Daan Hulsmans

137 Case study challenging behavior 6 of instability, an extraordinary event occurring the week prior to a transition was considered an potential indicator of an event-induced mechanism (cf. Figure 1). Change was potentially instability induced when the dynamic complexity of aggression and/or self-injury was significantly high the week before or during change, without an extraordinary event the week prior. In the presence of both instability and an extraordinary event, we conclude change was potentially event- and instability-induced. 3. Results 3.1 Summarizing daily life To first obtain a comprehensive summary of her daily life we conducted a thematic analysis of the caretaker’s records. The analysis resulted in a thematic map consisting of six themes and sixteen subthemes. The six themes were the received care, daily activities not related to care, positivity, physical complaints, emotional tensions, and challenging behavior. These themes reflect categorizations that are interrelated. We visualized (sub)themes and their interrelations in Figure 3. Figure 3 Thematic map, generated from the thematic analysis, showing (sub)themes and the links between them. Anything positive reported in the daily records was coded under the theme positivity. This pertained to events that were extraordinary positive for her on the 560 days. Positive social contact was a subtheme that reflected

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