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Awareness context theory and the dynamics of dementia
 — improving understanding using emergent fit
Author(s)Ingrid Hellström, Mike Nolan, Ulla Lundh
Journal titleDementia: the international journal of social research and practice, vol 4, no 2, May 2005
Pagespp 269-296
Sourcehttp://www.dem.sagepub.com
KeywordsDementia ; Family relationships ; Spouses ; Recognition ; Theory.
AnnotationInitial results are presented of Kathy Charmaz's ongoing constructive grounded theory study in which she explores the impact of dementia on everyday life and relationships of older spousal couples. Using B G Glaser's 1978 process of "emergent fit" and drawing on data from 74 interviews with 70 spouse couples living with dementia, this article considers the relevance of Glaser and K L Strauss' 1965 "awareness context theory" and John Keady's 1999 "dynamics of dementia" to an understanding of spouses' interpersonal relationships. The combination of existing literature and new data provide further insights into how couples actively work to "construct" awareness in a way that, for the majority, maintains both a sense of "self" for the person with dementia (PWD) and the integrity of the relationship between couples. It is suggested that a "mutual acknowledgement" of the diagnosis and a subsequent focus on maintaining a meaningful life in the present combine to create a "nurturative relational context" in which living with dementia unfolds. (RH).
Accession NumberCPA-050516206 A
ClassmarkEA: DS:SJ: SN: 4AD: 4D

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