Conceptualizes separation-individuation conflicts in caregivers as behavior under dual control of nonverbal and verbal antecedents and consequences of others and dysfunctional self-rules of caregiver. Describes two types of treatment in context of case study: changing caregiver's problem behaviors by training nursing home staff and teaching…

Used ethnographic data to examine personal and work worlds of nurse's aides. Concludes that, because nursing home's institutional culture often adds to adversity of their personal life, nurse's aides move between the two milieus in self-perpetuating negative cycle, carrying to bedside of elderly residents the affective and psychological burden…