ABSTRACT

This chapter deals with different types of power. It shows how power and powerlessness have a number of similarities. The chapter explains competition for power. It shows how a power struggle can be prevent. In the course of one's work with persons with dementia, a certain amount of chiding and reminding is natural. Natural concern is in an intimate relationship, it can lead to 'patronisation', which smothers the other person's initiative. Power is also a type of power which is related to 'the norm', that is, how things are 'normally' or 'usually' done. This is a strong force in residential and nursing homes. 'Indifference' thought as 'power' over someone. Indifference is usually the result of a gradual 'blunting' of a relationship. The dependence of the person with dementia forces carers to make decisions. The attitude with which the decision is made and the way the carer implements the decision is very important.