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For some decades the
medical interview has been aimed not only at establishing a diagnosis, but also
at determining the patient’s state of health and quality of life. In the field
of geriatrics, conversation with the patient intends yet to assess the extent
of physical fitness and mental performance impairment as well as to evaluate
the risk factors which lead to a decrease in mental capacity and also the
patient’s socalled psychological resilience, which determine the favorable
course of aging. Researchers enumerate some kinds of factors determining mental
resilience, e.g. pride in one’s personality, positive family relations,
empowering relationships with professionals, the so-called ‘power of giving’, a
balanced view on life and so on. There are, however, very few guidelines in
geriatric literature on how to obtain this ‘balanced perception of one’s own
life’. We do not find such tips either in the papers of authors who write about
assessing the so-called ‘trajectory of life’.
We have
presented recently an attempt to formulate a method of insight into the way we
remember and even how we arrange the remembrance of own biography. As we
emphasized, one should pay attention not only to biographical facts but also to
important ‘psychological transformations’ concerning decisions on one’s own
further anticipated actions and behavior.An example would be the decision that,
“it is not worth striving for good grades in school or even to get a formal
education because prosperity in life depends on other conditions” or for
example, “that monogamy is not an advantageous pattern of behavior”.
Moreover, in our view,
so far geriatric researchers have not paid enough attention to the kinds of
extremely important facts which determine the course of life, resulting from
dramatic, often hidden biographical events such as exclusion from family,
broken family ties, sexual abuse like rape, incest, the suicide of someone
close, the death of the mother in childhood, war or disaster experiences. They
cause so-called entanglements, and sometimes incline one to acts of revenge or
plans to take vengeance. As we mentioned, various literary works contain
thrilling descriptions of such key mental changes. The content of the novel
“Fates and furies” by Lauren Groff can exemplify such descriptions.
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