Hedman Ragnhild, Hansebo Görel, Ternestedt Britt-Marie, Hellström Ingrid, Norberg Astrid
Karolinska Institutet, Stockholm, Sweden Ersta Sköndal University College, Stockholm, Sweden
Karolinska Institutet, Stockholm, Sweden Ersta Sköndal University College, Stockholm, Sweden.
J Appl Gerontol. 2016 Apr;35(4):421-43. doi: 10.1177/0733464814530804. Epub 2014 Apr 28.
The self is constructed in cooperation with other people and social context influences how people perceive and express it. People with Alzheimer's disease (AD) often receive insufficient support in constructing their preferred selves, but little is known about how they express themselves together with other people with AD. In accordance with Harré's social constructionist theory of self, this study aimed to describe how five people with mild and moderate AD express their Self 2 (i.e., their personal attributes and life histories) in a support group with a facilitator experienced in communicating with people with AD. The participants' expressions of their Self 2 were analyzed with qualitative abductive content analysis and interpreted in terms of agency and communion and a lack of agency and communion. The findings highlight the importance of supporting a sense of agency and communion when assisting people with AD in constructing their self.
自我是在与他人的合作中构建的，社会环境会影响人们对自我的认知和表达。阿尔茨海默病（AD）患者在构建自己理想中的自我时往往得不到足够的支持，但对于他们如何与其他AD患者一起表达自我却知之甚少。根据哈雷的社会建构主义自我理论，本研究旨在描述五名轻度和中度AD患者如何在一个由有与AD患者沟通经验的 facilitator 主持的支持小组中表达他们的自我2（即他们的个人特质和生活经历）。通过定性溯因内容分析法对参与者自我2的表达进行分析，并从能动性和共融性以及缺乏能动性和共融性的角度进行解读。研究结果凸显了在协助AD患者构建自我时支持其能动性和共融感的重要性。
