Document Detail


Laughter, communication problems and dementia.
MedLine Citation:
PMID:  19363875     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This article investigates how the elderly with dementia and their professional caregivers use laughter as a device to deal with problems related to language production and comprehension. The data consist of two game-playing situations, used to engage the elderly people in memory work. The article shows how the elderly patients recurrently laugh to acknowledge communication difficulties and to show awareness of their potential non-competency. The professional caregivers are shown to use slightly different strategies for responding to laughter segments initiated by the patients, either making the shortcomings part of the conversation or avoiding referring to the lapse explicitly. The laughter strategies used by the patients are compared to those reported in the CA-literature on laughter. It is well known that laughter is used in sequences of trouble and delicacy in both ordinary and institutional contexts, but my study shows that speakers with dementia laugh when they encounter problems related to language production and comprehension. This functional expansion in relation to premorbid occurrence is evidence that laughter fits the definition of compensatory behaviour utilized to overcome communication barriers. Certain conversational skills are preserved in individuals with dementia, but due to their cognitive impairment these resources are utilized in a slightly different way than by healthy speakers.
Authors:
Camilla Lindholm
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Communication & medicine     Volume:  5     ISSN:  1612-1783     ISO Abbreviation:  Commun Med     Publication Date:  2008  
Date Detail:
Created Date:  2009-04-14     Completed Date:  2009-05-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101201068     Medline TA:  Commun Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  3-14     Citation Subset:  IM    
Affiliation:
Department of Scandinavian Languages and Literature, University of Helsinki, Finland. Camilla.Lindholm@helsinki.fi
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Caregivers / psychology
Communication Disorders / psychology*
Dementia / psychology*
Female
Humans
Laughter / psychology*
Male

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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