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influence of context on identity construction after traumatic brain injury 情境对创伤性脑损伤后身份建构的影响
IF 0.3 Q4 Arts and Humanities Pub Date : 2022-09-30 DOI: 10.1558/jircd.21020
L. Keegan, N. Müller
Objective: It has been widely accepted that positive identity construction after traumatic brain injury (TBI) results in better rehabilitation outcomes. However, there is limited information available on the linguistic resources that individuals use to construct such identities, and how the context in which they are communicating may influence this construction of self. This research uses the tools of systemic functional linguistics to examine the linguistic construction of identity in an individual with moderate-severe chronic TBI.Method: The individual participated in two different conversations, one with a male stranger and the other with a female brain injury researcher, and the conversation transcripts were analyzed using tools of systemic functional linguistics.Results: The identities communicated and linguistic construction of self in both contexts had many similarities. In both conversations, the participant presented a positive perspective of his post brain injury life, and he described similar relationships. Nevertheless, there were also noteworthy differences. With the stranger, he distanced himself from the topic of the injury by not discussing his pre-injury self or his injury-related difficulties. However, with the researcher, he contrasted a negative pre-injury persona with his current, improved post-injury self. Additionally, when conveying information about his relationships to the stranger he projected a more powerful and in-charge identity than with the researcher.Discussion: An analysis of language using systemic functional linguistics can reveal important information about how individuals communicate their identity. Additionally, the identities communicated can be highly variable depending on the conversation partner, the context of the interaction, and sociocultural gender norms.Conclusion: The results suggest that contextual influences on identity construction have important clinical implications for rehabilitation.
目的:人们普遍认为,创伤性脑损伤(TBI)后的积极身份构建能带来更好的康复效果。然而,关于个人用来构建这种身份的语言资源,以及他们交流的环境如何影响这种自我构建,目前的信息有限。本研究运用系统功能语言学的工具,对一名中重度慢性脑损伤患者的身份语言建构进行了研究,并运用系统功能语言学工具对会话记录进行分析。结果:两种语境下的身份交流和自我语言建构有许多相似之处。在两次对话中,参与者都对自己脑损伤后的生活提出了积极的看法,并描述了类似的关系。然而,也存在着值得注意的差异。对于这个陌生人,他没有讨论受伤前的自己或与受伤有关的困难,从而与受伤的话题保持距离。然而,与研究人员相比,他将受伤前消极的性格与目前受伤后改善的自我进行了对比。此外,在向陌生人传达有关其关系的信息时,他表现出了比研究人员更强大、更负责的身份。讨论:使用系统功能语言学对语言进行分析,可以揭示关于个人如何传达其身份的重要信息。此外,交流的身份可能会因对话伙伴、互动背景和社会文化性别规范而高度可变。结论:研究结果表明,情境对身份建构的影响对康复具有重要的临床意义。
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引用次数: 1
Feelings and the acceptance spectrum in adult stuttering 成人口吃的感受和接受谱
IF 0.3 Q4 Arts and Humanities Pub Date : 2022-09-30 DOI: 10.1558/jircd.21174
Angela M. Medina, Gretel Perez
Purpose: The purpose of this exploratory study was to describe the feelings about and attitudes toward stuttering expressed in the narrative responses of a large sample of adults who stutter.Method: Eighty-eight adults who stutter answered an online survey questionnaire on their feelings about their stuttering. Thematic analysis was conducted to investigate the individual nuances of each participant’s response, which gave rise to general themes across the sample.Results: Five major themes emerged from participants’ responses regarding their feelings about their stuttering: (I) negative feelings about stuttering; (II) negative attitudes toward stuttering; (III) negative impact on quality of life; (IV) the acceptance spectrum; and (V) exclusively positive feelings and attitudes about stuttering. Negative feelings included embarrassment and shame, frustration, and grief, while negative attitudes were hatred, dislike, and annoyance. Stuttering’s negative impact on participants’ lives in general as well as on specific aspects such as job interviews were described. Participants reported varying degrees of acceptance, highlighting that acceptance is not an ‘all or nothing’ phenomenon. Examples of positive feelings were confidence and comfort.Conclusion: The vast majority of participants included negatively charged elements in their responses, and acceptance was largely described as being a fluid phenomenon, regardless of participants’ ages. Findings indicate clinical implications for addressing feelings, attitudes, and acceptance across the lifespan.
目的:这项探索性研究的目的是描述大量口吃成年人的叙事反应中对口吃的感受和态度。方法:88名患有口吃的成年人回答了一份关于他们对口吃的感受的在线调查问卷。进行主题分析是为了调查每个参与者反应的个体细微差别,从而在整个样本中产生一般主题。结果:受试者对自己口吃的感受有五个主要主题:(I)对口吃的负面感受;(II) 对口吃的消极态度;(III) 对生活质量的负面影响;(IV) 接受谱;以及(V)对口吃的完全积极的感觉和态度。消极情绪包括尴尬、羞耻、沮丧和悲伤,而消极态度包括仇恨、厌恶和烦恼。描述了口吃对参与者生活的总体负面影响以及对面试等特定方面的负面影响。参与者报告了不同程度的接受,强调接受不是一种“要么全有要么全无”的现象。积极情绪的例子是自信和安慰。结论:绝大多数参与者的反应中都包含了带负电荷的元素,接受在很大程度上被描述为一种不稳定的现象,无论参与者的年龄如何。研究结果表明,在整个生命周期内,解决情感、态度和接受问题具有临床意义。
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引用次数: 1
impact of stuttering in the university 口吃对大学的影响
IF 0.3 Q4 Arts and Humanities Pub Date : 2022-09-30 DOI: 10.1558/jircd.21456
Michael Azios, M. Stamatis, Thales De Nardo, J. Tetnowski
Objective: The aims of this investigation were to explore (a) the experiences of women who stutter in university settings; (b) the impact of stuttering related to the emotions attached to stuttering; (c) the impact of stuttering on relationships for women; and (d) coping and management of stuttering within the university setting.Method: Interpretive phenomenological analysis was used to understand the lived experiences of women who stutter when attending university. In-depth semi-structured interviews were collected from seven women who stutter and subjected to inductive analysis.Results: Qualitative data analysis indicated that participants reported four themes related to their university experiences: ‘Role of support’; ‘Client-centered therapy’; ‘Role of authoritative figures’; and ‘The stuttering stereotype exists.’Discussion: Women are presented with unique challenges while attending university, as they must combat stereotypes related to stuttering and being a woman, and they must also overcome the related obstacles.Conclusions: There is much work to be done in the university setting, in order to change how people who stutter are portrayed and how stuttering is perceived. These data point toward the need for advocacy training within the university setting, and for more holistic approaches to be utilized in stuttering intervention.
目的:本调查的目的是探讨(a)在大学环境中口吃妇女的经历;(b)与口吃相关的情感影响;(c)口吃对妇女关系的影响;(d)在大学环境中应对和管理口吃。方法:采用解释现象学分析方法,对大学期间口吃女性的生活经历进行分析。对7名口吃女性进行了深入的半结构化访谈,并进行了归纳分析。结果:定性数据分析表明,参与者报告了与他们的大学经历相关的四个主题:“支持的角色”;人本治疗的;“权威人物的角色”;以及“口吃的刻板印象确实存在。”讨论:女性在上大学期间面临着独特的挑战,因为她们必须与有关口吃和作为女性的刻板印象作斗争,她们还必须克服相关障碍。结论:在大学环境中还有很多工作要做,以改变对口吃者的描述和对口吃的看法。这些数据表明,需要在大学环境中进行宣传培训,并需要在口吃干预中采用更全面的方法。
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引用次数: 0
Understanding mechanisms of change after conversation-focused therapy in aphasia 了解失语症以谈话为中心治疗后的改变机制
IF 0.3 Q4 Arts and Humanities Pub Date : 2022-09-30 DOI: 10.1558/jircd.21043
Jamie H. Azios, Brent E Archer, Jaime B Lee
Objective: Conversation therapy in aphasia is a complex but effective type of intervention aimed at changing the linguistic and non-linguistic behaviors of persons with aphasia and/or their conversational partners. Recent studies have examined the experimental effects of conversation-based intervention and found significant change in targeted conversation strategies used by people with aphasia during therapy contexts. This investigation examines the generalization of therapy effects to naturally occurring conversations outside therapy.Method: The current study uses a conversation analysis framework to examine the generalization of this change to conversations between a person with aphasia and their spouse.Results: Conversation analysis revealed changes in the sequential environment of various strategies that were targeted in conversation-based intervention. Most notably, there was a change in the flexibility and deployment of gesture type and the act of writing as a means of achieving mutual understanding.Discussion: This study adds to the growing body of evidence supporting conversation-based interventions. Qualitative analysis of conversation provides important information on a client’s response to intervention and the generalization of targeted strategies to everyday contexts.Conclusion: Given the nature of complex, collaborative, and unplanned conversation, qualitative approaches allow clinicians and researchers to better understand why clients deploy strategies of interest at various junctures. These types of analyses are vital for understanding if and how meaningful life participation is achieved after skilled intervention.
目的:失语症的会话治疗是一种复杂但有效的干预类型,旨在改变失语症患者和/或其会话伙伴的语言和非语言行为。最近的研究检查了基于对话的干预的实验效果,发现失语症患者在治疗过程中使用的有针对性的对话策略发生了重大变化。本研究考察了治疗效果对治疗外自然发生的对话的泛化。方法:目前的研究使用对话分析框架来检查失语症患者与其配偶之间对话的这种变化的普遍性。结果:会话分析揭示了会话干预中所针对的各种策略的顺序环境的变化。最值得注意的是,手势类型的灵活性和部署以及作为实现相互理解的手段的写作行为发生了变化。讨论:这项研究增加了越来越多的证据来支持基于谈话的干预。对话的定性分析提供了客户对干预的反应的重要信息,并将目标策略推广到日常环境中。结论:考虑到复杂、协作和计划外对话的本质,定性方法使临床医生和研究人员能够更好地理解为什么客户在不同的节点部署感兴趣的策略。这些类型的分析对于理解在熟练干预后是否以及如何实现有意义的生活参与至关重要。
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引用次数: 1
experience of stigma in adults who lisp 成人口齿不清的耻辱经历
IF 0.3 Q4 Arts and Humanities Pub Date : 2022-09-30 DOI: 10.1558/jircd.21204
Sarah Lockenvitz, Judith Oxley, J. Tetnowski
Objective: This study investigates and describes the experience of stigma in adults who self-identify as having a lisp. It aims to shed light on and legitimize adults who self-identify as having a lisp through what emerges from their described lived experiences and in terms of minor bodily stigma and models of disability.Method: Data were gathered through qualitative semi-structured interviews with seven self-identified adults who lisp. These interviews were conducted and audio-recorded in person, via Skype, and via a conference call setup, depending on the level of convenience and the preferences of the participants. Interviews were transcribed. Transcript data underwent systematic thematic analysis rooted in qualitative research theory.Results: One overriding theme, three underlying themes, and eight subordinate thematic categories were yielded from the described lived experiences of the participants.Discussion: Results are examined in light of previous stigma literature establishing lisping as a minor bodily stigma, as well as models of disability. The experiences of stigma in adults who self-identify as having a lisp are varied and reflect internalized as well as public stigma.Conclusions: The thorough exploration of emergent themes, requiring layers of repeated analysis and consideration, allows for the investigation, acknowledgement, illumination, and legitimization of the experience of stigma in adults who self-identify as having a lisp.
目的:本研究调查和描述的经验耻辱的成人谁自认为有一个口齿不清。它的目的是通过他们描述的生活经历,从轻微的身体耻辱和残疾模型的角度,揭示和合法化那些自我认同为有口齿不清的成年人。方法:通过对7名口齿不清的成年人进行定性半结构化访谈,收集数据。这些访谈是根据方便程度和参与者的偏好,通过Skype和电话会议设置亲自进行和录音的。采访被记录下来。基于质性研究理论,对成绩单数据进行了系统的专题分析。结果:从参与者描述的生活经历中产生了一个首要主题,三个潜在主题和八个从属主题类别。讨论:结果是根据先前的耻辱感文献,将口齿不清作为一种轻微的身体耻辱感,以及残疾的模型进行检查。自认为有口齿不清的成年人的耻辱经历是多种多样的,反映了内化和公开的耻辱。结论:对突发主题的深入探索,需要层层重复的分析和考虑,允许调查、承认、启发和合法化那些自我认同为有口齿不清的成年人的耻辱经历。
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引用次数: 1
First saying and second saying in aphasic conversations 失语对话中的第一句和第二句
IF 0.3 Q4 Arts and Humanities Pub Date : 2022-09-30 DOI: 10.1558/jircd.21164
Ruixia Yan
Objective: This present study investigates first and second saying in aphasic conversations to demonstrate the ability of qualitative methodologies (in this case conversation analysis) to study the ways in which persons with aphasia achieve conversation success through verbal repetition in the form of first and second sayings.Method: For this explorative case study, the author drew on data from AphasiaBank, a multimedia database of discourse samples gathered from individuals with aphasia and from healthy controls. Using the framework of conversation analysis, the author discusses its position, composition, and action.Results: We demonstrated the role of the practice of recycling elements of one’s own prior utterances in building socially meaningful action, presenting an image of the speaker with aphasia as someone who is competently and confidently managing throughout her impairment.Discussion: The author discusses the potential of conversation analytical techniques as tools to study the complex phenomenon of conversation as the primary vehicle for human social action.Conclusion: Through the study of ‘first saying and second saying’ in aphasic conversation, this study contributes to our understanding of how persons with aphasia strategically employ their limited linguistic resources to negotiate meaning and social action.
目的:本研究调查了失语症对话中的第一和第二句话,以证明定性方法(在本例中为对话分析)的能力,以研究失语症患者通过以第一和第二句话的形式进行口头重复来实现对话成功的方式。方法:在这个探索性案例研究中,作者利用了AphasiaBank的数据,这是一个多媒体数据库,收集了来自失语症患者和健康对照者的话语样本。运用会话分析的框架,论述了其位置、构成和作用。结果:我们展示了在建立有社会意义的行动中,重复使用自己先前话语的元素的实践的作用,呈现了失语症患者的形象,作为一个有能力和自信地管理她的障碍的人。讨论:作者讨论了对话分析技术作为研究作为人类社会行动主要载体的对话这一复杂现象的工具的潜力。结论:通过对失语症对话中的“第一和第二说法”的研究,本研究有助于我们了解失语症患者如何策略性地利用他们有限的语言资源来协商意义和社会行动。
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引用次数: 0
Aphasia and explicit next speaker selection 失语症和明确的下一个说话人选择
IF 0.3 Q4 Arts and Humanities Pub Date : 2022-09-09 DOI: 10.1558/jircd.20512
Fakry Hamdani, Scott Barnes
Introduction: Typical speakers use various explicit practices for selecting a next speaker in everyday conversations, but little is known about how explicit next speaker selection is accomplished by people with aphasia and their conversation partners, nor the effects of aphasia on this aspect of conversation.Method: This study explores explicit next speaker selection in Indonesian multiparty conversations involving people with aphasia. A total of 150 minutes of conversation were analyzed using conversation analysis, focusing on a set of 208 questions.Results: People with aphasia relied on gaze and tacit resources to select next speakers. They also failed to secure uptake of their questions despite successful selection. When they are selected as next speaker, people with aphasia also experienced difficulty participating effectively.Discussion and conclusion: Selecting people with aphasia as next speakers can cause their linguistic competence to be topicalized and may result in their failing to develop a fitted response to the question. The findings of the present study offer some potential new directions for measuring conversations involving people with aphasia.
典型的说话者在日常对话中会使用各种显式的方法来选择下一个说话人,但是对于失语症患者和他们的对话伙伴是如何完成显式的下一个说话人的选择,以及失语症对这方面对话的影响,我们知之甚少。方法:本研究探讨印尼语失语症患者多方对话中下一发言者的明确选择。使用对话分析方法分析了总共150分钟的对话,重点是208个问题。结果:失语症患者依靠注视和默会资源选择下一个说话人。他们也未能确保他们的问题,尽管成功的选择。当失语症患者被选为下一个演讲者时,他们也很难有效地参与其中。讨论和结论:选择失语症患者作为下一个发言者可能会导致他们的语言能力被主题化,并可能导致他们无法对问题做出合适的回应。本研究的发现为测量涉及失语症患者的对话提供了一些潜在的新方向。
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引用次数: 0
Contrasting strategies for supporting service users in carrying out a routine task 支持服务用户执行日常任务的对比策略
IF 0.3 Q4 Arts and Humanities Pub Date : 2022-09-09 DOI: 10.1558/jircd.21241
C. Antaki, Charlotte Russell
Background: When staff engage with service users who have a learning disability, much of the interaction is given over to requests, orders, and directives. In this article, we argue that the exact manner in which staff carry out instructions displays a notably distinct construction of the service user’s abilities and entitlements.Method: We analyze two examples using conversation analysis, the fine-grained inspection of spontaneous interaction.Results: In an episode from a supported residential setting, we see the care staff issue instructions which effectively treat the resident as unable to carry out a task independently (in spite of evidence to the contrary); while in a horticultural therapy setting, staff treat a service user faced with a similar task as being competent – but temporarily unwilling.Discussion and conclusion: These examples reveal, at the fine grain of conversational exchange, the practices used by staff to carry out the custodial requirements of residential care versus the objectives of engendering agency and self-confidence in a more therapeutic setting.
背景:当工作人员与有学习障碍的服务用户接触时,大部分互动都是通过请求、命令和指令进行的。在这篇文章中,我们认为,工作人员执行指令的确切方式显示了服务用户能力和权利的明显不同结构。方法:我们使用会话分析来分析两个例子,即自发互动的细粒度检查。结果:在一个受支持的住宅环境中,我们看到护理人员发出指示,有效地将居民视为无法独立执行任务(尽管有相反的证据);在园艺治疗环境中,工作人员将面临类似任务的服务用户视为有能力,但暂时不愿意。讨论和结论:这些例子从细微的对话交流中揭示了工作人员执行住院护理监护要求的做法,而不是在更具治疗性的环境中培养代理和自信的目标。
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引用次数: 0
Perseverative storytelling in autism as an interactional phenomenon 自闭症中持续讲故事是一种互动现象
IF 0.3 Q4 Arts and Humanities Pub Date : 2022-09-09 DOI: 10.1558/jircd.20431
Christina Emborg
Background: Topic perseveration is often considered to be an autistic trait observable in more verbally able individuals with autism. However, the phenomenon has been subject to little empirical research. The aim of the present article is to explore the organization of perseverative talk within the context of autistic storytellings.Method: A conversation analytic approach offers insights into the ways in which two adults with autism initiate, develop, and pursue storytellings in naturally occurring interactions. Moreover, the co-participants’ management of the apparently perseverative autistic talk is brought into focus.Results: The findings show that the two storytellings investigated here are successfully launched and initiated with a subtle sensitivity to the local environments of the ongoing interaction. Furthermore, the adults with autism develop and pursue their tellings with an orientation to the co-participants’ display of structural support of the storytelling activity (alignment). However, the autistic tellers pursue their stories despite recipients’ display of disinterest in their projects (disaffiliation). In both cases, story closure is initiated by the recipients, who treat the tellings as sequentially non-implicative actions.Discussion/conclusion: The findings propose that perseverative storytellings are locally and collaboratively managed social activities, developed on a turn-by-turn basis in natural interaction. The study argues that recipients’ feedback, both mid-telling and post-telling, contributes to the perseverative character of the tellings. This interpersonal approach to perseveration suggests that the most common intrapersonal conceptualizations of the phenomenon need to be refined to some extent.
背景:话题坚持通常被认为是一种自闭症特征,在语言能力较强的自闭症患者中可以观察到。然而,这一现象很少受到实证研究的影响。本文的目的是探讨在自闭症讲故事的背景下,持续性谈话的组织。方法:对话分析方法提供了两个自闭症成年人在自然发生的互动中发起、发展和追求讲故事的方式的见解。此外,共同参与者的管理显然是持久的自闭症谈话的焦点。结果:研究结果表明,这里调查的两个故事都是成功地启动和启动的,对正在进行的互动的局部环境具有微妙的敏感性。此外,患有自闭症的成年人发展和追求他们的讲故事倾向于共同参与者对讲故事活动的结构支持的展示(对齐)。然而,尽管接受者对他们的项目表现出不感兴趣(脱离关系),自闭症讲话者还是会继续讲他们的故事。在这两种情况下,故事的结束都是由接受者发起的,他们将讲述视为顺序的无暗示的行为。讨论/结论:研究结果表明,持续讲故事是一种局部协作管理的社会活动,在自然互动的基础上逐步发展。该研究认为,接受者的反馈,无论是在讲述过程中还是在讲述之后,都有助于讲述的持久性。这种人际关系的方法表明,对这种现象最常见的人际概念需要在某种程度上加以改进。
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引用次数: 1
Assisted eating as a communicative activity 辅助进食作为一种交流活动
IF 0.3 Q4 Arts and Humanities Pub Date : 2022-09-09 DOI: 10.1558/jircd.21255
Anna Ekström, A. Majlesi, L. Hydén
Background: This study aims to further the understanding of communication involving people with late-stage dementia by highlighting assisted eating as an interactive joint activity. Assisted eating is, on the surface, primarily a care activity with the purpose of feeding the assisted person and thereby facilitating nutritional uptake. Helping someone to eat requires, nevertheless, fine-grained communication and co-ordination of both attention and embodied actions.Method: Using video recordings where a person with late-stage dementia is provided with assistance to eat, we show how assisted eating is sequentially organized into smaller, local communicative projects, and how each project’s completion is contingent upon the temporal co-ordination of the participants’ attention and embodied actions.Results: The analysis shows how actions necessary to carry out the eating (e.g., manipulating the food, bringing the food to the mouth) are also inherently communicative and achieved through an embodied participation framework.Discussion/conclusion: Our findings show that while the caregiving staff perform most of the actions required in the assisted eating, the person with dementia is a central agent whose actions – displays of engagement and disengagement – are decisive for the progression of the eating activity and play central roles in the interactive achievement of the activity.
背景:本研究旨在通过强调辅助进食作为一种互动的联合活动,进一步了解涉及晚期痴呆患者的沟通。从表面上看,辅助进食主要是一种护理活动,目的是为被辅助者提供食物,从而促进营养吸收。然而,帮助别人吃饭需要细致的沟通和协调,包括注意力和具体的行动。方法:使用视频记录,帮助患有晚期痴呆症的人进食,我们展示了如何将辅助进食按顺序组织成更小的局部交流项目,以及每个项目的完成如何取决于参与者的注意力和具体行动的时间协调。结果:分析表明,进行进食所需的动作(例如,操纵食物,将食物送到嘴里)也具有内在的交流性,并通过具体化的参与框架实现。讨论/结论:我们的研究结果表明,当护理人员在辅助进食中执行大部分所需的动作时,痴呆症患者是一个中心代理人,他的行动——参与和脱离的表现——对进食活动的进展起着决定性的作用,在活动的互动成就中起着核心作用。
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引用次数: 0
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Journal of Interactional Research in Communication Disorders
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