The meaning in life: A qualitative co-research study on guided imagery and music in early-stage dementia

Introduction: Neurological conditions and dementia are leading causes of disability. Dementia is often stereotypically described, and there is a need for a broader view of what promotes a meaningful life for persons with dementia. The music therapy method of Guided Imagery and Music (GIM) is a mindfulness practice where music listening experiences are used for inner exploration to deepen meaning.
Method: In a qualitative co-research study, we explored the applicability and value of GIM for persons with early-stage dementia through a hermeneutic phenomenological approach. Five participants/co-researchers with early dementia attended a total of 63 GIM sessions. During music listening, the participants shared their experiences with the therapist. These dialogues were transcribed and served as data for the study.
Findings: The analysis of the transcripts from the music journeys led to the identification of seven interconnected categories with descriptions, experiences, and insights from the GIM sessions: Music, Visualisation, Body, Feelings, Relations, Memories, and Existential meaning.
Discussion: The participants with early dementia showed a rich inner life covering powerful, resourceful, challenging, confirming, and meaningful inner imageries. Engaging in GIM sessions was a useful channel for the participants to experience and express themselves and find meaning in life. With these insights, we present an alternative narrative to the understanding of dementia and give nuanced perspectives to future prevention, treatment, and rehabilitation strategies.