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Beyond P.I.E.C.E.S. and GPA: The Meaning of Behaviours in Persons with Dementia (PwD)

On May 22nd, 2019, I will be presenting in Fergus, ON, Canada. You can purchase tickets to attend at:

During this presentation, I will talk about how dementia can impair the different circuit systems of the brain, and how these impairments can translate into the behaviours we see from PwD. I will discuss 12 […]

By |April 22nd, 2019|Events|0 Comments

11. Physically Aggressive Behaviors

Category 11 out of 12

Theoretical Construct: Theories in Compliance and Aggression

Associated Category/Categories: Oppositional Behaviors


Pulling, pushing, grabbing.

Kicking, biting, scratching, punching.

Spitting, throwing things, breaking objects.

Self-abuse / mutilation.

Purpose of the Behavior

Demonstrates presence of physiological, security or belongingness need that needs to be fulfilled.

Demonstrates blocked goal attainment, which leads to negative emotions of anger / discontentment.

Demonstrates a response to an impediment.

Demonstrates direct defiance to […]

By |August 28th, 2015|Behavior Categories|5 Comments

10. Oppositional Behaviors

Category 10 out of 12

Theoretical Construct: Theories in Compliance and Aggression

Associated Category/Categories: Physically Aggressive Behaviors



Observed in early stages of impairment with high intellectual function. Person negotiates around care and other needs.

Passive non-compliance:

Observed in early stages of impairment with lower intellectual function. Person is evasive to commands.

Simple non-compliance:

Observed in moderate stages of impairment with persons with lower intellectual function. Person […]

By |August 28th, 2015|Behavior Categories|0 Comments

Chapter 7: Theories in Compliance and Aggression

This chapter is focused on the fourth and final identified theoretical construct for behaviors: Theories in Compliance and Aggression (TCA). Behavioral categories emanating from TCA are the result of an imbalance in our emotional regulation and expression, to the point where expressions of non-compliance and aggression manifest. Such impairments can be a consequence of dysregulation of normal physiology or structural decline, […]

By |August 28th, 2015|Book Chapters|2 Comments

9. Vocal Behaviors

Category 9 out of 12

Theoretical Construct: Theories in Regulation of Emotion

Associated Category/Categories: Emotional Behaviors, Fretful / Trepidated Behaviors


Argumentative, explosive, quarrelsome.

Talking loud / fast, acting manic-like.

Whimpering, moaning, making strange noises.

Yelling, screaming.

Persistent calling out for staff / family members.

Rattling bed rails, banging table tops.

Purpose of the Behavior

Demonstrates cognitive impairment affecting emotional vulnerability and regulation.

Emotional vulnerability causes:

Increased sensitivity to emotional stimuli.
Intensified reactions.
Prolonged / […]

By |August 28th, 2015|Behavior Categories|3 Comments
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