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In this introductory chapter, we provide a brief overview of some of the main topics related to dementia communication research that are addressed by the different chapters in this edited volume: Dementia and Diagnostics, Dementia and Conversational Strategies, Dementia and Epistemics, and Communicative Challenges in Everyday Social Life. One of the central aims of this volume is to shed more light on how persons with dementia accomplish relevant goals in interaction and also how changes in an individual’s discursive abilities may impact how conversationalists negotiate a world in common and continue to build their social relationships. All contributions for this edited volume draw on the methods of Conversation Analysis (CA), an approach to social interaction that provides a detailed view of the moment-by-moment accomplishment of social life. By exploring interactional practices through the lens of CA, this volume seeks to explore interactions involving people with dementia in a variety of contexts (everyday and institutional), pointing to both the interactional difficulties that often arise, but also the creativity and collaboration within these interactional encounters. A summary of each of the volume’s chapters is also provided.
For this chapter, we examine everyday interactions involving a person diagnosed with behavioral variant frontotemporal dementia (bvFTD; pseudonym Trudy). Drawing on the methods of conversation analysis, our specific research focus is placed on how knowledge is solicited, displayed and resisted in contexts of viewing family photos. Our data are taken from video recordings of Trudy at home in the presence of family, caregivers and two researchers. We found that looking at family photos comprised three different activities, each aiming to elicit a response from Trudy: ’Who are they?’; ’Who is that?’; ’Find X!’. Epistemic stances taken up by the participants were found to index Trudy’s ‘reduced’ epistemic domain with respect to her ability in recognizing family members in photos. On the other hand, it was also found that she was able to take up a position of epistemic authority when asserting who is not in the picture. To conclude, although Trudy was at times able to take up a position of epistemic authority to reveal her biographical knowledge, the conversational agenda mainly involved testing Trudy on what she knew, with the unfortunate result being that it was often made clear where she was lacking in knowledge.
Bringing together cutting-edge research from a group of international scholars, this innovative volume examines how people with dementia interact with others in a variety of social contexts, ranging from everyday conversation to clinical settings. Drawing on methods from conversation analysis, it sheds light on how people with dementia accomplish relevant goals in interaction, as well as how changes in an individual's discursive abilities may affect how conversationalists negotiate a world in common and continue to build their social relationships. By exploring interaction, this book breaks new ground in challenging the commonplace assumptions about what constitutes typical or atypical interactions in communication involving people with dementia, and further demonstrates the unique and creative strategies all speakers employ to facilitate better and more collaborative communication. It is essential reading for academic researchers and advanced students across sociolinguistics, interactional linguistics and conversational analysis, as well as health care practitioners.