Constructing experience in individual interview, autobiographies and on-line accounts: a poststructuralist approach.
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With this addition to the slender literature of self-revelations by psychoanalysts, the author also makes what may be his final contribution to psychoanalysis. An episode of hypomania during a visit to his birthplace, Vienna, triggered a dream whose elucidation allowed him to recover a primal scene and complete a self-analysis begun 65 years earlier. Shortly thereafter, a stroke left him hemiplegic and forced the author to confront the final stage of a productive life. After describing a range of adaptations to age and failing health, he explores the role hypomania played in his reconciling with the inevitability of impending death. Analysis of the contending forces also deepens our understanding of the transformations the creative process undergoes in advanced age, a topic the author leaves for younger hands to perfect.
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Findings from 4 studies suggest that differentiation and integration are used by individuals high in agency and communion to structure motive-related information in episodic memory. Studies 1 and 2 demonstrated that agentic and communal individuals recalled more emotional experiences related to their motives, and that agentic individuals used more differentiation whereas communal individuals used more integration to structure these memories. Study 3 showed that agentic and communal individuals used more differentiation and integration to structure memories about social separation and connection, respectively. Study 4 demonstrated a similar pattern of recall in an experimentally controlled retrieval task. For a motive-congruent topic, agentic individuals recognized more differentiated information and had fewer differentiation recognition errors, and communal individuals freely recalled more integration.
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Reminiscence is an enriching and complex experience having many purposes and functions when used with patients with Alzheimer's disease (AD). Discourse is a component of language that has been shown to decline in patients with AD (Mentis, Briggs-Whittaker, & Gramigna, 1995). This article represents one of the first studies to examine the effects of reminiscence group (RG) activities on discourse interactions in patients with AD. This article specifically addresses the AD population within a RG setting. Observations suggested that objective ratings of conversational discourse would be better (less impaired) in patients with AD when obtained in relatively unstructured environments (e.g., during RG activity) as compared to ratings obtained in conversational environments imposing more structure (e.g., a session in which language function was being evaluated). Comparisons made of conversational and narrative discourse skills observed during different testing environments in patients with AD revealed predicted outcomes. That is, discourse elicited in an environment that was less structured yielded qualitatively better discourse patterns, particularly related to selecting and maintaining a topic, requesting additional information about a topic, changing a topic during conversation, and turn-taking. Results are discussed in terms of their relevance to gerontological nurses managing patients with AD.
Recording memories of World War II is an intervention that can humanize geriatric care in addition to the historical significance provided. Participants in this oral history project described memories of World War II and expressed themes of patriotism, loss, tense moments, makeshift living, self-sufficiency, and uncertain journey. Their ethnic roots were primarily Scandinavian, Dutch, German, and English. The nursing home participants were slightly older than the community participants (mean ages: 85.5 and 82.4 years, respectively). More women (58%) than men (42%) participated, and 35% of the participants were veterans (eight men one woman). Nursing home and community residents participated in this project, and reciprocal benefits were experienced by participants and listeners alike. Memories of World War II provide a meaningful topic for oral histories. Listening and valuing oral history supports, involves, and validates elders. Oral history has reciprocal benefits that can create a culture to enhance a therapeutic environment.
The purpose of this study was to investigate the usefulness of reminiscent storytelling as a therapeutic modality to enhance the sense of power in well elders (ages 60-86). The study was conceptualized within Rogers' (1986) Science of Unitary Human Beings and focused on Barrett's theory of power. A pre- and posttest design with experimental and control groups was used with Barrett's Power as Knowing Participation in Change Test, Version II as the measure of power (personal control). Experimental group subjects were pretested and then participated in three reminiscence sessions during a 1-week period. Subjects were then posttested both at the end of the reminiscence sessions and again after a 5-week interval. Control group subjects were tested on a schedule identical to that of the experimental group, but participated in no reminiscence sessions. Although an overall significant difference (p = 0.003) in scores was found over the testing period, no differences were found between experimental and control groups. Both experimental (n = 34) and control (n = 41) groups demonstrated a small but insignificant decrease in power between the pretest and posttest 1. Both groups then experienced a significant increase in power between posttest 1 and posttest 2. It is recommended that research energies continue to be directed toward the investigation of this topic. In our contemporary high tech world which often allows minimal human contact and diminishing quality of life for the aged, novel modalities such as reminiscence offer a human to human exchange, which may hold the key to this modern-day challenge.
Focus groups were conducted for nursing staff, visiting family members, and residents of a long-term care facility, with the purpose of developing a guide for compiling a life history resource. When compiling the proposed guideline, one must consider not only the topics to include, but also the process of collecting the information and the format for presentation. A key finding was that members of all three groups believed that the process of sharing and collecting life history information was an important step in promoting and enhancing the relationship between nursing staff and residents, and nursing staff and residents' families.