Psychological Needs Malignant Social Psychology Psychological Needs l
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Psychological Needs Malignant Social Psychology
Psychological Needs l Malignant Social Psychology (MSP) l This was Kitwood's term for a style of interaction and relationship that took away a person’s personhood l It includes times when people are intimidated, outpaced, not responded to, infantilised, labelled, disparaged, blamed, manipulated, invalidated, disempowered, overpowered, disrupted, objectified, stigmatised, ignored, banished and mocked
Malignant Social Psychology l This can be linked to people with dementia, the aim of person centred care is to stop the spread (malignancy) of malignant social psychology.
l Why does MSP occur?
Kitwood’s flower l Kitwood used a flower to illustrate what a person with dementia needed from those around them to allow them to exist as a person. l The flower has overlapping petals with love being central need in the heart of the flower .
Kitwood’s Flower l The love is unconditional acceptance that is generous and forgiving
Psychological Needs - Comfort § This is the provision of warmth and closeness to others § The provision of tenderness, closeness and soothing § It helps people to relax
Psychological Needs - Comfort l It is provided through physical touch, comforting words or gestures l Physical comfort with your own body so if someone is experiencing pain, physically ill, unwell or in an unpleasant place then comfort will be absent.
Identity § This relates to the need to know who you are and how you feel about yourself and how you think. § Recent memories may fade and language become difficult so it is important identity is maintained § It is having a sense and feeling of who one is
Attachment § This is the forming of specific bonds or attachments § Feeling attached is especially important at times of increased anxiety and change § Attachment relates to bonding, connection, nurture, trust and relationship.
Attachment § It also relates to security in relationships § Attachment needs to be supported by acknowledgement, genuineness and validation
Occupation § This is being involved in the process of life § It relates in being involved in activities that are personally meaningful § It is feeling you can have an impact on what is done and how it is done
Occupation § It is supported by empowering, enabling, facilitating and collaborative staff skills. § It is undermined by disempowerment, disruption, imposition and objectification
Inclusion § This is being part of a group which is important for survival of the human race § People with dementia are at a great risk of being socially isolated as they may be unable to manage inclusion alone § It relates to facilitating engagement and making people feel part of a group where they are welcomed and accepted
Inclusion § Including people in activities and having fun in groups supports people to feel included § Stigmatising, ignoring, banishment and mockery undermine the need for inclusion being met
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