Verbal Play as an Interactional Discourse Resource in Early Stage Alzheimer's Disease.

Verbal Play as an Interactional Discourse Resource in Early Stage Alzheimer's Disease.
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言语游戏作为早期阿尔茨海默病的互动话语资源。

DOI:
10.1080/02687038.2011.650626
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发表时间:
2012
期刊:
影响因子:
2
通讯作者:
Duff,MelissaC
Duff,MelissaC
中科院分区:
医学3区
文献类型:
--
作者:
Shune,Samantha;Duff,MelissaC

文献摘要

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背景资料:语言游戏,创造性和游戏性地使用语言,使双关语,押韵的话,和戏弄,是一个普遍的和愉快的社会交际的组成部分,并提供重要的人际功能。目前的研究探讨了阿尔茨海默病患者在交流互动中使用言语游戏的情况,这是一项更广泛的语言和记忆使用研究计划的一部分。记录轻度阿尔茨海默病(AD)患者与其熟悉的交流伙伴在交流互动中的言语游戏频率,方法和程序:使用定量组比较和详细的话语分析,我们分析了五名参与者非常轻度AD和五名健康(人口统计学匹配)的比较参与者的international话语中的言语游戏。每个参与者在完成协作参考任务时与熟悉的伙伴互动,并在任务试验之间与研究人员互动。结果:总共编码了1098个言语游戏片段。尽管处于AD的早期阶段,所有AD参与者都使用语言游戏。有没有显着的组间差异的频率的口头发挥插曲或在international的形式,资源,或功能的那些好玩的插曲AD和健康的比较对sessions.Conclusions之间:成功地使用口头发挥个人的互动非常温和的AD和他们的合作伙伴突出了一个领域的保存社会沟通。这些发现代表了重要的一步,无论是临床还是研究,记录了早期AD患者通过使用言语游戏等互动话语资源与伴侣进行有意义的互动交流的丰富方式。这项工作还提供了一个有前途的临床工具,用于跟踪和靶向疾病进展中的语言游戏。
Background: Verbal play, the creative and playful use of language to make puns, rhyme words, and tease, is a pervasive and enjoyable component of social communication and serves important interpersonal functions. The current study examines the use of verbal play in the communicative interactions of individuals with Alzheimer's disease as part of a broader programme of research on language-and-memory-in-use.Aims: To document the frequency of verbal play in the communicative interactions of individuals with very mild Alzheimer's disease (AD) and their familiar communication partners and to characterise the interactional forms, resources, and functions of playful episodes.Methods & Procedures: Using quantitative group comparisons and detailed discourse analysis we analysed verbal play in the interactional discourse of five participants with very mild AD and five healthy (demographically matched) comparison participants. Each participant interacted with a familiar partner while completing a collaborative referencing task, and with a researcher between task trials.Outcomes & Results: A total of 1098 verbal play episodes were coded. Despite being in the early stages of AD, all the AD participants used verbal play. There were no significant group differences in the frequency of verbal play episodes or in the interactional forms, resources, or functions of those playful episodes between AD and healthy comparison pair sessions.Conclusions: The successful use of verbal play in the interactions of individuals with very mild AD and their partners highlights an area of preserved social communication. These findings represent an important step, both clinically and for research, in documenting the rich ways in which individuals with early stage AD orchestrate interactionally meaningful communication with their partners through the use of interactional discourse resources like verbal play. This work also offers a promising clinical tool for tracking and targeting verbal play across disease progression.