Presence redefined: The reciprocal nature of engagement between elder-clowns and persons with dementia.
Identifieur interne : 000979 ( Main/Exploration ); précédent : 000978; suivant : 000980Presence redefined: The reciprocal nature of engagement between elder-clowns and persons with dementia.
Auteurs : Pia Kontos [Canada] ; Karen-Lee Miller [Canada] ; Gail Joyce Mitchell [Canada] ; Jan Stirling-Twist [Canada]Source :
- Dementia (London, England) [ 1741-2684 ] ; 2017.
Abstract
Elder-clowns are a recent innovation in arts-based approaches to person-centred dementia care. They use improvisation, humour, and empathy, as well as song, dance, and music. We examined elder-clown practice and techniques through a 12-week programme with 23 long-term care residents with moderate to severe dementia in Ontario, Canada. Analysis was based on qualitative interviews and ethnographic observations of video-recorded clown-resident interactions and practice reflections. Findings highlight the reciprocal nature of clown-resident engagement and the capacity of residents to initiate as well as respond to verbal and embodied engagement. Termed relational presence, this was achieved and experienced through affective relationality, reciprocal playfulness, and coconstructed imagination. These results highlight the often overlooked capacity of individuals living with dementia to be deliberately funny, playful, and imaginative. Relational presence offers an important perspective with which to rethink care relationships between individuals living with dementia and long-term care staff.
DOI: 10.1177/1471301215580895
PubMed: 25908500
PubMed Central: PMC4956469
Affiliations:
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Peterborough</wicri:regionArea><wicri:noRegion>Peterborough</wicri:noRegion></affiliation></author></analytic><series><title level="j">Dementia (London, England)</title><idno type="eISSN">1741-2684</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Elder-clowns are a recent innovation in arts-based approaches to person-centred dementia care. They use improvisation, humour, and empathy, as well as song, dance, and music. We examined elder-clown practice and techniques through a 12-week programme with 23 long-term care residents with moderate to severe dementia in Ontario, Canada. Analysis was based on qualitative interviews and ethnographic observations of video-recorded clown-resident interactions and practice reflections. Findings highlight the reciprocal nature of clown-resident engagement and the capacity of residents to initiate as well as respond to verbal and embodied engagement. Termed relational presence, this was achieved and experienced through affective relationality, reciprocal playfulness, and coconstructed imagination. These results highlight the often overlooked capacity of individuals living with dementia to be deliberately funny, playful, and imaginative. Relational presence offers an important perspective with which to rethink care relationships between individuals living with dementia and long-term care staff.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">25908500</PMID><DateRevised><Year>2020</Year><Month>03</Month><Day>09</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1741-2684</ISSN><JournalIssue CitedMedium="Internet"><Volume>16</Volume><Issue>1</Issue><PubDate><Year>2017</Year><Month>Jan</Month></PubDate></JournalIssue><Title>Dementia (London, England)</Title><ISOAbbreviation>Dementia (London)</ISOAbbreviation></Journal><ArticleTitle>Presence redefined: The reciprocal nature of engagement between elder-clowns and persons with dementia.</ArticleTitle><Pagination><MedlinePgn>46-66</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1177/1471301215580895</ELocationID><Abstract><AbstractText>Elder-clowns are a recent innovation in arts-based approaches to person-centred dementia care. 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Miller</name><name sortKey="Mitchell, Gail Joyce" sort="Mitchell, Gail Joyce" uniqKey="Mitchell G" first="Gail Joyce" last="Mitchell">Gail Joyce Mitchell</name><name sortKey="Stirling Twist, Jan" sort="Stirling Twist, Jan" uniqKey="Stirling Twist J" first="Jan" last="Stirling-Twist">Jan Stirling-Twist</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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