From Despair to Integrity: Using Narrative Therapy for Older Individuals in Erikson’s Last Stage of Identity Development

Goodcase, Eric T.; Love, Heather A.

doi:10.1007/s10615-016-0601-6

Cited by 14 publications

(5 citation statements)

References 19 publications

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“…Accomplishing this allows the person to experience “integrity”, to make peace with themselves, and to find meaning even in the face of the inevitability of death. Those who do not achieve integrity are found to succumb to despair, regret not having achieved their life goals, suffer from the injustice of life, and dread death [ 36 , 37 , 38 ]. Taking a spiritual history in the primary care setting supports older patients in this important psychological process.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of a Spiritual History with Elderly Multi-Morbid Patients in General Practice—A Mixed-Methods Study within the Project HoPES3

Mächler

Sturm

Frick

et al. 2022

IJERPH

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Background: The “Holistic Care Program for Elderly Patients to Integrate Spiritual Needs, Social Activity and Self-Care into Disease Management in Primary Care” (HoPES3) examines the implementation of a spiritual history (SH) as part of a multifaceted intervention in German general practices. While the effectiveness of the interventions was evaluated in a cluster-randomized trial, this article investigates the patients’ views concerning the acceptability of the SH and its effects. Methods: A mixed-methods study was conducted in which 133 patients of the intervention group filled in a standardized questionnaire after the intervention. Later, 29 of these patients took part in qualitative semi-standardized interviews. Results: According to the survey, 63% (n = 77) of patients found the SH helpful. In the interviews, however, many indicated that they either kept the conversation brief or declined the offer to talk about spirituality. Contents of longer conversations referred to difficult life events, personal sources of strength, and experiences with religious institutions. Many patients who had a longer conversation about spirituality reported that their relationship with their general practitioner (GP) had improved. Almost all patients recommended integrating a personal conversation of this kind into primary care. Conclusions: The SH seems to be a possible ‘door opener’ for a trusting doctor-patient relationship, which can then be built upon.

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Section: Discussionmentioning

confidence: 99%

Evaluation of a Spiritual History with Elderly Multi-Morbid Patients in General Practice—A Mixed-Methods Study within the Project HoPES3

Mächler

Sturm

Frick

et al. 2022

IJERPH

View full text Add to dashboard Cite

show abstract

“…EJET, with its eight stages, has been used to describe human development in older persons. 11,12 Joan Erikson described the ninth stage of development, 6 when very old persons may reach the stage of gerotranscendence (GT), i.e. shifting from a rational and materialistic vision of life towards a transcendent and cosmic vision, experiencing fewer borders between before, now, and then, and between life and death.…”

Section: Erik and Joan Erikson Theory (Ejet)mentioning

confidence: 99%

Applying the theory of human development by Erik and Joan Erikson when communicating with persons with advanced dementia diseases

Mazaheri

Kihlgren

2021

Nordic Journal of Nursing Research

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Persons with advanced dementia disease (ADD), here labelled PADDs, are shown to preserve parts of their self, which has opened up possibilities for involving them in their own care and establishing strategies for improving their communication with the surrounding world. Using the well-known theory of human development proposed by Erik and Joan Erikson, here labelled EJET, can operate as an efficient structure for formal caregivers to support PADDs in reclaiming their space. However, very few studies have used EJET as a framework in improving formal caregivers’ competence and the quality of care. This article aims to demonstrate the feasibility of applying EJET in the care of PADDs through two examples of successful application of this framework in interacting with PADDs in residential care settings. The examples demonstrate the significance of competent caregivers and the important role of tailoring nursing care plans to specific situations of the PADDs in their present and previous developmental phases.

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“…The initial baseline study (Study 1; n = 153) was conducted in June 2016. The sample was then divided into two groups: a control group (n = 75), and an experimental group (n = 78) who received narrative therapy [28][29][30][31][32]. The second wave (Study 2; n = 136) was conducted one month after the baseline study.…”

Section: Participantsmentioning

confidence: 99%

“…It was then further conceptualised with an eight-factor structure by splitting interpersonal understanding into altruism and leadership and extracting emotional management from life skills; the other four factors remained unchanged. Hence, the latest version of the WDS comprises 66 items with eight dimensions, namely self-knowledge (items 1-4), emotional management (items 5-9), altruism (items [10][11][12][13][14][15][16][17][18][19][20], inspirational engagement (items [22][23][24][25][26][27][28][29][30][31], judgment (items [32][33][34][35][36][37][38][39], life knowledge (items [40][41][42][43][44][45][46][47][48][49][50], life skills (items 51-61) and willingness to learn (62)(63)(64)(65)(66), evaluated with a seven-point Likert type scale, ranging from 1 = strongly disagree to 7 = strongly agree…”

Section: Measurementmentioning

confidence: 99%

Development and Evaluation of the Psychometric Properties of a Brief Wisdom Development Scale

Fung

Chow

Cheung

2020

IJERPH

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This study was to develop an 18-item Brief Wisdom Development Scale, based on the original 66-item Wisdom Development Scale, and evaluate the psychometric properties of the proposed scale using a sample of older adults. This longitudinal study recruited 153 community-dwelling adults (mean = 72.55 years old; SD = 8.47) from older adult service centres. Using a repeated measures design, the study obtained four waves of data from the participants over 12 months. The Brief Wisdom Development Scale (BWDS) was developed based on the Stepwise Confirmatory Factor Analytical approach (SCOFA), with further verification of its factorial validity using confirmatory factor analysis (CFA). The results suggest that the BWDS comprising 18 items with a six-factor structure is comparable with its full version and possesses good psychometric properties in internal consistency, concurrent validity, and factorial validity. The BWDS provides an efficient, reliable, and valid construct to measure wisdom. The implications for research development are discussed here. form a new scale may have the potential danger of undermining its conceptual equivalency with the original scale.Hence, the aims of this study were threefold. First of all, there is an urgent need to evaluate the WDS. The initial concept of the Wisdom Development Scale (WDS) was introduced in 2004 based on findings from college students [4]. Yet, within five years, the number of items and factor structure of the scale has been significantly adjusted and modified by its original authors [3,5]. As Greene and Brown [5] also urged, 'WDS with a collegiate sample, but cross validation of those findings with other samples, as well as an examination of other types of validity, such as predictive and criterion-based studies, are needed' (p. 290). Second, there is also a need to evaluate the WDS with different respondents and intervention programme. As suggested by Greene and Brown [5], their proposed measure of wisdom can be used to understand 'various types of interventions and experiences' (p. 290). To serve this purpose, this study attempts to evaluate the WDS with a clinical sample recruited from older adult service centres. Lastly, there is a scarcity of studies offering cross-cultural validation and evaluation of the WDS [13,14], and the length of the questionnaire may discourage its use by researchers and practitioners when conceiving surveys or clinical research studies [15,16]. The existing wisdom literature has vividly discussed the limitations of the existing full version of self-reported wisdom measures [1,7,13,14,[17][18][19][20]. The abbreviated versions have thus been developed in recent years to address these limitations [7,12,[21][22][23][24].In short, this study is to critically examine the full version of WDS and develop a brief version of the WDS using the latest psychometric evaluation tools, examining its internal consistency, concurrent validity and factorial validity.

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From Despair to Integrity: Using Narrative Therapy for Older Individuals in Erikson’s Last Stage of Identity Development

Cited by 14 publications

References 19 publications

Evaluation of a Spiritual History with Elderly Multi-Morbid Patients in General Practice—A Mixed-Methods Study within the Project HoPES3

Evaluation of a Spiritual History with Elderly Multi-Morbid Patients in General Practice—A Mixed-Methods Study within the Project HoPES3

Applying the theory of human development by Erik and Joan Erikson when communicating with persons with advanced dementia diseases

Development and Evaluation of the Psychometric Properties of a Brief Wisdom Development Scale

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