Developing collective therapeutic documents with people living alongside dementia in an NHS context

Asesha Morjaria-Keval
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Abstract

In this paper I share my experiences of ‘doing things differently’ with our Living Well with Dementia (LWWD) groups, through drawing a balance between psychoeducation and information sharing, and giving space for people to share and have witnessed their own stories, skills and knowledges of living alongside dementia, using the collective narrative practice of therapeutic documenting. LWWD lends itself well to narrative therapy practices that focus on supporting people to draw upon their own lived experiences and relationships in ways that are sustaining and acknowledging, and can reconnect them to preferred identities and storylines. Here I outline the process of developing and using collective therapeutic documents which hold an intention to strengthen a sense of connectedness and solidarity for people attending our groups, and in turn reduce the sense of isolation and the experience of ‘being on your own’ with living with dementia that people often speak of experiencing. The therapeutic collective documents developed in these sessions took the form of poetry or prose, and were written in ways that spoke directly to the unique and shared experiences of people in each group. In this paper I also share poems written in one of our groups and share feedback from group members of their experience of this novel approach to a psychosocial intervention for dementia.
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与国家医疗服务体系中的痴呆症患者共同开发集体治疗文件
在本文中,我将分享我在 "与痴呆症共存"(LWWD)小组中 "以不同方式做事 "的经验,即在心理教育和信息分享之间取得平衡,并为人们提供空间,让他们分享和见证自己与痴呆症共存的故事、技能和知识,同时采用治疗性记录的集体叙事实践。LWWD 非常适合叙事治疗实践,这种实践侧重于支持人们以持续和认可的方式利用自己的生活经历和关系,并能将他们与偏好的身份和故事情节重新联系起来。在此,我将简要介绍集体治疗文件的开发和使用过程,这些文件旨在加强参加我们小组活动的人们之间的联系和团结意识,进而减少人们常说的与世隔绝的感觉以及在痴呆症患者生活中 "孤立无援 "的体验。在这些会议中形成的治疗性集体文件采用了诗歌或散文的形式,其写作方式直接反映了每个小组成员独特而共同的经历。在本文中,我还将与大家分享其中一个小组创作的诗歌,并分享小组成员对这一新型痴呆症社会心理干预方法的经验反馈。
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