How can we understand the attachment process between people with dementia and staff caregivers: an exploratory study in residential care

Download 409.39 Kb.
Size409.39 Kb.
  1   2   3   4   5   6   7   8   9   ...   81

How can we understand the attachment process between people with dementia and staff caregivers: an exploratory study in residential care
Laura-Lee Edwards
Submitted for the Degree of

Doctor of Psychology

(Clinical Psychology)

School of Psychology

Faculty of Health and Medical Sciences

University of Surrey

Guildford, Surrey

United Kingdom

September 2017

© Laura-Lee Edwards 2017
Statement of Originality

This thesis and the work to which it refers are the results of my own efforts. Any ideas, data, images, or text resulting from the work of others (whether published or unpublished) are fully identified as such within the work and attributed to their originator in the text. This thesis has not been submitted in whole or in part for any other academic degree or professional qualification.

Name: Laura-Lee Edwards


The ability to form secure attachments shapes the experience of feeling safe in distressing situations. Dementia is often described as a distressing situation which activates the attachment system. Consequently, how people with dementia and caregivers attach to one another informs how safety may be experienced in such circumstances. This E-thesis has sought to understand how attachment influences the experience of both the person with dementia and their caregiver.

Part one presents a literature review on the ‘interactive attachment dyad’ between the person with dementia and caregiver. Findings suggested that interactions within the dyad is a complex phenomenon. Conflicting results across papers highlighted difficulty in understanding how attachment influences the reciprocal interactions that take place between people with dementia and caregivers. Part two presents an empirical paper which set out to qualitatively explore staff caregivers’ understanding of their interactions with, and relationship to, residents in the mid to later stages of dementia in the care home setting. This sought to consider the relevance of attachment within the caregiving relationship. Findings highlighted that caregivers used attachment-focused ways of caring, namely features found within a secure base and a secure figure. Findings led to suggestions that an attachment-focused model of care could be considered within policy, clinician and service levels to improve quality of care for people in the mid to later stages of dementia in residential care.

Part three of this E-thesis provides an overview of the clinical placements and experience gained throughout the clinical doctorate training. Part four presents a table of all academic assessments completed.

Contents Page

Acknowledgements Pages 1-2

Share with your friends:
  1   2   3   4   5   6   7   8   9   ...   81

The database is protected by copyright © 2017
send message

    Main page
mental health
health sciences
gandhi university
Rajiv gandhi
Chapter introduction
multiple choice
research methods
south africa
language acquisition
Relationship between
qualitative research
literature review
Curriculum vitae
early childhood
relationship between
Masaryk university
nervous system
Course title
young people
Multiple choice
bangalore karnataka
state university
Original article
academic performance
essay plans
social psychology
psychology chapter
Front matter
United states
Research proposal
sciences bangalore
Mental health
compassion publications
workplace bullying
publications sorted
comparative study
chapter outline
mental illness
Course outline
decision making
sciences karnataka
working memory
Literature review
clinical psychology
college students
systematic review
problem solving
research proposal
human rights
Learning objectives
karnataka proforma