Tjk. Drinka et Je. Streim, CASE-STUDIES FROM PURGATORY - MALADAPTIVE BEHAVIOR WITHIN GERIATRICS HEALTH-CARE TEAMS, The Gerontologist, 34(4), 1994, pp. 541-547
The practice of geriatrics frequently involves the services of an inte
rdisciplinary team. Behavior of team members exists on a functional co
ntinuum, from adaptive to maladaptive. Health professionals readily id
entify maladaptive behaviors in patients, but may ignore or avoid such
behavior in colleagues. Ignoring these behaviors precludes influencin
g the affected team member to seek help, and can cause members to leav
e the team. Team members with maladaptive behavior, and persons collud
ing with this behavior, can negatively influence care. Using case vign
ettes, this article categorizes common maladaptive behavior patterns w
ithin teams and suggests intervention strategies from an individual, l
earn, and organizational perspective.