A Case Study in Sweden: The Need for Person-Centred Methods in the Care of Dementia Patients with Severe Aggressive Behaviour

  • Ulrika HarrisEmail author
  • Inger Jönsson
  • Cecilia Fagerström
Part of the Contemporary Clinical Neuroscience book series (CCNE)


This chapter focuses on giving an overview of the current care of dementia patients with very severe to extreme behavioural and psychological symptoms (BPSD), particularly aggressive behaviour. We start with an authentic case which will be the heart of this chapter. We also discuss the pharmacological treatment that is often still used, even though side effects are common and may make the symptoms of BPSD even more problematic. The chapter continues discussing person-centred methods in relation to dementia patients with very severe to extreme BPSD. We expected to find answers in the literature on how to manage severe or extreme BPSD and aggression in a person-centred way, but this proved to be difficult. As a conclusion, we offer a discussion on how future care might improve for this group of patients.


Aggression Behavioural and psychological symptoms BPSD Dementia Person-centred care Sweden 



The authors would like to thank Lil Carleheden-Ottosson for proofreading the manuscript. Thanks also to Anna Lengstedt for consultancy on the pharmacological section.


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Ulrika Harris
    • 1
    Email author
  • Inger Jönsson
    • 1
  • Cecilia Fagerström
    • 1
    • 2
  1. 1.Blekinge Center of Competence, Region BlekingeKarlskronaSweden
  2. 2.Linnaeus University, Department of Health and Caring SciencesVäxjöSweden

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