著者

吉村 夕里 Yuri YOSHIMURA 京都文教大学臨床心理学部臨床心理学科 Kyoto Bunkyo University Department of Clinical Psychology Faculty of Clinical Psychology

出版者

京都文教大学

雑誌

臨床心理学部研究報告 (ISSN:18843751)

巻号頁・発行日

no.3, pp.45-68, 2010

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In this study, the writer analyzes the resources of patients with dementia as well as current problems in dementia care that are elucidated through "classes involving participation of patients with dementia and their families", a measure that is part of "user involvement training of the social work professional education". First, the writer performs a literature analysis to review studies related to the history of informed consent, various discussions on notification of dementia, and notification of cancer, and demonstrates that the current approach of avoiding notification of dementia is already reaching its limit. Next, the writer reports on the classes in which the elderly with dementia and their families participated, and analyzes episodes of conversation between the elderly with dementia and students by participation observation. The result of analyzed episodes showed the elderly with dementia perceived the setting to be a public place that they attempted to make use of their resources by using the skill of "passing" which Goffman pointed out in order to maintain face-toface interactions, and tried to communicate the wisdom they had acquired from life experiences to the students. Finally, the results show that even when their condition becomes severe, the elderly with dementia desire public places where they can utilize their social resources so that they can maintain their identity, and that they strive to establish their private and public lives in their environment.