1. Malignant Social Psychology
Psychological Needs
Malignant Social Psychology

2. Psychological Needs Malignant Social Psychology (MSP)
This was Kitwood's term for a style of interaction and relationship that took away a person’s personhood
It includes times when people are intimidated, outpaced, not responded to, infantilised, labelled, disparaged, blamed, manipulated, invalidated, disempowered, overpowered, disrupted, objectified, stigmatised, ignored, banished and mocked

3. Malignant Social Psychology
This can be linked to people with dementia, the aim of person centred care is to stop the spread (malignancy) of malignant social psychology.

4. Why does MSP occur?

5. Kitwood’s flower
Kitwood used a flower to illustrate what a person with dementia needed from those around them to allow them to exist as a person.
The flower has overlapping petals with love being central need in the heart of the flower .

6. Kitwood’s Flower
The love is unconditional acceptance that is generous and forgiving

7. Psychological Needs - Comfort
This is the provision of warmth and closeness to others
The provision of tenderness, closeness and soothing
It helps people to relax

8. Psychological Needs - Comfort
It is provided through physical touch, comforting words or gestures
Physical comfort with your own body so if someone is experiencing pain, physically ill, unwell or in an unpleasant place then comfort will be absent.

9. Identity
This relates to the need to know who you are and how you feel about yourself and how you think.
Recent memories may fade and language become difficult so it is important identity is maintained
It is having a sense and feeling of who one is

10. Attachment This is the forming of specific bonds or attachments
Feeling attached is especially important at times of increased anxiety and change
Attachment relates to bonding, connection, nurture, trust and relationship.

11. Attachment It also relates to security in relationships
Attachment needs to be supported by acknowledgement, genuineness and validation

12. Occupation This is being involved in the process of life
It relates in being involved in activities that are personally meaningful
It is feeling you can have an impact on what is done and how it is done

13. Occupation
It is supported by empowering, enabling, facilitating and collaborative staff skills.
It is undermined by disempowerment, disruption, imposition and objectification

14. Inclusion
This is being part of a group which is important for survival of the human race
People with dementia are at a great risk of being socially isolated as they may be unable to manage inclusion alone
It relates to facilitating engagement and making people feel part of a group where they are welcomed and accepted

15. Inclusion
Including people in activities and having fun in groups supports people to feel included
Stigmatising, ignoring, banishment and mockery undermine the need for inclusion being met