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Collaborative turn-construction practices of people with primary progressive aphasia and their family conversation partners 原发性进行性失语症患者及其家庭对话伙伴的合作回合建构实践
Q4 LINGUISTICS Pub Date : 2023-10-25 DOI: 10.1558/jircd.25504
Anna Volkmer, Shreeya Mistry, Daniella Thompson, Jason D. Warren, Suzanne Beeke
Background: Primary progressive aphasia describes a group of three rare language-led dementias: semantic, logopenic, and non-fluent. The small number of conversation analysis studies to date suggest that repair and turn-construction practices in primary progressive aphasia are similar to those seen in post-stroke aphasia. This study investigates the collaborative aspect of these practices between people with primary progressive aphasia and their conversation partners. Method: Conversation analysis was used to investigate collaboration in repair and turn-construction practices in 10-minute video recordings of natural conversation collected from two dyads, one with logopenic and one with mixed primary progressive aphasia. Results: This study demonstrates that people with primary progressive aphasia have a range of practices available to construct their turns, and that their conversation partners collaborate to co-construct talk. Discussion: Findings demonstrate that collaboration can support interaction or lead to further interactional trouble. Collaborative practices are important targets for speech and language therapy interventions.
背景:原发性进行性失语症描述了一组三种罕见的语言导致的痴呆:语义性、语意性和非流利性。迄今为止,少量的对话分析研究表明,原发性进行性失语症的修复和转向构建实践与卒中后失语症相似。本研究调查了原发性进行性失语症患者与其对话伙伴之间的合作方面。方法:采用对话分析的方法,对两组失语症患者10分钟的自然对话录像进行修复和转身的合作实践。结果:本研究表明原发性进行性失语症患者有一系列的练习来构建他们的回合,他们的对话伙伴合作来共同构建谈话。讨论:研究结果表明,协作可以支持交互,也可以导致进一步的交互问题。协作实践是言语和语言治疗干预的重要目标。
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引用次数: 0
Should they stay or should they go? 他们应该留下还是离开?
Q4 LINGUISTICS Pub Date : 2023-10-25 DOI: 10.1558/jircd.25505
Bracha Nir, Gonen Dori-Hacohen
Background: The study investigates how participants in the institutional interaction between caregiver-child-therapist negotiate rapport-building. This setting, which is usually taken as a dyad, is an actual triad. Method: We focus on examples taken from five speech-language therapy (SLT) openings, analyzing the resources that lead to alliances as rapport-building through the turns of talk. We connect these alliances to the configuration of the setting. Results: The analyses highlight different dyadic participant alliances within the triadic constellation: child-therapist, caregiver-therapist, therapist-child. These alliances are formed through complaints regarding the participants’ investment in the therapy. The therapists concentrate their efforts on the child, whereas the parents focus on creating rapport with the therapist. Discussion and conclusion: The balancing act of rapport-building in the therapeutic triad of SLT is complicated, since the family is not composed of equal members. Therefore, ‘ironing’ the creases of the caregiver-child-therapist into a pseudo-dyad either ignores the differences that exist between a parent and a child or does not work.
背景:本研究探讨了在照料者与儿童治疗师的机构互动中,参与者如何协商建立关系。这种设定,通常被认为是二分音,实际上是一个三和弦。方法:我们将重点放在五个言语语言治疗(SLT)开始的例子上,分析导致联盟的资源,通过谈话的回合来建立融洽关系。我们将这些联盟与环境的配置联系起来。结果:分析强调了三位一体星座中不同的二元参与者联盟:儿童治疗师,护理者-治疗师,治疗师-儿童。这些联盟是通过抱怨参与者对治疗的投入而形成的。治疗师将精力集中在孩子身上,而父母则专注于与治疗师建立融洽的关系。讨论与结论:由于家庭并非由平等的成员组成,因此在SLT治疗三合一中建立融洽关系的平衡行为是复杂的。因此,“熨平”照顾者-儿童治疗师之间的褶皱,使之成为一个伪二分体,要么忽略了父母和孩子之间存在的差异,要么不起作用。
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引用次数: 0
Features of answers to questions about recent events by people with mild cognitive impairment and Alzheimer’s disease, and healthy controls 轻度认知障碍和阿尔茨海默病患者以及健康对照者对近期事件的回答特征
Q4 LINGUISTICS Pub Date : 2023-10-25 DOI: 10.1558/jircd.24511
Gareth Walker, Traci Walker, Ronan O'Malley, Bahman Mirheidari, Heidi Christensen, Markus Reuber, Daniel Blackburn
Background: Asking patients who have been referred to memory clinics open questions about recent events has been shown to have diagnostic relevance. Method: We use conversation analysis to look at responses to questions about recent events. The interviewees are healthy control (HC) participants, people with mild cognitive impairment (MCI), and people with Alzheimer’s disease (AD). Results: We show differences among the groups’ use of claims of memory problems, self-directed questions, and well-prefacing. Healthy control participants produce more talk in response to all of these, while people with MCI and AD either do not, or do so in demonstrably different ways from both HC participants and each other. Discussion/conclusion: Healthy control participants are both willing and able to ‘show off’ their memory, while people with AD are willing but generally unable to do so. People with MCI, in contrast, display themselves as both unwilling and unable to engage with the agent’s questions as tests of memory.
背景:询问被转介到记忆诊所的患者有关近期事件的开放性问题已被证明具有诊断相关性。方法:我们使用对话分析来观察对最近事件问题的回答。受访者包括健康对照组(HC)参与者、轻度认知障碍(MCI)患者和阿尔茨海默病(AD)患者。结果:我们显示各组在使用记忆问题、自我导向问题和良好的前言方面的差异。健康对照组的参与者对所有这些都做出了更多的回应,而患有轻度认知障碍和AD的人要么没有,要么以明显不同于HC参与者和彼此的方式做出回应。讨论/结论:健康对照组的参与者既愿意也能够“炫耀”他们的记忆力,而AD患者愿意但通常不能这样做。相比之下,MCI患者表现出既不愿意也无法参与代理的问题作为记忆测试。
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引用次数: 0
Facilitating participation in an online dance class for people living with dementia 促进痴呆症患者参加在线舞蹈课程
Q4 LINGUISTICS Pub Date : 2023-10-25 DOI: 10.1558/jircd.24520
An Kosurko, Ilkka Arminen
Background: Care workers practice different approaches to facilitating social participation and managing (non-)responsiveness in activities for people living with dementia. Utilizing an on-screen dance activity in a foreign language, carers in this study draw on multimodal resources and shift their footings in participation frameworks to demonstrate and reformulate expectations in pursuit of responses. Method: Data were collected as part of a test pilot for a dance program designed for people with cognitive and physical challenges. The program was remotely delivered from Canada to a private, assisted living facility in Finland during the COVID-19 pandemic. Video recordings of five consecutive weekly dance classes were transcribed and analyzed using an ethnomethodology and conversation analysis (EMCA) approach to multimodal interaction, looking at directive-response sequences. Results: Our preliminary results explore how co-present facilitators encouraged participation of a non-responsive participant through embodied directives in three ways: through demonstrations and reformulations in co-participation; through repetition and emphasis in response to non-compliance; and through a subsequent proposal of a change in the interactional frame. Discussion/conclusion: There are various recipient-designed ways in which care workers facilitate participation in on-screen arts-based programs, including how they address non-compliance.
背景:护理工作者采用不同的方法来促进痴呆症患者的社会参与和管理(非)响应性活动。在本研究中,照顾者利用屏幕上的外语舞蹈活动,利用多模式资源,改变他们在参与框架中的立足点,以展示和重新制定期望,以追求回应。方法:收集的数据是为认知和身体有挑战的人设计的舞蹈项目的测试试点的一部分。在2019冠状病毒病大流行期间,该计划从加拿大远程交付给芬兰的一家私人辅助生活设施。对连续五周的舞蹈课录像进行转录,并使用多模态交互的民族方法学和对话分析(EMCA)方法进行分析,观察指示反应序列。结果:我们的初步研究结果探讨了共同在场促进者如何通过三种方式的具体化指示来鼓励无反应参与者的参与:通过共同参与的示范和重新制定;通过重复和强调对违规行为的回应;并通过随后提出的改变互动框架的建议。讨论/结论:有各种各样的接受者设计的方式,护理人员促进参与基于屏幕的艺术节目,包括他们如何处理不合规。
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引用次数: 0
Using conversation analysis to identify unresponsiveness in peer interactions in inclusive groups 使用对话分析来识别包容性群体中同伴互动中的不响应性
Q4 LINGUISTICS Pub Date : 2023-10-25 DOI: 10.1558/jircd.24391
Anni Kilpiä, Katja Dindar, Eija Kärnä, Hannu Räty, Anniina Kämäräinen, Calkin Suero Montero
Background: Previous research regarding unresponsiveness in peer interaction, including participants on the autism spectrum (AS), is mainly based on predefined categorizations of unresponsiveness; thus, there is a need for conversation analytic research to examine unresponsiveness from participants’ perspectives. Method: Multimodal conversation analysis (CA) was applied to examine unresponsiveness in task-focused multiparty peer interactions of an inclusive group, including one participant on the AS. Results: The results showed that it was not meaningful to analyze unresponsiveness in situations where there was no (aligning) response and all participants’ orientations revealed that a response was (not) needed. Instead, participants’ discrepant orientations to the response relevance made unresponsiveness a meaningful issue for participants to negotiate. Discussion/conclusion: The CA approach can be useful for examining unresponsiveness accurately. The combination of both the speaker and recipient(s) orientations to response relevance can be used as a conceptual tool to identify unresponsiveness when it is relevant for the participants.
背景:以往关于同伴交往中无反应性的研究主要基于对无反应性的预定义分类;因此,有必要进行会话分析研究,从参与者的角度来检查不响应。方法:应用多模态会话分析(CA)来检验一个包容性群体中以任务为中心的多方同伴互动中的无反应性,其中包括一个AS参与者。结果:结果表明,在没有(一致)反应和所有参与者的取向都显示需要(不)反应的情况下,分析无反应性是没有意义的。相反,参与者对反应相关性的不同取向使得无反应成为参与者谈判的一个有意义的问题。讨论/结论:CA方法可用于准确检查无响应性。说话者和接受者对回应相关性的取向的结合可以作为一种概念性工具,用于识别与参与者相关的无回应。
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引用次数: 0
Action formation, ascription, and the talk of people with aphasia 失语症患者的动作形成、归属与言语
IF 0.3 Q4 LINGUISTICS Pub Date : 2023-05-26 DOI: 10.1558/jircd.24384
Isabel L. Windeatt-Harrison, Traci Walker
Background: This article uncovers why people with severe expressive aphasia’s turns-at-talk are sometimes not treated as producing an action by their communication partners, and the impact this has on the person with aphasia’s (PWA’s) agency. We demonstrate resources PWAs use to pursue talk and which assist with the production of a recognizable action.Method: We examined turns produced by four PWAs and their communication partners (CPs), where present, using conversation analysis, identifying features that do not receive a response and features promoting action ascription.Analysis: The PWAs’ semantically empty or unclear turns, turns lacking sequential context, or the CPs’ focus on their own actions led to a lack of action ascription. However, CPs do attend to PWAs’ multimodal features of interaction, and PWAs’ repetition accompanied by an upgraded gesture was shown to pursue a response. Action ascription was aided by the PWAs’ preserved use of silence as a communicative device.Discussion: When PWAs’ actions are not appropriately ascribed, their agency may be diminished. Communication partners should attend to all features of the PWA’s turns, including gesture and silence, to progress the PWA’s action, rather than their own misappropriated action. This may mean accepting a delay in progressivity while the PWA pursues an appropriate response. Through this, the PWA’s agency in interaction can be maintained, and intersubjectivity achieved.
背景:这篇文章揭示了为什么患有严重表达性失语症的人在说话时有时不会被他们的交流伙伴视为产生动作,以及这对失语症患者(PWA)的作用产生的影响。我们展示了PWA用来进行谈话的资源,这些资源有助于产生可识别的行动。方法:我们使用会话分析,检查了四个PWA及其交流伙伴(CP)产生的转折,确定了没有得到回应的特征和促进行动归属的特征。分析:PWA语义空洞或不清楚的转向,缺乏顺序上下文的转向,或CP对自己行动的关注导致缺乏行动归属。然而,CP确实注意到了PWA的多模式互动特征,并且PWA的重复伴随着升级的手势被证明是为了寻求回应。PWA保留了沉默作为一种交流手段的使用,这有助于行动归属。讨论:当PWA的行为没有得到适当的归因时,他们的代理权可能会减弱。沟通伙伴应注意PWA的所有特征,包括手势和沉默,以推进PWA的行动,而不是他们自己被挪用的行动。这可能意味着在PWA寻求适当回应的同时,接受渐进性的延迟。通过这种方式,PWA在互动中的能动性得以保持,主体间性得以实现。
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引用次数: 0
'Journal of Interactional Research in Communication Disorders' special issues 《沟通障碍互动研究杂志》特刊
IF 0.3 Q4 LINGUISTICS Pub Date : 2023-05-26 DOI: 10.1558/jircd.25712
A. Brandt, S. Hazel, C. Leyland
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引用次数: 0
Multimodality in PPA PPA的多模态
IF 0.3 Q4 LINGUISTICS Pub Date : 2023-05-26 DOI: 10.1558/jircd.24306
Sophia Lindeberg, N. Müller, Christina Samuelsson
Purpose: In primary progressive aphasia (PPA), multimodal means may gradually become more important in conversations. In this study, the aim was to investigate the functions of hand movements of a man with PPA.Method: Peter and Karen participated in this study. Peter was diagnosed with nonfluent PPA two years prior to data collection. Casual conversation and cognitive and linguistic testing were audio- and video-recorded. Analyses were informed by multimodal interaction analytical approaches.Results: The results showed that Peter’s opportunities to engage in conversations were enabled within a co-operative framework, where Peter would contribute within a predetermined slot using a variety of multimodal resources to, for example, organize turn-taking or repair difficulties relating to verbal output.Discussion and conclusions: Studying multimodal resources across tasks may reveal important features of the ways in which persons with communicative impairment adjust to different contexts. In clinical settings, multimodal resources need to be viewed as multi-layered actions rather than as isolated contributions.
目的:在原发性进行性失语(PPA)中,多模态方法在对话中可能逐渐变得更加重要。在这项研究中,目的是研究PPA男性的手部运动功能。方法:Peter和Karen参与本研究。Peter在数据收集前两年被诊断为不流利PPA。对随意的谈话和认知和语言测试进行了录音和录像。分析采用多模态相互作用分析方法。结果:结果表明,Peter参与对话的机会是在合作框架内实现的,Peter将在预定的时间段内使用各种多模式资源做出贡献,例如,组织轮流或修复与口头输出相关的困难。讨论和结论:研究跨任务的多模态资源可以揭示交际障碍患者适应不同环境的方式的重要特征。在临床环境中,需要将多模式资源视为多层行动,而不是孤立的贡献。
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引用次数: 0
‘Where are you going?’ “你上哪儿去?””
IF 0.3 Q4 LINGUISTICS Pub Date : 2023-05-26 DOI: 10.1558/jircd.24436
Yu-han Lin
Background: This study examines caregivers’ use of ‘where are you going?’ in Mandarin and Taiwanese to address residents’ wandering-related actions in routine caregiving interactions.Method: Using multimodal conversation analysis, video recordings of interactions between Taiwanese residents and caregivers from Taiwan and Vietnam are analyzed.Results: ‘Where are you going?’ accomplishes the following institutional actions: this turn signals residents’ actions as problematic; simultaneously, it aims to halt residents’ actions, draw residents’ attention, and/or hold residents accountable for their actions. Residents respond in one of four ways, suggesting their distinct understandings of the same turn: [+/– halt] and [+/– account]. The caregivers’ subsequent actions indicate their institutional orientation as caregivers. In particular, helping the residents to walk or move their bodies relies on resident–caregiver collaboration.Discussion/conclusion: This study demonstrates wandering and its management from an emic (participant-oriented) perspective and presents ‘where are you going?’ as a practical non-pharmacological intervention.
背景:这项研究调查了照顾者对“你要去哪里?”的使用情况以普通话和台语表达居民在日常护理互动中与流浪有关的行为。方法:采用多模式会话分析方法,对台湾和越南的台湾居民和护理人员的互动录像进行分析。结果:“你要去哪里?”完成了以下制度行动:这一转变标志着居民的行动存在问题;同时,它旨在阻止居民的行为,引起居民的注意,和/或让居民对自己的行为负责。居民的反应有四种,表明他们对同一转折有不同的理解:[+/–停顿]和[+/-解释]。照顾者随后的行为表明了他们作为照顾者的机构取向。特别是,帮助居民行走或移动身体依赖于居民与护理人员的协作。讨论/结论:这项研究从流行病(以参与者为导向)的角度展示了流浪及其管理,并提出了“你要去哪里?”作为一种实用的非药物干预。
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引用次数: 0
co-construction of pragmatic competencies in different settings 不同环境下语用能力的共建
IF 0.3 Q4 LINGUISTICS Pub Date : 2023-05-26 DOI: 10.1558/jircd.24423
Lisa Vössing, Friederike Kern
Background: A considerable body of research has concentrated on pragmatic competencies in the context of autism spectrum disorder. In contrast to experimental settings, which usually adopt deficit-oriented perspectives of autistic people’s communicative behavior, studies using a methodological approach informed by conversation analysis (CA) also highlight pragmatic abilities, and reveal the relevance of situated context and collaborative actions with co-participants in which pragmatic competencies can be observed. Building on this strand of research, this article aims to analyze and compare specific pragmatic competencies in different settings.Method: The investigation is based on video recordings of two autistic children in family and therapy settings. The analytical process is informed by CA and multimodal interaction analysis. It focuses on sequences in which atypical pragmatic behavior occurs, and specifically on the interactional uptake of the atypical behavior by the different conversational partners.Results: The analysis suggests a link between the respective interactional setting and the interactional uptake of atypical pragmatic behavior. This is shown in the case of both autistic children. The therapists’ uptakes are explicit and critically examine the children’s atypical pragmatic behavior, thereby focusing on form, whereas the family members’ uptakes are implicit, with a focus on conversational content. These two types of uptakes have different effects on the flow of ongoing conversation: only the therapists’ uptakes lead to an interruption followed by a side sequence.Discussion/conclusion: Because of the effects that interlocutors’ uptakes have on the conversational flow, the autistic children appear pragmatically more or less competent. The results indicate that pragmatic competence should not simply be seen as a personal trait, but also as a mutually accomplished, co-constructed, and context-dependent phenomenon. This interaction-centered – in contrast to person-centered – view of pragmatic competence is accompanied by a shift of perspective in the assessment of pragmatic competencies and possible interventions.
背景:相当多的研究集中在自闭症谱系障碍背景下的语用能力。与实验环境不同,实验环境通常采用以缺陷为导向的视角来看待自闭症患者的交际行为,使用会话分析方法的研究也强调了语用能力,并揭示了情境语境和与共同参与者的合作行为的相关性,在这些相关性中可以观察到语用能力。基于这一研究,本文旨在分析和比较不同环境下的具体语用能力。方法:调查基于两名自闭症儿童在家庭和治疗环境中的视频记录。分析过程由CA和多模态交互分析提供信息。它关注非典型语用行为发生的顺序,特别是不同会话伙伴对非典型行为的互动吸收。结果:分析表明,各自的互动环境与非典型语用行为的互动接受之间存在联系。这在两个自闭症儿童的案例中都有体现。治疗师的接受是显性的,并批判性地检查儿童的非典型语用行为,从而关注形式,而家庭成员的接受是隐性的,关注对话内容。这两种类型的吸收对正在进行的对话的流程有不同的影响:只有治疗师的吸收才会导致中断,然后是副序列。讨论/结论:由于对话者的接受度对对话流的影响,自闭症儿童在语用方面或多或少表现出能力。研究结果表明,语用能力不应仅仅被视为一种个人特质,而是一种相互成就、共同构建、依赖语境的现象。这种以互动为中心的——与以人为中心的——语用能力观相反,伴随着对语用能力和可能干预措施的评估视角的转变。
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引用次数: 0
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Journal of Interactional Research in Communication Disorders
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