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Constructing couples’ stories: narrative practice insights from a dyadic dementia intervention
- Authors:
- SCHERRER Kristin S., INGERSOLL-DAYTON Berit, SPENCER Beth
- Journal article citation:
- Clinical Social Work Journal, 42(1), 2014, pp.90-100.
- Publisher:
- Springer
- Place of publication:
- New York
Memory loss and dementia can be devastating for both caregivers and care recipients. Narrative therapeutic approaches offer promise, as well as challenges, for social interventions with couples where one partner has dementia. The Couples Life Story Approach is a recently-developed method by which practitioners work with such couples to help them narrate the story of their life together. This narrative approach is augmented by mementoes (e.g., photos, cards) that are collected by the couple during the intervention. Significant memories are elicited from both partners and developed into a Life Story Book. Drawing on data from this clinical research intervention with 20 older couples, we ask: What are some of the challenges of conducting narrative-based therapeutic interventions with older couples with memory loss? Clinical themes were identified utilising a multiple case study approach during weekly team meetings. Six of the most prominent themes are presented here. Specifically, how to: (1) construct a narrative from disparate stories, (2) tell a mutual story, (3) tell the story of a couple that has been in a shorter relationship, (4) incorporate others in the story, (5) include difficult life moments, and, (6) end the story. Within each theme, the authors utilise case examples to illuminate relevant issues and describe strategies that were developed to resolve these clinical challenges. Implications for practitioners and clinical researchers who are engaged in dyadic interventions are discussed. (Edited publisher abstract)
World War II veterans, social support, and veterans' associations
- Authors:
- HUNT N., ROBBINS I.
- Journal article citation:
- Aging and Mental Health, 5(2), May 2001, pp.175-182.
- Publisher:
- Taylor and Francis
Twenty-five World War II veterans were interviewed regarding the ways they used social support both during the war and in the years afterwards. The findings demonstrate that social support is used in fundamentally different ways. During the war comradeship was particularly important and even fifty years after the war comrades are still a valuable resource for discussing war experiences, and dealing with the emotional content of traumatic recollections. Veterans rely on wives and families to help deal with the more physical and practical elements of coping, but tend not to discuss their traumatic memories with them. The findings show that social support is an important lifelong coping strategy for World War II veterans.
Creating a duet: the Couples Life Story Approach in the United States and Japan
- Authors:
- INGERSOLL-DAYTON Berit, et al
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 15(4), 2016, p.481–493.
- Publisher:
- Sage
There is a global need for interventions that help couples who are dealing with dementia. This paper describes the way in which interventionists from the United States and Japan participated in the development of an intervention for dyads in which one person is experiencing memory loss. The 5-week intervention, the Couples Life Story Approach, helps dyads to reminisce about their life together as a couple, to work on their patterns of communication, and to develop a Life Story Book. Based on an analysis of cases conducted in the United States (n = 20 couples) and Japan (n = 9 couples), this paper highlights the cross-fertilization process that has occurred as interventionists from the two countries have shared their experiences with one another. Using case illustrations, the discussion focuses on the clinical themes that have emerged for couples in the United States and Japan. (Publisher abstract)
The Cleveland alzheimer's managed care demonstration: outcomes after 12 months of implementation
- Authors:
- BASS David, et al
- Journal article citation:
- Gerontologist, 43(1), February 2003, pp.73-85.
- Publisher:
- Oxford University Press
Evaluates the effects of integrating Alzheimer's Association care consultation service with health care services offered by a large managed care system. The primary hypothesis is that Association care consultation will decrease service utilization, increase satisfaction with managed care, and decrease caregiver depression and care-related strain. Secondary modifying-effects hypotheses posit that the effects of the intervention will be intensified when patients have not received a firm dementia diagnosis, patients have more severe memory problems, caregivers use other Association services in tandem with care consultation, and caregivers are not patients' spouses.
Care-giving in dementia: research and applications: volume 2
- Editors:
- MIESEN Bere M.L., JONES Gemma M.M.
- Publisher:
- Routledge
- Publication year:
- 1997
- Pagination:
- 391p.,diags.,bibliogs.
- Place of publication:
- London
Part 1 looks at models and theories and contains chapters on: the concept of personhood and its relevance for a new culture of dementia care; the dementias in a psychodynamic perspective; culture and dementia; memory, emotion and dementia; and awareness in dementia patients and family grieving - a practical perspective. Part 2 is on interventions and contains papers on: institutional perspectives on practical management of frontal lobe dementia; psychomotor group therapy for demented patients in the nursing home; communicating with severely demented patients using Snoezelen; and psychosocial treatment for demented patients. Part 3 is on interventions in the community and includes papers on: the homeostatis model and dementia; supporting informal caregivers of demented people; and activation of care-giver coping processes through professional support. Part 4 looks at interventions for the family and includes chapters on: attachment, loss and coping in caring for a dementing spouse; understanding the social context of a family caring for a dementing person; the burden on family carers; and cultural dimensions of care-giving. Part 5 examines environment, education and ethics and contains chapters on: five experiments in the institutional organisation of care for demented people; education about normal forgetfulness and dementia; ethical issues; and care-giving in dementia and the challenge of attachment.