Narrative Therapy and Elders with Memory Loss

Elders with memory loss often experience anxiety and depression as they feel their identities slip out of their own control. The paper argues that narrative therapy can help people with dementia revise their stories and reclaim their identities as their personal histories become less accessible to them. The paper presents case examples in which unique outcomes emerged when elders with memory loss resisted the cultural imperative to perceive their lives in sequential order and instead emphasized character traits and thematic patterns in their stories. The paper recommends ways to adapt narrative therapy so elders can create a meaningful sense of self despite dementia.     

Constructing Couples’ Stories: Narrative Practice Insights from a Dyadic Dementia Intervention

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 utilizing 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, we utilize 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.     

The ambivalences of Angel's 'arrangement': a psychosocial lens on the contemporary condition of personal life

The aim of this article is to explore the potential of a psychoanalytically informed psychosocial approach to extend understandings of the contemporary condition of personal life. It argues for the theorization of the intertwining of the social and the psychic, in order to take seriously the realm of the intra‐psychic and the dynamic unconscious, without engaging in either psychological or sociological reductionism. The article offers a detailed case study of an interview with one individual (‘Angel’), highlighting three themes in his narrative which resonate with wider findings about changing patterns of intimacy and sociability: the experience of relationship break‐up and psychological distress, the centrality of friendship, and de‐centring and re‐imagining the sexual relationship. Particular attention is paid to the story Angel tells of his unconventional partnership, and to the analysis of his self‐presentation, in the light of the thematic analysis. The psychosocial approach attends both to sociological themes and unconscious psychodynamics, and presents an analysis of the particular character of the disappointments, loss, psychic conflicts and ambivalences which are part of the experience of contemporary personal life. The paper concludes with some critical reflections on conducting psychoanalytic psychosocial readings of interview data.     

Living with dementia in rural and remote Scotland: Diverse experiences of people with dementia and their carers

There is a lack of research into people's experiences of using services as dementia sufferers themselves, or because they care for someone with dementia, in rural areas. This article explores their experiences in the context of rural Scotland, drawing on data gathered from both people with dementia and their carers. Our research suggests that understanding the nuanced and co-constituted experience of dementia in rural communities is a pre-requisite for improving service provision. The paper explores the way in which participants linked their experiences to their spatial location in rural areas. Our findings suggest that participants used a narrative of idealised rurality which linked together interwoven and overlapping social networks, a physical relationship with place and a sense of self sufficiency. However, the participants’ stories also highlighted the diversity in experiences as service users between places, suggesting a disjunction between the generalising narrative of the rural idyll and their particular situations. These findings extend the literature on rural mental health issues and on the experience of dementia in particular, in turn helping to inform place and person centred policies.     

TWO SURVIVOR CASES: THERAPEUTIC EFFECT AS SIDE PRODUCT OF THE BIOGRAPHICAL NARRATIVE INTERVIEW

This paper draws a parallel between the biographical narrative life‐story interview technique and psychoanalytic therapy. It points out that this type of interview may, in some cases, assist with the re‐construction of a new narrative identity of the interviewee. Where there is practically no intervention by the interviewer it can do this just by providing the interviewee with a situation where there is someone who does not want anything other than to listen to her life narrative. Through this process there can be a therapeutic effect which is more than a joyful by‐product, which the interviewees not only unconsciously experience, but for which they overtly express their gratitude.

The paper features the case of such a woman, who was sterilised in Auschwitz. It also tells the story of a man where the interviewer experienced incredibly strong resistance and projective identification throughout the interview. This resulted in almost insoluble guilt in the interviewer. The paper tries to interpret the story of the interviewee, who is also a Shoah survivor, and is unable to make some things in his life story explicit. The interpretation suggests that he might have killed some Arrow Cross officers in order to take their uniforms to help others. He has lived for the last 60 years with feelings of insoluble guilt. The question is raised whether in this case the interview had a similar therapeutic effect to the first case or not.     

A Case Study Of Play-Based Work With Very Young Children

Abstract

In this account I have tried to share one attempt to engage and communicate with two very young children with a history of neglect and separations. The combination of techniques was an effective approach to use with these particular children. I have used a similar combined approach subsequently with other pre-school children, and with one mentally handicapped young girl.

The key elements in the approach seemed to me to be to keep the story as simply as possible, to use the same phrases, no matter what method of story telling is used, to find concrete ways of enacting the story (e.g. play figures or puppets), to tell the story in the third person to avoid an over-direct approach, to involve the child actively in the story (e.g. by letting him select the figures), to develop the story to incorporate changes as they occur, and to involve the child's caretakers wherever possible.     

WOMEN AND THE INTERNET The natural history of a research project

This article represents a narrative, 'women and the internet', as a women and technology origin story with a fixed beginning, a contested centre, and an open ending. This article analyses our engagement with this narrative as a pilot study was conducted to look at women's perceptions of, and relationships to, the internet. Although this story felt like a coherent and persuasive narrative, this was questioned as the outcomes of the pilot study were reflected upon. Women coming to the 'net' led to a reconstruction of the questions that need to be addressed in researching gender and information technology. This article begins by describing and deconstructing the motivating story which was brought to this research project. Three genres are introduced-'the webbed utopia', 'flamed out' and 'locked into locality'-which are seen as forming the contested centre of this narrative. While each genre has its own narrative logic, all of them draw on a common tale of historical origins. From each of these perspectives 'Women and the internet' has an ending which is still open, but is rapidly closing. Three questions are then identified which have been raised by analysis: what do we mean by 'access'?; what do we mean by 'the internet'? and 'which women'? The seeming simplicity of these questions disguises serious difficulties which research in this area must address.     

‘Making narrative portraits: a methodological approach to analysing qualitative data’

ABSTRACT

This paper proposes the method of ‘narrative portraiture’, which, located within the wider field of narrative studies, offers an analytical tool to narrative data. Two research projects, one on disability and one on identity, are used to illustrate how the method can be applied. While the paper will focus on the methodological benefits and limitations of the approach, throughout the article we also highlight the ethical concern of representation. We suggest that through ‘narrative portraiture’ research findings can be contextualised in broader social narratives without losing sight of the unique personal qualities of the research encounter. Thus, we argue for the importance of bringing the participant and their everyday life experience into focus, highlighting that a portrayal of a sole story can be, not only a medium to understand a research phenomenon, but also a valuable research output in itself.     

The Family Interaction Test A Preliminary Study of a Method for Interpreting Narratives about the Family

The Family Interaction Test is a narrative projective method designed to elicit children's perceptions of family life and patterns of interaction by way of stories around particular themes and events. Drawing on a post-modern interpretive approach, the paper proposes that traditional psychometric research methodologies underpinned by the logico-empirical paradigm are inappropriate in the study of narrative meaning. It is argued that practitioners, rather than seeing themselves as separate from the story teller and thus objectifying the ‘true’ meaning of the narratives, can instead enter into a discourse with the story teller as a way of testing hypotheses and thus establish the verisimilitude of story meanings. The results of a preliminary clinical study using this methodology with the Family Interaction Test are presented and discussed.     

Sadness and Chronic Illness: A Conversation with Bruce Perham

Bruce Perham is a social worker and narrative therapist who works at Alzheimers Australia Vic., the peak body representing the interests of people affected by dementia. He previously worked at an adoption agency, the Spastic Society (now Scope), and the Multiple Sclerosis Society. Bruce trained in family therapy in Melbourne and in narrative therapy with Michael White at the Dulwich Centre. Bruce has created an extensive range of written and video resources for people with dementia and MS and their family members. He describes how his family of origin, his resultant personal struggles as an adult, and narrative therapy, have profoundly influenced his work with people with chronic illness and their families, in particular, his approach to sadness.     

To Pass Through on One’s Wings: The Poetry of Oleh Zujewskyj

Ivan Dmitriev has virtually disappeared from memory, but in the late eighteenth century he was known as one of Russia’s foremost poets. What even fewer readers know is that Dmitriev’s most significant contribution to Russia’s literary heritage may have been his decision to make poetry the centre of his prose autobiography. In the literary and social context of the 1810s and 20s, this was a remarkable step because it showed Dmitriev’s conviction that poetry had an inherent value that earned it a place in the narrative formulation of one’s “life plot.” Dmitriev’s approach is even more remarkable when his autobiography is compared to the prose autobiography of Gavrila Derzhavin, the greatest poet of his time. Derzhavin’s autobiography ignores poetry almost completely, and usually refers to the author’s literary endeavours only when they intersect with the dominant thread of his political life. This article looks at the social and literary contexts in which these autobiographical texts were written, and then examines closely the style and substance of each text to explore the way each poet creates his own life story. This comparison shows that the great poet Derzhavin depicts himself almost exclusively as a statesman, and it is the long-forgotten Dmitriev who reveals a profound allegiance to poetry as the most important part of his life.     

'Again Fathers and Sons': the mutual construction of self, story and special educational needs

This paper brings together a number of themes: the role of the researcher's own experience in reporting that of others; the capacity of narrative methods in the social sciences to report human experience; and the virtue of the self-consciously fictional story as a form which can bring and hold together the experiences of the researcher and of the 'subject': the centrepiece of the paper is a short story located in a Special Education setting.     

Narrative analysis in aging studies: A typology for consideration

This article seeks to expand our understanding on narrative and the analysis of stories researchers invite and collect in the domain of aging studies. To do so, we first offer an understanding of what narrative inquiry can be by laying out a theoretical basis for this kind of research, and making a case for the relevance of narrative as an alternative methodology. Painting with broad strokes, narrative analysis as a method is then considered before a typology of different ways in which stories can be analyzed is introduced. Illuminated by the typology are two contrasting standpoints toward narrative analysis—storyteller and story analyst—and three specific methods—structural, performative, and autoethnograpic creative analytic practices—that each standpoint might use to analyse the whats and hows of storytelling. The article closes by suggesting that in order to assist us to understand the complexities of aging researchers might consider using a variety of analyses.     

Story-telling, women's authority and the "Old Wife's Tale": "The Story of the Bottle of Medicine"

The focus of this article is a single personal narrative – a Shetland woman's telling of a story about two girls on a journey to fetch a cure for a sick relative from a wise woman. The story is treated as a cultural document which offers the historian a conduit to a past that is respectful of indigenous woman-centred interpretations of how that past was experienced and understood. The "story of the bottle of medicine" is more than a skilful telling of a local tale; it is a memory practice that provides a path to a deeper and more nuanced understanding of a culture. Applying perspectives from anthropology, oral history and narrative analysis, three sets of questions are addressed: the issue of authenticity; the significance of the narrative structure and storytelling strategies employed; and the nature of the female performance. Ultimately the article asks what this story can tell us about women's interpretation of their own history.     

The Unlived Life Is Worth Examining: Nothings and Nobodies behind the Scenes

This paper explores how people talk about the things that have not happened in their lives. I argue that we can perform reverse biographical identity work upon our unmade selves by exploring the meanings of unlived, non-experience. Challenging one's own rehearsed life story is an act of narrative self-transgression, involving negative responsibility assumption. Drawing on my symbolic interactionist theory of “nothing,” I consider how negative social phenomena (no-things, no-bodies, and non-events) are interactively accomplished and retrospectively made sense of in personal accounts. Themes of lost opportunities, silence, invisibility, and emptiness emerge from an analysis of twenty-seven stories. These tales reveal a mixture of emotions: not only sadness, stigma, shame, and regret, but also relief, pride, acceptance, and gratitude. Narratives of nothing are often ambivalent in tone, reflecting the complexity of storied life behind the scenes.     

Young Women's Life Stories and Accounts of Parental Divorce

ABSTRACT

This article presents the results of an analysis of 7 young women's life story accounts of the experience of parental separation during adolescence. The young women took part in the Life Stories and Family Transitions Study conducted in New Zealand. The qualitative methodology used in this study allowed for an investigation of the ways that participants made sense of their experiences of parental separation within the life story. The narratives of parental separation were extracted from the interviews and analyzed for form and content. The analysis of form found that the stories progressed through a number of stages, titled “The Early Years,” “The Deteriorating Parental Relationship,” “The Climax,” and “The Aftermath.” A number of themes emerged from a process of interpretive thematic analysis. These themes were often associated with different stages of the story of separation, and were titled “Putting Together the Pieces,” “The Struggling Self,” and “Self-Determination and Competency.” As participants put together the stories of separation, they considered their parents' perspectives and integrated these with their own experiences of family events, developing their own personal theories. The stories of struggle, and of personal strength and self-determination, emerge from the analysis.     

Beyond words: Older people with dementia using and interpreting nonverbal behaviour

This article addresses a gap in research on nonverbal communication and dementia. It presents findings from a study that explored ways in which older people with dementia used and interpreted nonverbal behaviour within the context of social interactions. Two researchers, using an ethnographic approach, jointly observed nonverbal communicative behaviours occurring in a day-care centre. The findings show that older people with dementia used nonverbal behaviour in meaningful ways for others to interpret, and as a way of self-communication; and that they actively interpreted others' nonverbal behaviour. In specific situations, these people acted in the context of shared meanings, possessed a ‘self’, and took on the ‘role’ of others. This approach has implications for understanding the social experience of dementia and for the ways that care is organised. The role of nonverbal behaviour offers potential for carers to preserve older people's self-identity and improve their quality of life and care.     

THEORIZING NARRATIVE IDENTITY:

This article argues for a synthesis of George Herbert Mead's conception of the temporal and intersubjective nature of the self with Paul Ricoeur's hermeneutic theory of narrative identity. Combining the insights of Ricoeur's philosophical analysis with Mead's social-psychological orientation provides a subtle, sophisticated, and potent explanation of self-identity. A narrative conception of identity implies that subjectivity is neither a philosophical illusion nor an impermeable substance. Rather, a narrative identity provides a subjective sense of self-continuity as it symbolically integrates the events of lived experience in the plot of the story a person tells about his or her life. The utility of this conception of identity is illustrated through a rereading of Erving Goffman's study of the experience of mental patients. This example underlines the social sources of the self-concept and the role of power and politics in the construction of narrative identities.     

Discussion of Paper by Warman and Rousseau

The story of trauma, in contemporary culture, has shifted, from one of painful, formative experience, to one of injustice and the imperative to rectify an untoward event. Journalists, politicians, and memoirists have become adept at making a narrative of trauma, at finding the story that focuses away from the experience of the wounds to the injustice of having been wounded. As a result, people tend to seek stories of suffering that have a beginning, middle, and, most important, an end, rather than stories of suffering that are not dramatic, that are not moral, but that have a lasting impact. People coming for therapy or analysis, too, look for the dramatic explanation for their suffering, to be the hero in their own narrative. And those of us who treat the sufferers too often protect ourselves from the universality of pain by looking for the trauma story. In recent therapeutic culture, the trauma story has been of a formulaic kind, which is in keeping with our culturally preferred relationship to trauma.

In this article, I draw from two treatments to illustrate the power of our cultural trauma narrative and my own implication in it.     

Narratives of Leisure: recreating the self

Utilising insights from narrative theory this paper explores the role of narrative in the everyday leisure experiences of people with a mild intellectual disability. Drawing on our experiences with an Australian leisure service Live it UP! we develop the connection between leisure and storytelling in order to open up an innovative approach to working with individuals. The stories of people's capabilities that we draw on run counter to a dominant cultural story of lack associated with disability. Through a post-structuralist analysis we argue that narratives of leisure are a powerful social medium with the potential to produce change in an individual's life and immediate social relationships. Such an understanding is crucial for the development of alternative leisure support services which identify the person's needs, challenging the social positioning of people with an intellectual disability.