In earlier centuries, becoming aged would, for most
people, be something to be held in dread. Unless one had private means or
a secure family then old age was a sure route to the punitive workhouse
and the onset of inevitable pain and disability.
Advances in medicine generally, the advent of geriatric
specialities in the 1940's and wider availability of health care and
welfare services have not only increased the length of time that people
are active and mobile, but also the numbers of people living or spending
time in institutional or 'care' settings. Professional carers have also
become more concerned with the overall well being of those in their care.
A training manual for care assistants illustrates this when it instructs:
"You have to relate to people - to understand their psychological,
emotional and social needs, to help keep mind and body active... caring
happens in all sorts of ways. It's an ongoing process - stimulating,
chatting, listening sympathetically, nursing, reassuring, helping."
Until recent years it was generally considered that to
reminisce was not a 'good thing' and that looking back, reflecting on and
talking about times gone by, led to unhealthy introspection, a lack of
confidence in and unawareness of the present. The tendency was to
associate reminiscence with abnormal ageing and mental ill health.
From the 1960's onwards, a number of trends started to
come together until by the 1980's there was not only acceptance that there
is a value to reminiscing, but a very enthusiastic embracing of
reminiscence and related activities by those who work in hospitals, old
people's homes, community and day centres - anywhere that older people
meet in groups. Reminiscence has been incorporated into the work of
occupational therapists, speech and language therapists, physiotherapists,
psychologists, nurses, auxiliaries, care assistants, social workers,
community workers, teachers, adult education organisers, librarians,
museum staff, disability organisations, voluntary organisations, art
galleries, artists, musicians, dancers, writers, teachers, drama groups
and a myriad of hobby therapists, activities 'organisers', and others with
exotic titles whose concern, in one way or another, is the welfare of
older people.
The 1980's not only saw 'reminiscence group' or 'recall'
appear formally on timetables of activities in homes and hospitals, but
the growth of a number of organisations set up especially to promote this
work with conferences, training programmes and even a specialist magazine.
In the UK now the value of reminiscence work in its
broadest sense has been endorsed through incorporation into practice by
the National Health Service and local authorities, by arts, community and heritage
organisations; providers of
residential and nursing care and major charities such as Age Concern. It
acts as an accessible context for meaningful activity and interaction.