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PURPOSE: Limited availability of specialist services places a considerable burden on caregivers of Persons with Dementia (PwD) in Low- and Middle-Income Countries (LMICs). There are limited qualitative data on coercive behavior towards PwD in an LMIC setting.AIM: The aim of this study was to find relevant themes of the lived experience of relatives as caregivers for PwD in view of their use of coercive measures in community setting in South India.METHOD: Primary caregivers (n = 13) of PwDs from the Mysore study of Natal effects on Ageing and Health (MYNAH) in South India were interviewed to explore the nature and impact of coercion towards community dwelling older adults with dementia. The narrative data were coded using an Interpretative Phenomenological Analysis (IPA) approach for thematic analysis and theory formation.RESULTS: Caregivers reported feeling physical and emotional burn-out, a lack of respite care, an absence of shared caregiving arrangements, limited knowledge of dementia, and a complete lack of community support services. They reported restrictions on their lives through not being able take employment, a poor social life, reduced income and job opportunities, and restricted movement that impacted on their physical and emotional well-being. Inappropriate use of sedatives, seclusion and environmental restraint, and restricted dietary intake, access to finances and participation in social events, was commonly reported methods of coercion used by caregivers towards PwD. Reasons given by caregivers for employing these coercive measures included safeguarding of the PwD and for the management of behavioral problems and physical health.CONCLUSION: There is an urgent need for training health and social care professionals to better understand the use of coercive measures and their impact on persons with dementia in India. It is feasible to conduct qualitative research using IPA in South India.

This research projects spans a 6-year period surveying 485 participants’ experiences of eye movement\ud desensitization and reprocessing (EMDR) training in the United Kingdom and Ireland between the periods\ud of 2005 and 2011. This research used a mixed research methodology exploring EMDR training participants’\ud application of EMDR within their current clinical practice. The rationale was to explore potential\ud differences between EMDR-accredited and EMDR-nonaccredited clinicians in relation to retrospective\ud reports of treatment. Results indicate that EMDR-accredited clinicians report better treatment outcomes.\ud An argument is presented that EMDR has progressed from a convergent technique to a divergent psychotherapeutic\ud approach. Consequently, the research explored whether current EMDR training is “fit for\ud purpose.” A comprehensive model for EMDR training is outlined, proposing the importance of developing\ud more EMDR training in academic institutions.

This paper draws on work undertaken for an oral history project during 2018 - 2020, which sought to explore the careers of 31 intellectual disability nurses from England, UK and the Republic of Ireland, with at least thirty years experience. In both jurisdictions some participants had worked within long-stay institutions built in previous centuries, which have now all but closed; being replaced with smaller living configurations. Few practising intellectual disability nurses have experience of working in such institutions, and this makes it apposite to hear their important stories. Their narratives provide new insights into how these nurses have been marginalised from their professional group by a complex interplay of hegemonic tensions, parallel stigmatisation, recruitment issues, and emotional labour.

Thirty-one participants engaged in this oral history research study aimed at exploring the lived experience of intellectual disability nurses and healthcare assistants’ knowledge of the trajectory of intellectual disability nursing over the last 30 years in the Republic of Ireland and England. This paper documents some of these experiences offering perspectives on intellectual disability nursing and what is important for the future. Findings from Ireland consider the nature of intellectual disability services and the registered nurse in intellectual disability. Findings from England focus on opportunities and restrictions in intellectual disability nursing, shared visions, the changing context within which work took place and also the internal and external supports that impacted their roles. It is evident that intellectual disability nurses must be responsive to the changing landscape of service provision and also the requirements for contemporary new roles to meet the changing needs of people with intellectual disabilities.