Fear, Defensive Strategies and Caring for Cognitively Impaired Family Members

J Gerontol Soc Work. 2019 Jan;62(1):67-85. doi: 10.1080/01634372.2018.1505796. Epub 2018 Aug 13.

Abstract

One topic rarely addressed in the literature on older adults and interpersonal violence is the violence that can be experienced by family carers in relationship with a person living with cognitive impairment. This violence tends to remain hidden and is rarely framed as intimate partner violence. We examine how situations of intimidation and violence invoked fear in family carers and how they interpreted and reacted to these circum- stances. Interview and diary data were collected from family members who had previously or were currently experiencing some form of aggression in caring for someone with cognitive impairment or dementia. Drawing on discussions of fear and applying the analytic lens of defensive strategies, we explore how these carers responded to situations of intimidation and violence.

Keywords: Violence; care; defensive strategies; dementia; narrative.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Psychological*
  • Aged
  • Aged, 80 and over
  • Cognitive Dysfunction / nursing*
  • Cognitive Dysfunction / psychology
  • Diaries as Topic
  • Family / psychology*
  • Fear / psychology*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Qualitative Research