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Self-identity in older persons suffering from dementia: preliminary results

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  • Cohen-Mansfield, Jiska
  • Golander, Hava
  • Arnheim, Giyorah

Abstract

In this study, we explored the role-identity of nursing home residents suffering from dementia, as well as the potential for utilizing their enduring sense of self-identity for enhancing their quality of life. Four types of role-identity were explored: professional, family-role, leisure activities, and personal attributes. The methodology included structured interviews and a case study. Participants for the interviews were 38 residents of two nursing homes in Israel. Residents, relatives, and staff members were interviewed to provide information about past roles and the degree to which those roles are maintained in the present, and about strategies for bolstering the sense of self-identity. A large range of roles were identified. All role identities deteriorated significantly, with family roles retaining the greatest prominence in the present. However, much heterogeneity was manifested in all roles. Both staff members and relatives felt that a sense of identity in residents could be enhanced in most of the residents, which would exert a beneficial effect on their well-being. Caregiving respondents anticipated that this improvement would be substantial for about half of the residents. The case study illustrates how self-identity can change throughout dementia, and how it can be utilized to improve quality of life.

Suggested Citation

  • Cohen-Mansfield, Jiska & Golander, Hava & Arnheim, Giyorah, 2000. "Self-identity in older persons suffering from dementia: preliminary results," Social Science & Medicine, Elsevier, vol. 51(3), pages 381-394, August.
  • Handle: RePEc:eee:socmed:v:51:y:2000:i:3:p:381-394
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    Cited by:

    1. Cohen-Mansfield, Jiska & Parpura-Gill, Aleksandra & Golander, Hava, 2006. "Salience of self-identity roles in persons with dementia: Differences in perceptions among elderly persons, family members and caregivers," Social Science & Medicine, Elsevier, vol. 62(3), pages 745-757, February.
    2. Surr, Claire Alice, 2006. "Preservation of self in people with dementia living in residential care: A socio-biographical approach," Social Science & Medicine, Elsevier, vol. 62(7), pages 1720-1730, April.
    3. Beard, Renée L. & Fox, Patrick J., 2008. "Resisting social disenfranchisement: Negotiating collective identities and everyday life with memory loss," Social Science & Medicine, Elsevier, vol. 66(7), pages 1509-1520, April.
    4. Clare, Linda & Rowlands, Julia & Bruce, Errollyn & Surr, Claire & Downs, Murna, 2008. "'I don't do like I used to do': A grounded theory approach to conceptualising awareness in people with moderate to severe dementia living in long-term care," Social Science & Medicine, Elsevier, vol. 66(11), pages 2366-2377, June.

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