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The Use of the Life Story Work for older people with and without cognitive impairment

The Use of the Life Story Work for older people with and without cognitive impairment. Differentiating between Reminiscence, Life Review, and other Psychosocial Approaches Claudia K Y Lai, RN, PhD Associate Professor, School of Nursing The Hong Kong Polytechnic University

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The Use of the Life Story Work for older people with and without cognitive impairment

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  1. The Use of the Life Story Work for older people with and without cognitive impairment Differentiating between Reminiscence, Life Review, and other Psychosocial Approaches Claudia K Y Lai, RN, PhD Associate Professor, School of Nursing The Hong Kong Polytechnic University President, Pi Iota Chapter Honor Society of Nursing Sigma Theta Tau International

  2. Background of the Development of the LS Approach (Butler, 2000) • In the 1950s, psychology, psychiatry and gerontology textbooks devalued reminiscence and memories • Reminiscing was condescendingly called “living in the past,” and phrases like “wandering of mind,” “boring” and “garrulous” were used to describe elders who looked back. • Reminiscence was thought to be an early diagnostic sign of senile psychosis – what is known today as Alzheimer’s disease. • Butler wrote his seminal article in 1963.

  3. Types of Reminiscence • 6 Types (Watt & Wong, 1991) • Integrative • Instrumental • Narrative • Transmissive • Escapist • Obsessive • Another Classification (Gibson, 1994) • General • Specific

  4. Life Review • “A naturally occurring, universal mental process characterized by the progressive return to consciousness of past experiences, and, particularly, the resurgence of unresolved conflicts; simultaneously, and normally, these revived experiences and conflicts can be surveyed and reintegrated. Presumably this process is prompted by the realization of approaching dissolution and death, and the inability to maintain one’s sense of personal invulnerability.” Butler, 1963, p.66

  5. Reminiscence and Life Review (Rybarczyk & Bellg, 1997)

  6. Reminiscence and Life Review(Butler, 2000)

  7. Cont. Reminiscence and Life Review Groups (Coleman, 1999)

  8. Activity Therapy Presumably can bring about positive outcomes Contractual Informed consent (explicit or implied) Mutually agreed processes and goals Client must be motivated Activity vs. Therapy

  9. References • Butler, R. (1963). The life review: An interpretation of reminiscence. Psychiatry, 4, 1-18. • Butler, R. N. (2000). Butler reviews life review. Aging Today, 21 (4), 9, 12. • Coleman, P. G. (1999). Creating a life story: The task of reconciliation. The Gerontologist, 39 (2), 133-139. • Gibson, F. (1994). What can reminiscence contribute to people with dementia. In J. Bornat (Ed.). Reminiscence Reviewed: Evaluations, achievements, perspectives (pp. 46-60). Buckingham, England: Open University. • Rybarczyk, B., & Bellg, A. (1997). Listening to life stories: A new approach to stress intervention in health care. New York: Springer. • Watt, L. M., & Wong, P. T. P. (1991). A taxonomy of reminiscence and therapeutic implications. Journal of Gerontological Social Work, 16 (1/2), 37-57.

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