Staff attitudes towards sexual relationships among institutionalized people with dementia: does an extreme cautionary stance predominate?

International Psychogeriatrics
Feliciano VillarRodrigo Serrat

Abstract

This 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-centered model of care (focusing on understanding the residents' perspective and their rights). Fifty-three 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 analyzed 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 conceptualized 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 scenar...Continue Reading

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Citations

Oct 2, 2014·Health Care Analysis : HCA : Journal of Health Philosophy and Policy·Lieslot MahieuChris Gastmans
Aug 12, 2014·Revista española de geriatría y gerontología·Feliciano VillarRodrigo Serrat
Jan 19, 2016·Journal of Clinical Nursing·Feliciano VillarJosep Fabà
May 21, 2015·Nursing Ethics·Lieslot MahieuChris Gastmans
Jun 16, 2017·Journal of Advanced Nursing·Catherine CookSandra McDonald
Aug 1, 2018·Australasian Journal on Ageing·Harriet RadermacherJudy Lowthian
Nov 14, 2018·Health & Social Care in the Community·Beth StoneAilsa Cameron
Sep 17, 2019·Clinical Gerontologist·Tineke S M RoelofsPetri J C M Embregts
Mar 12, 2020·European Journal of Ageing·Vanessa BurholtUNKNOWN Working Group on Exclusion from Social Relations, part of the COST-financed Research Network ‘Reducing Old-Age Exclusion: Co
Jan 30, 2021·Nursing Ethics·Catherine CookSandra Mcdonald
Apr 6, 2021·Sexuality Research & Social Policy : Journal of NSRC : SR & SP·Mark HenricksonVanessa Schouten
Aug 15, 2020·Soins. Gérontologie·Philippe Thomas, Cyril Hazif-Thomas

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