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Final ASHA 2015 Poster

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Evalua&on of Self “I was very proud to have served in the Marine Corps and I was very proud to serve with the men I’d served with. But food was terrible, accommoda>ons were terrible. There was nothing to like about it. I never got used to being shot at...but I was very proud to be a Marine.” Evalua&on of Others Peers “My pilot was the oldest one, he was 24. He was kind of, I use the word ‘father figure’ but not quite so much, more like a big brother to us all. And he kinda looked aJer us and tried to kind of take care of us and we looked on him as that, you know.” Evalua&on of Others Enemies “The Japanese were ruthless, brutal, and they didn’t believe in taking prisoners.” “Towards the end, German refugees began to come through the mountains in long wagon trains. I was amazed at their determina>on and obvious resilience…Even in my pi>ful plight, I felt sorry for those folks.” Evalua&on of War “I have been in war experience saying, ‘There’s got to be a beQer way to solve world’s problems.’ I am s>ll searching for that.” “I’m real concerned about our country today…maybe this is short sighted but I look back and think WWI was necessary, WWII was really necessary because we were aQacked you know. But since then some of these wars like Korea and Vietnam and Desert Storm and Afghanistan and Iraq, I don’t know whether they were necessary or not. And it makes you wonder, maybe we could of done something else instead of go to war.” ILLUSTRATIONS – EVALUATIVE LANGUAGE “If we wish to know about a man, we ask ‘what is his story – his real, inmost story?’ for each of us is a biography, a story. Each of us is a singular narra>ve, which is constructed, con>nually, unconsciously, by, through, and in us – throughout percep>ons, our feelings, our thoughts, our ac>ons; and, not least, our discourse, our spoken narra>ons.” Oliver Sacks (1985) The Man Who Mistook His Wife for a Hat: And Other Clinical Tales (pp 110111) BACKGROUND Tes&monial Language Tes>monies reflect a form of narra>ve describing memorable experiences and are oJen u>lized by historians, psychologists, and sociologists. Tes>monies are produced in reminiscence & life review. Studies analyzing narra>ves in older adults have u>lized illness stories, frightening stories, and memorable experiences. Limited informa>on on language in tes>monies is available for the old elderly cohort. Life Review Life review refers to the dynamic ways of building an iden>ty based on memories from early life and redefining these experiences in old age. Life review is essen>al in preserving iden>ty and suppor>ng the old elderly. Personal stories in aging have an increase in reflec>on and life review (McAdams, 2008). Personal stories may be used in the field of communica>on disorders. It is important to document life events of veterans of World War II as old elderly sharing the same historical event Why War Stories? Memorable stories of the old elderly originate during World War II at the peak of their autobiographical memory which is called the “reminiscence bump.” War stories reflect strong iden>ty of veterans in life review. Veterans are oJen interested in sharing stories of service experience for collec>ve memory of the family and country. RESEARCH QUESTIONS How is autobiographical memory reflected in tes>monial language of World War II veterans? Do old elderly generate coherent responses when producing tes>monies of war experiences? Do old elderly produce evalua>ve language when rela>ng personal war experiences? N=41 Mean Age Years (Std. Dev) 91.2 (3.0) Mean Years Educa>on (Std. Dev) 15.6 (3.0) Branch U.S. Army U.S. Army Air Corps Navy Marine Corps 16 12 10 3 Theater European The Pacific Mediterranean/N Africa ChinaIndiaBurma Home Front/Training 17 15 3 2 4 Mean MiniMental State Exam (Std. Dev) (Folstein, Folstein, & McHugh, 1975) 26.8/30 (2.4) METHODOLOGY Semistructured interview about military experience Example Ques>ons Specific Events Tell me about the circumstances of entering the military. Tell me about your experiences in war>me. When did you start talking about your experiences? Evalua>on How did your experiences during the war affect your life? Qualita>ve analysis for: Evidence of autobiographical memory in language produc>on Global coherence Reflec>ons/evalua>ons ANALYSIS FINDINGS Autobiographical Memory Reflected in narra>ve produc>on Narra>ves included high levels of specificity Reflec>ons/Evalua>ons Thema>c analysis of evalua>ve language revealed themes related to: Self: Patrio>sm, pride of achievement, family, responsibility, gra>tude for life, trauma & wisdom Others (Peers & Enemies): Camaraderie, friendship, loyalty, brutality & respect of enemies War: Specific views of WWII, comparison to following conflicts Evalua>ons were present at beginning, middle, or end of a narra>ve Reduced inclusion of nega>ve themes, following the social scripts of an interview High level of military iden>ty in old age Contribu>ons of veterans to the well being of future genera>ons: Involvement with veterans’ organiza>ons, as museum volunteers, in archival research, speaking to school groups, visi>ng baQlefields and cemeteries with children/grandchildren, wri>ng memoirs for family and publica>on Global Coherence Maintained by majority of par>cipants Tes>monies provided coherent life stories describing events in temporal, social, and personal context Observed with inherent structure and emo>onal significance “The invasion of Iwo Jima was February the 19 th of 1945. So there were 3 Marine Divisions engaged in the baQle for Iwo Jima, about 23,000 Japanese troops and ul>mately around 60,000 Marine people on the island, baQling for the island. It was a teeny island. It was only about 2 ½ miles wide and only about 6 ½ miles long. You can imagine the conges>on of 60,000 Marine troops and 23,000 Japanese.” “…the kids wanted me to put it down so they could look at it or read it or whatever.” DISCUSSION Majority of par>cipants were willing & enthusias>c to give tes>monies Tes>monies reflected a variety of personal communica>ve styles Autobiographical memory was reflected in narra>ves produced with evalua>ve language High levels of specificity were observed, especially in pilots/navigators Study suggested coherence was rela>vely preserved in the oldest old in the context of life review Evalua>ve language supported coherence and highlighted a strong sense of iden>ty SELECTED LITERATURE CLINICAL IMPLICATIONS Armstrong, E. & Ulatowska, H. (2007). Making stories: Evalua>ve language and the aphasia experience. Aphasiology, 21(68), 763774. Butler, R.N. (1963). The life review: An interpreta>on of reminiscence in the aged. Psychiatry 26(1) 6576. Folstein, M.F., Folstein, S.E., & McHugh, P.R. (1975). Minimental state: A prac>cal method for grading the cogni>ve state of pa>ents for the clinician. Journal of Psychiatric Research, 12(3), 189198. Hunt, N. & Robbins, I. (2001). The longterm consequences of war: The experience of World War II. Aging and Mental Health, 5(2), 183190. McAdams, D. P. (2008). Personal narra>ves and the life story. Handbook of personality: Theory and research, 3, 242262. Ulatowska, H.K., Chapman, S.B., Highley, A.P. & Prince, J. (1998). Discourse in healthy oldelderly adults: A longitudinal study. Aphasiology, 12 (78), 619633. Supports the importance of reminiscence therapy approaching end of life Topic of war may be appropriate for use in reminiscing therapy in those with strong iden>ty seen oJen in VA Hospitals, longterm care seungs, and memory groups Authors wish to thank Katrina Johnson, Jilliane Lagus, Eric May, Keilani Paul, Melissa Rosales, & Hana Seok for their dedicated assistance. ACKNOWLEDGEMENTS The authors have no relevant financial or nonfinancial rela>onships to disclose
Transcript
Page 1: Final ASHA 2015 Poster

Evalua&on  of  Self   “I  was  very  proud  to  have  served  in  the  Marine  Corps  and  I  was  very  proud  to  serve  with  the  men  I’d  served  with.  But  food  was  terrible,  accommoda>ons  were  terrible.  There  was  nothing  to  like  about  it.  I  never  got  used  to  being  shot  at...but  I  was  very  proud  to  be  a  Marine.”    

Evalua&on  of  Others  -­‐  Peers  

“My  pilot  was  the  oldest  one,  he  was  24.  He  was  kind  of,  I  use  the  word  ‘father  figure’  but  not  quite  so  much,  more  like  a  big  brother  to  us  all.  And  he  kinda  looked  aJer  us  and  tried  to  kind  of  take  care  of  us  and  we  looked  on  him  as  that,  you  know.”  

Evalua&on  of  Others    -­‐  Enemies  

“The  Japanese  were  ruthless,  brutal,  and  they  didn’t  believe  in  taking  prisoners.”  

“Towards  the  end,  German  refugees  began  to  come  through  the  mountains  in  long  wagon  trains.  I  was  amazed  at  their  determina>on  and  obvious  resilience…Even  in  my  pi>ful  plight,  I  felt  sorry  for  those  folks.”    

Evalua&on  of  War   “I  have  been  in  war  experience  saying,  ‘There’s  got  to  be  a  beQer  way  to  solve  world’s  problems.’  I  am  s>ll  searching  for  that.”    

“I’m  real  concerned  about  our  country  today…maybe  this  is  short-­‐sighted  but  I  look  back  and  think  WWI  was  necessary,  WWII  was  really  necessary  because  we  were  aQacked  you  know.  But  since  then  some  of  these  wars  like  Korea  and  Vietnam  and  Desert  Storm  and  Afghanistan  and  Iraq,  I  don’t  know  whether  they  were  necessary  or  not.  And  it  makes  you  wonder,  maybe  we  could  of  done  something  else  instead  of  go  to  war.”  

ILLUSTRATIONS  –  EVALUATIVE  LANGUAGE    “If  we  wish  to  know  about  a  man,  we  ask  ‘what  is  his  story  –  his  real,  inmost  story?’  for  each  of  us  is  a  

biography,  a  story.  Each  of  us  is  a  singular  narra>ve,  which  is  constructed,  con>nually,  unconsciously,  by,  through,  and  in  us  –  throughout  percep>ons,  our  

feelings,  our  thoughts,  our  ac>ons;  and,  not  least,  our  discourse,  our  spoken  narra>ons.”  

Oliver  Sacks  (1985)  The  Man  Who  Mistook  His  Wife  for  a  Hat:  And  Other  Clinical  Tales  (pp  110-­‐111)  

BACKGROUND    Tes&monial  Language  

•  Tes>monies  reflect  a  form  of  narra>ve  describing  memorable  experiences  and  are  oJen  u>lized  by  historians,  psychologists,  and  sociologists.  

•  Tes>monies  are  produced  in  reminiscence  &  life  review.  •  Studies  analyzing  narra>ves  in  older  adults  have  u>lized  illness  stories,  frightening  stories,  and  memorable  experiences.  

•  Limited  informa>on  on  language  in  tes>monies  is  available  for  the  old  elderly  cohort.  

Life  Review  •  Life  review  refers  to  the  dynamic  ways  of  building  an  iden>ty  based  on  memories  from  early  life  and  redefining  these  experiences  in  old  age.  

•  Life  review  is  essen>al  in  preserving  iden>ty  and  suppor>ng  the  old  elderly.    

•  Personal  stories  in  aging  have  an  increase  in  reflec>on  and  life  review  (McAdams,  2008).  Personal  stories  may  be  used  in  the  field  of  communica>on  disorders.  

•  It  is  important  to  document  life  events  of  veterans  of  World  War  II  as      old  elderly  sharing  the  same  historical  event  

 Why  War  Stories?  

•  Memorable  stories  of  the  old  elderly  originate  during  World  War  II  at  the  peak  of  their  autobiographical  memory  which  is  called  the  “reminiscence  bump.”  

•  War  stories  reflect  strong  iden>ty  of  veterans  in  life  review.  •  Veterans  are  oJen  interested  in  sharing  stories  of  service  experience  for  collec>ve  memory  of  the  family  and  country.  

RESEARCH  QUESTIONS  

How  is  autobiographical  memory  reflected  in  tes>monial  language  of  

World  War  II  veterans?  

Do  old  elderly  generate  coherent  responses  when  producing  tes>monies  

of  war  experiences?  

Do  old  elderly  produce  evalua>ve  language  when  rela>ng  personal  war  

experiences?  

N=41  Mean  Age  Years  (Std.  Dev)   91.2  (3.0)  Mean  Years  Educa>on    (Std.  Dev)  

15.6  (3.0)  

Branch                                      U.S.  Army  U.S.  Army  Air  Corps  

           Navy  Marine  Corps  

16  12  10  3  

Theater                                    European              The  Pacific  

           Mediterranean/N  Africa          China-­‐India-­‐Burma  Home  Front/Training  

17  15  3  2  4  

Mean  Mini-­‐Mental  State  Exam  (Std.  Dev)  (Folstein,  Folstein,  &  McHugh,  1975)  

26.8/30  (2.4)  

METHODOLOGY  Semi-­‐structured  interview    about  military  experience  

Example  Ques>ons  Specific  Events  

•  Tell  me  about  the  circumstances  of  entering  the  military.  

•  Tell  me  about  your  experiences  in  war>me.  

•  When  did  you  start  talking  about  your  experiences?  

Evalua>on   •  How  did  your  experiences  during  the  war  affect  your  life?  

•  Qualita>ve  analysis  for:  •  Evidence  of  autobiographical  memory  in  language  produc>on    

•  Global  coherence  •  Reflec>ons/evalua>ons  

ANALYSIS  

FINDINGS  Autobiographical  Memory    •  Reflected  in  narra>ve  produc>on    •  Narra>ves  included  high  levels  of  specificity                

Reflec>ons/Evalua>ons  Thema>c  analysis  of  evalua>ve  language  revealed  themes  related  to:  

•  Self:  Patrio>sm,  pride  of  achievement,  family,  responsibility,  gra>tude  for  life,  trauma  &  wisdom  

•  Others  (Peers  &  Enemies):  Camaraderie,  friendship,  loyalty,  brutality  &  respect  of  enemies    

•  War:  Specific  views  of  WWII,  comparison  to  following  conflicts  •  Evalua>ons  were  present  at  beginning,  middle,  or  end  of  a  narra>ve  •  Reduced  inclusion  of  nega>ve  themes,  following  the  social  scripts  of  an  interview  •  High  level  of  military  iden>ty  in  old  age  •  Contribu>ons  of  veterans  to  the  well  being  of  future  genera>ons:  Involvement  with  veterans’  organiza>ons,  as  museum  volunteers,  in  archival  research,  speaking  to  school  groups,  visi>ng  baQlefields  and  cemeteries  with  children/grandchildren,  wri>ng  memoirs  for  family  and  publica>on  

   

Global  Coherence  •  Maintained  by  majority  of  par>cipants  •  Tes>monies  provided  coherent  life  stories  describing  events  in  temporal,  social,  and  personal  context  

•  Observed  with  inherent  structure  and  emo>onal  significance  

“The  invasion  of  Iwo  Jima  was  February  the  19th  of  1945.  So  there  were  3  Marine  Divisions  engaged  in  the  baQle  for  Iwo  Jima,  about  23,000  Japanese  troops  and  ul>mately  around  60,000  Marine  people  on  the  island,  baQling  for  the  island.  It  was  a  teeny  island.  It  was  only  about  2  ½  miles  wide  and  only  about  6  ½  miles  long.  You  can  imagine  the  conges>on  of  60,000  Marine  troops  and  23,000  Japanese.”  

“…the  kids  wanted  me  to  put  it  down  so  they  could  look  at  it  or  read  it  or  whatever.”  

DISCUSSION  •  Majority  of  par>cipants  were  willing  &  enthusias>c  to  give  tes>monies  •  Tes>monies  reflected  a  variety  of  personal  communica>ve  styles  •  Autobiographical  memory  was  reflected  in  narra>ves  produced  with  evalua>ve  

language  •  High  levels  of  specificity  were  observed,  especially  in  pilots/navigators  •  Study  suggested  coherence  was  rela>vely  preserved  in  the  oldest  old  in  the  context  

of  life  review  •  Evalua>ve  language  supported  coherence  and  highlighted  a  strong  sense  of  iden>ty  

SELECTED  LITERATURE  

CLINICAL  IMPLICATIONS  

•  Armstrong,  E.  &  Ulatowska,  H.  (2007).  Making  stories:  Evalua>ve  language  and  the  aphasia  experience.  Aphasiology,  21(6-­‐8),  763-­‐774.  

•  Butler,  R.N.  (1963).  The  life  review:  An  interpreta>on  of  reminiscence  in  the  aged.  Psychiatry  26(1)  65-­‐76.    •  Folstein,  M.F.,  Folstein,  S.E.,  &  McHugh,  P.R.  (1975).  Mini-­‐mental  state:  A  prac>cal  method  for  grading  the  cogni>ve  state  of    •           pa>ents  for  the  clinician.  Journal  of  Psychiatric  Research,  12(3),  189-­‐198.  •  Hunt,  N.  &  Robbins,  I.  (2001).  The  long-­‐term  consequences  of  war:  The  experience  of  World  War  II.  Aging  and  Mental  Health,  5(2),    •           183-­‐190.  •  McAdams,  D.  P.  (2008).  Personal  narra>ves  and  the  life  story.  Handbook  of  personality:  Theory  and  research,  3,  242-­‐262.  •  Ulatowska,  H.K.,  Chapman,  S.B.,  Highley,  A.P.  &  Prince,  J.  (1998).    Discourse  in  healthy  old-­‐elderly  adults:  A  longitudinal  study.    •           Aphasiology,  12  (7-­‐8),  619-­‐633.  

•  Supports  the  importance  of  reminiscence  therapy  approaching  end  of  life  •  Topic  of  war  may  be  appropriate  for  use  in  reminiscing  therapy  in  those  with  strong  

iden>ty  seen  oJen  in  VA  Hospitals,  long-­‐term  care  seungs,  and  memory  groups  

Authors  wish  to  thank  Katrina  Johnson,  Jilliane  Lagus,  Eric  May,    Keilani  Paul,  Melissa  Rosales,  &  Hana  Seok  for  their  dedicated  assistance.  

ACKNOWLEDGEMENTS   The  authors  have  no  relevant  financial  or  nonfinancial  rela>onships  to  disclose  

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