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Appears in Collections:Faculty of Social Sciences Journal Articles
Peer Review Status: Refereed
Title: Recognising and supporting self in dementia: a new way to facilitate a person-centred approach to dementia care
Author(s): Kelly, Fiona
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Keywords: dementia
person-centred/selfhood approaches
long-term care
Dementia Institutional care
Dementia Social interaction Case studies
Issue Date: Jan-2010
Date Deposited: 17-Feb-2010
Citation: Kelly F (2010) Recognising and supporting self in dementia: a new way to facilitate a person-centred approach to dementia care. Ageing and Society, 30 (1), pp. 103-124.
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.
DOI Link: 10.1017/S0144686X09008708
Rights: Copyright: Cambridge University Press. Ageing and Society, Volume 30, Issue 1, January 2010, pp. 103 - 124, published by Cambridge University Press. Copyright © Cambridge University Press 2009.;

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