1887
Volume 15, Issue 1
  • ISSN 1878-9714
  • E-ISSN: 1878-9722
USD
Buy:$35.00 + Taxes

Abstract

Abstract

This article highlights co-participant strategies during conversations involving participants diagnosed with dementia that encourage continued, productive interaction fostering inclusivity. The conversation excerpts illustrate positive results when non-impaired co-participants respond to impaired syntax as though it makes sense or as if it completes a coherent syntactic–semantic action. Helpful co-participants yield control of conversations, rather than issuing corrections; demonstrate an acuity for when to divert topics; and acknowledge their co-participants’ concerns. In contrast, non-inclusive strategies include overuse of questions, overcorrecting, minimizing dementia symptoms, or dismissing co-participants’ concerns, which frequently result in persons with dementia resisting or withdrawing from conversations, often accompanied by displays of anger. The goal is to raise awareness of strategies which promise an increase in and longer duration of interactions, decrease loneliness, and increase health and emotional outcomes of older persons.

Loading

Article metrics loading...

/content/journals/10.1075/ps.23052.sti
2023-12-21
2024-10-07
Loading full text...

Full text loading...

References

  1. American Psychiatric Association
    American Psychiatric Association 2013Diagnostic and Statistical Manual of Mental Disorders (DSM-5®). Washington, DC: American Psychiatric Pub. 10.1176/appi.books.9780890425596
    https://doi.org/10.1176/appi.books.9780890425596 [Google Scholar]
  2. Bayles, Kathryn A., Cheryl K. Tomoeda, Alfred W. Kaszniak, Lawrence Z. Stern, and Karen K. Eagans
    1985 “Verbal Perseveration of Dementia Patients.” Brain and Language25 (1): 102–116. 10.1016/0093‑934X(85)90123‑3
    https://doi.org/10.1016/0093-934X(85)90123-3 [Google Scholar]
  3. CDC
    CDC 2022 Loneliness and Social Isolation Linked to Serious Health Conditions. https://www.cdc.gov/aging/publications/features/lonely-older-adults.html
  4. Cook, Cheryl, Sherri Fay, and Kenneth Rockwood
    2009 “Verbal Repetition in People with Mild-to-moderate Alzheimer Disease: A Descriptive Analysis from the VISTA Clinical Trial.” Alzheimer Disease & Associated Disorders23 (2): 146–151. 10.1097/WAD.0b013e318193cbef
    https://doi.org/10.1097/WAD.0b013e318193cbef [Google Scholar]
  5. Cruz, Fernanda Miranda Da
    2010 “Verbal Repetitions and Echolalia in Alzheimer’s Discourse.” Clinical Linguistics & Phonetics24 (11): 848–858. 10.3109/02699206.2010.511403
    https://doi.org/10.3109/02699206.2010.511403 [Google Scholar]
  6. Du Bois, John W.
    1991 “Transcription Design Principles for Spoken Discourse Research.” Pragmatics1 (1): 71–106.
    [Google Scholar]
  7. George, Daniel R., Heather L. Stuckey, Caroline F. Dillon, and Megan M. Whitehead
    2011 “Impact of Participation in TimeSlips, a Creative Group-based Storytelling Program, on Medical Student Attitudes Toward Persons with Dementia: A Qualitative Study.” The Gerontologist51 (5): 699–703. 10.1093/geront/gnr035
    https://doi.org/10.1093/geront/gnr035 [Google Scholar]
  8. Goffman, Erving
    1967Interaction Ritual: Essays on Face-to-face Behavior. New York. Pantheon.
    [Google Scholar]
  9. Hamilton, Heidi
    2019Language, Dementia, and Meaning Making: Navigating Challenges of Cognition and Face in Everyday Life. Cham, Switzerland: Palgrave Macmillan. 10.1007/978‑3‑030‑12021‑4
    https://doi.org/10.1007/978-3-030-12021-4 [Google Scholar]
  10. Hepburn, Alexa, and Galina B. Bolden
    2013 “The Conversation Analytic Approach to Transcription.” InThe Handbook of Conversation Analysis11, ed. byJack Sidnell, and Tanya Stivers, 57–76. Malden, MA: Blackwell Publishing Ltd.
    [Google Scholar]
  11. Jefferson, Gail
    2004 “Glossary of Transcript Symbols with an Introduction.” InConversation Analysis: Studies from the First Generation, ed. byGene H. Lerner, 13–31. New York and Amsterdam: John Benjamins. 10.1075/pbns.125.02jef
    https://doi.org/10.1075/pbns.125.02jef [Google Scholar]
  12. Kertesz, Andrew, Sarah Jesso, Michal Harciarek, Mervin Blair, and Paul McMonagle
    2010 “What is Semantic Dementia?: A Cohort Study of Diagnostic Features and Clinical Boundaries.” Archives of Neurology67 (4): 483–489. 10.1001/archneurol.2010.55
    https://doi.org/10.1001/archneurol.2010.55 [Google Scholar]
  13. Kitwood, Thomas Marris
    1997Dementia Reconsidered: The Person Comes First. Vol.201. Buckingham: Open University Press.
    [Google Scholar]
  14. Larner, Andrew J.
    2015 “Neurological signs: Mirrorphenomena.” Advances in Clinical Neuroscience & Rehabilitation15 (4): 14.
    [Google Scholar]
  15. Livingston, Gretchen
    2019 “On Average, Older Adults Spend Over Half Their Waking Hours Alone.” Pew Research Internet Project. https://web.archive.org/web/20190705100317/https://www.pewresearch.org/fact-tank/2019/07/03/on-average-older-adults-spend-over-half-their-waking-hours-alone/
    [Google Scholar]
  16. Matsumoto, Yoshiko
    2021 “Pragmatics of Understanding: Centrality of the Local: Cases from Japanese Discourse and Alzheimer’s Interaction.” Contrastive Pragmatics2 (1): 24–51. 10.1163/26660393‑BJA10005
    https://doi.org/10.1163/26660393-BJA10005 [Google Scholar]
  17. Maynard, Douglas W., and Don H. Zimmerman
    1984 “Topical Talk, Ritual and the Social Organization of Relationships.” Social Psychology Quarterly47 (4301): 301–316. 10.2307/3033633
    https://doi.org/10.2307/3033633 [Google Scholar]
  18. NIH
    NIH 2022 “A Concern Ushered into Public Awareness Largely by John T. Cacioppo, Ph.D., Former Director of the Center for Cognitive and Social Neuroscience at the University of Chicago.” https://www.nia.nih.gov/news/social-isolation-loneliness-older-people-pose-health-risks
  19. Petryk, Megan, and Tammy Hopper
    2009 “The Effects of Question Type on Conversational Discourse in Alzheimer’s disease.” Perspectives on Neurophysiology and Neurogenic Speech and Language Disorders19 (4): 126–134. 10.1044/nnsld19.4.126
    https://doi.org/10.1044/nnsld19.4.126 [Google Scholar]
  20. Piguet, Oliver, Michael Hornberger, Bhaskara P. Shelley, Christopher M. Kipps, and John R. Hodges
    2009 “Sensitivity of Current Criteria for the Diagnosis of Behavioral Variant Frontotemporal Dementia.” Neurology721: 732–737. 10.1212/01.wnl.0000343004.98599.45
    https://doi.org/10.1212/01.wnl.0000343004.98599.45 [Google Scholar]
  21. Reeve, Emily, Pierre Molin, Amaris Hui, and Kenneth Rockwood
    2017 “Exploration of Verbal Repetition in People with Dementia Using an Online Symptom-tracking Tool.” International Psychogeriatrics29 (6): 959–966. 10.1017/S1041610216002180
    https://doi.org/10.1017/S1041610216002180 [Google Scholar]
  22. Ritchie, L. David, and Mary Anne Fitzpatrick
    1990 “Family communication patterns: Measuring intrapersonal perceptions of interpersonal relationships.” Communication Research17 (4): 523–544. 10.1177/009365090017004007
    https://doi.org/10.1177/009365090017004007 [Google Scholar]
  23. Ryan, Ellen Bouchard, Karen A. Bannister, and Ann P. Anas
    2009 “The Dementia Narrative: Writing to Reclaim Social Identity.” Journal of Aging Studies23 (3): 145–157. 10.1016/j.jaging.2007.12.018
    https://doi.org/10.1016/j.jaging.2007.12.018 [Google Scholar]
  24. Small, Jeff A., and Nirmaljeet Sandhu
    2008 “Episodic and Semantic Memory Influences on Picture Naming in Alzheimer’s Disease.” Brain and Language104 (1): 1–9. 10.1016/j.bandl.2006.12.002
    https://doi.org/10.1016/j.bandl.2006.12.002 [Google Scholar]
  25. Small, Jeff A., and JoAnn Perry
    2005 “Do You Remember? How Caregivers Question Their Spouses Who Have Alzheimer’s Disease and the Impact on Communication.” Journal of Speech, Language, and Hearing Research481:125–136. 10.1044/1092‑4388(2005/010)
    https://doi.org/10.1044/1092-4388(2005/010) [Google Scholar]
  26. Stickle, Trini, and Anya Wanner
    2020 “Making Sense of Syntactic Error in Conversations between Persons with Dementia and Their Non-impaired Co-participants.” InLearning from the Talk of Persons with Dementia, ed. byTrini Stickle, 85–109. London: Palgrave Macmillan. 10.1007/978‑3‑030‑43977‑4_6
    https://doi.org/10.1007/978-3-030-43977-4_6 [Google Scholar]
  27. Sueda, Kiyoko
    2014 “Research on Face in Communication Studies.” InNegotiating Multiple Identities, 19–36. Springer: Singapore. 10.1007/978‑981‑287‑008‑7_2
    https://doi.org/10.1007/978-981-287-008-7_2 [Google Scholar]
  28. Thorsell, Kasja B. E., Bengt M. Nordström, Lisbeth Fagerström, and Bengt V. Sivberg
    2010 “Time in Care for Older People Living in Nursing Homes.” Nursing Research and Practice10.1155/2010/148435
    https://doi.org/10.1155/2010/148435 [Google Scholar]
  29. Travers, Alice, and Vanessa Taylor
    2016 “What are the Barriers to Initiating End-of-life Conversations with Patients in the Last year of Life?” International Journal of Palliative Nursing22 (9): 454–462. 10.12968/ijpn.2016.22.9.454
    https://doi.org/10.12968/ijpn.2016.22.9.454 [Google Scholar]
  30. University of Exeter
    University of Exeter 2018 “Just 10 Minutes of Social Interaction a Day Improves Wellbeing in Dementia Care.” ScienceDaily. www.sciencedaily.com/releases/2018/07/180726161125.htm (accessedFebruary 4, 2022).
    [Google Scholar]
  31. Wilkinson, Heather
    2002The Perspectives of People with Dementia: Research Methods and Motivations. Philadelphia, PA: Jessica Kingsley Publishers.
    [Google Scholar]
  32. Wilkinson, Ray
    2019 “Atypical interaction: Conversation analysis and communicative impairments.” Research on Language and Social Interaction52 (3): 281–299. 10.1080/08351813.2019.1631045
    https://doi.org/10.1080/08351813.2019.1631045 [Google Scholar]
  33. Wray, Alison
    2020The Dynamics of Dementia Communication. New York: Oxford UP. 10.1093/oso/9780190917807.001.0001
    https://doi.org/10.1093/oso/9780190917807.001.0001 [Google Scholar]
/content/journals/10.1075/ps.23052.sti
Loading
  • Article Type: Research Article
Keyword(s): communication; conversation; dementia; inclusivity; linguistic loss
This is a required field
Please enter a valid email address
Approval was successful
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error