three - Social connectivity and creative approaches to dementia care: the case of a poetry intervention

Summary

Editorial introduction

This chapter draws together four concepts – resilience and flourishing, creativity and play – to explore the impact of poetry interventions in the lives of people with dementia living in a care facility. As in other chapters, the impact of the creative interventions is linked to the way that they encourage and enable social interactions that (in turn) support the personhood of the participants. In this chapter, these processes are drawn out through careful observations of interactions during the poetry sessions.

Introduction

This chapter continues the exploration of the proposition that arts offer a means of communication and self-expression that is particularly able to capitalise on the emotional and social capabilities of people living with dementia. The broad term ‘dementia’ (now referred to in the DSM-5 as ‘neurocognitive disorders’) describes a variety of chronic cognitive conditions whose etiologies, time of onset, speed of progression, associated symptoms and characteristics, and duration differ – although all feature problems with memory and learning (Blazer, 2013). Regardless of the type of dementia, however, language is an important way for memory and learning to be expressed and assessed through conversations, diagnostic interviews, formal testing and other interactions (Saunders et al, 2011). The social use of language, both verbal and non-verbal, and its interpretation are therefore a central component of our inquiry. The phrase ‘social use’ is meant to distinguish our inquiry from linguistic studies on language change in dementia, since our focus is not on the ways in which language itself might change with disease progression but, rather, on how changes in opportunities to express oneself through language affect self-expression (Blair et al, 2007) and potentially threaten personhood (Sabat, 2006).

For people living in unrestricted environments (for example, a home in the community where one can come and go at will), there are multiple ways to use and engage others with language such as talking to a friend or neighbour in person, on the phone or through the internet, making small talk with a shopkeeper, and so on. In a restricted environment, such as a secure dementia care ward, residents are limited in how they can engage with others and with whom. Since residents cannot come and go at will, they are, at best, limited to communication with other residents, staff and visitors within the ward.