Compulsive Worlds: Improving Therapeutic Practice for Tourette Syndrome and Working with Care in Dementia

这项奖学金植根于我的博士研究，旨在更好地理解人类被视为非理性、无意义、无目的的行为，因此被认为是不受欢迎的行为。与抽动症诊断相关的困扰是不被理解和不受欢迎的行为，因为它们被认为是非理性、无目的和无意义的。虽然之前的研究集中在大脑和精神上，但我的博士研究表明，这些行为实际上是如何受到身体环境的很大影响的。事实上，人类在强迫触摸、排序和排列互动中缺乏意向性，以一种全新的方式表达了抽动症患者物品和空间的物质性质。事实上，这些强迫症揭示了对人体、日常物品和空间之间关系的全新理解。因此，我对这些关系的博士研究引发了关于人地关系的基本基础的问题。这个奖学金让我能够在一本专著中发展这一‘强迫理论’，以充分发挥其潜力。考虑到这一点，这个奖学金旨在进一步研究强迫行为对个人幸福感的影响，特别是因为我的工作表明，这些行为对执行者的幸福感有很强的影响，其中包括非常积极的影响。例如，一位参与者作证说，她的伴侣是如何雕刻出一件她可以拿在手中的东西，这会引发强迫性触摸，从而平息她的焦虑。这表明，物品可以具有强制能力，这些能力可以在他们的设计中被“带出来”。利用这些对强迫症的新见解，作为一项小型进一步研究的一部分，我打算开发和测试既可以改善身体紧张和紧张，又可以用来积极激发感官愉悦的“治疗对象”。这些结果可能对痴呆症或阿尔茨海默病患者特别有效，因为他们的世界逐渐向感官世界而不是社交世界“收缩”。因此，这项研究关注这些人与这些物品的互动可能激发的“强迫活力”，并探索这如何提高他们的生活质量；无论是精神上还是身体上。这项研究有助于开发基于感觉参与的痴呆症治疗方法，如芳香疗法和强光疗法(Burns等人。(2002年)和最近在开发“感觉室”方面的进展(Collier&Jacob 2017)，支持往往具有有害影响的药物治疗，特别是在晚期痴呆症中(McShane等人)。1997年，Ballard等人2001年，Herrmann 2001年)，以对抗烦躁、抑郁、妄想、游荡、睡眠障碍和幻觉(Finkel等人)。2000)。这些见解反过来可以被痴呆症护理院用来更好地满足其客户的需求，并减轻护理提供方面的压力。正如英国的工业战略所概述的那样，这一点至关重要，因为在英国，患有痴呆症或阿尔茨海默氏症的人数正在迅速增加。针对两点的产业战略，这个奖学金旨在：(1)改善疗养院设施中为痴呆症或阿尔茨海默氏症患者提供的护理。我建议通过与斯旺西大学创新老龄化中心、英国关爱中心、大型和成功的疗养院公司(HC-One和Barchester Healthcare)和一个疗养院慈善机构(MHA)合作，利用这些技术简化护理提供。我将为英国CARE提供实用的实施指导和政策建议。(2)在威尔士继续技术教育中实施治疗对象技术的发展。我建议建立和指导一个面向问题的项目，让在斯旺西高尔学院学习一系列课程的学生设计这些物品。

Rooted in my doctoral study, this Fellowship aims to develop a better understanding of human behaviours that are perceived as irrational, meaningless, purposeless and are therefore deemed unwanted.Compulsions associated with the Tourette syndrome diagnosis are ill-understood and unwanted behaviours as they are perceived as irrational, purposeless and meaningless. Whilst previous research has focused on the brain and psyche, my doctoral research demonstrate how these behaviours are actually very much influenced by the bodily surroundings. In fact, the absence of human intentionality in compulsive touching, ordering and aligning interactions expresses the material qualities of objects and spaces for people with Tourette syndrome in completely new ways. Indeed, these compulsions reveal a whole new understanding of the relations between the human body, everyday objects and spaces. My doctoral study of these relations thus raises questions about the fundamental underpinnings of person-place relationships. This Fellowship then allows me to develop this 'compulsive theory' in a monograph to fulfil its full potential.With this in mind, this Fellowship aims to further work through the effects compulsions have on the wellbeing of an individual, in particular because my work demonstrates that these behaviours have strong effects on the wellbeing of those who perform them, which includes remarkably positive ones. For instance, one participant testified how her partner sculpted a 'thing' she can hold in her hands and which 'triggers' compulsive touching, and which calms her anxieties. This demonstrates that objects can have compulsive capacities, and which can be 'brought out' in their design. Using these new insights in compulsivity, and as part of a small further study, I intend to develop and test 'therapeutic objects' that can both ameliorate bodily tensions and nervousness, and be used to actively incite sensory pleasure. These outcomes could be especially effective for people with dementia or Alzheimer's disease, as their worlds progressily 'contract' to sensory ones rather than also social ones. Therefore, this study attends to the 'compulsive vitality' that interactions of these people with such objects might incite, and explores how this can improve their quality of life; both mentally and physically. The study contributes in the development of dementia treatment that is based on sensory engagement, such as aromatherapy and bright light therapy (Burns et al. 2002) and recent advancement in the development of 'sensory rooms' (Collier & Jacob 2017), in favour of pharmacological treatment that often has detrimental effects, especially in late-stage dementia (McShane et al. 1997, Ballard et al 2001, Herrmann 2001) to combat agitation, depression, delusions, wandering, sleep disturbance, and hallucinations (Finkel et al. 2000). These insights can, in turn, be used by dementia care homes to better accommodate for the needs of their clients and alleviate pressures on care provision. This is of vital importance as the numbers of people with a dementia or Alzheimer's diagnosis are rapidly increasing in the UK, as outlined in the UK's Industrial Strategies. Addressing the Industrial Strategy on two points, this Fellowship aims to:(1) improve care provision in care home facilities for people with dementia or Alzheimer's. I propose to do so by working with the Swansea University Centre for Innovative Aging, Care UK, large and successful care home companies (HC-One and Barchester Healthcare) and a care home charity (MHA) to streamline care provision with these technologies. I will provide both practical implementation guidance and policy recommendations for Care UK.(2) implement the development of therapeutic object technology in Welsh Further Technical Education. I propose to set up and guide a problem-oriented project for students taking a range of courses at Gower College Swansea to design these objects.