Accounting for forgetfulness in dementia interaction

Svennevig, Jan; Landmark, Anne Marie Dalby

doi:10.1515/lingvan-2018-0021

Cited by 15 publications

(18 citation statements)

References 30 publications

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“…These accounts rationalize the process of arriving at an incorrect answer, thereby normalizing it rather than imputing it to the memory problems associated with dementia (see also Lindholm, 2015). As such, they resemble the type of accounts that have been described to occur when a PWD is unable to answer a question about personal experiences (Svennevig and Landmark, 2019). Our study also revealed that in response to the repair initiations, the PWDs managed to preserve some epistemic rights, either by confirming the correction (Kristiansen et al, 2017; Mikesell, 2010), by integrating it into their own account (Black, 2011), or by opposing the correction and maintaining their original claim.…”

Section: Discussionmentioning

confidence: 66%

“…The social sensitivity of not knowing has also been explored. Svennevig and Landmark (2019) found that PWDs and their interlocutors oriented to not remembering personal experiences as accountable when asked factual questions by their interlocutor. In their study, the PWDs, or their interlocutors, regularly provided accounts that either normalized the lack of knowledge, or, on the contrary, ‘exceptionalized’ it by attributing it to the dementia disease.…”

Section: Introductionmentioning

confidence: 94%

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Couples living with dementia managing conflicting knowledge claims

et al. 2021

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This conversation analytic study investigates how couples manage conflicting knowledge claims when one of the persons has dementia (PWD). The data are video-recordings of 16 couples talking with a third party. The analysis focuses on the negotiation of epistemic rights, more precisely how partners initiate repair and correct claims made by the PWD on matters belonging to the latter’s epistemic domain. We identified three main practices for correcting the PWD: (1) correcting the statement, thereby claiming epistemic authority for oneself and denying it to the PWD, (2) inviting the PWD to self-correct, thereby attributing some epistemic authority to the PWD, and (3) disagreeing and providing reasons for one’s alternative claim, establishing a more symmetric epistemic gradient. The PWDs responses to the corrections displayed different degrees of acceptance, ranging from self-denigration to resistance and insistence.

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Section: Discussionmentioning

confidence: 66%

Section: Introductionmentioning

confidence: 94%

Couples living with dementia managing conflicting knowledge claims

et al. 2021

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“…This utterance seems to initiate a metacommunicative parenthesis, expressing her frustration with not being able to continue the utterance, at least this is how it is interpreted by P in her understanding check (line 15). In addition, it provides an account for her inability to provide an answer, treating the problem as exceptional (Svennevig & Landmark 2019). The code-switching thus has a discourse-related function, in marking parts of the talk as being distinct from and inserted into the main activity of the talk.…”

Section: Excerptmentioning

confidence: 99%

Code-switching in multilinguals with dementia: patterns across speech contexts

Svennevig

Hansen

Simonsen

et al. 2019

Clinical Linguistics & Phonetics

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The study investigates code-switching by multilingual persons with dementia in two different speech contexts, picture naming tests and spontaneous conversation. It combines a psycholinguistic perspective on cognitive and linguistic skills with a qualitative conversation analytic approach to understanding the functions and appropriateness of code-switching in social interaction. The analysis shows that code-switching is used as a resource for compensating for word-retrieval problems in both the naming tests and in word search sequences in conversation. Furthermore, it serves to demarcate metacommunicative parentheses in which the participants comment on their process of word retrieval or express frustration about processing problems. Code-switching is generally treated as appropriate and relevant by the participants. In most instances, the speakers switch to a language known by the interlocutor. Only a few instances are treated as inappropriate by not being understandable to the interlocutor or by not adapting to the established language of the conversation. The patterns of code-switching are discussed considering typical symptoms of cognitive decline associated with dementia. Only very few instances may be interpreted as caused by a lack of awareness of the interlocutor's language background (associated with reduced episodic memory) or a lack of inhibition. Code-switching thereby presents itself primarily as a communicative resource for handling and overcoming another dementia-related symptom, namely anomia.

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“…Yet again, Mathias' contribution of providing an account here can be seen as a way of contributing to and ratifying his wife's selfpraise in regard to managing her chores despite occasional shortcomings. Mathias' detailed account provides evidence for a justification for Kari's forgetfulness, which Svennevig and Landmark (2019) also found in regard to forgetfulness during interaction. Overall, the practice of normalising and justifying trouble is responded to by Kari with self-praise, and it opens a possibility for a strengthened positive framing of her abilities.…”

Section: Justifying Troublementioning

confidence: 74%

“…The downplay by Mathias justifies Kari's troubles with baking since when presenting it as a rarity (i.e. Svennevig & Landmark, 2019). Kari affiliates with Mathias by responding that she does not bake much since she finds it boring.…”

Section: Mitigating Troublementioning

confidence: 99%

Framing dementia experiences in a positive light: Conversational practices in one couple living with dementia

Nilsson

2021

Dementia

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The general approach to a life with dementia is negatively charged, and alternative views are rarely found in research or in media coverage. This case-study explores conversational practices for framing dementia in a more positive light, employed by a husband of a wife with dementia. Framing regards the structured experiences of dementia, drawing on Goffman’s ‘Frame Analysis’. Benefitting from conversation analysis, this article presents principal results of four conversational practices used by the spouse without dementia: mitigating trouble, normalising trouble, justifying trouble, and praising. The conclusions drawn are that the practices contribute to the challenging of the dominant negative framework of the dementia experience, as they facilitate talk which emphasises the wife with dementia’s positive progression and skills in managing the household chores. Despite a positive framing of dementia, this couple still embed their talk in the overall negative framework of loss and decreased cognitive competence. The visualisation of a positive framing could add to a broadened view of dementia, which in turn could contribute to greater well-being for those affected. However, the results may also imply a risk of one spouse’s conversational practices of normalising and mitigating trouble being dominant in interaction and thereby neglecting the other spouse’s experience of the situation.

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Accounting for forgetfulness in dementia interaction

Cited by 15 publications

References 30 publications

Couples living with dementia managing conflicting knowledge claims

Couples living with dementia managing conflicting knowledge claims

Code-switching in multilinguals with dementia: patterns across speech contexts

Framing dementia experiences in a positive light: Conversational practices in one couple living with dementia

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