Responding to Aggression and Reactive Behaviours in the Home

Dementia (London). 2019 May;18(4):1328-1340. doi: 10.1177/1471301217699676. Epub 2017 Mar 26.

Abstract

Behaviours such as hitting, spitting, swearing and kicking can be a common response to personal, social and environmental challenges experienced by people with dementia. Little attention, however, has been given to how partners in care experience and respond to these behaviours in the home. This paper examines the emerging theme of 'aggression,' in seven interviews with nine former partners in care of people with dementia in Ontario, Canada. We explore how partners in care talk about, interpret and respond to these behaviours drawing on recent conceptualizations of structural and interpersonal violence in health and social geography and contributing to the growing body of research on relational care. We discuss the responses to, and implications of, these behaviours at a range of spatial scales and identify important considerations for future research.

Keywords: dementia; emotion; reactive behaviours; relational care; violence.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Aggression / psychology*
  • Caregivers / psychology*
  • Dementia / nursing
  • Dementia / psychology*
  • Female
  • Humans
  • Independent Living*
  • Interviews as Topic
  • Male
  • Middle Aged
  • Ontario
  • Qualitative Research
  • Spouses / psychology