Collage technique may provide new perspectives for Alzheimer patients by exploring messages from their inner world

Meguro, Mitsue; Ishizaki, Junichi; Meguro, Kenichi

doi:10.1590/S1980-57642009DN30400006

Abstract

Although the collage art technique has been introduced as a psychotherapeutic method, it has not been fully applied in dementia.

Objectives:

To analyze characteristics of the collage articles produced by patients with Alzheimer's disease (AD).

Methods:

Twenty AD patients were asked to select and place several clippings as they wished. The MMSE was used for cognitive assessments.

Results:

Simplification and poor organization in their articles were found. The themes of one patient were found to change according to behavior. We discussed the images of the articles, especially spiritual images in the early stage and family images in the later stage.

Conclusions:

We concluded that the collage technique could provide new perspectives for dementia patients by exploring messages from their inner world.

Key words:
Alzheimer's disease; collage technique; spiritual care.

Resumo

Embora a técnica de colagem tenha sido introduzida como um método psicoterapêutico, ela não foi totalmente aplicada em demência.

Objetivos:

Analisar as características de trabalhos de colagens feitos por pacientes com doença de Alzheimer (DA).

Métodos:

A 20 pacientes foi solicitado que selecionassem e colocassem peças que apreciassem. O MEEM foi utilizado para avaliação cognitiva.

Resultados:

Simplificação e organização pobres foram encontradas. Nós demonstramos um paciente cujos temas foram mudando em relação ao comportamento. Nós discutimos as imagens dos artigos, especialmente imagens espirituais no estágio precoce e imagens familiares no estágio tardio.

Conclusões:

Nós consideramos que a técnica de colagem poderia dar novas perspectivas na demência, explorando a mensagem do mundo interior.

Palavras-chaves:
doença de Alzheimer; técnica de colagem; cuidado espiritual.

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

References

¹
Buck RE, Provancher MA. Magazine picture collage as an evaluative technique. Am J Occup Ther 1972;26:36-39.
²
Johnson CM, Sullivan-Marx EM. Art therapy: using the creative process for healing and hope among African American older adults. Geriatr Nurs 2006;27:309-316.
³
Beck CK. Psychological and behavioral intervention for dementia patients and their families. Am J Geriatr Psychiatr 1998;6:S41-S48.
⁴
Holden UP, Woods RT. Positive approaches to dementia care (Third Edition). Edinburgh: Churchill Livingstone; 1995.
⁵
Moritani H, Sugiura K, Irie S, et al. (editors). An Introduction to Collage Therapy. Tokyo: Sogensya (Japanese); 1993.
⁶
Ishizaki J. The expression of collage articles in dementia patients with Alzheimer's disease: analyses of the content and form. J Jap Clin Psychol 2000;18:191-196.
⁷
Ishizaki J. Inner world of elderly patients with dementia shown by collage. J Jap Clin Psychol 2001;19:278-289.
⁸
McKhann G, Drachman D, Folstein M, Katzmwn R, Prince D, Staklan EM. Clinical diagnosis of Alzheimer's disease: report of the NINCDS-ADRDA Work Group under the auspices of Department of Health and Human Services Task Force on Alzheimer's disease. Neurology 1984;34:939-944.
⁹
Folstein MF, Folstein SE, McHugh PR. "Mini-Mental State": a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975;12:189-198.
¹⁰
Butler RN. Successful aging and the role of the life review. J Am Geriatr Soc 1974;12:529-536.
¹¹
Grossman M, Mickanin J, Onishi K, et al. Freehand drawing impairments in probable Alzheimer's disease. J Int Neuropsychol Soc 1996;2:226-235.
¹²
Kirk A, Kertesz A. On drawing impairment in Alzheimer's disease. Arch Neurol 1991;48:73-77.
¹³
Backman L. Memory training and memory improvement in Alzheimer's disease: rules and exceptions. Acta Neurol Scand 1992;139(Suppl):84-89.
¹⁴
Sandric KM. Passage into their pasts. Hospitals and Health Networks; 1995;20:55.
¹⁵
Sabat RS, Harre R. The Alzheimer's disease sufferer as a semiotic subject. Philosoph Psychol Psychiatr 1994;1: 145-160.
¹⁶
Bender MP, Cheston R. Inhabitants of a lost kingdom: a model for the subjective experiences of dementia. Aging Soc 1997;17:513-532.
¹⁷
Clare L, Woods B. Editorial: a role for cognitive rehabilitation in dementia care. Neuropsychol Rehab 2001;11:193-196.
¹⁸
Coleman PG, Mills MA. Philosophical and spiritual perspectives. In: Cantley C, (editors). A handbook of dementia care. Philadelphia: Open University Press; 2001.

Publication Dates

Publication in this collection
Oct-Dec 2009

History

Received
27 Oct 2009
Accepted
03 Nov 2009

This is an open-access article distributed under the terms of the Creative Commons Attribution License

[1] ¹
Buck RE, Provancher MA. Magazine picture collage as an evaluative technique. Am J Occup Ther 1972;26:36-39.

[2] ²
Johnson CM, Sullivan-Marx EM. Art therapy: using the creative process for healing and hope among African American older adults. Geriatr Nurs 2006;27:309-316.

[3] ³
Beck CK. Psychological and behavioral intervention for dementia patients and their families. Am J Geriatr Psychiatr 1998;6:S41-S48.

[4] ⁴
Holden UP, Woods RT. Positive approaches to dementia care (Third Edition). Edinburgh: Churchill Livingstone; 1995.

[5] ⁵
Moritani H, Sugiura K, Irie S, et al. (editors). An Introduction to Collage Therapy. Tokyo: Sogensya (Japanese); 1993.

[6] ⁶
Ishizaki J. The expression of collage articles in dementia patients with Alzheimer's disease: analyses of the content and form. J Jap Clin Psychol 2000;18:191-196.

[7] ⁷
Ishizaki J. Inner world of elderly patients with dementia shown by collage. J Jap Clin Psychol 2001;19:278-289.

[8] ⁸
McKhann G, Drachman D, Folstein M, Katzmwn R, Prince D, Staklan EM. Clinical diagnosis of Alzheimer's disease: report of the NINCDS-ADRDA Work Group under the auspices of Department of Health and Human Services Task Force on Alzheimer's disease. Neurology 1984;34:939-944.

[9] ⁹
Folstein MF, Folstein SE, McHugh PR. "Mini-Mental State": a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975;12:189-198.

[10] ¹⁰
Butler RN. Successful aging and the role of the life review. J Am Geriatr Soc 1974;12:529-536.

[11] ¹¹
Grossman M, Mickanin J, Onishi K, et al. Freehand drawing impairments in probable Alzheimer's disease. J Int Neuropsychol Soc 1996;2:226-235.

[12] ¹²
Kirk A, Kertesz A. On drawing impairment in Alzheimer's disease. Arch Neurol 1991;48:73-77.

[13] ¹³
Backman L. Memory training and memory improvement in Alzheimer's disease: rules and exceptions. Acta Neurol Scand 1992;139(Suppl):84-89.

[14] ¹⁴
Sandric KM. Passage into their pasts. Hospitals and Health Networks; 1995;20:55.

[15] ¹⁵
Sabat RS, Harre R. The Alzheimer's disease sufferer as a semiotic subject. Philosoph Psychol Psychiatr 1994;1: 145-160.

[16] ¹⁶
Bender MP, Cheston R. Inhabitants of a lost kingdom: a model for the subjective experiences of dementia. Aging Soc 1997;17:513-532.

[17] ¹⁷
Clare L, Woods B. Editorial: a role for cognitive rehabilitation in dementia care. Neuropsychol Rehab 2001;11:193-196.

[18] ¹⁸
Coleman PG, Mills MA. Philosophical and spiritual perspectives. In: Cantley C, (editors). A handbook of dementia care. Philadelphia: Open University Press; 2001.

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