The study involved a sample of eight moderately to severely
demented elderly people who used psychogeriatric day services.
Counselling skills were used by
the interviewer to investigate informants' recall of
emotional memories.
Interviews were normally carried out individually each week over a number
of months. Between thirteen and twenty-five interviews with individual
informants were recorded and transcribed. The data form a series of
longitudinal case-studies, analysed using quasi-judicial methods (Bromley
1986), and with a grounded theory approach (Glaser and Strauss 1967). Over
time, it became apparent that each case-study revealed fragmented pieces of
an informant's personal narrative. The emotions associated
with their past
experiences appeared to provide a strong cue to recall and formed a
significant feature of their accounts as well as providing all
informants with narrative
identity. For some informants, this sense of narrative identity
began to dissolve
as their illness progressed and their stories faded from memory. For other
informants, whose memories were not so devastated by their illness, it
remained with them. Although outcomes varied for all informants, all
experienced varying levels of increased well-being. The data may have
important therapeutic implications for the care of dementia patients through
the development of reminiscence work. Attention is drawn to some theoretical
implications for understanding the relationship between emotion, memory
and dementia.