ABSTRACT

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.

part One|57 pages

Which Paradigm, Whose Engagement, What Resources?

chapter 1|24 pages

Conversation as Cognition

Reframing Cognition in Dementia

chapter 2|31 pages

“What They're Said to Say”

The Discursive Construction of Alzheimer's Disease by Older Adults

part Two|122 pages

Cognitive and Communicative Resources for Engagement

chapter 3|26 pages

“Getting to Know You”

Situated and Distributed Cognitive Effort in Conversations with Dementia

chapter 4|34 pages

Talking With Maureen

Extenders and Formulaic Language in Small Stories and Canonical Narratives

chapter 5|26 pages

Interactional and Cognitive Resources in Dementia

A Perspective from Politeness Theory

chapter 6|34 pages

Conflicting Demonstrations of Understanding in the Interactions of Individuals with Frontotemporal Dementia

Considering Cognitive Resources and Their Implications for Care and Communication

part Three|106 pages

Expressive Approaches to Enriching Engagement

chapter 7|30 pages

“In My Own Words”

Writing Down Life Stories to Promote Conversation in Dementia

chapter 8|32 pages

Preparing for a Theatrical Performance

Writing Scripts and Shaping Identities in an Early Memory Loss Support Group

chapter 9|17 pages

Alzheimer Pathographies

Glimpses into How People with AD and Their Caregivers Text Themselves

chapter 10|24 pages

Formulaic Language and Threat

The Challenge of Empathy and Compassion in Alzheimer's Disease Interaction