What Is the Distinction Between Memory Remedy and Life Evaluation Remedy?
Earlier than we examine the 2 therapies, let’s first recap what every remedy does.
What’s memory remedy?
Memory remedy is a psychosocial intervention based mostly on remembering — sharing tales of what individuals have achieved, issues they’ve seen, and locations they’ve visited (Schweitzer & Bruce, 2008).
Whereas there’s at present no treatment for dementia, psychosocial interventions based mostly on remembering have been proven to help individuals with dementia and their households via powerful instances.
“By making a supportive social surroundings we will allow individuals to proceed to speak, preserve relationships and be socially included, regardless of their dementia.”
Schweitzer & Bruce, 2008, p. 19
What’s life assessment remedy?
When persons are identified with a extreme sickness, corresponding to most cancers, all consideration might go to the illness and being ailing. Consequently, the which means of previous, current, and future can seem to vary, and the person might expertise psychological misery, corresponding to anxiousness and despair (Kleijn et al., 2019).
Recollecting particular constructive and autobiographical reminiscences can provide power via troublesome instances.
Life assessment remedy “goals to combine constructive and adverse life occasions in a coherent life story and right into a significant complete” (Kleijn et al., 2019, p. 3312).
In flip, the consumer experiences larger egocentricity via accepting their lives as “one thing that needed to be, feeling linked to others, and experiencing a way of wholeness, which means, and coherence when dealing with dying” (Kleijn et al., 2019, p. 3312).
How do memory remedy and life assessment remedy differ?
Whereas each therapies are psychosocial interventions that contain recalling and processing previous occasions and reflecting on earlier experiences, memory remedy’s aim is to have interaction individuals in conversations that promote social interplay, enhance their temper, and improve their sense of self-worth.
Life assessment remedy is used when a person’s consideration and focus are dominated by their sickness or scenario. Life assessment remedy is used as a method of integrating constructive and adverse facets of purchasers’ lives into an built-in complete (Schweitzer & Bruce, 2008; Kleijn et al., 2019).
Memory Remedy for Particular Situations
Memory remedy (whether or not head to head or digital) can ease despair and anxiousness and enhance cognitive functioning throughout varied issues, circumstances, and affected person teams (Zhang et al., 2021).
Memory remedy for PTSD
Memory remedy provides a sensible strategy for treating posttraumatic stress signs in older battle veterans by revisiting autobiographical reminiscence (Daniels et al., 2015).
“Sharing of reminiscences and facilitating consumer self-disclosure have been used within the remedy of older veterans,” resulting in decreased signs of despair, improved self-assessed knowledge, and elevated capability to make sense of the previous (Daniels et al., 2015, p. 423).
The advantages of memory remedy for hospice sufferers
Memory remedy provides many advantages to varied scientific populations, together with these needing help in hospice environments or palliative care (Cuevas et al., 2020; Kleijn et al., 2018).
A 2018 examine discovered that remembering actions and experiencing nostalgia inspired acceptance in sufferers dealing with dying, connecting them to others, creating a way of wholeness, and discovering deeper which means of their lives (Kleijn et al., 2018).
Such therapies align with constructive psychology, specializing in the “constructive options that make life value dwelling corresponding to hope, optimism, happiness, and wellbeing” even when nearing the top of life (Kleijn et al., 2018, p. 3318).
How memory remedy may also help Parkinson’s sufferers
Memory actions (revisiting private historical past) and interventions have been mixed with mindfulness remedy to positively have an effect on the psychological wellbeing of sufferers affected by Parkinson’s illness (Reitano et al., 2023).
A 2023 pilot examine discovered that sufferers receiving the mixed remedy skilled enhancements to their reminiscence and cognition following using “family objects, previous images, and music” to set off autobiographical reminiscences (Reitano et al., 2023, p. 3).
Whereas additional analysis is required, the examine’s authors recommend that memory remedy provides a protected intervention for lowering despair, continual ache, and anxiousness whereas boosting cognitive potential (Reitano et al., 2023).
Memory remedy for Alzheimer’s sufferers
It’s extensively accepted within the educational literature that memory remedy is extremely efficient in treating adults with Alzheimer’s illness for despair, high quality of life, cognitive points, and actions concerned in day by day dwelling (Cuevas et al., 2020).
Memory remedy is best on this group when performed frequently in small teams for a median of 45 minutes for an eight- to 12-week length. Sufferers watch movies, hearken to music, and have a look at images that assist them keep in mind their previous experiences (Cuevas et al., 2020).
Nurses and different well being care professionals could be taught the significance of memory remedy and the “want to acknowledge the significance of utilizing particular person life tales, experiences, and reminiscences in assessment,” particularly in addressing the which means of those experiences to the sufferers (Cuevas et al., 2020, p. 370).
How memory remedy may also help most cancers sufferers
People present process most cancers remedy expertise important psychological adjustments. Research present that “30%–45% of most cancers survivors skilled despair and anxiousness” (Solar et al., 2023, p. 1).
Ongoing analysis acknowledges the worth of memory remedy for most cancers sufferers. A latest assessment of scientific randomized managed research together with 1,853 most cancers sufferers discovered that these participating in memory remedy interventions reported considerably lowered signs of hysteria and despair (Solar et al., 2023).
Extra analysis additionally finds that the constructive results of such interventions are additionally seen in sufferers present process most cancers remedy and people in postoperative restoration (Zhang et al., 2021).
Life Evaluation Remedy for Particular Situations
Life assessment remedy focuses on balancing constructive and adverse memory, understanding life themes, redefining adverse experiences, and elaborating reminiscences. It’s a highly effective instrument for creating a way of value, wellbeing, coherence, and reconciliation with the previous (Preschl et al., 2012).
As such, life assessment remedy, whereas under-researched, seems to be a helpful remedy throughout a number of consumer teams.
How life assessment remedy may also help with despair and anxiousness
Life assessment remedy (and storytelling) is an efficient remedy for purchasers experiencing signs related to despair and anxiousness (Preschl et al., 2012).
A six-week life assessment remedy administered by way of pc and face-to-face conferences confirmed important enhancements in individuals’ despair, wellbeing, life satisfaction, and vanity (Preschl et al., 2012).
Whereas different psychological interventions can be found for treating anxiousness signs, poor motivation typically ends in low uptake. Life opinions — wanting again and evaluating our lives — could appear extra satisfying, significantly for these in misery.
Analysis reveals that many individuals have a nice “memory bump” of their youth and early maturity — a interval of elevated and highly effective reminiscences (Korte et al., 2009; Koppel & Rubin, 2016).
In a 2009 examine, life assessment interventions prevented signs from creating into full-blown despair and anxiousness. They had been recognized as low-cost, simply applied interventions throughout varied cultures and socio-economic backgrounds (Korte et al., 2009).
Serving to these with continual sickness
High quality of life typically reduces within the aged and the chronically ailing. Life assessment remedy may also help resolve previous conflicts, rebuild life tales, and help purchasers in accepting their current circumstances (Sharif et al., 2018).
A 2018 examine concluded that these in late-life care facilities profit from their nursing workers and households being skilled in and using life remedy interventions (Sharif et al., 2018).
An evaluation of present analysis into life assessment interventions in sufferers in palliative care reported a constructive impression on the individuals’ existential and religious domains and decreased emotions of concern and fear (Keall et al., 2015).
A 2017 examine reported that purchasers in palliative care loved the life remedy interventions within the type of collating images and writing letters or playing cards for relations. No change confirmed of their scores for ego-integrity (discovering which means in previous occasions and an absence of dying anxiousness) or generativity, the care and concern for future generations (Vuksanovic et al., 2017).
How one can use the remedy for grief and loss
Bereavement life assessment has been proven to raise religious wellbeing and cut back signs of despair in caregivers main as much as and following their liked one’s dying (Ando et al., 2015).
Caregivers reviewed reminiscences of the deceased, recorded their narratives in a private historical past e-book, and later mentioned them in periods with a therapist. The follow elevated their understanding surrounding what had occurred and their experiences of self-change and development (Ando et al., 2015).
Different analysis means that life assessment interventions can profit components such nearly as good reminiscences of households and make the previous couple of days earlier than dying extra nice, enhancing the religious wellbeing of bereaved households (Ando et al., 2011).
How life assessment remedy may also help dementia sufferers
Memory as a part of life assessment remedy seems promising for dementia sufferers. One-to-one therapeutic periods overlaying the consumer’s complete life can considerably enhance their temper and cut back their behavioral issues (Haight et al., 2003).
Analysis findings recommend that life assessment interventions — with their “emphasis on lively listening — can allow the particular person to ‘transfer on’ from being preoccupied with specific reminiscences or issues” (Haight et al., 2003, p. 165). The remedy seems to reenergize purchasers and assist them develop into unstuck and proceed to dwell their lives regardless of the onset of their sickness.
4 Instance Memory Remedy Actions
The next 4 actions assist purchasers keep in mind, share, and mirror on reminiscences, with the purpose of elevated communication and selling constructive feelings (Schweitzer & Bruce, 2008).
1. Utilizing instruments
All jobs have instruments particular to the wants of the duty and the career. If the therapist or care employee can discover out what an older particular person did throughout their working years, they will supply objects from their commerce.
For instance, somebody who labored on the docks all their life will immediately acknowledge a docker’s hook and be capable of clarify how they used it to carry heavy masses.
Outdated images are a robust machine for revisiting the previous. Acquire images that seize pals, households, places, or hobbies essential to the consumer.
Ask the consumer to speak about what each means to them and the roles every particular person and place performed of their lives.
Dancing and shifting to music, particularly from a lot earlier within the consumer’s life, can remind them of happier instances, partaking in abilities they realized a few years in the past whereas recollecting pals from that period.
4. Making a reminiscence field
Reminiscence bins are great to place collectively and function helpful instruments to revisit, particularly if reminiscences are fading.
Discover images, keepsakes, books, certificates, and even small objects of clothes that promote remembrance and foster connections to earlier instances and people right here now.
20 Insightful Life Evaluation Remedy Questions
Life remedy combines a number of completely different and highly effective memory interventions. Some are unstructured, corresponding to a complete life assessment, whereas others are extra structured, typically utilizing inquiries to cowl specific occasions (Preschl et al., 2012).
The next 20 questions assist uncover extra of the consumer’s previous and encourages them to reminisce (Life Evaluation Interview Handbook, n.d.):
- When and the place had been you born?
- The place did you develop up?
- What was your group like rising up?
- What sort of education did you’ve gotten?
- Inform me about your dad and mom/stepparents.
- Did you’ve gotten any siblings? Inform me about them.
- How would you describe your self throughout your childhood?
- What was it like while you had been a teen?
- Did you marry? At what age? If not, why not?
- Inform me about your marriage, your first job, and leaving house.
- Inform me about your profession. What had been you doing in your 30s, 40s, and 50s?
- Did you’ve gotten kids? Inform me about elevating your kids.
- What was your relationship along with your kids through the years?
- Do you’ve gotten an in depth relationship along with your kids now?
- Who else are you near?
- Who’ve been essentially the most influential individuals at varied levels in your life? Why? When? What had been you doing at the moment?
- Who’re the essential individuals in your life now?
- Do you keep up a correspondence with any of your outdated pals?
- Should you needed to decide one one who considerably impacted your life, who would it not be? And why?
- How have your friendships modified via the years?
Sources for Memory Remedy and Life Evaluation Remedy
We’ve listed a number of web sites and books that include helpful data on memory remedy and life assessment remedy, together with some useful actions.
1. Remembering Yesterday, Caring At present: Memory in Dementia Care: A Information to Good Observe – Pam Schweitzer and Errollyn Bruce
Schweitzer’s and Bruce’s e-book captures the significance of memory in dementia care and the way it may be used to nice impact by household and carers.
The authors discover the character of memory remedy and take the reader via imaginative approaches and a wealth of sources for planning remedy and interventions.
Discover the e-book on Amazon.
2. The Handbook of Structured Life Evaluation – Barbara Okay. Haight and Barrett S. Haight
This handbook attracts from the authors’ over 30 years of expertise to information therapeutic practitioners in serving to purchasers mirror on their lives.
It covers communication methods and step-by-step objectives for psychological well being practitioners to work towards. Really useful questions are supplied for every session, together with a useful Life Evaluation Type.
Discover the e-book on Amazon.