Restricted accessResearch articleFirst published online 1995-7
Dimensions and Progression in the Interaction between Bilingual/Monolingual Caregivers and Bilingual Demented Immigrants: Analysis of Video-Recorded Morning Care Sessions in Institutions Coded by Means of the Erikson Theory of “Eight Stages of Man”
Seven demented Finnish immigrants were video-recorded during morning care together with bilingual and monolingual Swedish-speaking caregivers. A phenomenological-hermeneutic analysis of the video-recordings inspired by Ricoeur's philosophy was performed. The structural analysis was made by means of the Erikson theory of “eight stages of man.” A statistical analysis was done in order to study dimensions and progression of interaction and compare the communication seen in relation to how caregivers supported the patients' integrity.
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References
1.
RicoeurP., Interpretation Theory: Discourse and the Surplus of Meaning, Christian University Press, Fort Worth, Texas, 1976.
2.
WatzlawickP.BavelasJ. B., and JacksonD. D., Pragmatics of Human Communication. A Study of Interactional Patterns, Pathologies and Paradoxes, W. W. Norton & Company, Inc., New York, pp. 48–71, 1967.
3.
ArendtH., The Human Condition, The University of Chicago Press, Chicago, p. 175, 1958.
4.
HyltenstamK. and StroudC., Bilingualism in Alzheimer's Dementia: Two Case Studies, in Bilingualism Across the Lifespace. Aspects of Acquisition, Maturity and Loss, HyltenstamK. and OblerL. K. (eds.), Cambridge University Press, Cambridge, pp. 202–206, 1989.
5.
de SantiS.OblerL. K.Sabo-AbramsonH., and GoldbergerJ., Discourse Abilities and Deficits in Multilingual Dementia, in Discourse Abilities and Brain Damage: Theoretical and Empirical Perspectives, JoanetteY. and BrownellH. (eds.), Springer Verlag, New York, pp. 224–235, 1989.
6.
EkmanS.-L.Robins WahlinT.-B.NorbergA.ViitanenM., and WinbladB., Relationship between Bilingual Demented Immigrants and Bilingual/Monolingual Caregivers, International Journal of Aging and Human Development, 37, pp. 37–54, 1993.
7.
AsplundK.NorbergA.AdolfssonR., and WaxmanH., Facial Expressions in Severely Demented Patients.—A Stimulus-Response Study of Four Patients with Dementia of the Alzheimer Type, International Journal of Geriatric Psychiatry, 6, pp. 599–606, 1991.
8.
JanssonL.NorbergA.SandmanP.-O.AthlinE., and AsplundK., Interpreting Facial Expressions in Patients in the Terminal Stage of the Alzheimer Disease, Omega, 26, pp. 319–334, 1993.
9.
RapcsakS. Z.CrosswellS. C., and RubensA. B., Apraxia in Alzheimer's Disease, Neurology, 39, pp. 664–668, 1989.
10.
NorbergA. and SandmanP.-O., Existential Dimensions of Eating in Alzheimer Patients. An Analysis by Means of E. H. Erikson's Theory of “Eight Stages of Man,”Recent Advances in Nursing, 21, pp. 127–134, 1988.
11.
HallbergI. R.NorbergA.JohnssonK., and ErikssonS., Verbal Interaction during the Lunch-meal between Caregivers and Vocally Disruptive Demented Patients, in Vocally Disruptive Behaviour in Severely Demented Patients in Relation to Institutional Care Provided, HallbergI. R., Umeå University Medical Dissertations, New Series No. 261, pp. 143–164, 1990.
12.
KihlgrenM.HallgrenA.NorbergA., and KarlssonI., Integrity Promoting Care of Demented Patients. Patterns of Interaction during Morning Care, International Journal of Aging and Human Development, in press.
13.
KihlgrenM.HallgrenA.NorbergA., and KarlssonI., Disclosure of Basic Strengths and Basic Weakness in Demented Patients during Morning Care before and after Staff Training in Integrity Promoting Care. Analysis of Video-recordings by Means of the Erikson Theory of “Eight Stages of Man,”International Journal of Aging and Human Development (in press).
14.
EriksonE. H., The Life Cycle Completed, W. W. Norton & Company, Inc., New York, pp. 55–82, 1982.
15.
EriksonE. H., Childhood and Society (2nd Edition), W. W. Norton & Company, Inc., New York, 1963.
16.
EkmanS.-L.Robins WahlinT.-B.NorbergA.ViitanenM., and WinbladB., Preconditions for Communication in the Care of Bilingual Demented Patients, International Psychogeriatrics, 1, pp. 99–114, 1994.
17.
RicoeurP., The Model of the Text: Meaningful Action Considered as a Text, Social Research, 38, pp. 529–562, 1971.
18.
WilkinsonL., SYSTAT, The System for Statistics, SYSTAT, Inc., Evanston, Illinois, 1988.
19.
JohanssonE., Registration of Longitudinal Data by Means of Musical Notation. Quality, Multidimensionality, Time: Description of a Method, Quality and Quantity, 21, pp. 59–69, 1987.
20.
JohanssonE., High Precision Registration of Complicated Longitudinal and Cross-sectional Data, Quality and Quantity, 25, pp. 321–326, 1991.
21.
JonesD. C. and van Amelswoort JonesG. M. M., Communication Patterns between Nursing Staff and the Ethnic Elderly in a Long-term Care Facility, Journal of Advanced Nursing, 11, pp. 265–272, 1986.
22.
SandmanP.-O.NorbergA.AdolfssonR.ErikssonS., and NyströmL., Prevalence and Characteristics of Persons with Dependency on Feeding at Institutions for Elderly, Scandinavian Journal of Caring Sciences, 4, pp. 121–127, 1990.
23.
MelgesF. T., Time and the Inner Future. A Temporal Approach to Psychiatric Disorders, AWiley-Interscience Publication, New York, 1982.
24.
EkmanS.-L. and NorbergA., The Autonomy of Demented Patients. Interviews with Caregivers, Journal of Medical Ethics, 14, pp. 184–187, 1988.
25.
Merleay-PontyM., Consciousness and the Acquisition of Language, Northwestern University Press, Evanston, 1973.
26.
SandmanP.-O.NorbergA.AdolfssonR.AxelssonK., and HedlyV., Morning Care of Patients with Alzheimer-type Dementia. A Theoretical Model Based on Observations, Journal of Advanced Nursing, 11, pp. 169–378, 1986.
27.
SternD., Diary of a Baby, Basic Books, New York, 1990.
28.
AsplundK.JanssonL., and NorbergA., Expressive Facial Behaviour in Patients with Severe Dementia of the Alzheimer Type (DAT). A Comparison between Unstructured Naturalistic Judgements and Analytic Assessments by Means of the Facial Action Coding System (FACS), International Psychogeriatrics, accepted for publication.
29.
KihlgrenM.HallgrenA.NorbergA.BråneG., and KarlssonI., Effects of the Training of Integrity Promoting Care on the Interaction at a Long-term Ward. Analysis of Video-recorded Social Activities, Scandinavian Journal of Caring Sciences, 4, pp. 21–28, 1990.
