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Title: Constructions of capacity in people with dementia : implications for implementing the Mental Capacity Act 2005
Author: Chalcroft, James
ISNI:       0000 0004 2699 1244
Awarding Body: University of East London
Current Institution: University of East London
Date of Award: 2007
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This study investigates the discursive constructions of capacity and people with dementia made by staff in care homes. The investigation was prompted by the arrival onto statute of the Mental Capacity Act 2005 ('the Act'). Adopting a discursive approach I argue that the principles of the Act represent a reconstruction of the person with dementia when compared to the hitherto dominant disease construction (these two differing constructions redolent of the so called 'new' and 'old' cultures of dementia care respectively). I suggest that care homes, as 'total institutions', are establishments where there is reason to question how successful the implementation of these principles will be and thus to seek to understand how care home staff currently construct 'capacity' and 'people with dementia' would be of value in terms of understanding any possible implementation gap. Interview data with 9 care staff were subjected to a discourse analysis. The constructions elicited did not seem to approximate well to the subject constructed in the principles of the. Act, and instead tended to produce an identity for people with dementia as 'non-thinking beings'. In the discussion I consider the implications of my findings for the implementation of the Act, and consider ways in which my work may be applied. I conclude with a reflexive critical assessment of the work.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available