Hostname: page-component-76fb5796d-22dnz Total loading time: 0 Render date: 2024-04-28T08:51:00.709Z Has data issue: false hasContentIssue false

Interactional differences in Alzheimer's discourse: An examination of AD speech across two audiences

Published online by Cambridge University Press:  19 February 2009

Vai Ramanathan-Abbott
Affiliation:
Department of Linguistics, University of Southern California, Los Angeles, CA 90089

Abstract

Assessments of the narrative abilities of patients suffering from Alzheimer's disease should consider the interactions that generate the narratives. By analyzing the discourse of an AD patient in interaction with two different interlocutors, namely her husband and the author, this study calls attention to ways in which one interaction facilitates narratives and the other does not. Previous psycholinguistic research, largely focusing on the resultant narrative, has understood the AD patient's deteriorating narrative skills as a result of the progressively debilitating nature of the disease. This is undoubtedly true, but extensive and meaningful talk is nevertheless possible, partially grounded in and constructed through social interaction. (Discourse analysis, Alzheimer's disease, narrative social interaction)

Type
Articles
Copyright
Copyright © Cambridge University Press 1994

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Albert, Martin (1981). Changes in language with aging. Seminars in Neurology 1:43–6.CrossRefGoogle Scholar
Anderson, John, & Bower, Gordon 1972). Recognition and retrieval processes in free recall. Psychological Review 79:97123.CrossRefGoogle Scholar
Adderson, John,Bowr, Gordon 1974 A propositional theory of recognition memory. Memory and Cognition 2:406–12.CrossRefGoogle Scholar
Appell, Julian; Keretz, Andrew; & Fisman, Michael (1982). A study of language functioning in Alzheimer's patients. Brain and Language 17:7391.CrossRefGoogle Scholar
Bartlett, Fredrick (1932). Remembering: A study in experimental psychology. Cambridge: Cambridge University Press.Google Scholar
Bauman, Richard (1986). Story, performance, event. Cambridge & New York: Cambridge University Press.CrossRefGoogle Scholar
Bayles, Kathryn (1982). Language function in senile dementia. Brain and Language 16:265–80.CrossRefGoogle ScholarPubMed
Bayles, Kathryn, & Tomoeda, Cheryl (1983). Confrontation naming impairment in dementia. Brain and Language 19:98114.CrossRefGoogle ScholarPubMed
Bayles, Kathryn; Tomoeda, Cheryl; & Kasniak, Alfred (1985). Verbal perseveration in dementia patients. Brain and Language 2:102–16.CrossRefGoogle Scholar
Coupland, Nikolas; Coupland, Justine; & Giles, Howard (1991). Language, society and the elderly: Discourse, identity and ageing. Oxford: Blackwell.Google Scholar
Critchley, Macdonald (1964). The neurology of psychotic speech. British Journal of Psychiatry 110:353–64.CrossRefGoogle ScholarPubMed
Cummings, Jeffrey (1988). Dementia of the Alzheimer's type: Challenges of definition and clinical diagnosis. In Whitaker, Harry (ed.), Neuropsychological studies of non-focal brain dam age, 86107. New York: Springer.CrossRefGoogle Scholar
Duranti, Alessandro, & Brenneis, Donald (1986), eds. The audience as co-author. (Text, 6:3) Berlin: Mouton de Grayter.Google Scholar
Emery, Olga (1985). Language and aging. Experimental Aging Research 1:360.Google Scholar
Folstein, Marshall, & Breitner, John (1982). Language disorder predicts familial Alzheimer's disease. In Corkin, Suzanne (ed.), Aging 19, 197200. New York: Raven.Google Scholar
Gee, James (1990). Social linguistics and literacies: Ideology in Discourses. Basingstoke: Falmer Press.Google Scholar
Giddens, Antony (1984). The constitution of society: Outline of the theory of structuration. Cambridge & New York: Polity.Google Scholar
Goffman, Erving (1971). Relations in public. New York: Basic.Google Scholar
Goffman, Erving (1983). The interaction order. American Sociological Review 48:117.CrossRefGoogle Scholar
Goodwin, Charles (1986). Audience diversity, participation and interpretation. Text 6:283316.Google Scholar
Goodwin, Marjorie (1982). “Instigating”: Story telling as social process. American Ethnologist 9:799819.CrossRefGoogle Scholar
Halliday, Michael, & Hasan, Ruqaiya (1976). Cohesion in English. London: Longman.Google Scholar
Hamilton, Heidi (1991). Accommodation and mental disability. In Giles, Howard et al. (eds.), Contexts of accommodation, 157–86. Cambridge & New York: Cambridge University Press.CrossRefGoogle Scholar
Heir, Daniel; Hagenlocker, Karen; & Shindler, Andrea (1985). Language disintegration in dementia: Effects of etiology and severity. Brain and Language 25:117–33.CrossRefGoogle Scholar
Hollingworth, H. (1913). Characteristic difference between recall and recognition. American Journal of Psychology 24:532–44;.CrossRefGoogle Scholar
Huff, Jacob (1988). The disorder of naming in Alzheimer's disease. In Light, Leah & Burke, Deborah (eds.), Language, memory and aging, 209–20. Cambridge & New York: Cambridge University Press.CrossRefGoogle Scholar
Hunt, Matthew (1990). Narrative in mild and moderate dementia of the Alzheimer type. University of Southern California, MS.Google Scholar
Jefferson, Gail (1978). Sequential aspects of story telling in conversation. In Schenkein, Jim (ed.), Studies in the organization of conversational interaction, 219&48. New York: Academic.CrossRefGoogle Scholar
Kempler, Daniel (1991). Language changes in dementia of the Alzheimer's type. In Lubinski, Rosemary (ed.), Dementia and communication: Research and clinical implications, 98114. St. Louis: Decker.Google Scholar
Kintsch, Walter (1970). Models for free recall and recognition. In Norman, Donald (ed.), Models of human memory, 331–73. New York: Academic.CrossRefGoogle Scholar
Linde, Charlotte (1987). Explanatory systems in oral life stories. In Holland, Dorothy & Quinn, Naomi (eds.), Cultural models in language and thought, 343–66. Cambridge & New York: Cambridge University Press.CrossRefGoogle Scholar
Linton, Marigold (1982). Transformations of memory in everyday life. In Neisser, Ulrich (ed.), Memory observed, 7791. San Francisco: Freeman.Google Scholar
Mandelbaum, Jenny (1989). Interpersonal activities in conversational storytelling. Western Journal of Speech Communication 53:114–26.CrossRefGoogle Scholar
Martin, Alex, & Fedio, Paul (1983). Word production and comprehension in Alzheimer's disease: The breakdown of semantic knowledge. Brain and Language 19:124–41.CrossRefGoogle ScholarPubMed
Mishler, Elliot (1984). The discourse of medicine: Dialectics of medical interviews. Norwood, NJ: Ablex.Google Scholar
Nicholas, Marjorie; Obler, Loraine; & Helm-Estabrooks, Nancy (1985). Empty speech in Alzheimer' disease and fluent aphasia. Journal of Speech and Hearing Research 28:405–10.CrossRefGoogle ScholarPubMed
Nofsinger, Robert (1991). Everyday conversation. Newbury Park, CA: Sage.Google Scholar
Norman, Donald (1968). Toward a theory of memory and attention. Psychological Review 75:522–36.CrossRefGoogle Scholar
Obler, Loraine (1983). Language and communication in dementia. Paper presented at Ohio Speech and Hearing Association Conference,Cleveland.Google Scholar
Polkinghorne, Donald (1988). Narrative knowing and the human sciences. Albany: State University of New York Press.Google Scholar
Radley, Alan (1990). Artefact, memory and a sense of the past. In Middleton, David & Edwards, Derek (eds.), Collective remembering, 4658. London: Sage.Google Scholar
Ripich, Danielle, & Terrell, Brenda (1988). Patterns of discourse cohesion and coherence in Alzheimer's disease. Journal of Speech and Hearing Disorders 53:815.CrossRefGoogle ScholarPubMed
Rubin, David (1986), ed. Autobiographical memory. Cambridge & New York: Cambridge University Press.CrossRefGoogle Scholar
Sabat, Stephen (1991). Turn-taking, turn-giving, and Alzheimer's disease: A case study in conversation. Georgetown Journal of Languages and Linguistics 2:161–75.Google Scholar
Sacks, Harvey (1974). An analysis of the course of a joke' telling in conversation. In Bauman, Richard & Sherzer, Joel (eds.), Explorations in the ethnography of speaking, 337–53. Cambridge & New York: Cambridge University Press.Google Scholar
Schegloff, Emanuel (1982). Discourse as an interactional achievement: Some uses of “uh-huh” and other things that come between sentences. In Tannen, Deborah (ed.), Analyzing discourse: Text and talk, 7193. Washington, DC: Georgetown University Press.Google Scholar
Schegloff, Jefferson, Gail; & Sacks, Harvey (1987). The preference for self-correction in the organization for repair in conversation. Language 53:361–82.CrossRefGoogle Scholar
Schiffrin, Deborah(1987) Discourse markers. Cambridge & New York: Cambridge University Press.CrossRefGoogle Scholar
Tulving, Endel (1976). Ecphoric process in recall and recognition. In Brown, John (ed.), Recall and recognition, 3773. London: Wiley.Google Scholar
Ulatowska, Hanna et al. , (1988). Discourse performance in subjects with dementia of the Alzheimer's type. In Whitaker, Harry (ed.), Neuropsychological studies in nonfocal brain damage, 108–31. New York: Springer.CrossRefGoogle Scholar
Watson, Lawrence, & Watson-Franke, Maria-Barbara (1985). Interpreting life histories: An anthropological inquiry. New Brunswick, NJ: Rutgers University Press.Google Scholar
Whitaker, Haiganoosh (1976). A case of the isolation of the language function. In Whitaker, Harry & Whitaker, Haiganoosh (eds.), Studies in neurolinguistics, 2, 158. New York: Academic.Google Scholar