{
  "schema_version": "uw.editorial_geo.v1",
  "route_id": "AGE-031",
  "article_index": "AGE-031",
  "catalog_id": "AGE-031",
  "material_id": "UW:AGE-031:en",
  "language": "en",
  "revision": 1,
  "master_revision": 1,
  "expected_revision": 0,
  "master_filename": "ARTICLE_EN.md",
  "master_sha256": "94f214dc64f6ff9a3d2f601aba67c36b5559e9313e4e7e84d531e9f48c07fe97",
  "headline": "Difficult behaviour in dementia: look for a need rather than bad character",
  "description": "Separate difficult events from character verdicts, hear particular answers and retain unknowns for professional clarification. Looking for a need does not replace safety: sudden confusion needs immediate emergency medical contact and immediate threat needs local emergency services.",
  "short_answer": "Separate difficult events from character verdicts, hear particular answers and retain unknowns for professional clarification. Looking for a need does not replace safety: sudden confusion needs immediate emergency medical contact and immediate threat needs local emergency services.",
  "claims": [
    {
      "id": "C01",
      "type": "bounded_observation",
      "text": "Separate event, the person’s words and a hypothesis about intention. Possible circumstances need clarification; gesture, age or repetition establishes no household diagnosis.",
      "article_sections": [
        "I. Name the event before judging the person"
      ],
      "source_ids": [
        "S1"
      ],
      "attribution": "Bounded source use plus editorial reasoning; RESEARCH.md",
      "limitations": [
        "Fictional Nina/Kirill with known dementia and repeated episodes, no current sudden change/immediate danger.",
        "No home diagnosis, stage, test, sole cause, decoding every behaviour or attention-based treatment promise.",
        "No diary/calm-tone delay at urgent boundaries; other worrying changes receive no general permission to wait.",
        "No medicine selection/discontinuation/concealed administration, restraint, disarming, coercion or universal physical/sensory procedures.",
        "No consent/capacity certified by nod, quiet or ended dispute; significant decisions need appropriate professional/local routes.",
        "No withheld essential care as punishment, gratitude debt, endured-violence duty or child protector/interpreter/coordinator role.",
        "S2/S3 review dates unknown; related cards/copyright are not editorial dates. Linked PDFs/whole books not claimed read.",
        "Independent/native/clinical/legal andproductionacceptance NOT_RUN."
      ]
    },
    {
      "id": "C02",
      "type": "bounded_urgency",
      "text": "New sudden confusion requires immediate local emergency medical contact, without waiting for a diary or discovered need. Leave physical violence and seek help; immediate threat requires local emergency services.",
      "article_sections": [
        "II. Urgent help follows its own route"
      ],
      "source_ids": [
        "S3",
        "S4"
      ],
      "attribution": "Bounded source use plus editorial reasoning; RESEARCH.md",
      "limitations": [
        "Fictional Nina/Kirill with known dementia and repeated episodes, no current sudden change/immediate danger.",
        "No home diagnosis, stage, test, sole cause, decoding every behaviour or attention-based treatment promise.",
        "No diary/calm-tone delay at urgent boundaries; other worrying changes receive no general permission to wait.",
        "No medicine selection/discontinuation/concealed administration, restraint, disarming, coercion or universal physical/sensory procedures.",
        "No consent/capacity certified by nod, quiet or ended dispute; significant decisions need appropriate professional/local routes.",
        "No withheld essential care as punishment, gratitude debt, endured-violence duty or child protector/interpreter/coordinator role.",
        "S2/S3 review dates unknown; related cards/copyright are not editorial dates. Linked PDFs/whole books not claimed read.",
        "Independent/native/clinical/legal andproductionacceptance NOT_RUN."
      ]
    },
    {
      "id": "C03",
      "type": "bounded_inquiry",
      "text": "Consider the person’s perspective while permitting correction of a helper’s guess. No single unmet need explains every behaviour; unknown meaning is not declared understood.",
      "article_sections": [
        "III. Ask about needs while retaining uncertainty"
      ],
      "source_ids": [
        "S2"
      ],
      "attribution": "Bounded source use plus editorial reasoning; RESEARCH.md",
      "limitations": [
        "Fictional Nina/Kirill with known dementia and repeated episodes, no current sudden change/immediate danger.",
        "No home diagnosis, stage, test, sole cause, decoding every behaviour or attention-based treatment promise.",
        "No diary/calm-tone delay at urgent boundaries; other worrying changes receive no general permission to wait.",
        "No medicine selection/discontinuation/concealed administration, restraint, disarming, coercion or universal physical/sensory procedures.",
        "No consent/capacity certified by nod, quiet or ended dispute; significant decisions need appropriate professional/local routes.",
        "No withheld essential care as punishment, gratitude debt, endured-violence duty or child protector/interpreter/coordinator role.",
        "S2/S3 review dates unknown; related cards/copyright are not editorial dates. Linked PDFs/whole books not claimed read.",
        "Independent/native/clinical/legal andproductionacceptance NOT_RUN."
      ]
    },
    {
      "id": "C04",
      "type": "editorial_refusal",
      "text": "Declining an activity or time does not mean rejecting all assistance. Helpful intention creates no gratitude debt; a nod/silence certifies no universal consent.",
      "article_sections": [
        "IV. Refusal is no gratitude examination"
      ],
      "source_ids": [],
      "attribution": "United Wisdom editorial reasoning",
      "limitations": [
        "Fictional Nina/Kirill with known dementia and repeated episodes, no current sudden change/immediate danger.",
        "No home diagnosis, stage, test, sole cause, decoding every behaviour or attention-based treatment promise.",
        "No diary/calm-tone delay at urgent boundaries; other worrying changes receive no general permission to wait.",
        "No medicine selection/discontinuation/concealed administration, restraint, disarming, coercion or universal physical/sensory procedures.",
        "No consent/capacity certified by nod, quiet or ended dispute; significant decisions need appropriate professional/local routes.",
        "No withheld essential care as punishment, gratitude debt, endured-violence duty or child protector/interpreter/coordinator role.",
        "S2/S3 review dates unknown; related cards/copyright are not editorial dates. Linked PDFs/whole books not claimed read.",
        "Independent/native/clinical/legal andproductionacceptance NOT_RUN."
      ]
    },
    {
      "id": "C05",
      "type": "editorial_conditions",
      "text": "Clarify arrival conditions and a household action without blaming family for illness. Do not provoke episodes to prove a cause or promise full control/rule out health causes through good communication.",
      "article_sections": [
        "V. Examine conditions without appointing a culprit"
      ],
      "source_ids": [],
      "attribution": "United Wisdom editorial reasoning",
      "limitations": [
        "Fictional Nina/Kirill with known dementia and repeated episodes, no current sudden change/immediate danger.",
        "No home diagnosis, stage, test, sole cause, decoding every behaviour or attention-based treatment promise.",
        "No diary/calm-tone delay at urgent boundaries; other worrying changes receive no general permission to wait.",
        "No medicine selection/discontinuation/concealed administration, restraint, disarming, coercion or universal physical/sensory procedures.",
        "No consent/capacity certified by nod, quiet or ended dispute; significant decisions need appropriate professional/local routes.",
        "No withheld essential care as punishment, gratitude debt, endured-violence duty or child protector/interpreter/coordinator role.",
        "S2/S3 review dates unknown; related cards/copyright are not editorial dates. Linked PDFs/whole books not claimed read.",
        "Independent/native/clinical/legal andproductionacceptance NOT_RUN."
      ]
    },
    {
      "id": "C06",
      "type": "editorial_professional_route",
      "text": "Give professionals facts and unknowns without a completed home diagnosis. No independent medicine selection/discontinuation/concealed administration; request and delivered help differ.",
      "article_sections": [
        "VI. Give professionals observations rather than a home diagnosis"
      ],
      "source_ids": [],
      "attribution": "United Wisdom editorial reasoning",
      "limitations": [
        "Fictional Nina/Kirill with known dementia and repeated episodes, no current sudden change/immediate danger.",
        "No home diagnosis, stage, test, sole cause, decoding every behaviour or attention-based treatment promise.",
        "No diary/calm-tone delay at urgent boundaries; other worrying changes receive no general permission to wait.",
        "No medicine selection/discontinuation/concealed administration, restraint, disarming, coercion or universal physical/sensory procedures.",
        "No consent/capacity certified by nod, quiet or ended dispute; significant decisions need appropriate professional/local routes.",
        "No withheld essential care as punishment, gratitude debt, endured-violence duty or child protector/interpreter/coordinator role.",
        "S2/S3 review dates unknown; related cards/copyright are not editorial dates. Linked PDFs/whole books not claimed read.",
        "Independent/native/clinical/legal andproductionacceptance NOT_RUN."
      ]
    },
    {
      "id": "C07",
      "type": "bounded_helper_safety",
      "text": "Helper limits exist without character verdicts. Safety and actual harm remain; care requires no endured violence and children are no backup protectors or responsible providers.",
      "article_sections": [
        "VII. Safety and helper limits require no moral verdict"
      ],
      "source_ids": [
        "S3"
      ],
      "attribution": "Bounded source use plus editorial reasoning; RESEARCH.md",
      "limitations": [
        "Fictional Nina/Kirill with known dementia and repeated episodes, no current sudden change/immediate danger.",
        "No home diagnosis, stage, test, sole cause, decoding every behaviour or attention-based treatment promise.",
        "No diary/calm-tone delay at urgent boundaries; other worrying changes receive no general permission to wait.",
        "No medicine selection/discontinuation/concealed administration, restraint, disarming, coercion or universal physical/sensory procedures.",
        "No consent/capacity certified by nod, quiet or ended dispute; significant decisions need appropriate professional/local routes.",
        "No withheld essential care as punishment, gratitude debt, endured-violence duty or child protector/interpreter/coordinator role.",
        "S2/S3 review dates unknown; related cards/copyright are not editorial dates. Linked PDFs/whole books not claimed read.",
        "Independent/native/clinical/legal andproductionacceptance NOT_RUN."
      ]
    },
    {
      "id": "C08",
      "type": "bounded_after_episode",
      "text": "Do not punish or require a correct apology as the price of essential care. Consequences remain real; assess later arrangements through tasks and conditions.",
      "article_sections": [
        "VIII. Do not conduct a disciplinary trial afterwards"
      ],
      "source_ids": [
        "S3"
      ],
      "attribution": "Bounded source use plus editorial reasoning; RESEARCH.md",
      "limitations": [
        "Fictional Nina/Kirill with known dementia and repeated episodes, no current sudden change/immediate danger.",
        "No home diagnosis, stage, test, sole cause, decoding every behaviour or attention-based treatment promise.",
        "No diary/calm-tone delay at urgent boundaries; other worrying changes receive no general permission to wait.",
        "No medicine selection/discontinuation/concealed administration, restraint, disarming, coercion or universal physical/sensory procedures.",
        "No consent/capacity certified by nod, quiet or ended dispute; significant decisions need appropriate professional/local routes.",
        "No withheld essential care as punishment, gratitude debt, endured-violence duty or child protector/interpreter/coordinator role.",
        "S2/S3 review dates unknown; related cards/copyright are not editorial dates. Linked PDFs/whole books not claimed read.",
        "Independent/native/clinical/legal andproductionacceptance NOT_RUN."
      ]
    },
    {
      "id": "C09",
      "type": "bounded_comparison",
      "text": "James’s listening/anger and Epictetus’s description/evaluation have different grounds. A reader question supplies no clinical mechanism, patient calm examination or erasure of safety.",
      "article_sections": [
        "IX. Restrain the verdict: two historical foundations"
      ],
      "source_ids": [
        "S5",
        "S6"
      ],
      "attribution": "Bounded source use plus editorial reasoning; RESEARCH.md",
      "limitations": [
        "Fictional Nina/Kirill with known dementia and repeated episodes, no current sudden change/immediate danger.",
        "No home diagnosis, stage, test, sole cause, decoding every behaviour or attention-based treatment promise.",
        "No diary/calm-tone delay at urgent boundaries; other worrying changes receive no general permission to wait.",
        "No medicine selection/discontinuation/concealed administration, restraint, disarming, coercion or universal physical/sensory procedures.",
        "No consent/capacity certified by nod, quiet or ended dispute; significant decisions need appropriate professional/local routes.",
        "No withheld essential care as punishment, gratitude debt, endured-violence duty or child protector/interpreter/coordinator role.",
        "S2/S3 review dates unknown; related cards/copyright are not editorial dates. Linked PDFs/whole books not claimed read.",
        "Independent/native/clinical/legal andproductionacceptance NOT_RUN."
      ]
    },
    {
      "id": "C10",
      "type": "editorial_result",
      "text": "The outcome is clearer help and participation, not obligatory convenient behaviour. Calm conversation certifies neither disease improvement nor sufficient overall care; gaps and next providers remain visible.",
      "article_sections": [
        "X. The outcome is clearer help, not a convenient person"
      ],
      "source_ids": [],
      "attribution": "United Wisdom editorial reasoning",
      "limitations": [
        "Fictional Nina/Kirill with known dementia and repeated episodes, no current sudden change/immediate danger.",
        "No home diagnosis, stage, test, sole cause, decoding every behaviour or attention-based treatment promise.",
        "No diary/calm-tone delay at urgent boundaries; other worrying changes receive no general permission to wait.",
        "No medicine selection/discontinuation/concealed administration, restraint, disarming, coercion or universal physical/sensory procedures.",
        "No consent/capacity certified by nod, quiet or ended dispute; significant decisions need appropriate professional/local routes.",
        "No withheld essential care as punishment, gratitude debt, endured-violence duty or child protector/interpreter/coordinator role.",
        "S2/S3 review dates unknown; related cards/copyright are not editorial dates. Linked PDFs/whole books not claimed read.",
        "Independent/native/clinical/legal andproductionacceptance NOT_RUN."
      ]
    }
  ],
  "questions": [
    {
      "id": "Q01",
      "q": "Does every sharp reply mean a hidden need?",
      "a": "No. Consider words and circumstances, allow several causes and unknowns, and keep the helper’s guess correctable.",
      "claim_ids": [
        "C03"
      ],
      "source_ids": [
        "S2"
      ],
      "article_sections": [
        "III. Ask about needs while retaining uncertainty"
      ]
    },
    {
      "id": "Q02",
      "q": "Complete a diary first for sudden confusion?",
      "a": "No. Immediate local emergency medical contact is needed; need-searching or calmer conversation must not delay it.",
      "claim_ids": [
        "C02"
      ],
      "source_ids": [
        "S3",
        "S4"
      ],
      "article_sections": [
        "II. Urgent help follows its own route"
      ]
    },
    {
      "id": "Q03",
      "q": "Must I stay to calm someone who is physically violent?",
      "a": "Care requires no remaining in danger. Leave the situation and seek help; immediate threat needs local emergency services, not home restraint techniques.",
      "claim_ids": [
        "C02",
        "C07"
      ],
      "source_ids": [
        "S3",
        "S4"
      ],
      "article_sections": [
        "II. Urgent help follows its own route",
        "VII. Safety and helper limits require no moral verdict"
      ]
    },
    {
      "id": "Q04",
      "q": "Does declining one task cancel all help?",
      "a": "No. Clarify the particular refusal and essential need; necessary care is no reward for gratitude.",
      "claim_ids": [
        "C04"
      ],
      "source_ids": [],
      "article_sections": [
        "IV. Refusal is no gratitude examination"
      ]
    },
    {
      "id": "Q05",
      "q": "Is a completed diagnosis needed before professional contact?",
      "a": "No. Convey observation, the person’s words and unknowns. This article selects no medicines or coercive methods.",
      "claim_ids": [
        "C06"
      ],
      "source_ids": [],
      "article_sections": [
        "VI. Give professionals observations rather than a home diagnosis"
      ]
    },
    {
      "id": "Q06",
      "q": "Is a correct apology required before further care?",
      "a": "No. Harm and feelings remain real, but essential help is no payment for an apology. The next arrangement needs an actual provider.",
      "claim_ids": [
        "C08",
        "C10"
      ],
      "source_ids": [
        "S3"
      ],
      "article_sections": [
        "VIII. Do not conduct a disciplinary trial afterwards",
        "X. The outcome is clearer help, not a convenient person"
      ]
    }
  ],
  "sources": [
    {
      "id": "S1",
      "title": "NHS Coping with dementia behaviour changes; reviewed 2024-01-02; next 2027-01-02",
      "url": "https://www.nhs.uk/conditions/dementia/living-with-dementia/behaviour/",
      "read_scope": "Complete main text and dates read; multiple possible circumstances/professional clarification, no stage/diary delay/programme/medicine advice or foreign numbers"
    },
    {
      "id": "S2",
      "title": "Alzheimer’s Society Reducing and managing behaviour that challenges; reviewdate unknown",
      "url": "https://www.alzheimers.org.uk/about-dementia/stages-and-symptoms/dementia-symptoms/managing-behaviour-changes",
      "read_scope": "Complete substantive text211–286 read; perspective, circumstances, professional support. No diagnosis, guaranteed cause or home programme. Related card dates/copyright not review"
    },
    {
      "id": "S3",
      "title": "Alzheimer’s Society Preventing and managing aggressive behaviour; reviewdate unknown",
      "url": "https://www.alzheimers.org.uk/about-dementia/stages-and-symptoms/dementia-symptoms/preventing-aggression",
      "read_scope": "Complete substantive text204–260 read; safety/help/leave physicalviolence/no punishment; not restraint/sedative/sensory/gaze/touch programme. No foreign numbers"
    },
    {
      "id": "S4",
      "title": "NHS Sudden confusion; reviewed 2024-05-28",
      "url": "https://www.nhs.uk/symptoms/confusion/",
      "read_scope": "Complete main text actually read earlier under AGE-027 in same task; immediate-help boundary reused, no fresh fullreading or cause/test claim"
    },
    {
      "id": "S5",
      "title": "James 1:19–27 KJV",
      "url": "https://www.biblegateway.com/passage/?search=James%201%3A19-27&version=KJV",
      "read_scope": "Complete selected passage and Public Domain label actually read earlier under AGE-028; context reused, not entire book. Listener not patient obedience/endured violence"
    },
    {
      "id": "S6",
      "title": "Epictetus Enchiridion45, Elizabeth Carter translation",
      "url": "https://classics.mit.edu/Epictetus/epicench.html",
      "read_scope": "Complete selected chapter45 and attribution actually read; description versus moral judgment with unknown principle, not clinical model/denial of harm/physical programme. Not whole work"
    }
  ],
  "retrieval_limits": [
    "Fictional Nina/Kirill with known dementia and repeated episodes, no current sudden change/immediate danger.",
    "No home diagnosis, stage, test, sole cause, decoding every behaviour or attention-based treatment promise.",
    "No diary/calm-tone delay at urgent boundaries; other worrying changes receive no general permission to wait.",
    "No medicine selection/discontinuation/concealed administration, restraint, disarming, coercion or universal physical/sensory procedures.",
    "No consent/capacity certified by nod, quiet or ended dispute; significant decisions need appropriate professional/local routes.",
    "No withheld essential care as punishment, gratitude debt, endured-violence duty or child protector/interpreter/coordinator role.",
    "S2/S3 review dates unknown; related cards/copyright are not editorial dates. Linked PDFs/whole books not claimed read.",
    "Independent/native/clinical/legal andproductionacceptance NOT_RUN."
  ],
  "production_contract_status": "NOT_RUN; editorial representation, not validated Machine Publisher payload",
  "production_acceptance": "NOT_RUN",
  "schema_org": {
    "@context": "https://schema.org",
    "@type": "Article",
    "identifier": "UW:AGE-031:en",
    "headline": "Difficult behaviour in dementia: look for a need rather than bad character",
    "inLanguage": "en",
    "author": [
      {
        "@type": "Person",
        "name": "Andrey Zarinsh"
      },
      {
        "@type": "Person",
        "name": "Maria Evilkut"
      }
    ]
  }
}