Reminiscence Books to Help People with Alzheimer’s

Reminiscence books and therapy have been used to help treat people with Alzheimer’s disease and dementia, resulting in a more balanced mindset by restoring a sense of self and identity.Reminiscence Books to Help People with Alzheimer's

Author Judi Parkinson explores how reminiscence books may help people with Alzheimer’s.

How Reminiscence Books Affect Alzheimer’s

We love to reminisce. Reminiscing can trigger a variety of emotions that may lead to other memories, and for people in the mid to late stages of Alzheimer’s, this self-endorsement may be weakened or lost due to the disease’s effect on memory and the ability to verbally express thoughts. To bridge this gap, I create non-verbal communication tools.

While there is a place for images with text and comments to be used as Alzheimer’s activity resources, I prefer to keep this series non-verbal, so that the story in an image, or sequence of images, is left open for interpretation. When there are no restrictions imposed by text and title, than the possibilities of interpretation or recollection of an associated past can be experienced. It’s similar to the experience of viewing a  work of art, for instance. We may have a different interpretation to that of our companions or even the artist’s intent.

Even if a person in care is not able to communicate verbally, there is the opportunity to acknowledge interaction through paralinguistics, like a sigh or smile, or touching a page. Caregivers are then able to reinforce this non-verbal interaction with a tap or nod etc.

While working in a dementia unit, I observed residents with Alzheimer’s flicking through magazines without pausing for engagement. The pages were often visually busy, crammed with distracting advertisements and printed on glossy, reflecting paper. Images in television programs were presented too fast and noisy advertisements interrupted any suitable show, and movies were usually too long with complex storylines. So, I was soon visualizing those media within a new context.

Reminiscence Books Facilitate Communication in People with Alzheimer’s

I often noticed when conducting art and craft activities with people with Alzheimer’s, that their ability to automatically carry out a learned procedure, such as color mixing and painting for former artists, was strong. Procedural memory is the ability to do a task automatically and is usually the longest remaining memory system for the person with Alzheimer’s.

Including images of procedures in my work allows possible access to other memory systems. For example, in the book “Cupcakes and Tea Parties,” the procedure for mixing cakes may be stored in procedural memory as a learned activity; it may also be an autobiographical memory such as one’s own birthday party, or stored in episodic memory as a special event, perhaps baking for a fair or bake sale table.

The images in these books can elicit a powerful response in someone with Alzheimer’s.

Once, I sat in an activities room and observed a therapist sharing the book with a lady diagnosed with mid-late stage probable Alzheimer’s. She was able to turn the pages herself and viewed each of the step-by-step sewing images with great interest. When she turned the page and saw the little girl opening the box containing the finished dress she raised her hands to her cheeks in delight. She began talking about the Christmas eve she had stayed up most of the night sewing an outfit for her little son. She said that the look on his face had made it all worthwhile. I was overwhelmed by her obvious response to the photographs and her pleasure in retelling the story.

Using Reminiscence Books

Each reminiscence book is a communication tool, a third party in the social experience. Replacing closed comments such as, “The girl has her hair curling in rags,” with, “Does this picture have a story?” allows the viewer to see their own personal story in the image. I suggest asking this if a loved one with Alzheimer’s is engaged with a particular image, not at every page. To encourage communication, a caregiver can feel free to share a short personal story relevant to an image.

Additionally, because social exchanges are stored in procedural memory, sitting side-by-side provides a socially acceptable physical closeness in a non-threatening, familiar position. Enjoy the moments. Allow about ten minutes of uninterrupted time to share the book. There are additional viewing suggestions inside the cover of each book also.

To access past experiences, I generally present images that include nature, home and hobbies. I capture familiar subjects from recognizable perspectives and reject condescending or childish storytelling. Presently I’m finalizing a book on the theme of a seashore walk. This new book avoids the cliché umbrella, bucket and spade and looks at nature and commonplace activities at the beach. Sometimes I use abstract images for interest and cue images to support or explain.

Remember that it is also important to allow time for a response. We should never assume that a person with Alzheimer’s does not understand the visual story if they do not verbally communicate their interest.

Reminiscence books to help people with Alzheimer’s include:

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Personal storytelling and reminiscence are important to people with Alzheimer’s. If you are interested in a reminiscence book for a senior loved one, comment below, by December 15, 2015! Alzheimers.net and Judi Parkinson will be working to giveaway 3 reminiscence books to those who are interested in using them.

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Please leave your thoughts and comments

  • Fran Leslie

    Would love for my Mother to have one. maybe the magazine would bring happiness to her, too

    • caitlinburm

      Fran,

      Congratulations! You have been selected to receive one of Judi Parkinson’s reminiscence books. Please email: content@aplaceformom.com (and reference this communication) so that we can coordinate and send the book to you.

  • Arthur Taliana

    The books may also be structured with personal images targeted at individuals.
    A short time back I had compiled a dvd with a series of photos of mother spanning some 85 years for my mother’s 90th birthday. It was great seeing mother sharing memories with her brother.

    • caitlinburm

      Arthur,

      Congratulations! You have been selected to receive one of Judi Parkinson’s reminiscence books. Please email: content@aplaceformom.com (and reference this communication) so that we can coordinate and send the book to you.

  • Rachel

    I’m very impressed by these books. I would use these with people that I help who have dementia. I really like the pictures and think that this book would be a great tool to have in connecting people to their past as well as activities they used to do.

    • caitlinburm

      Rachel,

      Congratulations! You have been selected to receive one of Judi Parkinson’s reminiscence books. Please email: content@aplaceformom.com (and reference this communication) so that we can coordinate and send the book to you.

  • Gen

    I have just started volunteering with some residents in a community. This week i sat down with a lady and read through some conversation starting cards discussing things like what we enjoyed doing, thoughts on experiences which have influence us and things we have loved doing from the past. Both of us enjoyed the time together and i feel we connected in a positive way. After reading this article i am going to work on making this lady her own personal reminiscence book. Thank you.

    • caitlinburm

      Hi Gen,

      Thank you for sharing! We are so glad to hear that you have found this blog article helpful during this time and wish you the best of luck on creating a reminiscence book.

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