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Coyne (2001) found that behavioral disturbances, violent behavior (including hitting, kicking, biting, punching and making threats) and a lack of understanding on the part of caregivers and health care professionals as to how best to manage aggressivity (either behaviorally or pharmacologically) in patients may provoke the likelihood of abuse...
        
        
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What is mostly worrying about these situations is that the elderly person often denies being abused or feels helpless and resigns to this behaviour (Anderson, 2002), therefore living in a culture of silence. This culture, besides due to fear, may also be induced due to the fact that the elderly would notice that their "carers" are at the end of their tethers and so decide to refrain from reporting...
        
        
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                                    Elder Abuse
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