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Problematic topic transitions in dysarthric conversation

Bloch, SJ; Saldert, C; Ferm, U; (2015) Problematic topic transitions in dysarthric conversation. International Journal of Speech-Language Pathology , 17 (4) pp. 373-383. 10.3109/17549507.2014.979879. Green open access

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Abstract

Purpose: This study examined the nature of topic transition problems associated with acquired progressive dysarthric speech in the everyday conversation of people with motor neurone disease. Method: Using conversation analytic methods, a video collection of five naturally occurring problematic topic transitions was identified, transcribed and analysed. These were extracted from a main collection of over 200 other-initiated repair sequences and a sub-set of 15 problematic topic transition sequences. The sequences were analysed with reference to how the participants both identified and resolved the problems. Result: Analysis revealed that topic transition by people with dysarthria can prove problematic. Conversation partners may find transitions problematic not only because of speech intelligibility but also because of a sequential disjuncture between the dysarthric speech turn and whatever topic has come prior. In addition the treatment of problematic topic transition as a complaint reveals the potential vulnerability of people with dysarthria to judgements of competence. Conclusion: These findings have implications for how dysarthria is conceptualized and how specific actions in conversation, such as topic transition, might be suitable targets for clinical intervention.

Type: Article
Title: Problematic topic transitions in dysarthric conversation
Open access status: An open access version is available from UCL Discovery
DOI: 10.3109/17549507.2014.979879
Publisher version: http://dx.doi.org/10.3109/17549507.2014.979879
Language: English
Additional information: This is an Accepted Manuscript of an article published by Taylor & Francis Group in International Journal of Speech-Language Pathology on 04/01/2015, available online: http://www.tandfonline.com/10.3109/17549507.2014.979879
Keywords: Dysarthria, conversation analysis, neurodegenerative diseases
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Language and Cognition
URI: https://discovery.ucl.ac.uk/id/eprint/1447043
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