Madden2002

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Madden2002
BibType ARTICLE
Key Madden2002
Author(s) Marnie L. Madden, Mary L. Oelschlaeger, Jack S. Damico
Title The Conversational Value of Laughter for a Person with Aphasia
Editor(s)
Tag(s) EMCA, aphasia, laughter
Publisher
Year 2002
Language
City
Month
Journal Aphasiology
Volume 16
Number 12
Pages 1199–1212
URL Link
DOI 10.1080/02687030244000437
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
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Abstract

Background: In clinical aphasiology, laughter has been mentioned as an important ingredient in treatment but few studies have directly investigated its contribution.

Aims: To increase our understanding, we designed this study to specifically investigate laughter as a conversational resource. Methods & Procedures: A naturally occurring conversation was videotaped and subsequently reviewed to identify conversational segments that included the laughter of a person with aphasia. Using conversational analysis, 47 laughter segments were coded and categorised to reveal similarities and differences in their sequential organization.

Outcomes & Results: Results showed four ways in which laughter was used to achieve conversational goals: as a turn-taking cue, a display of understanding, an orienting cue, and as instruction to hear. Descriptive comparison of laughter uses in aphasic and nonaphasic conversation showed similarities in organisational structure of laughter segments but differences in conversational context. Laughter was frequently associated with "trouble spots" in this study: no report of laughter associated with "trouble spots" was noted in nonaphasic literature.

Conclusions: From a theoretical perspective, these results, in concert with those from previous studies of conversation, provide evidence that a nonlinguistic behaviour - laughter - contributes to the re-establishment of social interaction and meaning-making despite linguistic deficits. From a clinical perspective, laughter may be recognised as a viable conversational strategy, allowing for increased communicative access that positively impacts perceptions of competence and psychosocial well-being of persons with aphasia.

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