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The participants of this study, eight senior aged care professionals, provided unique interpretative insights into family dynamics and sense-making on the journey with dementia, and their own role in that journey. Both positive and negative perspectives were sought. Data from semi-structured interviews were analysed using Interpretative Phenomenological Analysis (IPA). One superordinate theme, Dementia naivet\u00e9; redefined intimacy, overarched Embarrassed shame; Maintaining hope; Redefining a model of intimacy; and Redefined relational intimacy and growth. Within these themes, the participants shed light on hurtful embarrassment and shame experienced by families associated with the diagnostic label given to a loved one. This label was perceived to either trigger separation, hurt and immobility through ignorance, or precipitate a frenzy of naive yet hopeful energy for seeking that elusive cure. The participants saw their role as one of enacting a new way of connecting what was with what could be. Thus, they modelled advocacy, integral care and relational intimacy. Validation came in witnessing a redefining of intimacy in many families who were able to embrace that holistic and empathic approach to the shifting presentation of dementia. Psychological well-being was observed to occur when families embraced growthful domains, e.g. acceptance, hope, relational closeness and altruistic concern for other families. Implications for future care models are discussed.<\/jats:p>","DOI":"10.1177\/1471301215573676","type":"journal-article","created":{"date-parts":[[2015,2,27]],"date-time":"2015-02-27T23:29:45Z","timestamp":1425079785000},"page":"1666-1684","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Shame, hope, intimacy and growth: Dementia distress and growth in families from the perspective of senior aged care professionals"],"prefix":"10.1177","volume":"15","author":[{"given":"Bruce","family":"Walmsley","sequence":"first","affiliation":[{"name":"University of Newcastle, Callaghan, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lynne","family":"McCormack","sequence":"additional","affiliation":[{"name":"University of Newcastle, Callaghan, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,7,27]]},"reference":[{"key":"bibr1-1471301215573676","unstructured":"Allen, K. & Killick, J. 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