The elderly in nursing homes: psychological aspects of neglect.

It has been argued that many elderly people are placed in nursing homes to isolate them from view, and little research has been done to investigate the effects of such isolation. Some research has focused on certain aspects of abuse and neglect of the elderly, particularly physical, material, and fiscal aspects of abuse. The purpose of this paper is to discuss psychological aspects of abuse and neglect of the elderly in the nursing home environment. Data are presented indicating that psychological aspects of neglect are subtle and not readily apparent to the observer; yet they may be very impactful in terms of their effects. Data also are presented indicating that they constitute the most common form of abuse. Psychological aspects of neglect are divided into categories including: the nature of the physical environment; nutrition and diet; physical appearance and grooming; infantilization; environmental deprivation; and benign neglect. Possible interventions are offered as alternatives to neglect, and research data are summarized as to how such interventions might benefit both the elderly and the clinical staff dealing with such a population.