Perkins1998
| Perkins1998 | |
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| BibType | ARTICLE |
| Key | Perkins1998 |
| Author(s) | Lisa Perkins, Anne Whitworth, Ruth Lesser |
| Title | Conversing in dementia: A conversation analytic approach |
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| Tag(s) | EMCA, Conversation Analysis, Dementia |
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| Year | 1998 |
| Language | English |
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| URL | Link |
| DOI | https://doi.org/10.1016/S0911-6044(98)00004-9 |
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Abstract
Pragmatic impairment is a major source of disruption to communication between people with dementia and their caregivers. Speech and language therapists have an important role to play in providing education and advice to caregivers that will facilitate more effective communication. This aspect of therapy has become central to the management of communication difficulties in dementia and comprehensive lists of general strategies can be found in the literature. Currently, however, there are no procedures available to guide clinicians in individually targeting advice that take into account both the range of communication problems that can arise and the unique interaction that occurs between two individuals. Furthermore, suggested communication strategies have been clinician-driven rather than led by the patient or caregiver, thereby failing to incorporate the knowledge and skill that the caregiver has already developed. Finally, there are limited empirical data about the effects of modifying linguistic variables in communication with people with dementia. A review of existing research in this area is provided and the potential contribution of conversation analysis to the assessment and management of pragmatic disorders in dementia targeted at an individual level is explored. Using a conversation analytic framework, a methodology will be described that 1. (a) identifies the interactional difficulties from the perspective of the individual patient and caregiver,
2. (b) obtains information on the strategies currently being used at home and
3. (c) determines the degree of their success.
Data are presented and the implications for individually targeted education and advice to caregivers are discussed.
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