Reminiscence is the act of recollecting past experiences or events. An example of the typical use of reminiscence is when people share their personal stories with others or allows other people to live vicariously through stories of family, friends, and acquaintances while gaining an authentic meaningful relationship with the people. [1] An example of reminiscence may be grandparents remembering past events with friends or their grandchildren, sharing their individual experience of what the past was like.
Reminiscence can be defined as the act or process of recalling past experiences, events, or memories. Anyone can reminiscence about the past or a certain event, but reminiscence is often used in the older population, particularly the elderly population with forms of dementia as a therapeutic tool. This type of reminiscence is called reminiscence therapy. Reminiscence therapy is a non-pharmacological intervention that improves self-esteem and provides older patients with a sense of fulfillment and comfort as they look back at their lives. Although reminiscing involves recalling past events, it encourages older patients to communicate and interact with a listener in the present. Reminiscence sessions may be formal, informal, one-on-one, or in a group setting (Anon). Reminiscence therapy typically uses aids of tangible prompts such as photographs, household and other familiar items from the past, music and archive sound recordings (NCBI).
Dr. Robert Butler (1927–2010) is the accredited psychiatrist who first thought that reminiscing could be therapeutic. [2] Butler, a psychiatrist with a specialty in geriatric medicine, first spoke of the idea of reminiscence and life review when he published an original article “The Life Review: An Interpretation of Reminiscence in the Aged” (Achenbaum, 2018). [3]
Elderly patients with certain forms of dementia may not be able to remember what they had for lunch the previous day, but they will most likely remember their wedding day or they day their child was born. Reminiscence therapy uses this ability to recall events in the long term even when the patient's short-term memory may be declining.[ citation needed ]
Reminiscence therapy has been shown to have many benefits for aging adults, the most significant being the alleviation of symptoms of depression, though improvements to general well-being, ego-integrity, sense of purpose in life, cognitive performance, social integration, and death preparation have been noted as well. [4] Numerous causes have been posited, from the value of finding meaning and coherence in one's life, [5] the resolution of old conflicts, [6] and the reinforcement of a sense of continuity. [7]
In the later stages of dementia reminiscence therapy may become more difficult, but improvements to mood and happiness have been observed in controlled trials. [8]
The best way for reminiscence therapy to work is through the senses. Smell, touch, taste, sound, and sight are all great ways to try to get patients to recall memories. If one sense isn't working then maybe the next sense will do the trick.[ citation needed ]
In psychology, and more specifically cognitive psychology, the word reminiscence is used in a different way than the common conversational use. The study of reminiscence has a long history, which is shortly described in Eysenck and Frith (1977, chapter 1):
Reminiscence is a technical term, coined by Ballard in 1913, denoting improvement in the performance of a partially learned act that occurs while the subject is resting, that is, not performing the act in question. (Eysenck and Frith, 1977, page 3). [9]
The reality of reminiscence was first experimentally demonstrated by Oehrn (1896). In experiments on reminiscence the same task is always administered twice or more. One is mainly interested in the effect of the rest periods between the tasks. Learning might not be apparent within a task but it may be across tasks. [10]
Reminiscing also contributes towards consolidation of memory, acting as a form of review. [11] By returning to the memory and recalling it, reminiscence functions as spaced practice (see Spacing effect). Moreover, reminiscence with someone else can recalibrate one's memory by adjusting how one perceived the given experience, much like being tested. [12]
A 2018 Cochrane review found probable benefits for cognition, mood and communication depending on setting in dementia patients but inconsistencies in interventions made drawing further conclusions impractical. [13]
People have a stronger recollection of memories from their late teens and young adult years. In cognitive psychological this is called the reminiscence bump.
The reminiscence bump is a phenomenon that naturally occurs when elderly people can remember the most about their lives when they were between the ages of 10 and 30 years old. Even for patients with dementia, the years during the reminiscence bump remain intact (until their illness has become very advanced) and can be easily recalled with some simple triggers like pictures or songs. (Psychology Today, 2018).
Cognitive behavioral therapy (CBT) is a psycho-social intervention that aims to reduce symptoms of various mental health conditions, primarily depression and anxiety disorders. Cognitive behavioral therapy is one of the most effective means of treatment for substance abuse and co-occurring mental health disorders. CBT focuses on challenging and changing cognitive distortions and their associated behaviors to improve emotional regulation and develop personal coping strategies that target solving current problems. Though it was originally designed to treat depression, its uses have been expanded to include many issues and the treatment of many mental health conditions, including anxiety, substance use disorders, marital problems, ADHD, and eating disorders. CBT includes a number of cognitive or behavioral psychotherapies that treat defined psychopathologies using evidence-based techniques and strategies.
Dementia is a syndrome associated with many neurodegenerative diseases, which is characterized by a general decline in cognitive abilities that impacts a person's ability to perform everyday activities. This typically involves problems with memory, thinking, behavior, and motor control. Aside from memory impairment and a disruption in thought patterns, the most common symptoms include emotional problems, difficulties with language, and decreased motivation. The symptoms may be described as occurring in a continuum over several stages. Dementia ultimately has a significant effect on the individual, caregivers, and on social relationships in general. A diagnosis of dementia requires the observation of a change from a person's usual mental functioning and a greater cognitive decline than what is caused by normal aging.
Episodic memory is the memory of everyday events that can be explicitly stated or conjured. It is the collection of past personal experiences that occurred at particular times and places; for example, the party on one's 7th birthday. Along with semantic memory, it comprises the category of explicit memory, one of the two major divisions of long-term memory.
Art therapy is a distinct discipline that incorporates creative methods of expression through visual art media. Art therapy, as a creative arts therapy profession, originated in the fields of art and psychotherapy and may vary in definition. Art therapy encourages creative expression through painting, drawing, or modelling. It may work by providing a person with a safe space to express their feelings and allow them to feel more in control over their life.
Cognitive disorders (CDs), also known as neurocognitive disorders (NCDs), are a category of mental health disorders that primarily affect cognitive abilities including learning, memory, perception, and problem-solving. Neurocognitive disorders include delirium, mild neurocognitive disorders, and major neurocognitive disorder. They are defined by deficits in cognitive ability that are acquired, typically represent decline, and may have an underlying brain pathology. The DSM-5 defines six key domains of cognitive function: executive function, learning and memory, perceptual-motor function, language, complex attention, and social cognition.
A cognitive intervention is a form of psychological intervention, a technique and therapy practised in counselling. It describes a myriad of approaches to therapy that focus on addressing psychological distress at a cognitive level. It is also associated with cognitive therapy, which focuses on the thought process and the manner by which emotions have bearing on the cognitive processes and structures. The cognitive intervention forces behavioral change. Counselors adopt different technique level to suit the characteristic of the client. For instance, when counseling adolescents, a more advanced strategy is adopted than the intervention used in children. Before the intervention, an initial cognitive assessment is also conducted to cover the concerns of the cognitive approach, which cover the whole range of human expression - thought, feeling, behavior, and environmental triggers.
Brain training is a program of regular activities purported to maintain or improve one's cognitive abilities. The phrase “cognitive ability” usually refers to components of fluid intelligence such as executive function and working memory. Cognitive training reflects a hypothesis that cognitive abilities can be maintained or improved by exercising the brain, analogous to the way physical fitness is improved by exercising the body. Cognitive training activities can take place in numerous modalities such as cardiovascular fitness training, playing online games or completing cognitive tasks in alignment with a training regimen, playing video games that require visuospatial reasoning, and engaging in novel activities such as dance, art, and music.
The reminiscence bump is the tendency for older adults to have increased or enhanced recollection for events that occurred during their adolescence and early adulthood. It was identified through the study of autobiographical memory and the subsequent plotting of the age of encoding of memories to form the lifespan retrieval curve.
Mild cognitive impairment (MCI) is a neurocognitive disorder which involves cognitive impairments beyond those expected based on an individual's age and education but which are not significant enough to interfere with instrumental activities of daily living. MCI may occur as a transitional stage between normal aging and dementia, especially Alzheimer's disease. It includes both memory and non-memory impairments. The cause of the disorder remains unclear, as well as both its prevention and treatment, with some 50 percent of people diagnosed with it going on to develop Alzheimer's disease within five years. The diagnosis can also serve as an early indicator for other types of dementia, although MCI may remain stable or even remit.
Psychoeducation is an evidence-based therapeutic intervention for patients and their loved ones that provides information and support to better understand and cope with illness. Psychoeducation is most often associated with serious mental illness, including dementia, schizophrenia, clinical depression, anxiety disorders, eating disorders, bipolar and personality disorders. The term has also been used for programs that address physical illnesses, such as cancer.
Reminiscence therapy is used to counsel and support older people, and is an intervention technique with brain-injured patients and those who appear to have "Alzheimer's and other forms of cognitive disease."
Psychological therapies for dementia are starting to gain some momentum. Improved clinical assessment in early stages of Alzheimer's disease and other forms of dementia, increased cognitive stimulation of the elderly, and the prescription of drugs to slow cognitive decline have resulted in increased detection in the early stages. Although the opinions of the medical community are still apprehensive to support cognitive therapies in dementia patients, recent international studies have started to create optimism.
Alzheimer's disease (AD) is a neurodegenerative disease that usually starts slowly and progressively worsens, and is the cause of 60–70% of cases of dementia. The most common early symptom is difficulty in remembering recent events. As the disease advances, symptoms can include problems with language, disorientation, mood swings, loss of motivation, self-neglect, and behavioral issues. As a person's condition declines, they often withdraw from family and society. Gradually, bodily functions are lost, ultimately leading to death. Although the speed of progression can vary, the average life expectancy following diagnosis is three to twelve years.
Autobiographical memory (AM) is a memory system consisting of episodes recollected from an individual's life, based on a combination of episodic and semantic memory. It is thus a type of explicit memory.
Amnesia is a deficit in memory caused by brain damage or brain diseases, but it can also be temporarily caused by the use of various sedative and hypnotic drugs. The memory can be either wholly or partially lost due to the extent of damage that is caused.
Caregiver syndrome or caregiver stress is a condition that strongly manifests exhaustion, anger, rage, or guilt resulting from unrelieved caring for a chronically ill patient. This condition is not listed in the United States' Diagnostic and Statistical Manual of Mental Disorders, although the term is often used by many healthcare professionals in that country. The equivalent used in many other countries, the ICD-11, does include the condition.
A personal-event memory is an individual's memory of an event from a certain moment of time. Its defining characteristics are that it is for a specific event; includes vivid multi-sensory elements ; is usually recalled in detail; and is usually believed by the individual to be an accurate representation of the event.
Spontaneous recovery is a phenomenon of learning and memory that was first named and described by Ivan Pavlov in his studies of classical (Pavlovian) conditioning. In that context, it refers to the re-emergence of a previously extinguished conditioned response after a delay. Such a recovery of "lost" behaviors can be observed within a variety of domains, and the recovery of lost human memories is often of particular interest. For a mathematical model for spontaneous recovery see Further Reading.
For patients with Alzheimer's disease, music therapy provides a beneficial interaction between a patient and an individualized musical regimen and has been shown to increase cognition and slow the deterioration of memory loss. Music therapy is a clinical and evidence-based intervention that involves music in some capacity and includes both a participant and a music therapist who have completed an accredited music therapy program.
Music-evoked autobiographical memories (MEAMs) refer to the recollection of personal experiences or past events that are triggered when hearing music or some musical stimulus. While there is a degree of inter-individual variation in music listening patterns and evoked responses, MEAMs are generally triggered in response to a wide variety of music, often popular or classical genres, and are estimated to occur in the range from one to a few times per day, regardless of formal instrumental practice or music lessons. Consistent with the hallmarks of general autobiographical memories, everyday MEAMs similarly exhibit a recency effect, a reminiscence bump, and childhood amnesia, encoding autobiographical knowledge at several levels of specificity and across several common social and situational contexts. The phenomenon of MEAMs has been widely studied in the fields of psychology, neuroscience, and musicology. In recent years, the subject has garnered significant interest from researchers and the general public alike due to music's capacity to evoke vivid, emotional, and episodically rich autobiographical memories.