me away, he is no longer my father.\u201d These phrases express immense suffering. It is essential to remember that rejection, aggression, or apparent indifference are symptoms of the disease, not judgments about you or your love. Taking these manifestations personally adds a wound to the trial. Treating them as symptoms protects both the caregiver and the bond.<\/pee>\n<div class=\"dyn-alerte\">\n  <strong>\u26a0\ufe0f The caregiver needs help too<\/strong>\n  <pee>There is no lasting therapeutic alliance with an exhausted caregiver. Fatigue, isolation, and guilt undermine the patience and availability that the relationship requires. Asking for help is not a failure: it is a condition. Reach out to the attending physician, respite platforms, family associations, and caregiver support services in your area. If you feel overwhelmed or in distress, talk to a health professional without delay.<\/pee>\n<\/div>\n<h3>Team up as a family<\/h3>\n<pee>The alliance is not only played out between the person and a caregiver: it is also played out among loved ones. Nothing undermines the trust of a disoriented person more than adults who contradict each other, blame each other&#8217;s choices, or hold opposing views in front of them. Tensions among siblings regarding how to proceed, the distribution of responsibilities, or difficult decisions are common and human. Discussing openly, dividing roles according to availability and affinities, agreeing on a few common principles: this family coherence protects the person as much as the bond. A third party \u2014 doctor, psychologist, family association, caregiver support service \u2014 can help ease these disagreements when they escalate.<\/pee>\n<h3>Allow yourself moments that are not &#8220;care&#8221;<\/h3>\n<pee>The alliance is not only nourished by useful acts. Listening to a song from the past, flipping through photos, walking, laughing, holding a hand without expecting anything in return: these free moments are often the ones that recharge the bond. They remind both the person and the caregiver that the relationship is not reduced to the illness. It is also in these moments that the <strong>emotional memory<\/strong> fills with positive traces, which will facilitate the more difficult moments.<\/pee>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 8 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-leviers\">What strengthens the alliance, what destroys it<\/h2>\n<pee>After these principles, here is a deliberately concrete summary. No list replaces discernment in the moment, but these benchmarks help adjust one&#8217;s posture \u2014 whether one is a close person or a professional.<\/pee>\n<div class=\"dyn-tablewrap\">\n<table>\n<thead>\n<tr>\n<th>\u2705 What strengthens trust<\/th>\n<th>\u274c What destroys it<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Announce each gesture before doing it<\/td>\n<td>Surge, act quickly, without warning<\/td>\n<\/tr>\n<tr>\n<td>Get at eye level, slow down<\/td>\n<td>Stand tall, dominate, rush<\/td>\n<\/tr>\n<tr>\n<td>Welcome the emotion behind the words<\/td>\n<td>Correct the facts, contradict, &#8220;reason&#8221;<\/td>\n<\/tr>\n<tr>\n<td>Offer simple choices<\/td>\n<td>Multiply injunctions<\/td>\n<\/tr>\n<tr>\n<td>Step back and return differently in the face of a refusal<\/td>\n<td>Force through to &#8220;end it&#8221;<\/td>\n<\/tr>\n<tr>\n<td>Keep the same team, the same rituals<\/td>\n<td>Multiply the interveners and changes<\/td>\n<\/tr>\n<tr>\n<td>Speak to the person, name them<\/td>\n<td>Speak about them in the third person in front of them<\/td>\n<\/tr>\n<tr>\n<td>Respect modesty and dignity<\/td>\n<td>Infantilize, use diminutives<\/td>\n<\/tr>\n<tr>\n<td>Keep promises, even small ones<\/td>\n<td>Promise to soothe, without keeping<\/td>\n<\/tr>\n<tr>\n<td>Note and convey what you observe<\/td>\n<td>Keep information to oneself<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<h3>Preserved abilities, the support point of the alliance<\/h3>\n<pee>Even in advanced stages, a neuro-evolving illness leaves many abilities intact: sensitivity to music, pleasure of contact, certain deeply automated old gestures, humor, reaction to a smile. Relying on what remains rather than stumbling over what is missing is a key to the alliance. Every success, even tiny \u2014 recognizing a song, succeeding in a simple game, participating in a familiar task \u2014 nourishes self-esteem and the feeling of competence, two powerful drivers of trust.<\/pee>\n<div class=\"dyn-note\">\n  <strong>\ud83d\udca1 Bet on success, not failure<\/strong>\n  <pee>An activity that is too difficult leads to failure and damages trust; too easy, it is not engaging. The right level is one that challenges &#8220;just enough.&#8221; This is the principle of cognitive stimulation games at an adjustable level: offering accessible successes rather than discouraging trials. The <a href=\"https:\/\/www.dynseo.com\/en\/our-tools\/\">DYNSEO tool catalog<\/a> brings together free resources to support this approach in daily life.<\/pee>\n<\/div>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 9 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-duree\">Preserving the alliance over time<\/h2>\n<pee>A neuro-evolving illness evolves: what works today will need to be reinvented tomorrow. The alliance is therefore never &#8220;acquired&#8221;; it requires constant adjustment. This requirement, far from being discouraging, invites a flexible posture, attentive to small signals, capable of changing approach without experiencing the change as a failure.<\/pee>\n<h3>Adjusting through the stages<\/h3>\n<pee>As language diminishes, the body&#8217;s channel \u2014 gaze, touch, music, rhythm \u2014 takes over. What once reassured may no longer be suitable; an abandoned activity can become a source of pleasure again. Observing constantly, trying, making mistakes, trying again: this is the very movement of support. Rigidity is the enemy of connection; flexibility is its ally.<\/pee>\n<h3>Documenting to avoid starting from scratch<\/h3>\n<pee>A liaison notebook, a daily habits diary, a sheet of \u201cwhat soothes \/ what triggers\u201d constitute a valuable external memory. They allow each new caregiver to start with an already established trust capital, rather than reproducing avoidable clumsiness. This continuity, invisible to the person, is nonetheless one of the surest guarantees of their well-being.<\/pee>\n<div class=\"dyn-steps\">\n<li><strong>Gather the life story.<\/strong> Occupation, passions, habits, nicknames, important people, favorite music and dishes.<\/li>\n<li><strong>Map the triggers.<\/strong> What soothes or, on the contrary, agitates this specific person.<\/li>\n<li><strong>Stabilize the rituals.<\/strong> Schedules, procedures, caregivers: predictability as a foundation of safety.<\/li>\n<li><strong>Share among all actors.<\/strong> Family, professionals, substitutes: a common score.<\/li>\n<li><strong>Reassess regularly.<\/strong> What works evolves; support readjusts with the disease.<\/li>\n<\/div>\n<h3>What the alliance fundamentally changes<\/h3>\n<pee>Building and preserving the <strong>therapeutic alliance<\/strong> despite disorders is not just about obtaining accepted care. It is about recognizing, until the end, the person behind the disease: someone who feels, who needs to be safe, respected, and connected. Trust does not rest on a unique technique but on a way of being \u2014 patient, attentive, consistent \u2014 that is built, day by day, in the patient repetition of small, correct gestures. Every held gaze, every word kept, every refusal heard rather than forced adds a stone to this fragile and precious edifice. And when everything seems to crumble, it is often this connection that remains, making support bearable \u2014 for the person as well as for those around them.<\/pee>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 S\u00c9RIE \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2>To go further<\/h2>\n<pee>The therapeutic alliance intersects with many topics in supporting seniors. Other articles in this series delve into each aspect:<\/pee>\n<div class=\"dyn-serie\">\n  <a href=\"#\"><span>Communicate differently<\/span>Understanding and adapting communication with a person with cognitive disorders<\/a><br \/>\n  <a href=\"#\"><span>Behavioral disorders<\/span>Decoding agitation, refusal, and distrust: what do these behaviors really say?<\/a><br \/>\n  <a href=\"#\"><span>The calm daily life<\/span>Arranging rituals, the environment, and activities to secure the day<\/a><br \/>\n  <a href=\"#\"><span>Support the caregiver<\/span>Preventing caregiver burnout and finding support and assistance<\/a>\n<\/div>\n<pee>On the resources side: the <a href=\"https:\/\/www.dynseo.com\/en\/our-tools\/warning-signs-card-dynseo-training\/\">alert signal map<\/a> helps identify and communicate behavioral changes, and the <a href=\"https:\/\/www.dynseo.com\/en\/our-tests\/\">cognitive tests<\/a> help locate the preserved abilities to rely on. These supports complement \u2014 never replace \u2014 the advice of healthcare professionals who follow the person.<\/pee>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 FAQ \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-faq\">Frequently Asked Questions<\/h2>\n<div class=\"dyn-faq\">\n<h3>What is the therapeutic alliance, concretely&nbsp;?<\/h3>\n<pee>It is the bond of trust and collaboration between a supported person and those who help them \u2014 relatives or professionals. Formalized in the field of psychotherapy, it relies on three dimensions&nbsp;: an emotional bond of security, shared goals, and an agreement on the means employed. For an elderly person with cognitive disorders, it takes on decisive importance&nbsp;: without trust, care and support become a source of permanent tension. With it, daily life calms down. The alliance is not decreed&nbsp;: it is built over time, through consistent gestures, respect, and constancy.<\/pee>\n<h3>How to gain the trust of a person who is wary of everything&nbsp;?<\/h3>\n<pee>The distrust linked to certain neuro-evolving diseases is not directed against you&nbsp;: it is an attempt to make sense of a reality that has become confusing. One does not discuss the facts, one welcomes the emotion \u2014 the worry, the feeling of loss of control. Concretely&nbsp;: announce each gesture, get to eye level, slow down, maintain a calm tone, offer simple choices, and keep promises. Regularity and the presence of familiar faces reassure. Trust is patiently rebuilt, without ever forcing it. In case of new or sudden distrust, report it to the doctor&nbsp;: it may have a medical cause.<\/pee>\n<h3>Should we tell the truth or enter into the person&#8217;s reality&nbsp;?<\/h3>\n<pee>There is no single answer. Validation approaches invite us not to confront a disoriented person harshly with a painful reality, such as the death of a loved one they are expecting. We welcome the emotion without lying about the essentials, and gently redirect attention to the present. Conversely, inventing complex scenarios risks backfiring on the caregiver. The guiding principle&nbsp;: remain honest about the substance, prioritize emotion over fact, and avoid unnecessary confrontations. The most delicate situations benefit from being discussed with the caregiving team or a psychologist, who adapt on a case-by-case basis.<\/pee>\n<h3>What to do in the face of a refusal of care&nbsp;?<\/h3>\n<pee>A refusal is a message, not a whim. Before convincing, seek to understand what it expresses&nbsp;: fear, pain, cold, modesty, fatigue, discomfort related to the manner of doing. For non-vital care, the rule is often to step back to return better&nbsp;: change the moment, the caregiver, or the approach. Forcing the issue resolves the moment but damages tomorrow&#8217;s trust and makes the next refusal more pronounced. One should avoid raising their voice, arguing at length, or immobilizing the person. Any restraint measure falls exclusively under a medical prescription. In case of persistent refusal to eat, drink, or receive care, alert the caregiving team promptly.<\/pee>\n<h3>How to preserve the alliance when you are an exhausted relative&nbsp;?<\/h3>\n<\/div>\n<div class=\"dyn-faq\">\n  <pee>There is no sustainable support with a caregiver at their wit&#8217;s end. Fatigue and isolation erode the patience that the relationship requires: taking care of oneself is not selfishness, it is a condition. Remember that rejection or aggression are symptoms, not judgments about you. Allow yourself free moments \u2014 music, photos, walks \u2014 that recharge the bond outside of &#8220;care&#8221;. Above all, do not stay alone: general practitioner, respite platforms, family associations, and support systems for caregivers exist. If you feel overwhelmed, talk to a healthcare professional without delay.<\/pee><\/div>\n<div class=\"dyn-note\">\n  <strong>\u2139\ufe0f Information and not medical advice<\/strong>\n  <pee>This article is intended for general information and support. It does not replace a diagnosis, medical advice, or treatment. Any change in behavior, any sign of suffering, or any new difficulty should be reported to the attending physician or the care team following the person. In case of emergency, contact the emergency services in your country.<\/pee>\n<\/div>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 CTA FINAL \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<div class=\"dag-media-row\" style=\"background:linear-gradient(135deg,#eef1ff 0%,#f4ecff 100%);border-radius:22px;padding:26px 30px;margin:38px 0;display:flex;gap:30px;align-items:center;flex-wrap:wrap;box-shadow:0 12px 30px rgba(94,94,215,.12);\">\n<div style=\"flex:1;min-width:240px;\">\n<div style=\"display:inline-block;background:#fff;color:#5268c9;font-weight:700;font-size:12px;letter-spacing:.04em;padding:5px 13px;border-radius:20px;margin-bottom:12px;text-transform:uppercase;box-shadow:0 2px 8px rgba(94,94,215,.12);\">SENIORS<\/div>\n<div style=\"font-weight:700;font-size:1.2rem;color:#5e5ed7;margin-bottom:10px;\">Our application<\/div>\n<pee style=\"margin:0 0 16px;color:#444;font-size:1rem;line-height:1.55;\">More than 30 cognitive stimulation games designed for seniors and vulnerable people, with gentle and progressive support, on tablet.<\/pee>\n    <a href=\"https:\/\/www.dynseo.com\/en\/brain-games-apps\/scarlett-brain-games-for-seniors\/\" style=\"display:inline-block;background:linear-gradient(135deg,#5e5ed7,#5268c9);color:#fff;text-decoration:none;font-weight:600;padding:13px 24px;border-radius:12px;box-shadow:0 8px 22px rgba(94,94,215,.30);\">Discover \u2192<\/a>\n  <\/div>\n<p>  <img decoding=\"async\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2025\/01\/icone-logo-edith-rond.webp\" alt=\"SCARLETT\" style=\"width:38%;min-width:220px;border-radius:18px;box-shadow:0 14px 34px rgba(94,94,215,.22);object-fit:cover;\">\n<\/div>\n<div class=\"dyn-cta\">\n<h3>Building trust, one moment of pleasure at a time<\/h3>\n<pee>Sharing a successful activity is one of the most beautiful bonds of alliance. Designed for seniors and people with neurodegenerative diseases, the application <strong>SCARLETT<\/strong> offers cognitive stimulation games at an adjusted level: accessible successes, never discouraging failures, and real moments of complicity to experience together.<\/pee>\n  <a class=\"dyn-btn\" href=\"https:\/\/www.dynseo.com\/en\/brain-games-apps\/scarlett-brain-games-for-seniors\/\">Discover SCARLETT<\/a>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":4,"featured_media":150367,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"[et_pb_section fb_built=\"1\" admin_label=\"Article HTML\" _builder_version=\"4.16\" custom_padding=\"0px||0px||false|false\" global_colors_info=\"{}\"][et_pb_row admin_label=\"Contenu\" _builder_version=\"4.16\" width=\"100%\" 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span{display:block;font-size:.82rem;font-weight:600;color:var(--dyn-rose);text-transform:uppercase;letter-spacing:.06em;margin-bottom:2px;}\n\n@media (prefers-reduced-motion:reduce){\n  .dbi-art-70814fe7 .dyn-article *{transition:none !important;}\n}\n\n\n<\/style>\n<div class=\"dbi-art-70814fe7\"><!--\n\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\nDYNSEO \u2014 GABARIT ARTICLE SEO\/GEO  \u00b7  v1.0\nNe pas modifier les noms de classes : le script generer-articles.py\net tous les articles d\u00e9j\u00e0 publi\u00e9s en d\u00e9pendent.\n\nLe script generer-articles.py injecte, dans l'ordre : le header color\u00e9,\nl'encadr\u00e9 formation ou outil, le corps r\u00e9dig\u00e9, puis les donn\u00e9es structur\u00e9es.\n\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\n-->\n\n<div class=\"dyn-article\"><header class=\"dyn-pagehead dyn-pagehead--eau\">\n  <span class=\"dyn-pagehead__cat\">Families &amp; caregivers \u00b7 Behavioral disorders<\/span>\n  <h1>Therapeutic alliance despite disorders: Building trust<\/h1>\n  <p class=\"dyn-pagehead__lead\">When an elderly person goes through cognitive or behavioral disorders \u2014 disorientation, mistrust, agitation, opposition to care \u2014 what is at stake first is not technical. It is a connection. The <strong>therapeutic alliance<\/strong> precisely refers to the quality of this connection: the underlying trust that allows a person to accept being helped, accompanied, cared for, even when the disease clouds their perception of the situation. Without this trust, the best protocol remains a dead letter. With it, daily gestures that seemed impossible the day before become possible again.<\/p>\n  <ul class=\"dyn-pagehead__meta\">\n    <li>\u23f1\ufe0f 24 min read<\/li>\n    <li>\ud83d\udc65 For families and caregivers<\/li>\n    <li>\ud83d\udd04 Updated in September 2026<\/li>\n  <\/ul>\n<\/header>\n\n<aside class=\"dyn-hero\" aria-label=\"DYNSEO resources related to this article\">\n  <div class=\"dyn-hero__grid\">\n    <div class=\"dyn-hero__body\">\n      <span class=\"dyn-hero__eyebrow\">DYNSEO resources related to this article<\/span>\n      <p class=\"dyn-hero__title\"><a href=\"https:\/\/www.dynseo.com\/nos-outils\/\">DYNSEO games and stimulation tools<\/a><\/p>\n      <p class=\"dyn-hero__pitch\">Applications and resources designed to stimulate, learn, and create connections, at home as well as in facilities.<\/p>\n      <ul class=\"dyn-badges\">\n        <li>\ud83e\udde0 Cognitive stimulation<\/li>\n        <li>\ud83d\udc68\u200d\ud83d\udc69\u200d\ud83d\udc67 Families &amp; professionals<\/li>\n        <li>\ud83d\udcbb On tablet and online<\/li>\n      <\/ul>\n      <div class=\"dyn-hero__actions\">\n        <a class=\"dyn-btn\" href=\"https:\/\/www.dynseo.com\/nos-outils\/\">Discover DYNSEO resources<\/a>\n        <a class=\"dyn-btn dyn-btn--ghost\" href=\"https:\/\/www.dynseo.com\/nos-tests\/\">See all tests<\/a>\n      <\/div>\n    <\/div>\n  <\/div>\n<\/aside>\n\n<p>This article does not sell a miracle recipe. It explains what the therapeutic alliance really is, why disorders put it to the test, and especially how to build it \u2014 then repair it when it cracks. It addresses both family caregivers and health and social care professionals, as trust cannot be decreed: it is cultivated, gesture by gesture, word by word, over time.<\/p>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 SHORT RESPONSE (GEO) \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<section class=\"dyn-tldr\">\n  <h2>The essentials in 30 seconds<\/h2>\n  <p>The <strong>therapeutic alliance<\/strong> is the bond of trust and collaboration between a supported person and those who help them. Originally described in the field of psychotherapy, it is based on three pillars: an <strong>emotional bond<\/strong>, <strong>shared goals<\/strong>, and a <strong>agreement on the means<\/strong> to achieve them.<\/p>\n  <ul>\n    <li><strong>Disorders weaken it<\/strong> \u2014 faltering memory, disorientation, mistrust, or anosognosia (lack of awareness of difficulties) make it harder to establish and maintain trust.<\/li>\n    <li><strong>It is built<\/strong> \u2014 through regularity, predictability, respect for rhythm, and recognition of emotions rather than correction of facts.<\/li>\n    <li><strong>It is repaired<\/strong> \u2014 a refusal or a moment of agitation is not a definitive break: it is a signal to decode, often related to a fear, pain, or unexpressed need.<\/li>\n    <li><strong>It concerns everyone<\/strong> \u2014 family, home helpers, caregivers: coherence among interveners strengthens trust, contradictions undermine it.<\/li>\n    <li><strong>What damages it<\/strong> \u2014 haste, infantilization, clumsy lying, forceful actions. What nourishes it: time, attention, keeping one's word.<\/li>\n  <\/ul>\n<\/section>\n\n<nav class=\"dyn-toc\" aria-label=\"Table of contents\">\n  <p>In the table of contents<\/p>\n  <ol>\n    <li><a href=\"#dyn-definition\">The therapeutic alliance, beyond the word<\/a><\/li>\n    <li><a href=\"#dyn-troubles\">Why disorders weaken trust<\/a><\/li>\n    <li><a href=\"#dyn-fondations\">The foundations of trust<\/a><\/li>\n    <li><a href=\"#dyn-communication\">Communication that restores the bond<\/a><\/li>\n    <li><a href=\"#dyn-rupture\">Navigating moments of rupture<\/a><\/li>\n    <li><a href=\"#dyn-professionnel\">The alliance from the health professional's perspective<\/a><\/li>\n    <li><a href=\"#dyn-famille\">The alliance from the family caregiver's perspective<\/a><\/li>\n    <li><a href=\"#dyn-leviers\">What strengthens the alliance, what destroys it<\/a><\/li>\n    <li><a href=\"#dyn-duree\">Preserving the alliance over time<\/a><\/li>\n    <li><a href=\"#dyn-faq\">Frequently asked questions<\/a><\/li>\n  <\/ol>\n<\/nav>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 1 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-definition\">The therapeutic alliance, beyond the word<\/h2>\n\n<p>The expression may seem reserved for psychologists and doctors. However, it belongs to anyone who supports a vulnerable person. Originally, the concept was formalized in the field of psychotherapy: psychologist Edward Bordin proposed, at the end of the 1970s, to break down this alliance into three dimensions that remain a reference today. This model remarkably illuminates what is at play in the home of an elderly person or in an establishment.<\/p>\n\n<h3>The three pillars of the alliance<\/h3>\n\n<div class=\"dyn-cards\">\n  <div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83e\udd1d<\/span>\n    <h3>The emotional bond<\/h3>\n    <p>The basic relationship: feeling safe, respected, recognized as a person and not as a file or a list of tasks. Without this foundation, nothing holds.<\/p>\n  <\/div>\n  <div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83c\udfaf<\/span>\n    <h3>Shared goals<\/h3>\n    <p>An agreement, even implicit, on what we are seeking together: to stay at home as long as possible, regain some autonomy, feel better, suffer less.<\/p>\n  <\/div>\n  <div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83e\udde9<\/span>\n    <h3>Agreement on means<\/h3>\n    <p>A consent to the gestures and activities proposed: personal care, medications, exercises, visits. The person understands, at least in part, the meaning of what is being asked of them.<\/p>\n  <\/div>\n<\/div>\n\n<p>What makes this model so useful is that it shifts the perspective. We stop asking \"how to gain acceptance?\" to ask \"on which of these three pillars is the alliance faltering today?\". A refusal of personal care does not have the same origin depending on whether it is a problem of bond (the person does not feel safe with the caregiver), of goal (they do not see the point of washing now) or of means (too cold water, uncomfortable position, disrupted modesty).<\/p>\n\n<div class=\"dyn-note\">\n  <strong>\ud83d\udca1 Alliance is not submission<\/strong>\n  <p>Building the alliance does not mean obtaining obedience. A person can be in a full therapeutic alliance and refuse a proposal that day: the bond of trust allows us to hear this refusal, understand it, and revisit it differently. The goal is not to make them bend, but to team up.<\/p>\n<\/div>\n\n<h3>A concept, several recognized approaches<\/h3>\n\n<p>Several methods of supporting elderly people, particularly those affected by neurodegenerative diseases, explicitly rely on this idea of a trust bond. The <strong>validation method<\/strong>, developed by Naomi Feil, invites us to welcome the emotion and lived reality of the person rather than forcibly bringing them back to objective reality. The <strong>person-centered approach<\/strong>, theorized by Tom Kitwood, places dignity and identity at the heart of care. The <strong>Humanitude method<\/strong> by Gineste and Marescotti structures the encounter around gaze, speech, touch, and verticality. These approaches are not interchangeable, but they share a conviction: the relationship is the primary care.<\/p>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 2 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-troubles\">Why disorders undermine trust<\/h2>\n\n<p>Building trust with a person who has all their abilities is already demanding. Doing so when the disease alters memory, language, judgment, or perception of reality presents another challenge. Understanding <em>what the disorder does<\/em> to the relationship helps avoid interpreting resistance as bad will.<\/p>\n\n<h3>What cognitive disorders disrupt<\/h3>\n<div class=\"dyn-tablewrap\">\n<table>\n  <thead>\n    <tr><th>What the disorder affects<\/th><th>Consequence on the alliance<\/th><\/tr>\n  <\/thead>\n  <tbody>\n    <tr><td>Recent memory<\/td><td>The person does not remember the previous visit or the agreement made yesterday. Each meeting sometimes starts from scratch: trust must be rebuilt, not just maintained.<\/td><\/tr>\n    <tr><td>Orientation in time and space<\/td><td>Not knowing where one is or why these people are there generates a fundamental insecurity, a breeding ground for mistrust.<\/td><\/tr>\n    <tr><td>Language<\/td><td>Difficulty understanding instructions or expressing a need, discomfort, or pain. Misunderstanding replaces dialogue.<\/td><\/tr>\n    <tr><td>Judgment and awareness of the disorder<\/td><td>Anosognosia \u2014 not perceiving one's own difficulties \u2014 makes the help imposed on the person incomprehensible from their point of view.<\/td><\/tr>\n    <tr><td>Emotion regulation<\/td><td>Reactions can be more intense, more brutal, less filtered. Sometimes, a small thing triggers a storm.<\/td><\/tr>\n    <tr><td>Perception (sight, hearing)<\/td><td>Poor vision or hearing transforms a caring caregiver into a threatening silhouette approaching without warning.<\/td><\/tr>\n  <\/tbody>\n<\/table>\n<\/div>\n\n<p>Remember this principle, as it changes everything: <strong>what resembles a refusal, aggression, or stubbornness is almost always the expression of a need, a fear, or a pain that the person can no longer articulate otherwise<\/strong>. Behavior is a message. Decoding it is already beginning to repair the alliance.<\/p>\n\n<h3>Mistrust is not malice<\/h3>\n\n<p>Ideas of harm \u2014 \u201cI am being robbed\u201d, \u201cthey want to lock me up\u201d, \u201cthis person does not belong in my home\u201d \u2014 are common in certain neurodegenerative diseases. They do not reflect a character flaw. They are often an attempt, by a brain that can no longer find its bearings, to make sense of a situation that has become incomprehensible: if I cannot find my wallet and I do not remember moving it, the only explanation left is that it has been taken from me. Discussing the fact is pointless. Acknowledging the emotion \u2014 the worry, the feeling of loss of control \u2014 opens many more doors.<\/p>\n\n<h3>When the environment adds to the confusion<\/h3>\n\n<p>The weight of the material framework is often underestimated. A noisy, cluttered, poorly lit, or constantly changing environment increases the load the brain has to manage and exhausts already limited resources. A television playing in the background, several people talking at the same time, reflections on a shiny floor mistaken for water, a cluttered hallway: all sources of insecurity that make the person more tense, thus harder to reach. Simplifying the environment \u2014 reducing noise, stabilizing landmarks, improving lighting \u2014 is not a detail of comfort: it is a way to prepare the ground for the alliance. A person less assaulted by their environment is a person more available for the relationship.<\/p>\n\n<h3>The weight of life history<\/h3>\n<p>The same gesture does not mean the same thing for everyone. A person who has experienced war, a traumatic hospitalization, a night job, or great modesty will not react like another to personal care, bedtime, or a closed door. Knowing the life history \u2014 the trials, habits, values \u2014 allows us to anticipate certain reactions and make sense of them rather than endure them. This work of knowledge is not curiosity: it is a concrete key to avoid clumsiness and build tailored trust.<\/p>\n\n<div class=\"dyn-alerte\">\n  <strong>\u26a0\ufe0f Never trivialize a sudden change<\/strong>\n  <p>A new mistrust, sudden agitation, unusual refusal, or confusion that sets in quickly should never be immediately attributed to \u201cthe disease progressing.\u201d A sudden change in behavior may signal pain, an infection (especially urinary), dehydration, a side effect of medication, or another medical problem. <strong>Observe, note, report to the doctor<\/strong>: only a healthcare professional can make a diagnosis. In case of serious signs, contact the emergency services in your country.<\/p>\n<\/div>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 3 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-fondations\">The foundations of trust<\/h2>\n\n<p>Trust is not earned through a grand gesture, but through a sum of small, consistent gestures over time. For a person whose factual memory is impaired, one thing often remains intact longer: <strong>emotional memory<\/strong>. They may no longer know <em>who<\/em> you are, but retain the feeling that your presence is gentle or, conversely, unpleasant. It is on this emotional trace that the essential plays out.<\/p>\n\n<h3>Safety above all<\/h3>\n\n<p>A person who feels safe lets their guard down. A person who feels threatened defends themselves \u2014 and what is then called \u201cbehavioral disorders\u201d is often a perfectly logical defensive behavior. Creating safety involves concrete elements: announcing what you are going to do before doing it, never appearing from behind, positioning yourself at eye level, slowing down your movements, maintaining a calm and low tone of voice. The body speaks before words.<\/p>\n\n<h3>Predictability and ritual<\/h3>\n\n<p>When memory can no longer anticipate, repetition reassures. A stable routine \u2014 same schedules, same faces as much as possible, same sequence \u2014 becomes a reference point that calms. Ritual is not rigidity: it is a reassuring framework within which the person regains a sense of control. This is also why the <strong>continuity of caregivers<\/strong> matters so much: each new face forces reconstruction, which is exhausting for the person.<\/p>\n<div class=\"dyn-cards\">\n  <div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83d\udc40<\/span>\n    <h3>The gaze<\/h3>\n    <p>A sought, held gaze, at eye level, says \u201c&nbsp;you exist, I see you&nbsp;\u201d. It is often the first channel that remains open when words fail.<\/p>\n  <\/div>\n  <div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83d\udde3\ufe0f<\/span>\n    <h3>The speech<\/h3>\n    <p>Speak to the person, never about them in the third person in front of them. Name what you are doing, even without a response&nbsp;: the silence of the caregiver is experienced as abandonment.<\/p>\n  <\/div>\n  <div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\u270b<\/span>\n    <h3>The touch<\/h3>\n    <p>A slow, announced, respectful touch \u2014 the hand before the forearm, never abrupt \u2014 conveys presence and gentleness where words no longer reach.<\/p>\n  <\/div>\n  <div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\u23f3<\/span>\n    <h3>The time<\/h3>\n    <p>Allow time to understand, to respond, to do it oneself. Haste is the first destroyer of alliance&nbsp;: it turns help into aggression.<\/p>\n  <\/div>\n<\/div>\n\n<h3>The held speech<\/h3>\n\n<p>Keeping what you announce is a discreet but decisive pillar. If you say \u201c&nbsp;I\u2019ll be back in five minutes&nbsp;\u201d, come back. If you announce \u201c&nbsp;we\u2019ll stop if it\u2019s too much&nbsp;\u201d, really stop when the person asks. Even if consciously forgotten, a broken promise leaves a mark of mistrust&nbsp;; a kept promise leaves a mark of reliability. Trust is built on this repeated consistency between what is said and what is done.<\/p>\n\n<div class=\"dyn-note\">\n  <strong>\ud83d\udca1 Lying out of kindness&nbsp;: caution<\/strong>\n  <p>Should we enter the person's reality when they are waiting for a deceased loved one or believe they need to \u201c&nbsp;go to work&nbsp;\u201d? Validation approaches invite us not to confront them harshly with reality, while also avoiding creating false complex scenarios that may backfire on the caregiver. The guideline&nbsp;: never lie about the essentials, welcome the emotion, redirect attention to the present. Delicate situations benefit from being discussed with the caregiving team or a psychologist.<\/p>\n<\/div>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 4 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-communication\">Communication that restores the link<\/h2>\n\n<p>Many breaks in alliance arise from a misunderstanding, not from a fundamental disagreement. Adapting one\u2019s way of communicating is not condescending&nbsp;: it is making oneself understandable. Here are the principles that make the most difference in daily life.<\/p>\n\n<h3>Simplify without infantilizing<\/h3>\n\n<p>One idea at a time, short sentences, simple words, a slowed pace&nbsp;: this helps a brain that processes information more slowly. But simplifying the message never means speaking as if to a child. The \u201c&nbsp;are we going to do our little pee&nbsp;?\u201d, the systematic diminutive, the sing-song tone used with an adult are experienced \u2014 consciously or not \u2014 as humiliation. We maintain the formal address if it is customary, we address an adult, we preserve dignity.<\/p>\n\n<div class=\"dyn-tablewrap\">\n<table>\n  <thead>\n    <tr><th>\u2705 What opens the dialogue<\/th><th>\u274c What closes it<\/th><\/tr>\n  <\/thead>\n  <tbody>\n    <tr><td>\u201c&nbsp;We are going to get up, I\u2019ll give you my arm.&nbsp;\u201d<\/td><td>\u201c&nbsp;Come on, get up, we don\u2019t have all day.&nbsp;\u201d<\/td><\/tr>\n    <tr><td>\u201c&nbsp;Do you prefer the blue sweater or the gray one&nbsp;?&nbsp;\u201d<\/td><td>\u201c&nbsp;Put that on, it\u2019s very good.&nbsp;\u201d<\/td><\/tr>\n    <tr><td>\u201c&nbsp;I see that this worries you. Shall we look together&nbsp;?&nbsp;\u201d<\/td><td>\u201c&nbsp;But no, there\u2019s no reason, stop.&nbsp;\u201d<\/td><\/tr>\n    <tr><td>\u201c&nbsp;We can take a break if you want.&nbsp;\u201d<\/td><td>\u201c&nbsp;One more effort, it\u2019s almost over.&nbsp;\u201d<\/td><\/tr>\n  <\/tbody>\n<\/table>\n<\/div>\n\n<h3>Offer choices, not commands<\/h3>\n<p>The feeling of control is a fundamental need, particularly threatened by illness. Offering a simple choice \u2014 between two pieces of clothing, two activities, two moments \u2014 gives a bit of power back to the person and transforms a confrontation into collaboration. Be careful not to overwhelm with options: two concrete possibilities are better than an open question that leads to failure.<\/p>\n\n<h3>Validate the emotion before correcting the fact<\/h3>\n\n<p>This is probably the most powerful communication gesture. In response to \u201cI want to go home, my mother is waiting for me,\u201d replying \u201cyour mother passed away thirty years ago\u201d reopens a mourning and breaks the bond. Responding \u201care you thinking of your mom, do you miss her?\u201d acknowledges the real emotion behind inaccurate words. We meet the person where they are, instead of forcibly bringing them back to where we are.<\/p>\n\n<div class=\"dyn-steps\">\n  <li><strong>I observe.<\/strong> What emotion is hidden behind the words or behavior? Fear, sadness, anger, boredom, discomfort, pain?<\/li>\n  <li><strong>I name and welcome.<\/strong> \u201cI see that you are upset.\u201d We put words to what we perceive, without judgment.<\/li>\n  <li><strong>I join.<\/strong> I stay in the realm of emotion rather than contradicting the facts.<\/li>\n  <li><strong>I propose an exit.<\/strong> A gentle diversion, a familiar activity, a move to another room, a comforting object.<\/li>\n  <li><strong>I note to communicate.<\/strong> What triggered it, what calmed it: this written memory benefits all caregivers.<\/li>\n<\/div>\n\n<h3>What the body says without words<\/h3>\n\n<p>A huge part of communication goes through non-verbal cues, and this part becomes central when language fails. Posture, speed of gestures, distance, facial expression, tone of voice: all of this is captured and interpreted, even by a person who no longer understands sentences. A tense, hurried caregiver with abrupt gestures conveys their tension, regardless of their reassuring words. Conversely, a relaxed face, an authentic smile, wide and slow movements soothe even before the first sentence is spoken. It is sometimes said that, in the disoriented person, \u201cit's the music that matters more than the words\u201d: the tone, rhythm, and melody of the voice carry the message as much as its content.<\/p>\n\n<div class=\"dyn-note\">\n  <strong>\ud83d\udca1 A concrete support to identify signals<\/strong>\n  <p>Many families benefit from formalizing what they observe. The <a href=\"https:\/\/www.dynseo.com\/nos-outils\/carte-signaux-alerte\/\">alert signal map<\/a> provided by DYNSEO helps identify and record behavioral changes to communicate them to professionals. Objectifying what we observe prevents everything from being categorized under the vague label of \u201cthe illness\u201d and facilitates dialogue with the care team.<\/p>\n<\/div>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 CTA MILIEU \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<div class=\"dyn-cta\">\n  <h3>Maintain the bond, also, through shared moments<\/h3>\n  <p>Activities for cognitive stimulation adapted for seniors are a wonderful support for alliance: we are not \u201cadministering a test,\u201d we are sharing a moment of pleasure and success. The application <strong>SCARLETT<\/strong>, designed for seniors and people with neurodegenerative diseases, offers games at an adjusted level to build confidence without ever leading to failure.<\/p>\n  <a class=\"dyn-btn\" href=\"https:\/\/www.dynseo.com\/en\/brain-games-apps\/scarlett-brain-games-for-seniors\/\">Discover SCARLETT<\/a>\n<\/div>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 5 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-rupture\">Navigating moments of rupture<\/h2>\n<p>No matter how strong it is, the alliance experiences moments of tension: a categorical refusal, a surge of agitation, a hurtful accusation, a withdrawal. These episodes are normal. What matters is not to avoid them at all costs \u2014 that\u2019s impossible \u2014 but to know how to navigate through them without breaking the bond.<\/p>\n\n<h3>Decoding the refusal<\/h3>\n\n<p>A refusal is rarely a whim. It is almost always a response to something. Before trying to convince, we seek to understand: is the person afraid, in pain, cold? Are they tired, embarrassed in their modesty, humiliated by the way we are approaching them? Do they simply need a little more time? The right question is not \u201chow to make them accept?\u201d but \u201cwhat does this refusal tell me?\u201d.<\/p>\n\n<div class=\"dyn-tablewrap\">\n<table>\n  <thead>\n    <tr><th>What you observe<\/th><th>What it might mean<\/th><\/tr>\n  <\/thead>\n  <tbody>\n    <tr><td>\u201cShe systematically refuses the shower\u201d<\/td><td>Fear of water, falling, cold; modesty disrupted; pain during movement \u2014 rarely stubbornness<\/td><\/tr>\n    <tr><td>\u201cHe pushes his plate away and turns his head\u201d<\/td><td>Dental pain, swallowing disorder, fatigue, altered tastes, or poorly chosen moment<\/td><\/tr>\n    <tr><td>\u201cShe is agitated in the late afternoon\u201d<\/td><td>Accumulated fatigue, falling dusk, hunger, need to go to the bathroom not expressed<\/td><\/tr>\n    <tr><td>\u201cHe becomes aggressive during bathing\u201d<\/td><td>Too rapid movements, feeling of intrusion, lack of announcement, unrecognized pain<\/td><\/tr>\n    <tr><td>\u201cShe no longer wants to see a certain caregiver\u201d<\/td><td>An unpleasant episode that remains in emotional memory, even if the fact is forgotten<\/td><\/tr>\n  <\/tbody>\n<\/table>\n<\/div>\n\n<h3>De-escalate without forcing<\/h3>\n\n<p>Forcing the issue resolves the problem of the moment and destroys the alliance for tomorrow. The person may not remember the imposed care, but the trace of fear will remain \u2014 and the refusal, next time, will be more pronounced. In the face of opposition, the golden rule is often to <strong>step back to come back better<\/strong>: give up the moment, change the timing, change the caregiver, change the approach. Non-vital care can almost always wait thirty minutes or come back later in the day.<\/p>\n\n<div class=\"dyn-alerte\">\n  <strong>\u26a0\ufe0f What to avoid in a moment of crisis<\/strong>\n  <p><strong>\u274c To avoid:<\/strong> raising your voice, arguing at length, contradicting directly, immobilizing the person, reasoning with logic, surrounding them with multiple people. These reactions increase the feeling of threat and fuel escalation. We prioritize: a low tone, a step back, an open space, a short sentence, a diversion. Any restraint measure is exclusively subject to a medical prescription; it is never improvised at home.<\/p>\n<\/div>\n\n<h3>Prevent rather than manage<\/h3>\n<p>The best management of a crisis is the one that does not occur. Many episodes of agitation follow recognizable patterns: a time of day, a moment during personal care, a location, a too-rapid succession of requests, hunger, thirst, the unexpressed need to go to the bathroom. By maintaining a simple observation over a few days \u2014 when, where, with whom, after what \u2014 recurring triggers are often identified that can then be defused in advance. Anticipating a need before it turns into distress, arranging sensitive moments, lightening an overloaded day: this discreet prevention avoids many disruptions and preserves everyone's energy.<\/p>\n\n<h3>Repairing after the storm<\/h3>\n\n<p>A moment of rupture does not erase what has been built. After a crisis, we do not lecture, we do not revisit the episode that the person has often already forgotten. We simply restore the connection: a calm presence, a gentle gesture, a familiar activity, a smile. The ability to repair is better than the illusion of controlling everything. It is even one of the signs of a strong alliance: it withstands storms and then reconstitutes itself.<\/p>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 6 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-professionnel\">The alliance from the healthcare professional's side<\/h2>\n\n<p>For caregivers, nursing assistants, nurses, home care workers, or medical-social professionals, the therapeutic alliance is not an added bonus: it is a working tool. An accepted care is better delivered, less traumatic for the person, and less exhausting for the professional. The High Authority of Health in France recommends prioritizing non-drug and relational approaches in the management of behavioral disorders related to neuro-evolutionary diseases.<\/p>\n\n<h3>Relational care as the first gesture<\/h3>\n\n<p>Before any technical act, there is the encounter. Taking thirty seconds to introduce oneself, catch the gaze, announce one's arrival and intention radically changes what follows. These \"lost\" seconds are actually an investment: they often prevent long minutes of struggle. The experienced professional knows that haste costs more than slowness.<\/p>\n\n<div class=\"dyn-cards\">\n  <div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83d\udccb<\/span>\n    <h3>Transmit<\/h3>\n    <p>Record what calms and what triggers for each person. The alliance is a collective knowledge: what one discovers benefits all the caregivers.<\/p>\n  <\/div>\n  <div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83d\udd04<\/span>\n    <h3>Coordinate<\/h3>\n    <p>A coherent approach between the team, family, and external caregivers. Contradictory messages unsettle the person and weaken trust.<\/p>\n  <\/div>\n  <div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83e\udded<\/span>\n    <h3>Individualize<\/h3>\n    <p>Know the life history, habits, preferences, past professions. What makes sense for one person is unique: there is no universal protocol for connection.<\/p>\n  <\/div>\n<\/div>\n\n<h3>Taking care of one's own posture<\/h3>\n\n<p>The professional is a human being: fatigue, workload, lack of time weigh on the quality of the relationship. Recognizing one's own reactions \u2014 annoyance at a repeated refusal, discouragement, feelings of failure \u2014 is part of the job. These emotions are not faults; they are signals. Practice analyses, team support, and ongoing training help to avoid being alone in facing heavy situations.<\/p>\n<div class=\"dyn-note\">\n  <strong>\ud83d\udca1 Objectify to better support<\/strong>\n  <p>The <a href=\"https:\/\/www.dynseo.com\/nos-tests\/\">cognitive tests<\/a> and screening tools can help identify the preserved abilities of a person \u2014 those on which we will rely to maintain autonomy and connection. Note: these markers never replace a clinical evaluation. Diagnosis and prognosis are solely the responsibility of the doctor and authorized professionals.<\/p>\n<\/div>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 7 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-famille\">The alliance with the caregiver<\/h2>\n\n<p>For a loved one \u2014 spouse, son, daughter, grandchild \u2014 the question of alliance takes on a particular, sometimes painful, hue. You do not support a stranger: you support a person you have always known differently. The parent who protected becomes the one who needs protection. This role reversal is one of the most difficult trials, and it can damage the relationship if not handled carefully.<\/p>\n\n<h3>Accept that the relationship changes form<\/h3>\n\n<p>The person from before does not return as they were, and wanting to \"find them\" at all costs leads to frustration. The alliance, for a loved one, often consists of mourning the previous relationship to invent another one in the present: no longer based on equal conversation or shared memory, but on presence, gesture, and the emotion experienced together here and now. It is a renunciation, but also an opening: many caregivers describe unprecedented moments of tenderness, born precisely from this new way of being together.<\/p>\n\n<h3>Do not take everything personally<\/h3>\n\n<p>\u201cHe no longer recognizes me, he pushes me away, he is no longer my father.\u201d These phrases express immense suffering. It is essential to remember that rejection, aggression, or apparent indifference are symptoms of the disease, not judgments about you or your love. Taking these manifestations personally adds a wound to the trial. Treating them as symptoms protects both the caregiver and the bond.<\/p>\n\n<div class=\"dyn-alerte\">\n  <strong>\u26a0\ufe0f The caregiver needs help too<\/strong>\n  <p>There is no lasting therapeutic alliance with an exhausted caregiver. Fatigue, isolation, and guilt undermine the patience and availability that the relationship requires. Asking for help is not a failure: it is a condition. Reach out to the attending physician, respite platforms, family associations, and caregiver support services in your area. If you feel overwhelmed or in distress, talk to a health professional without delay.<\/p>\n<\/div>\n\n<h3>Team up as a family<\/h3>\n\n<p>The alliance is not only played out between the person and a caregiver: it is also played out among loved ones. Nothing undermines the trust of a disoriented person more than adults who contradict each other, blame each other's choices, or hold opposing views in front of them. Tensions among siblings regarding how to proceed, the distribution of responsibilities, or difficult decisions are common and human. Discussing openly, dividing roles according to availability and affinities, agreeing on a few common principles: this family coherence protects the person as much as the bond. A third party \u2014 doctor, psychologist, family association, caregiver support service \u2014 can help ease these disagreements when they escalate.<\/p>\n\n<h3>Allow yourself moments that are not \"care\"<\/h3>\n<p>The alliance is not only nourished by useful acts. Listening to a song from the past, flipping through photos, walking, laughing, holding a hand without expecting anything in return: these free moments are often the ones that recharge the bond. They remind both the person and the caregiver that the relationship is not reduced to the illness. It is also in these moments that the <strong>emotional memory<\/strong> fills with positive traces, which will facilitate the more difficult moments.<\/p>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 8 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-leviers\">What strengthens the alliance, what destroys it<\/h2>\n\n<p>After these principles, here is a deliberately concrete summary. No list replaces discernment in the moment, but these benchmarks help adjust one's posture \u2014 whether one is a close person or a professional.<\/p>\n\n<div class=\"dyn-tablewrap\">\n<table>\n  <thead>\n    <tr><th>\u2705 What strengthens trust<\/th><th>\u274c What destroys it<\/th><\/tr>\n  <\/thead>\n  <tbody>\n    <tr><td>Announce each gesture before doing it<\/td><td>Surge, act quickly, without warning<\/td><\/tr>\n    <tr><td>Get at eye level, slow down<\/td><td>Stand tall, dominate, rush<\/td><\/tr>\n    <tr><td>Welcome the emotion behind the words<\/td><td>Correct the facts, contradict, \"reason\"<\/td><\/tr>\n    <tr><td>Offer simple choices<\/td><td>Multiply injunctions<\/td><\/tr>\n    <tr><td>Step back and return differently in the face of a refusal<\/td><td>Force through to \"end it\"<\/td><\/tr>\n    <tr><td>Keep the same team, the same rituals<\/td><td>Multiply the interveners and changes<\/td><\/tr>\n    <tr><td>Speak to the person, name them<\/td><td>Speak about them in the third person in front of them<\/td><\/tr>\n    <tr><td>Respect modesty and dignity<\/td><td>Infantilize, use diminutives<\/td><\/tr>\n    <tr><td>Keep promises, even small ones<\/td><td>Promise to soothe, without keeping<\/td><\/tr>\n    <tr><td>Note and convey what you observe<\/td><td>Keep information to oneself<\/td><\/tr>\n  <\/tbody>\n<\/table>\n<\/div>\n\n<h3>Preserved abilities, the support point of the alliance<\/h3>\n\n<p>Even in advanced stages, a neuro-evolving illness leaves many abilities intact: sensitivity to music, pleasure of contact, certain deeply automated old gestures, humor, reaction to a smile. Relying on what remains rather than stumbling over what is missing is a key to the alliance. Every success, even tiny \u2014 recognizing a song, succeeding in a simple game, participating in a familiar task \u2014 nourishes self-esteem and the feeling of competence, two powerful drivers of trust.<\/p>\n\n<div class=\"dyn-note\">\n  <strong>\ud83d\udca1 Bet on success, not failure<\/strong>\n  <p>An activity that is too difficult leads to failure and damages trust; too easy, it is not engaging. The right level is one that challenges \"just enough.\" This is the principle of cognitive stimulation games at an adjustable level: offering accessible successes rather than discouraging trials. The <a href=\"https:\/\/www.dynseo.com\/nos-outils\/\">DYNSEO tool catalog<\/a> brings together free resources to support this approach in daily life.<\/p>\n<\/div>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 9 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-duree\">Preserving the alliance over time<\/h2>\n\n<p>A neuro-evolving illness evolves: what works today will need to be reinvented tomorrow. The alliance is therefore never \"acquired\"; it requires constant adjustment. This requirement, far from being discouraging, invites a flexible posture, attentive to small signals, capable of changing approach without experiencing the change as a failure.<\/p>\n\n<h3>Adjusting through the stages<\/h3>\n<p>As language diminishes, the body's channel \u2014 gaze, touch, music, rhythm \u2014 takes over. What once reassured may no longer be suitable; an abandoned activity can become a source of pleasure again. Observing constantly, trying, making mistakes, trying again: this is the very movement of support. Rigidity is the enemy of connection; flexibility is its ally.<\/p>\n\n<h3>Documenting to avoid starting from scratch<\/h3>\n\n<p>A liaison notebook, a daily habits diary, a sheet of \u201cwhat soothes \/ what triggers\u201d constitute a valuable external memory. They allow each new caregiver to start with an already established trust capital, rather than reproducing avoidable clumsiness. This continuity, invisible to the person, is nonetheless one of the surest guarantees of their well-being.<\/p>\n\n<div class=\"dyn-steps\">\n  <li><strong>Gather the life story.<\/strong> Occupation, passions, habits, nicknames, important people, favorite music and dishes.<\/li>\n  <li><strong>Map the triggers.<\/strong> What soothes or, on the contrary, agitates this specific person.<\/li>\n  <li><strong>Stabilize the rituals.<\/strong> Schedules, procedures, caregivers: predictability as a foundation of safety.<\/li>\n  <li><strong>Share among all actors.<\/strong> Family, professionals, substitutes: a common score.<\/li>\n  <li><strong>Reassess regularly.<\/strong> What works evolves; support readjusts with the disease.<\/li>\n<\/div>\n\n<h3>What the alliance fundamentally changes<\/h3>\n\n<p>Building and preserving the <strong>therapeutic alliance<\/strong> despite disorders is not just about obtaining accepted care. It is about recognizing, until the end, the person behind the disease: someone who feels, who needs to be safe, respected, and connected. Trust does not rest on a unique technique but on a way of being \u2014 patient, attentive, consistent \u2014 that is built, day by day, in the patient repetition of small, correct gestures. Every held gaze, every word kept, every refusal heard rather than forced adds a stone to this fragile and precious edifice. And when everything seems to crumble, it is often this connection that remains, making support bearable \u2014 for the person as well as for those around them.<\/p>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 S\u00c9RIE \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2>To go further<\/h2>\n\n<p>The therapeutic alliance intersects with many topics in supporting seniors. Other articles in this series delve into each aspect:<\/p>\n\n<div class=\"dyn-serie\">\n  <a href=\"#\"><span>Communicate differently<\/span>Understanding and adapting communication with a person with cognitive disorders<\/a>\n  <a href=\"#\"><span>Behavioral disorders<\/span>Decoding agitation, refusal, and distrust: what do these behaviors really say?<\/a>\n  <a href=\"#\"><span>The calm daily life<\/span>Arranging rituals, the environment, and activities to secure the day<\/a>\n  <a href=\"#\"><span>Support the caregiver<\/span>Preventing caregiver burnout and finding support and assistance<\/a>\n<\/div>\n\n<p>On the resources side: the <a href=\"https:\/\/www.dynseo.com\/nos-outils\/carte-signaux-alerte\/\">alert signal map<\/a> helps identify and communicate behavioral changes, and the <a href=\"https:\/\/www.dynseo.com\/nos-tests\/\">cognitive tests<\/a> help locate the preserved abilities to rely on. These supports complement \u2014 never replace \u2014 the advice of healthcare professionals who follow the person.<\/p>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 FAQ \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-faq\">Frequently Asked Questions<\/h2>\n<div class=\"dyn-faq\"><h3>What is the therapeutic alliance, concretely&nbsp;?<\/h3>\n  <p>It is the bond of trust and collaboration between a supported person and those who help them \u2014 relatives or professionals. Formalized in the field of psychotherapy, it relies on three dimensions&nbsp;: an emotional bond of security, shared goals, and an agreement on the means employed. For an elderly person with cognitive disorders, it takes on decisive importance&nbsp;: without trust, care and support become a source of permanent tension. With it, daily life calms down. The alliance is not decreed&nbsp;: it is built over time, through consistent gestures, respect, and constancy.<\/p>\n\n  <h3>How to gain the trust of a person who is wary of everything&nbsp;?<\/h3>\n  <p>The distrust linked to certain neuro-evolving diseases is not directed against you&nbsp;: it is an attempt to make sense of a reality that has become confusing. One does not discuss the facts, one welcomes the emotion \u2014 the worry, the feeling of loss of control. Concretely&nbsp;: announce each gesture, get to eye level, slow down, maintain a calm tone, offer simple choices, and keep promises. Regularity and the presence of familiar faces reassure. Trust is patiently rebuilt, without ever forcing it. In case of new or sudden distrust, report it to the doctor&nbsp;: it may have a medical cause.<\/p>\n\n  <h3>Should we tell the truth or enter into the person's reality&nbsp;?<\/h3>\n  <p>There is no single answer. Validation approaches invite us not to confront a disoriented person harshly with a painful reality, such as the death of a loved one they are expecting. We welcome the emotion without lying about the essentials, and gently redirect attention to the present. Conversely, inventing complex scenarios risks backfiring on the caregiver. The guiding principle&nbsp;: remain honest about the substance, prioritize emotion over fact, and avoid unnecessary confrontations. The most delicate situations benefit from being discussed with the caregiving team or a psychologist, who adapt on a case-by-case basis.<\/p>\n\n  <h3>What to do in the face of a refusal of care&nbsp;?<\/h3>\n  <p>A refusal is a message, not a whim. Before convincing, seek to understand what it expresses&nbsp;: fear, pain, cold, modesty, fatigue, discomfort related to the manner of doing. For non-vital care, the rule is often to step back to return better&nbsp;: change the moment, the caregiver, or the approach. Forcing the issue resolves the moment but damages tomorrow's trust and makes the next refusal more pronounced. One should avoid raising their voice, arguing at length, or immobilizing the person. Any restraint measure falls exclusively under a medical prescription. In case of persistent refusal to eat, drink, or receive care, alert the caregiving team promptly.<\/p>\n\n  <h3>How to preserve the alliance when you are an exhausted relative&nbsp;?<\/h3><\/div>\n<div class=\"dyn-faq\">\n  <p>There is no sustainable support with a caregiver at their wit's end. Fatigue and isolation erode the patience that the relationship requires: taking care of oneself is not selfishness, it is a condition. Remember that rejection or aggression are symptoms, not judgments about you. Allow yourself free moments \u2014 music, photos, walks \u2014 that recharge the bond outside of \"care\". Above all, do not stay alone: general practitioner, respite platforms, family associations, and support systems for caregivers exist. If you feel overwhelmed, talk to a healthcare professional without delay.<\/p><\/div>\n<div class=\"dyn-note\">\n  <strong>\u2139\ufe0f Information and not medical advice<\/strong>\n  <p>This article is intended for general information and support. It does not replace a diagnosis, medical advice, or treatment. Any change in behavior, any sign of suffering, or any new difficulty should be reported to the attending physician or the care team following the person. In case of emergency, contact the emergency services in your country.<\/p>\n<\/div>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 CTA FINAL \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<div class=\"dag-media-row\" style=\"background:linear-gradient(135deg,#eef1ff 0%,#f4ecff 100%);border-radius:22px;padding:26px 30px;margin:38px 0;display:flex;gap:30px;align-items:center;flex-wrap:wrap;box-shadow:0 12px 30px rgba(94,94,215,.12);\">\n  <div style=\"flex:1;min-width:240px;\">\n    <div style=\"display:inline-block;background:#fff;color:#5268c9;font-weight:700;font-size:12px;letter-spacing:.04em;padding:5px 13px;border-radius:20px;margin-bottom:12px;text-transform:uppercase;box-shadow:0 2px 8px rgba(94,94,215,.12);\">SENIORS<\/div>\n    <div style=\"font-weight:700;font-size:1.2rem;color:#5e5ed7;margin-bottom:10px;\">Our application<\/div>\n    <p style=\"margin:0 0 16px;color:#444;font-size:1rem;line-height:1.55;\">More than 30 cognitive stimulation games designed for seniors and vulnerable people, with gentle and progressive support, on tablet.<\/p>\n    <a href=\"https:\/\/www.dynseo.com\/en\/brain-games-apps\/scarlett-brain-games-for-seniors\/\" style=\"display:inline-block;background:linear-gradient(135deg,#5e5ed7,#5268c9);color:#fff;text-decoration:none;font-weight:600;padding:13px 24px;border-radius:12px;box-shadow:0 8px 22px rgba(94,94,215,.30);\">Discover \u2192<\/a>\n  <\/div>\n  <img src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2025\/01\/icone-logo-edith-rond.webp\" alt=\"SCARLETT\" style=\"width:38%;min-width:220px;border-radius:18px;box-shadow:0 14px 34px rgba(94,94,215,.22);object-fit:cover;\">\n<\/div>\n<div class=\"dyn-cta\">\n  <h3>Building trust, one moment of pleasure at a time<\/h3>\n  <p>Sharing a successful activity is one of the most beautiful bonds of alliance. Designed for seniors and people with neurodegenerative diseases, the application <strong>SCARLETT<\/strong> offers cognitive stimulation games at an adjusted level: accessible successes, never discouraging failures, and real moments of complicity to experience together.<\/p>\n  <a class=\"dyn-btn\" href=\"https:\/\/www.dynseo.com\/en\/brain-games-apps\/scarlett-brain-games-for-seniors\/\">Discover SCARLETT<\/a>\n<\/div><\/div><\/div>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section]","_et_gb_content_width":"","footnotes":""},"categories":[3582],"tags":[],"class_list":["post-831926","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-advice-from-our-coaches"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Therapeutic Alliance Despite Disturbances: Building Trust - DYNSEO - Educational apps &amp; brain training apps for all<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.dynseo.com\/en\/therapeutic-alliance-despite-disturbances-building-trust\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Therapeutic Alliance Despite Disturbances: Building Trust - DYNSEO - Educational apps &amp; 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