Research with elderly people in long-term care: some social and organisational factors affecting psychological interventions

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Abstract
The problems of introducing change in long-term care settings for elderly people are discussed in relation to social, psychological and organisational factors operating within the institution. It is argued that the poor maintenance and generalisation of many behavioural interventions is in part due to researchers adopting too narrow a framework. Four issues are discussed and illustrated: 1. The role of the researcher in relation to care staff. 2. Relationships with elderly patients. 3. Change as criticism. 4. Conflicting policies within the institution.