Excess Disabilities of Mentally Impaired Aged: Impact of Individualized Treatment

Em, Brody; Mh, Kleban; Lawton, M. Powell; Ha, Silverman

doi:10.1093/geront/11.2_part_1.124

Cited by 131 publications

(68 citation statements)

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“…When the rich fabric of social interaction is studied, it is possible to obtain insights impossible to find through the use of standard methods, and to understand more clearly the interplay between the person who suffers neuropathology and the social situations that he or she confronts. Brody (1971) coined the term, 'excess disability' to describe 'the discrepancy that exists when a person's functional incapacity is greater than that warranted by the actual impairment.' Excess disability may result from what Kitwood called 'malignant social psychology', or the afflicted person's reactions to dysfunctional features in the interactions he or she experiences with others.…”

Section: Introductionmentioning

confidence: 99%

Excess disability and malignant social psychology: A case study of Alzheimer's disease

Sabat

1994

Community & Applied Soc Psy

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An in-depth case study was undertaken to assess the effects of what Kitwood has termed 'malignant social psychology' on the observed behaviour of an Alzheimer's disease sufferer. Interviews were conducted with the spouse and observations were made in an adult day-care centre, where staff members were also interviewed. Abilities that the spouse reported to be absent at home were readily observed at the day-care centre, lending support to Brody's idea of excess disability, i.e. disability not due to disease alone. Furthermore, forms of malignant social psychology existed in the home environment but did not exist in the day-care centre. Excess disability and its absence coincided with the presence and absence of aspects of malignant social psychology. The sufferer's behaviour was found to be affected not only by the extant neuropathology, but also by social relationships.

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Section: Introductionmentioning

confidence: 99%

Excess disability and malignant social psychology: A case study of Alzheimer's disease

Sabat

1994

Community & Applied Soc Psy

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“…Yet, as the wife-carers had always done the cooking throughout the marriage and the kitchen was their established territory, they were not always keen when their husbands offered to help them in the kitchen. Although two wives perceived that their husbands lacked the ability to help with food preparation due to their dementia (but also because of their historical lack of cooking expertise), as it was evident that these men actually retained some practical ability here (irrespective of their cognitive disability), their wives' attitudes probably contributed to 'excess disability' in these particular men (Brody 1971). For example, Gillian (a wife-carer) acknowledged that when her husband asked if he could help her in the kitchen, she usually declined his assistance:…”

Section: Wives Cook For Their Husbands With Dementiamentioning

confidence: 99%

‘Can't cook, won't cook’: men's involvement in cooking when their wives develop dementia

Boyle

2013

Journal of Gender Studies

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The division of household labour in heterosexual couples continues to be unequal, indicating that gender inequality persists in the domestic sphere. Yet, although there is a lack of gender equity in housework, this is less clear-cut in terms of cooking. This paper explores whether men are willing to cook when their wives develop dementia. The paper presents findings from a qualitative study in England (funded by the Economic and Social Research Council (ESRC)), which explored the everyday decisions made by married couples when one partner had dementia. The author examines the division of labour within the couples and identifies whether women exercised choice and control over who did the cooking. Although research into dementia usually focuses on the social competence of people with dementia (as determined by their carers), this study explored the domestic competence of both spouses, particularly husbands who were carers. It was found that men are often unable or unwilling to cook when their wives develop dementia or, alternatively, they take over cooking altogether, thereby excluding their wives from a task they enjoy. Gendered patterns of authority or control were apparent in the couples' decision-making dynamics, indicating that gender inequality in relationships persists even when women develop dementia.

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“…Due to environmental characteristics such as sta behavior patterns and individual resident characteristics such as stage of the disease process, some residents with dementia exhibit symptoms of functional incapacity greater than warranted by actual organic impairments (Baltes, 1988;Baltes et al, 1987;Baltes and Reisenzein, 1986;Brody et al, 1971;Burgio et al, 1996a;Wahl, 1991). This leads to greater dependency than necessary on the environment, and in particular, nursing sta.…”

Section: Excess Dependencymentioning

confidence: 99%

Effective behavioral interventions for decreasing dementia-related challenging behavior in nursing homes

Allen‐Burge

Stevens

Burgio

1999

Int. J. Geriat. Psychiatry

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Excess Disabilities of Mentally Impaired Aged: Impact of Individualized Treatment

Cited by 131 publications

References 0 publications

Excess disability and malignant social psychology: A case study of Alzheimer's disease

Excess disability and malignant social psychology: A case study of Alzheimer's disease

‘Can't cook, won't cook’: men's involvement in cooking when their wives develop dementia

Effective behavioral interventions for decreasing dementia-related challenging behavior in nursing homes

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