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Recognising and supporting self in dementia: A new way to facilitate a person-centred approach to dementia care

Authors

Kelly, Fiona

Journal

Ageing & Society, Volume: 30, No.: 1, Pages.: 103-124

Year of Publication

2010

Abstract

This paper reports findings from a three-year study which integrated Kitwood’s (1997) person-centred and Sabat’s (2001) selfhood approaches in the design, fieldwork and analysis of a multi-method observational study that explored the social worlds of 14 people with dementia in continuing-care. The types of interactions that participants experienced in everyday ward life and during creative sessions were identified by observing, video-recording and engaging with them and by Dementia Care Mapping. The participants’ responses to such interactions in terms of their well- or ill-being and expressions of self were identified and documented. The findings indicate that in the wards, staff interactions were often limited and sometimes abusive and that participants experienced ill-being, whereas during creative sessions, interactions were generally facilitatory and celebratory with the participants experiencing wellbeing. By developing the selfhood approach and integrating it with the person-centred approach, I argue that recognising and supporting selfhood (or not) during interactions can lead to qualitatively different staff behaviours, with consequences for the well- or ill-being of people with dementia. There is scope for incorporating this developed selfhood framework into staff training, for it has the potential to transform practice and the experiences of people with dementia in receipt of care. (PsycINFO Database Record (c) 2012 APA, all rights reserved). (journal abstract)

Bibtex Citation

@article{KELLY_2009, doi = {10.1017/s0144686x09008708}, url = {http://dx.doi.org/10.1017/s0144686x09008708}, year = 2009, month = {aug}, publisher = {Cambridge University Press ({CUP})}, volume = {30}, number = {01}, pages = {103--124}, author = {FIONA KELLY}, title = {Recognising and supporting self in dementia: a new way to facilitate a person-centred approach to dementia care}, journal = {Ageing and Society} }

Keywords

client centered therapy, creative, dementia, dementia care, person centered approach, sessions, well being

Countries of Study

UK

Types of Dementia

Dementia (general / unspecified)

Type of Outcomes

Satisfaction with care/services

Type of Interventions

Non-pharmacological Treatment

Non-Pharmaceutical Interventions

Other