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Frequent military deployments have been associated with relationship issues for active-duty members, such as marital conflict and infidelity. Previous research has indicated that attachment, communication, and mental health are associated with military marriages’ stability during deployment. However, there remains an important gap in the current literature on military marriages regarding perceptions of infidelity (emotional and sexual). Proponents of attachment theory postulate that early attachment experiences facilitate the development of self-perception as well as perceptions of others. From this perspective, the attachment of military spouses is associated with their perceptions of their active-duty spouses engaging in infidelity. The purpose of this quantitative study was to examine the relationship between attachment, as measured by the Adult Attachment Scale, and infidelity perceptions, as measured by the Infidelity Expectations Questionnaire, for military spouses during their active-duty members’ deployment. A sample of 178 military spouses was recruited through social media platforms to complete surveys. Correlation analysis and multiple linear regression were conducted to identify the association and strength between attachment scores and infidelity perceptions. Findings indicate that proximity was a challenge due to deployment, during which spouses were continuously faced with communication challenges and feeling detached from the active-duty member. This contribution to existing literature may enhance social-change initiatives by informing education for military couples, providing a basis for attachment and infidelity-related training.

In March 2012, the Durban High Court found three accused guilty of murder on two of the accused’s parents. The Lotter case was covered extensively by the media, because of its unusual story: The two Lotter siblings claimed that they were brainwashed by the sister’s boyfriend as he had made them believe that he was the third son of God. As the siblings’ defences they decided to use the controversial defence of non-pathological criminal incapacity. This dissertation gives an extensive outline of case law that has covered this defence. While attempting to define this defence, the courts have limited its uses to such an extent, that it appears to be abolished. Viewpoints of academic authors have been considered to assist the reader in defining new borders for this defence. Redefinition is necessary in light of the Constitution of the Republic of South Africa. Concepts such as ‘coercive persuasion’ are explained in terms of psychological, psychiatric and legal backgrounds. Other countries have taken measures to restrict the use of coercive persuasion, specifically religious coercive persuasion. We therefore compare South Africa’s lack of legislation to those countries that have adopted anti-coercive persuasion legislation as the Constitution permits that foreign law may be taken into account when interpreting and developing the law. There is also a discussion on the role of expert evidence in a South African court, specifically the psychologist, as well as discussion on Post-Traumatic Stress Disorder and the Battered Partner/Spouse/ Wife syndrome in context of coercive persuasion. Coercive persuasion is viewed in terms of the defence of non-pathological criminal incapacity – as a prevailing factor that discredits the second (conative) leg of the capacity test: The ability to act in accordance with right and wrong. Defences such as automatism and private defence are also considered in context of coercive persuasion. By analysing the case of Cézanne Visser along with the other cases that considered the defence of non-pathological criminal incapacity, one is able to view that the Lotter case is not the first case that mentions a person coercively persuaded by her partner to commit crimes. After the discussion of the Lotter case (the facts and judgment are covered in detail), similarities are drawn between the two women that were coercively persuaded by their partners. An alternative judgment and sentence reveals that the Lotter case had an opportunity to develop the defence, in context of coercive persuasion, and in light of the Constitution, but failed to do so. The recommendations that follow are based on the defective dialogue that occurs between psychologists and psychiatrists, the unnecessary absence of expert evidence in court, the transformation of the defence of non-pathological criminal incapacity, a development of the term ‘coercive persuasion’ for purposes of the court when considering cases that deals with religious practices and the lack of legislative protection for women who murder their abusive husbands. / Dissertation (LLM)--University of Pretoria, 2012. / Public Law / unrestricted

Suite à une recension des écrits sur les soins d’hygiène des personnes atteintes de démence de type Alzheimer (DTA), force est de constater la rareté, voire l’absence de recherches sur la question des soins d’hygiène (SH) dispensés à domicile par les conjointes. Pourtant, la conjointe à domicile est confrontée aux mêmes difficultés que les intervenants des établissements de santé et doit ainsi faire face aux comportements, parfois difficiles de la personne atteinte. Dans la pratique, les infirmières questionnent peu les difficultés rencontrées par les aidantes au moment des soins d’hygiène, ce qui permet difficilement de prendre conscience de leurs sentiments d’isolement et de détresse et de les réduire, le cas échéant. Pour pallier cette lacune, la présente recherche vise à comprendre l’expérience que vivent des conjointes d’hommes atteints de DTA lorsqu’elles leur dispensent des SH à domicile. Un second objectif vise à identifier les dimensions qui sont associées à cette expérience. Une approche de recherche qualitative est utilisée. Les participantes ont été recrutées par l’entremise des Sociétés Alzheimer de Laval et des Laurentides. La stratégie de collecte des données a impliqué la réalisation de deux entrevues individuelles, face à face, de même que l’administration d’un court questionnaire portant sur les aspects sociodémographiques. La démarche retenue pour l’analyse de l’ensemble de données est inspirée de l’approche proposée par Miles et Huberman (2003). Les résultats permettent d’abord de mettre en évidence des profils de conjointes qui, tout en étant variables, présentent certaines similarités. Eu égard aux SH, toutes ont à consacrer des efforts soutenus, quotidiens et intenses. Elles doivent faire montre de patience et compter sur des capacités personnelles les amenant à ressentir des sentiments positifs malgré les situations difficiles. Les résultats montrent par ailleurs que la dispensation des SH provoque aussi des sentiments négatifs associés au fardeau que ces soins impliquent. Les conjointes mettent toutefois en œuvre une variété de stratégies d’adaptation au stress telles la résolution de problème, la recherche de soutien social et le recadrage. Cinq ensembles de dimensions personnelles et contextuelles sont associés à l’expérience des aidantes : 1) En ce qui a trait aux caractéristiques personnelles des conjointes, l’avancement en âge et l’état de santé physique ou psychologique influencent négativement l’expérience lors des SH. Par contre, les ressources personnelles intrinsèques (acceptation de la réalité, capacité de trouver un sens à l’évènement, habileté à improviser et sens de l’humour) sont utilisées de manière naturelle ou acquise; 2) Les caractéristiques personnelles du conjoint (année du diagnostic, pertes d’autonomie et troubles de comportement) affectent négativement l’expérience vécue; 3) La relation conjugale présente un intérêt important puisqu’il apparaît qu’une relation conjugale pré-diagnostic positive semble favoriser des sentiments positifs chez la conjointe en ce qui a trait aux SH; 4) Les dimensions familiales ont un impact favorable, étant donné le soutien psychologique reçu de la famille; 5) Les dimensions macro-environnementales, incluant l’aide reçue du réseau informel plus large de même que du réseau formel, ainsi que les divers aménagements matériels de l’environnement physique du couple, ressortent enfin comme ayant un impact positif. Au terme de l’analyse des résultats, l’auteure est en mesure de proposer une synthèse de l’expérience des conjointes. La discussion aborde quatre enjeux qui se dégagent des résultats observés : impacts des difficultés rencontrées lors des SH dans la décision d’hébergement, réticence des aidantes à faire appel aux ressources du réseau formel pour obtenir de l’aide eu égard aux SH, importance des ressources personnelles des aidantes et potentiel de l’approche relationnelle humaine (human caring) pour faire face aux défis que pose la dispensation des SH. / Following a review of the literature on hygiene care practices for patients with Alzheimer-type dementia (DAT), there is no choice but to accept the scarcity, even absence of research on the question of hygiene care (HC) dispensed at home by female partners. Nevertheless, the female partner at home is faced with the same problems as workers in health care institutions, and so must cope with the sometimes-difficult behaviours of their partner afflicted with dementia. In practice, nurses ask very little about the difficulties caregivers encounter when providing hygiene care, and this does nothing to lessen the feelings of isolation and distress. To fill this gap, the present research seeks to understand what the female partners of men with DAT experience when they provide them with HC at home. A second objective is aimed at identifying the dimensions associated with this same experience. A qualitative research approach is used. Participants were recruited through the Alzheimer Societies of Laval and the Laurentides. The strategy for data collection involved conducting two individual, face-to-face interviews, as well as administering a short questionnaire about the sociodemographic aspects. The approach used for analyzing all the data was based on the approach proposed by Miles and Huberman (2003). In the first instance, the outcomes reveal the profiles of the female partners, which, while variable, present certain similarities. With regard to HC, all have to make sustained, concentrated efforts daily. They must have energy and patience, and rely on personal capacities to maintain positive feelings despite the difficult situations. The outcomes also show that dispensing HC also provokes negative feelings associated with the burden that this type of care brings with it. Nevertheless, female partners implement a variety of strategies to adapt to the stress, such as problem solving, seeking social support and refocusing/reorientation. Five sets of personal and contextual dimensions are associated with the caregiver experience: 1) With respect to the personal characteristics of the female partner, advanced age and the state of physical or psychological health have a negative influence on the HC experience. On the other hand, inherent personal resources (acceptance of the reality, capacity to find meaning in what has happened, ability to improvise and sense of humour) are used either natural or learned; 2) The personal characteristics of the male partner (year of diagnosis, loss of autonomy and behaviour problems) negatively affect the experience; 3) The marital relationship is also of great interest as it appears that a positive pre-diagnosis marital relationship seems to favour positive feelings in the female partner with respect to HC ; 4) The familial dimensions have a favourable impact, with regard to the psychological support received from the family; 5) Finally, the macro-environmental dimensions, including help received from both the wider informal, and the formal network, as well as the various material accommodations in the couple’s physical environment, emerge as having a positive impact. At the conclusion of the outcome analysis, the author is able to offer a summary of what the couple’s experience. The discussion involves four issues that emerge from the outcomes observed: impacts of the difficulties encountered during HC on the decision for selecting accommodation, reticence of caregivers to make recourse to resources in the formal network for help with HC, importance of the personal resources of the caregivers, and the potential of the human caring approach in dealing with the challenges arising in the dispensing of HC.

En 2011, en France, plus de 147 525 hommes et femmes sont morts d’un cancer. Cette pathologie ne touche pas seulement les personnes les plus âgées : 41 000 décès prématurés, survenant avant 65 ans sont dus au cancer (FRANCIM, InVS, CIRC). Ce sont autant de personnes qui vivaient potentiellement en couple. En cas de décès, des bouleversements plus ou moins pérennes vont toucher le conjoint, sur un plan psychique, physique et social. Les proches du patient cancéreux constituent l’une de ses premières sources de soutien tout au long de sa maladie. Différentes recherches menées ces dernières années ont souligné la vulnérabilité psychique de ces « aidants-soignants », notamment en termes de symptômes anxio-dépressifs. Les facteurs de risque sociodémographiques identifiés (comme le fait d’être une femme, d’être plus âgé, et l’existence de deuils antérieurs) ne prennent pas en compte le fonctionnement psychique et affectif des conjoints : les relations de l’aidant au malade, sa personnalité, ni même son vécu subjectif de la maladie et de la fin de vie. Lorsque l’issue du cancer est fatale, il semble que parmi les proches, ce soient les conjoints des patients qui rencontrent le plus de difficultés pour faire face au décès : le risque de deuil compliqué (Prolonged Grief Disorder, Prigerson et al, 2009) serait plus important dans cette population. A l’heure actuelle, l’existence de cette catégorie nosographique fait encore débat et les données empiriques longitudinales font défaut pour spécifier le caractère pathologique du deuil dans le champ du cancer. Les propositions de soutien psychologique pour ces personnes si intensément sollicitées restent finalement méconnues, à la fois par les conjoints endeuillés, qui y ont rarement recours, et par certains professionnels du soin. ObjectifsCette recherche a pour objectif d’identifier et de comprendre les déterminants des processus de deuil chez les conjoints, amorcés dès la fin de vie de la personne atteinte de cancer en phase palliative, et déployés à moyen et long terme. Cette étude vise également à décrire la phénoménologie ‘normale’ du deuil, ainsi que ses manifestations pathologiques. La proposition d’outils de réflexion favorisant la mise en place de dispositifs de soutien adaptés aux conjoints endeuillés, constitue le dernier objectif de cette recherche.MéthodesDeux études ont été réalisées. L’étude 1, quantitative, utilise une batterie psychométrique évaluant la détresse émotionnelle, l’ajustement social, le développement post-traumatique, les styles d’attachement et de coping, et enfin la personnalité des conjoints. Cette étude propose un suivi de cohorte durant la phase palliative (N=60)/6 mois après le décès (N=36) où l’on met en relation des données personnelles initiales avec l’ajustement ultérieur des conjoints de patients. L’étude 2, qualitative, propose une exploration de l’expérience personnelle de dix conjoints confrontés à la perte et de leurs processus de mise en sens à l’aide de l’Interpretative Phénoménological Analysis (IPA, Smith, Flowers, & Larkin, 2009). Résultats Les analyses quantitatives ont montré que la grande majorité des conjoints présentaient pendant la phase palliative une symptomatologie dépressive et souffraient d’un fardeau lié à la prise en charge du malade, tandis que leur adaptation sociale semble globalement préservée. Après la mort du patient, l’intensité des symptômes dépressifs augmente pour la majorité des conjoints endeuillés (53%), tandis qu’une minorité (13%) souffre d’un trouble du deuil prolongé. La détresse des conjoints endeuillés est avant tout prédite par leur niveau de dépression mesurée avant le décès, et peu par les variables liées à la maladie ou au décès lui-même. Les styles d’attachement permettent d’autre part d’identifier des profils adaptatifs chez les conjoints.... / In 2011, in France, more than 147 525 men and women died through cancer. This disease doesn’t affect only the oldest: 41 000 untimely deaths, before 65 years, are caused by cancer (FRANCIM, InVS, CIRC). All these persons were supposed to live with a partner. Faced with the patient’s death, more or less sustainable psychological, physical or social upheavals will affect the spouse.The cancer patient’s relatives and family constitute one of the patient’s main sources of support throughout the disease, but this support is not always recognized by physicians. Over recent years, several studies have emphasized the psychological vulnerability of these caregivers especially in terms of anxiety and depression patterns. However, identified sociodemographic risk factors (e.g. being a woman, being older, and having experienced previous grief) do not take into account the socio-affective and cognitive functioning of the patient’s spouse. The relationship with the patient, the caregiver’s personality, or the subjective experience of illness and end of life are considered to be critical by clinicians, but are largely ignored in empirical research. When the outcome of cancer is fatal, among the patient’s family and friends, the spouse appears to encounter the greatest difficulties to cope with her/his grief: the risk of complicated grief is more considerable among this population. Currently, the existence of this disorder (Prolonged Grief Disorder, Prigerson et al, 2009) still remains in debate and the lack of empirical longitudinal data to specify the pathological aspect of grief in the field of cancer, hinders any scientific consensus.Psychological support provided to these intensely requested persons remains poorly known, both by bereaved spouses, who have rarely resort to support facility, and by some healthcare professionals. AimsThis study aims at identifying and understanding the predictors of grief among bereaved spouses of cancer patients, induced from end of life to the mid- and long- term grief period. We also want to describe the “normal” phenomenology of grief, and its complicated manifestations. Finally this research aims at providing reflection tools facilitating the implementation of adapted support programs for bereaved spouses.MethodsTwo complementary studies were conducted. Study 1, a quantitative study, uses a psychometric battery assessing the distress, the social adjustment, the post-trauamtic growth, the styles of attachment and of coping, as well as the personality in spouses of cancer patients. This study consists of following-up of a cohort during the palliative period (N=60)/6 months after death (N=36), to capture correlations between initial personal data and subsequent adjustment. Study 2 is a qualitative study, which provides an investigation of ten spouses’ experience facing the loss of their loved one. This experience and their making sense processes were studied with the Interpretative Phénoménological Analysis (IPA, Smith, Flowers & Larkin, 2009)ResultsThe quantitative analyses showed that the vast majority of the spouses reported during the palliative phase a depressive symptomatology and feelings of burden associated with the caregiving of the patient. Their social adaptation is globally preserved. After the death of the patient, the intensity of the depressive symptoms increase for the majority of the bereaved spouses (53%), while a minority (13%) meet the criteria for a Prolonged Grief Disorder. Above all, the distress of the latter is predicted by their levels of depression assessed before the death. The factors linked to the disease or to the death itself hardly constitute good predictors of the condition of the bereaved spouses. The attachment styles allow us to identify adaptative profiles in this population.....

Spouse abuse is a significant social problem that has recently received considerable attention by family researchers. National studies have estimated the incidence of spouse abuse in the United States, but few studies have been conducted at the state or local level Data were obtained from the Utah Division of Family Services Domestic Violence Client Record (Fonn 741 -S) reporting system. A total of 1,363 primary victims of spouse abuse was identified for the calendar year 1992 It is posited that victims of low socioeconomic status and victims of severe physical abuse are more likely to return to their own home after leaving a spouse abuse shelter. The victim's living arrangement at closure was cross tabulated with data on their socioeconomic status and the severity of abuse as determined by the level of medical treatment required. It is further posited that spouse abuse victims from urban counties are not significantly different from victims from nonurban counties. T-test analyses compared violence, social-psychological, and family factors along with the type and number of services provided for spouse abuse victims from urban and nonurban counties The data suggest that spouse abuse victims of middle and upper socioeconomic status are more likely to return to their own homes after receiving services than women of lower and poverty status. No relationship was found between severity of abuse and living arrangements after receiving services. The data also suggest that there is a significant difference between spouse abuse victims from urban and nonurban counties. Incidence rates for victims seeking services were nearly twice as high for nonurban counties compared with urban counties. While the 741-S system can provide valuable data for family violence researchers, the present system needs to be modified Clear definitions, specific guidelines. additional training for case workers, and a modified data entry system will make the system more user-friendly and facilitate statistical analysis. Research conducted at the local level can provide policy makers with valuable data that can be used to improve domestic violence treatment and prevention services.

SAMMANFATTNING Akut koronart syndrom (AKS) är benämningen på den process som innebär en plackruptur med efterföljande trombotisering i ett kranskärl. Insjuknandet kan debutera med allt ifrån en vag obehagskänsla till en dramatisk situation och är potentiellt livshotande. Kranskärlssjukdom är ett kroniskt tillstånd som den drabbade tvingas hantera resten av livet. Närstående, vilka utgör en viktig resurs i sammanhanget, drabbas även de av sjukdomens följder. Hänsyn och anpassning till den nya situationen kan leda till förändring i livet. Syftet med föreliggande studie var att belysa närståendes upplevelse av förändring i livet efter att partnern insjuknat i akut koronart syndrom. En kvalitativ metod valdes. Sex närstående till personer som för första gången insjuknat i akut koronart syndrom intervjuades. Insamlad data bearbetades genom kvalitativ innehållsanalys enligt Lundman och Hällgren Graneheim. Det resultat som framkom har indelats i tre kategorier: närståendes upplevelse av förändring av partnerns fysiska, psykiska och kognitiva tillstånd, närståendes upplevelse av förändring i livsstil samt närståendes upplevelse av nytillkommen oro och ökat ansvar. Exempel på vanliga förändringar var partnerns trötthet, vilken kunde leda till ökat sömnbehov och mindre ork för aktiviteter och socialt umgänge. Glömska och förändringar i humör och sinnesstämning hos partnern kunde leda till ökad kontroll och större hänsynstagande för den närståendes del. En tydlig förändring var den ökade mängden läkemedel där närstående ofta hjälpte till att kontrollera medicineringen. Flertalet hade gjort någon form av förändring gällande levnadsvanor som att öka andelen grönsaker i kosten eller att öka den fysiska aktiviteten. En nytillkommen oro för hälsa och framtid fanns. De närstående använde olika strategier som kontroll och försök till påverkan för att tillsammans med sina partners återfå en balans i livet. Den slutsats som kan dras är att närstående erfar förändringar i livet då partnern insjuknar i akut koronart syndrom. De närstående känner ofta stort ansvar för sin partner och kan genom sin närvaro bidra till att jämvikten återfås.

Antalet personer som diagnostiseras med en kognitiv sjukdom ökar i världen. De kognitiva sjukdomarna är vanligare i hög ålder men även yngre människor insjuknar. Sjukdomarna ger ett ökat behov av stöd i vardagen och den största delen av vård och omsorg ges idag av de anhöriga.  Syftet var att beskriva upplevelsen av att leva tillsammans med en partner som drabbats av enkognitiv sjukdom med tidig debut. Metoden som använts har varit en litteraturstudie med induktiv ansats. Sökningar i databaserna Pubmed, Cinahl och PsycInfo gjordes med begränsningen artiklar som publicerats mellan 2012 – 2023 för att endast inkludera aktuell forskning. Studien baserades på 15 kvalitativa forskningsartiklar som bedömdes kunna svara på syftet.  Resultatet presenteras i sex kategorier. Det visar att partners till personer med kognitivasjukdomar med tidig debut upplever svårighet för den sjuke att få en diagnos. De upplever även okunskap och bristfälligt stöd från hälso-och sjukvårdspersonal. Känslorna är svåra och rollerna i relationen förändras. Stigmatiseringen kring sjukdomarna är stor och det sociala livet berörs negativt. Även den egna hälsan, ekonomin och arbetslivet påverkas och de vårdande partnerna känner en oro inför framtiden. Slutsatsen är att stigmatiseringen och okunskapen är stor, både hos samhället och inom hälso- och sjukvård och påverkar livet för de som lever tillsammans med en partner med en kognitiv sjukdom. Kunskaperna om kognitiva sjukdomar med tidig debut behöver ökas för att minska skamkänslor och social isolering hos dem som drabbas. Det stöd som finns idag behöver ses över och utgå mer från behoven hos den som är sjuk och dennes anhöriga. / The number of people diagnosed with a cognitive disease are increasing worldwide. Cognitive disorders are more common in the elderly, but younger people also fall ill. The diseases givesan increased need for support in everyday life, and most of the care is provided by the family. The aim was to describe the experience of living together with a partner who was affected byan early onset cognitive disease. The method used has been a literature study with an inductive approach. Searches in thedatabases PubMed, Cinahl and PsycInfo were made with the limitation of articles published between 2012 - 2023 to include only current research. The study is based on 15 qualitative research articles that we considered able to answer to the purpose.  The results are presented in six categories. It shows that partners of people with an early onset cognitive disease experience difficulties for the person affected by the disease to get a diagnosis. They also experience ignorance and lack of support from health professionals. The emotions are difficult and the roles in the relationship change. The stigma surrounding the diseases is big and the social life is negatively affected. Their own health, finances and working life are also affected, and the caring partners are worried about the future. The conclusion is that the stigma and ignorance is substantial both in society and in health care and affects the lives of those who live with a partner with a cognitive disorder. Knowledge of cognitive disease with an early onset needs to be increased in order to reduce feelings of shame and social isolation in those affected. The support that exists today needs to be reviewed and based more on the needs of the person who is ill and their family.

While not included in the diagnostic classifications of sexual disorders in the Diagnostic and Statistical Manual of Mental Disorders (DSM), sexual addictions and compulsivities are increasingly being encountered by mental health professionals, and the field of sexual addictions is gaining wider acceptance (Delmonico & Carnes, 1999; Garos, 1997). Research shows the majority of people struggling with sexual addictions and compulsivities involving the Internet are married, heterosexual males (Cooper, Delmonico, & Burg, 2000), and that women who are married to these men are directly impacted by this problem (Schneider, 2000b). Although there is research on many issues relating to wives of sex addicts, there is currently a void in the research literature regarding the kinds of support women find most beneficial when dealing with a spouse's sexually addictive or compulsive behaviors. The primary purpose of this qualitative study was to identify the kinds of support women find most beneficial when dealing with a spouse's sexually addictive and compulsive behaviors. Using grounded theory methodology (Strauss & Corbin, 1990), twenty-two women from Canada and the United States were interviewed to find out what they found most helpful as they sought support to cope with a spouse's sexually addictive and compulsive behaviors. A theory of support for this population emerged from the data. It was found that women in affected marriages utilize two main categories of support, namely, coping supports, and change-oriented supports such as Recreational, Relational, Professional, Spiritual and Conceptual. Responding to problematic sexual behavior is moderated by numerous internal and external factors. Five common factors of positive support experiences were identified across the sample. These five common factors were: (a) Connection, (b) Advocacy, (c) Validation, (d) Education, and (e) Direction (CAVED). This study did not succeed in identifying distinct pathways of support for women who discover this problem versus those who have it disclosed to them, nor did this study identify specific treatment modalities that are effective. The results of this study provide a useful template for clinicians, support networks and researchers to begin understanding what is helpful and unhelpful when working with this population.

Bakgrund: En stor del av världen befolkning lever med någon form avdemenssjukdom. Sexualitet är en grund för människors hälsa och välbefinnande oavsettom personer har en demenssjukdom eller inte. Trots detta är sexualitet i samband meden demenssjukdom ett tabubelagt ämne. Tabun har en negativ påverkan på personermed demenssjukdoms omvårdnad i samband med sexualitet.Syfte: Beskriva upplevelser relaterat till sexualitet hos personer med demenssjukdomsamt deras närstående.Metod: Detta är en beskrivande litteraturstudie som bygger på 10 vetenskapliga artiklarinom ämnet. Författarna har använt sig av en relevansmall och enkvalitetsgranskningsmall för att identifiera relevanta artiklar att ta med i studien. Entematisk metodanalys användes för att identifiera fem huvudteman.Huvudresultat: Kunskapsluckor kring ämnet som finns för vårdpersonal bidrar till attupprätthålla tabun kring ämnet. Även fast sexuella behov i form av samlag inte längre ärlika prioriterat som förr, finns behovet ändå kvar. Vänskap, närhet och kärlek har fått enstörre innebörd. Vårdhem i dagens samhälle är inte anpassade och accepterande för attbibehålla sexualitet hos personer med demenssjukdom samt deras närstående. HBTQI+personer upplever att dem inte kan uttrycka och identifiera sig som dem är utan att derasvård påverkas.Slutsats: För personer med demenssjukdom och dess närstående finns fortfarandebehovet av sexualitet kvar efter en demensdiagnos. Däremot finns en stor tabu kringämnet sexualitet och äldre. Denna tabu är större när det kommer till sexualitet ochpersoner med demenssjukdom. Tabun grundar sig i kunskapsbrist hos vårdpersonal ochgenom denna litteraturstudie vill författarna lyfta tabun och bidra till att vårdpersonalenfår den utbildning de behöver. Det har framkommit i resultatet att miljön på vårdheminte är anpassade för att äldre och demenssjuka personer ska kunna bibehålla sinsexualitet. Detta både i form av en fysisk miljö i form av möblering men även i enstämning på vårdhemmen som inte ger utrymme för sexualitet. Genom attvårdpersonalen får korrekt utbildning kan detta bidra till att vårdhemsmiljöer anpassasoch blir mer accepterande, i förhållande till sexualitet.Nyckelord: Demens, Närstående, Partners, Sexualitet, Upplevelser.