Dementia and its discourse : An approach to intervention Rumi Honda 1 , Toshiko Watamori 2 Keyword: 認知症 , 談話 , 思い出ノート , 思い出スライドショウ , dementia , discourse , memory book , memory slide show pp.39-44
Published Date 2009/3/15
DOI https://doi.org/10.11477/mf.6001100189
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 Discourse problems in Alzheimer's dementia are observed in both comprehension and production from relatively early stage of the disease. When compared with persons with aphasia, persons with dementia had more difficulties in producing coherent and logical discourse, maintaining topics and giving answers adequate to the questions. In addition, discourse in dementia contained more repetitions of the same information. While it is undeniable that cognitive limitations are the cause of these discourse characteristics, another interpretation is also possible:they are the strategies used by people with dementia in order to maintain their identity and dignity when establishing relationships with the listeners. Thus, approaches to discourse may be a rewarding process for people with dementia who continuously experience failure in daily life.

 As a pilot study for discourse intervention, we developed and used an individualized memory book and a memory slide show as a set of tools for a patient with dementia. The results indicated that these tools were useful not only in compensating memory problems but also in evoking associated memories. It was also suggested that when interacting with people with dementia, the listeners should have a keen perception as to the speaker's hidden intention and feelings which may be masked by poor or bizarre expressions.

Copyright © 2009, Japanese Association of Speech-Language-Hearing Therapists. All rights reserved.


電子版ISSN 印刷版ISSN 1349-5828 日本言語聴覚士協会