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独处回忆写作的心理社会效益:一项探索性研究。

Psychosocial benefits of solitary reminiscence writing: an exploratory study.

作者信息

Elford H, Wilson F, McKee K J, Chung M C, Bolton G, Goudie F

机构信息

Sheffield Institute for Studies on Ageing, University of Sheffield, Sheffield.

出版信息

Aging Ment Health. 2005 Jul;9(4):305-14. doi: 10.1080/13607860500131492.

Abstract

Claims have been made that reminiscence has benefits for older people's psychological well-being, and that writing memories may be a therapeutic process. This paper describes an exploratory study in which five nursing home residents engaged in a process of writing their memories by themselves, in a series of booklets containing memory prompts and photographs, over a period of four weeks. Each completed booklet was typed up by researchers and returned to participants the following week, with a bound copy provided to participants at the end of the study period. Analysis focuses on two sets of data: an in-depth case study of one participant, and a thematic analysis of field notes, researcher reflections, and the written material produced by the other study participants. The case study revealed three main themes: views on the past; sharing the past; and confidence in writing about the past. The field note analysis indicated the presence of four themes: proof and maintenance of skills; psychological or internal processes; social contact; and pleasure in reminiscence. The writing was seen as cathartic and provided a meaningful purpose, an opportunity to exercise writing skills and memory, and a focus for participants to share key stories with others. This exploratory study suggests that there is potential in using solitary writing within a reminiscence framework to improve psychological well-being in older people. However, caution should be exercised when encouraging older people to write their stories. Issues of confidentiality, audience, support, and appropriateness of the activity for the individual need consideration.

摘要

有人声称,回忆对老年人的心理健康有益,而且书写记忆可能是一个治疗过程。本文描述了一项探索性研究,在该研究中,五名养老院居民在一系列包含记忆提示和照片的小册子的帮助下,在四周的时间里独自参与书写自己的记忆。研究人员将每位居民完成的小册子录入电脑,并在第二周返还给参与者,在研究期结束时为参与者提供一份装订好的副本。分析聚焦于两组数据:对一名参与者的深入案例研究,以及对实地记录、研究人员反思和其他研究参与者所撰写材料的主题分析。案例研究揭示了三个主要主题:对过去的看法;分享过去;以及书写过去的信心。实地记录分析表明存在四个主题:技能的证明与维持;心理或内在过程;社交联系;以及回忆的乐趣。书写被视为一种宣泄方式,提供了一个有意义的目的、锻炼书写技能和记忆的机会,以及让参与者与他人分享关键故事的焦点。这项探索性研究表明,在回忆框架内运用独自书写来改善老年人的心理健康具有潜力。然而,在鼓励老年人书写他们的故事时应谨慎行事。保密、受众、支持以及该活动对个人的适宜性等问题都需要加以考虑。

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