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Staff attitudes towards sexual relationships among institutionalized people with dementia
 — does an extreme cautionary stance predominate?
Author(s)Feliciano Villar, Montserrat Celdran, Josep Faba
Journal titleInternational Psychogeriatrics, vol 26, no 3, March 2014
PublisherCambridge University Press, March 2014
Pagespp 403-412
Sourcejournals.cambridge.org/ipg
KeywordsDementia ; Sexual activity ; Care homes ; Personnel ; Attitude ; Elder abuse ; Person-centred care.
AnnotationThis study explores whether staff perceptions and reactions to sexual situations involving one or two persons with dementia (PWD) reflect an extreme cautionary stance (an overprotective and paternalist style) or a person-centred model of care (focusing on understanding the residents' perspective and their rights). 53 staff members currently working in residential aged care facilities (RACFs) were purposively selected to participate in the study. Two vignettes describing sexual situations involving PWD were presented to participants. They were asked about their interpretation of the situation and how they would react. Data were analysed using content analysis, aimed at identifying common themes in the responses. When the sexual relationship involved a PWD and a cognitively intact resident, participants tended to define the situation as real (54.7%) or possible (35.8%) abuse, whereas when both parties had dementia it was more frequently conceptualised as a possibly abusive (39.6%) or non-abusive (37.7%) situation. The most frequent reaction to both situations was seeking the advice of other professionals. The interpretation of the first situation is compatible with an extreme cautionary stance, whereas the second scenario is less clearly perceived as an example of abuse. (JL).
Accession NumberCPA-150529288 A
ClassmarkEA: BIU: KW: QM: DP: QNT: PAA

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