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- Bloch, Steven, 1965, et al.
(författare)
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Problematic topic transitions in dysarthric conversation
- 2015
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Ingår i: International Journal of Speech-Language Pathology. - : Informa UK Limited. - 1754-9507 .- 1754-9515. ; 17:4, s. 373-383
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: This study examined the nature of topic transition problems associated with acquired progressive dysarthric speech in the everyday conversation of people with motor neurone disease. Method: Using conversation analytic methods, a video collection of five naturally occurring problematic topic transitionswas identified, transcribed and analysed. These were extracted from a main collection of over 200 other-initiated repair sequences and a sub-set of 15 problematic topic transition sequences. The sequences were analysed with reference to how the participants both identified and resolved the problems. Result: Analysis revealed that topic transition by people with dysarthria can prove problematic. Conversation partners may find transitions problematic not only because of speech intelligibility but also because of a sequential disjuncture between the dysarthric speech turn and whatever topic has come prior. In addition the treatment of problematic topic transition as a complaint reveals the potential vulnerability of people with dysarthria to judgements of competence. Conclusion: These findings have implications for how dysarthria is conceptualized and how specific actions in conversation, such as topic transition, might be suitable targets for clinical intervention.
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| 2. |
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| 3. |
- Ferm, Ulrika, 1966, et al.
(författare)
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Negotiating disagreement in picture symbol supported decision making
- 2015
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Ingår i: Journal of Interactional Research in Communication Disorders/Equinox. - : Equinox Publishing. - 2040-5111 .- 2040-512X. ; 6:2, s. 131-156
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Tidskriftsartikel (refereegranskat)abstract
- This study explores how meaning is co-constructed and negotiated when couples affected by Parkinson’s disease use a symbol supported decision making process (Talking Mats) to talk about their daily lives. Interaction data from three couples of men with Parkinson’s disease, their female partners and a facilitator were examined using Conversation Analysis (CA). Three negotiation sequences in which the partners disagreed regarding the ability of the person with Parkinson’s disease were used to explore the management of divergent views. Negotiation was an individualized process in which the men with Parkinson’s disease were at risk of not being fully involved. Negative assessment and disagreement were displayed in different ways. Strategies such as the use of pronouns and proper names seemed to play important functions in negotiation. Use of pictures such as with Talking Mats may support the handling of different views but partners need to be aware of the potential difficulties involved.
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| 5. |
- Saldert, Charlotta, 1966, et al.
(författare)
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Combining methods in the assessment and analysis of communication in aphasia: Benefits and shortcomings of different approaches
- 2012
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Ingår i: Journal of Interactional Research in Communication Disorders. - : Equinox Publishing. - 2040-512X .- 2040-5111. ; 3:2, s. 141-169
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Tidskriftsartikel (refereegranskat)abstract
- In this case study the benefit of using analysis of conversational interaction in clinical assessment of communication is explored. A diagnostic test revealed a severe global aphasia in a man. However, according to a questionnaire filled out by the wife, her husband had some functional communication. The description of the consequences of aphasia in this man was further modified and enriched by analyses of conversational interaction between the man and his spouse. The Measure of Participation in Conversation and the Measure of Skill in Supported Conversation show that the couple has strategies that facilitate communication. Activity-based Communication Analysis provides information about how the strategies are used and about the influence of different factors brought into the interaction by the situation and the individuals involved. Thus, although time consuming, analysis of natural conversations provide valid information that is of importance in assessment of communication and implementation of intervention that can have an impact on everyday life in persons with aphasia and their conversation partners.
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| 6. |
- Saldert, Charlotta, 1966, et al.
(författare)
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Huntington’s disease
- 2021
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Ingår i: Handbook of Pragmatic Language Disorders. Complex and Underserved Populations. - Cham : Springer. - 9783030749842 ; , s. 461-494
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Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- Huntington’s disease is a neurodegenerative disorder with progressive motor, cognitive, and neuropsychiatric impairments. There is evidence that problems in both motor speech and language affect individuals’ ability to use language for active participation in everyday communication. Impaired non-verbal language use and comprehension deficits as well as lexical-semantic issues with word-finding difficulties impact the communicative interaction. As the disease progresses, discourse may be restricted by latencies and short, less elaborated utterances with an insufficient level of detail. Speech may become effortful, variable, and difficult to understand. This affects turn-taking along with topic management and also leads to an increased need for repair and adjustment from the communication partner. In this chapter, we adopt an emergentist perspective on pragmatic ability. Research on impairments in several different basic motor and cognitive systems and the effect of these impairments on pragmatic aspects of everyday communication will be presented along with snapshots from lived experiences of Huntington’s disease. Assessment methods used in the investigation of pragmatic aspects of communicative impairment in Huntington’s disease, as well as current communication interventions that may be beneficial, will also be described.
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| 7. |
- Saldert, Charlotta, 1966, et al.
(författare)
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Semantic trouble sources and their repair in conversations affected by Parkinson's disease
- 2014
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Ingår i: International journal of language and communication disorders. - : Wiley. - 1368-2822. ; 49:6, s. 710-721
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Tidskriftsartikel (refereegranskat)abstract
- Background: It is known that dysarthria arising from Parkinson’s disease may affect intelligibility in conversational interaction. Research has also shown that Parkinson’s disease may affect cognition and cause word-retrieval difficulties and pragmatic problems in the use of language. However, it is not known whether or how these problems become manifest in everyday conversations or how conversation partners handle such problems. Aims: To describe the pragmatic problems related to the use of words that occur in everyday conversational interaction in dyads including an individual with Parkinson’s disease, and to explore how interactants in conversation handle the problems to re-establish mutual understanding. Methods & Procedures: Twelve video-recorded everyday conversations involving three couples where one of the individuals had Parkinson’s disease were included in the study. All instances of other-initiated repair following a contribution from the people with Parkinson’s disease were analysed. Those instances involving a trouble source relating to the use of words were analysed with a qualitative interaction analysis based on the principles of conversation analysis. Outcomes & Results: In 70% of the instances of other-initiated repair the trouble source could be related to the semantic content produced by the individual with Parkinson’s disease. The problematic contributions were typically characterized bymore or less explicit symptoms of word search or use of atypicalwording.The conversation partners completed the repair work collaboratively, but typically the non-impaired individual made a rephrasing or provided a suggestion for what the intended meaning had been. Conclusions & Implications: In clinical work with people with Parkinson’s disease and their conversation partners it is important to establish what type of trouble sources occur in conversations in a specific dyad. It may often be necessary to look beyond intelligibility and into aspects of pragmatics to understand more fully the impact of Parkinson’s disease on everyday conversational interaction.
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| 9. |
- Broberg, Malin, 1971, et al.
(författare)
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Measuring responsive style in parents who use AAC with their children: Development and evaluation of a new instrument
- 2012
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Ingår i: Augmentative and Alternative Communication : AAC. - : Informa UK Limited. - 0743-4618 .- 1477-3848. ; 28:4, s. 243-253
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to develop and evaluate an instrument – the Responsive Augmentative and Alternative Communication Style (RAACS) scale Version 2 – to assess the communicative style of parents as they interact with their children using augmentative and alternative communication (AAC). This scale was used to analyze play interactions between 43 parents and 28 children with different diagnoses (including Down syndrome, autism, cerebral palsy, and intellectual disability), aged between 12 and 60 months. Parent–child interactions were observed both before and after parent participation in ComAlong, a training course on using responsive communication and AAC to support interaction with children. Based on an analysis of the results, Version 3 of the RAACS scale was developed and is recommended for future use. Analyses of Version 3 showed acceptable inter- and intra-coder reliability, and excellent internal consistency.
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| 10. |
- Buchholz, Margret, 1968, et al.
(författare)
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Digital Communication and Social Media for People with Communicative and Cognitive Disabilities
- 2019
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Ingår i: Everyday Technologies in Healthcare. - Boca Raton : CRC Press. - 9781351032186 ; , s. 193-211
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Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- Remote communication means communication between people who are not physically in the same place. For instance, using everyday technology like smartphones, tablets and computers, including services for calls (e.g. WhatsApp), messaging (e.g. Messenger), video calls (e.g. Skype) and social media are common means of communication in contemporary society (Statista, 2018; Zhou, 2017). Communication through digital channels is increasing as a required means of communication for interactions for daily activities, like contact with healthcare, insurance or banks and, therefore, has become a prerequisite for participation in society. Remote communication is used for social interactions with friends and groups and finding or signing up to participate in leisure activities that are commonly advertised through social media. It is also used to book activities, like haircuts, restaurant reservations or sport club sessions. Citizens are expected to have access to the Internet and digital devices for taking care of one’s health by booking healthcare appointments, handling medication prescriptions and having contact with healthcare insurance providers. E-health is a relatively recent healthcare practice supported by electronic communication, and it is developing rapidly (WHO, 2018). Physical, more old-fashioned means (e.g. tellers and reception desks) of contact are being shut down, making access to remote communication a must in order to handle essential daily life activities.
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