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Conversations with an Alzheimer's pa...

Hamilton, Heidi Ehernberger.

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Conversations with an Alzheimer's patient: An interactional examination of questions and responses.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Conversations with an Alzheimer's patient: An interactional examination of questions and responses./
Author:	Hamilton, Heidi Ehernberger.
Description:	330 p.
Notes:	Source: Dissertation Abstracts International, Volume: 50-09, Section: A, page: 2879.
Contained By:	Dissertation Abstracts International50-09A.
Subject:	Language, Linguistics. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9004734

Conversations with an Alzheimer's patient: An interactional examination of questions and responses.
Hamilton, Heidi Ehernberger.

Conversations with an Alzheimer's patient: An interactional examination of questions and responses. - 330 p.

Source: Dissertation Abstracts International, Volume: 50-09, Section: A, page: 2879.

Thesis (Ph.D.)--Georgetown University, 1989.

This longitudinal case study represents a complementary approach to traditional linguistic analyses of language loss which are based on isolated speech samples elicited in clinical testing situations. This study examines the role which language plays in the life of one Alzheimer's patient, both as a changing symptom of the progression of the disease and in reactions by a healthy conversational partner to the patient's communicative breakdowns. Analyses focus on discourse-level language use by an elderly female Alzheimer's patient in open-ended, natural conversations with the researcher over four years. Following a profile of Elsie's communicative abilities as observed in these conversations, specific examinations of question/response pairs consider both the patient's problems and successes as well as the influence of the healthy interlocutor. The patient's responses to questions are shown to change qualitatively over time from vague responses to grammatically or lexically mismatched responses to mismatches of grammatical question type to no response at all. Production as well as comprehension problems are shown to underlie this inappropriateness.Subjects--Topical Terms:

1018079
Language, Linguistics.

Conversations with an Alzheimer's patient: An interactional examination of questions and responses.
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100 1 $a Hamilton, Heidi Ehernberger. $3 579928
245 1 0 $a Conversations with an Alzheimer's patient: An interactional examination of questions and responses.
300 $a 330 p.
500 $a Source: Dissertation Abstracts International, Volume: 50-09, Section: A, page: 2879.
502 $a Thesis (Ph.D.)--Georgetown University, 1989.
520 $a This longitudinal case study represents a complementary approach to traditional linguistic analyses of language loss which are based on isolated speech samples elicited in clinical testing situations. This study examines the role which language plays in the life of one Alzheimer's patient, both as a changing symptom of the progression of the disease and in reactions by a healthy conversational partner to the patient's communicative breakdowns. Analyses focus on discourse-level language use by an elderly female Alzheimer's patient in open-ended, natural conversations with the researcher over four years. Following a profile of Elsie's communicative abilities as observed in these conversations, specific examinations of question/response pairs consider both the patient's problems and successes as well as the influence of the healthy interlocutor. The patient's responses to questions are shown to change qualitatively over time from vague responses to grammatically or lexically mismatched responses to mismatches of grammatical question type to no response at all. Production as well as comprehension problems are shown to underlie this inappropriateness.
520 $a The overarching notion of effort, manifested on the interpersonal level by problems in taking the role of the other and on the intrapersonal level by increased use of automatic language, is shown to account for the patient's hierarchy of communicative breakdown over time. Within the framework of division of labor in discourse, the patient's decreased effort is found to result in her interlocutor performing an ever-greater proportion of the work to sustain their interactions. In designing questions, for example, the healthy partner accommodates before-the-fact to the patient's problems in an attempt to prevent communicative breakdowns. When such breakdowns do occur, the interlocutor responds after-the-fact along a continuum of correction to avoidance of the problem. A tridimensional model interprets these responses according to the relative degree of speaker focus in the situation on the interactional goals of coherence and maintenance of positive and negative face.
520 $a This study underscores the importance of an interactional approach to a valid understanding of language loss, one which examines manifestations of such loss not as isolated phenomena, but as a human problem within multiple linguistic and social contexts.
590 $a School code: 0076.
650 4 $a Language, Linguistics. $3 1018079
650 4 $a Psychology, Clinical. $3 524864
690 $a 0290
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710 2 0 $a Georgetown University. $3 1017582
773 0 $t Dissertation Abstracts International $g 50-09A.
790 $a 0076
791 $a Ph.D.
792 $a 1989
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9004734