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Title: The perceptions of cause and control in people with Alzheimer's disease
Author: Matchwick , Claire
ISNI:       0000 0004 2751 7704
Awarding Body: Lancaster University
Current Institution: Lancaster University
Date of Award: 2011
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This thesis consists of a literature review, a research paper and a critical review which investigates the experience of dementia with a specific focus on the perceptions of cause and control in people with Alzheimer's disease. The literature review is a meta-synthesis of nine qualitative studies that investigated the experience of dementia. The synthesis identified three overarching constructs of: "the consequences of dementia", "resistance and maintenance" and "acceptance and integration". The lines-of-argument synthesis suggested that individuals can be in a circular process of moving between resistance and maintenance, or can be in a state or both resisting and accepting dementia. Subsequently, it was recommended that health professionals consider that this process is a part of the experience of dementia and support individuals with dementia with this. The research paper explored the cause and control illness representation of six. individuals with Alzheimer's disease by completing semi-structured interviews and conducting an interpretative phenomenological analysis. The analysis identified three themes including theme one: "It is something that creeps on isn't it and you don't notice it creeping on"; idiosyncrasies of Alzheimer's disease and impact on understanding; theme two: "I'm not saying that I haven't got it I might have it but I don't know"; graded engagement with diagnosis of Alzheimer's disease; theme three: "I think it's good not to worry about it"; pragmatic emotional response to Alzheimer's disease. Indeed, causal attributions were identified and participants discussed different forms of control. Consequently, clinical implications were discussed and future research suggested. The critical review includes reflections on a number of pertinent issues that arose during the completion of the research.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (D.Clin.Psy.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available