Kindell Jackie, Wilkinson Ray, Sage Karen, Keady John
Older People's Mental Health, Pennine Care NHS Foundation Trust, Ashton-under-Lyne, UK.
Department of Human Communication Science, University of Sheffield, Sheffield, UK.
Arts Health. 2018 May 4;10(2):165-180. doi: 10.1080/17533015.2017.1342269. Epub 2017 Jul 18.
Semantic dementia is a rarer dementia, classified as a type of frontotemporal dementia and a variant of primary progressive aphasia. Studies examining conversation in this condition and interventions to enhance participation in family life present as gaps in the research literature.
Working with one family on a longitudinal basis, this study used conversation analysis and narrative analysis to provide a detailed assessment of communication. This information was used to design an individually tailored life story intervention to facilitate family interaction: a co-produced life story music DVD.
This intervention offered the family a resource that allowed the person with semantic dementia to display areas of retained competence and enhanced participation in interaction in a way that was not typically present in everyday conversation.
It is argued that fostering greater opportunities for such in-the-moment connections is an important goal for intervention, particularly when language may be significantly compromised.
语义性痴呆是一种较为罕见的痴呆症,被归类为额颞叶痴呆的一种类型,也是原发性进行性失语的一种变体。研究这种病症中的对话以及增强家庭生活参与度的干预措施在研究文献中存在空白。
本研究在纵向层面上与一个家庭合作,运用对话分析和叙事分析对沟通进行详细评估。这些信息被用于设计一项个性化的生活故事干预措施,以促进家庭互动:共同制作的生活故事音乐DVD。
这项干预措施为家庭提供了一种资源,使患有语义性痴呆的人能够展现出保留的能力领域,并以日常对话中通常不存在的方式增强互动参与度。
有人认为,为这种即时联系创造更多机会是干预的一个重要目标,尤其是在语言可能受到严重损害的情况下。