Geriatrics

Download Conversations with an Alzheimer's Patient: An Interactional by Heidi Ehernberger Hamilton PDF

By Heidi Ehernberger Hamilton

This ebook offers an interactional sociolinguistic method of the innovative communicative breakdowns normal of Alzheimer's disorder. The language utilized in open-ended, obviously happening conversations among the writer and one aged woman Alzheimer's sufferer over four-and-a-half years is investigated in an try and know how the patient's communicative skills and disabilities are comparable, how they alter, and the way they're prompted through the habit of the fit interlocutor.

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Extra info for Conversations with an Alzheimer's Patient: An Interactional Sociolinguistic Study

Sample text

In the following sections I introduce the reader to the conversational partners and their conversations which comprise the data base for this study. It is my hope that the enjoyment Elsie and I exhibit in these talks will not be completely dissected away as analytical frameworks are presented andfindingsreported. I hope in upcoming chapters to be able to maintain some of the feeling expressed by Rust (1986: 140) who, as a Introduction 29 nurses' aid, enjoyed talking with another elderly female Alzheimer's patient, Amy: "We sit and simply take up talking, wherever and whenever we are.

The patients produced many metalinguistic comments which were viewed as irrelevant propositions within the designated task. With regard to cohesive ties, Shekim (1983) found that her group of nine Alzheimer's patients at different stages of the disease used significantly fewer cohesive ties per 'communication unit' than did the nine subjects comprising the control group across all discourse types (including narrative, expository, and procedural discourse). Ripich and Terrell (1988) provide further evidence for this finding by observing that cohesion was "disrupted" more than twice as frequently for the Alzheimer's group as for the elderly comparison group in their study.

Upon arrival at her floor, I take Elsie to her table to eat lunch. 5. November 27, 1981 (8 minutes): During an initial 1-minute segment, Elsie declines my offer to take her to the exercise class, because she is sorting out her purse. I tell her I will go to other floors first and return for her in the hopes she will be ready then. Then, in a 7-minute segment following the exercise class which she ended up attending, Elsie helps me to get residents in wheelchairs to the elevator, stopping to tell one man she is praying for him to get better.

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