Language Interaction And Frontotemporal Dementia

In the past before improving technologies allowed for the direct observation of brain activity, brain damaged patients were a prime avenue for understanding language structure and inferring back to brain function. Now with the rapid developments in neuroscience, what we do know about the brain can inform us of language allowing us to build hypotheses about the role particular brain regions perform in language use. Brain damaged patients thus become populations which serve as test cases. In this volume, the researchers focus on the interactions of frontotemporal dementia patients. These patients have right hemisphere, frontal and temporal pole atrophy which leaves their cognitive abilities intact, but their social interactions impaired and their personalities changed. The volume opens with a discussion of the frontal lobes and their expected contributions to language as a tool for social interaction. Then a conversation analytic approach is applied to analyze what changes in the structure of interaction lead to a sense that the interactions are impaired or inappropriate. Finally, the volume ends with a look forward to what FTD contributes to our understanding of human sociality and what has been gained in our understanding of the brain and language.

This volume takes the positive view that conversation between persons with dementia and their interlocutors is a privileged site for ongoing cognitive engagement. The book aims to identify and describe specific linguistic devices or strategies at the level of turn-by-turn talk that promote and extend conversation, and to explore real-world engagements that reflect these strategies. Final reflections tie these linguistic strategies and practices to wider issues of the "self" and "agency" in persons with dementia. Thematically, the volume fosters an integrated perspective on communication and cognition in terms of which communicative resources are recognized as cognitive resources, and communicative interaction is treated as reflecting cognitive engagement. This reflects perspectives in cognitive anthropology and cognitive science that regard human cognitive activity as distributed and culturally rooted. This volume is intended for academic researchers and advanced students in applied linguistics, linguistic and medical anthropology, nursing, and social gerontology; and practice professionals in speech-language pathology and geropsychology.

This book offers an in depth analysis of the interactional challenges that arise due to various dementias and in a variety of social contexts. By assessing conversations between persons with dementia and their family members, caregivers, and clinicians, it shares insights into both the language and actions selected by the participants. Using several different research methods, authors highlight competencies and areas of struggle, as well as choices that ease interactions along with those that seem to complicate them. Each chapter provides practical strategies to help readers better navigate day-to-day interactions with persons with dementia. The book is part of a continuing effort to offer guidance and hope to those for whom such conversations have become part of their daily lives. It presents concrete recommendations for specific groups such as family members, caregivers, and clinicians; it will also be of interest to researchers in the field of dementia and early career scholars interested in the methodologies discussed.

This book brings together international, linguistic research with a focus on interaction in multilingual encounters involving people with dementia in care and healthcare settings. The methodologies used (Conversation Analysis, Ethnography and Discursive Constructionism) capture practices on the micro-level, revealing how very subtle details may be of critical importance for the everyday well-being of participants with dementia, particularly in settings and contexts where there is a lack of a common verbal language of interlocutors, or where language abilities have been lost as a result of dementia. Chapters analyse the practices and actions employed by interlocutors to facilitate mutual understanding, enhance high-quality social relations and assure optimal care and treatment, in spite of language and cognitive difficulties, with an emphasis put on the participants’ remaining capacities, and what can be achieved between people with dementia and their interlocutors in a collaborative fashion. This book goes beyond the study of two-party communication to address multiparty and group interactions which are common in residential care and other healthcare settings and will be of interest to professionals and policy makers as well as to medical sciences and linguistics researchers and students.

Atypical Interaction presents a state-of-the-art overview of research which uses conversation analysis to explore how communicative impairments impact on conversation and other forms of talk and social interaction. Although the majority of people use spoken language unproblematically in social interaction, many individuals have an atypical capacity for communication. The first collection of its kind, this book examines a wide range of conditions where the communication of children or adults is atypical, including autism spectrum disorder, dementia, stammering, hearing impairment, schizophrenia, dysarthria and aphasia. By analyzing recordings of real-life interactions, the collection highlights not only the communication difficulties and challenges faced by atypical communicators and their interlocutors in everyday life, but also the competences and often novel forms of communication displayed. With fourteen empirical chapters from leading scholars in the field and an introductory chapter which provides a background to conversation analysis and its application to the study of atypical interactions, the collection will be an invaluable resource for students, practitioners such as speech and language therapists, and researchers with an interest in human communication, communication diversity and disorder.

This book focuses on language and communication issues with older people with mental health problems. Radically revised and updated from the authors’ earlier book, “Communication Disability and the Psychiatry of Old Age”, this book recognizes that language and communication is not just the business of speech and language therapy but is relevant to all staff involved with people who have mental health difficulties. This book focuses on what older people with mental health difficulties require to maintain their independence and to minimize the effects of degenerative disease processes for as long as possible from a speech and language perspective. Relevant to all members of the multidisciplinary team involved within older people’s mental health services Each chapter is evidence-based and factual Reflects the substantial advances in the diagnosis and treatment of dementias

Dementia: From Diagnosis to Management - A Functional Approach is a comprehensive description of a functional and behavioral approach to assessing and treating persons with dementia. While very practical, the information is embedded in a scientific context of the causes, neuropsychological manifestations, and complications of dementia. The management of the impairments of dementia is centered on its functional consequences and impact on daily living. The chapters describe behavioral interventions and environmental strategies that aim to improve daily activities and quality of life from a proactive communication and memory basis. Specific suggestions are provided to enhance family involvement and staff relationships, interdisciplinary cooperation, reimbursement, and documentation across various home and institutional settings. The book is written in a straightforward style and is evenhanded in its critical analyses of the evidence available to inform practice. The extensive clinical backgrounds of the authors allow them to use ‘real world’ case studies to illustrate common challenges of persons with dementia and potential solutions for caregivers. Further resources and clinical materials are included in comprehensive appendices. The volume provides essential reading for clinicians and administrators who seek to improve the lives of people with dementia and those who care for them. It is also an invaluable reference for beginning students in adult language disorders and gerontology.