Potential causes and consequences of overlap in talk between speakers with Parkinson's disease and their familiar conversation partners

Seminars in Speech and Language
Sarah GriffithsRay Wilkinson

Abstract

Parkinson's disease (PD) can cause both motor speech and cognitive deficits, with those affected perceiving a negative effect on their everyday experiences of communication. One specific concern reported by people with PD is that people "talk over" them. Psychosocial reactions to communication changes in PD are highly individualized and do not correlate strongly with measures of disease severity. With the aim of developing a better understanding of the individual's everyday experience of being talked over, this study uses Conversation Analysis to examine videoed instances of naturally occurring overlapping talk. Two phenomena emerge. First, aspects of speech specific to PD can cause overlap, which in turn leads to the need for repair. Second, opportunities to repair disordered talk, further compromised in terms of intelligibility by overlap, are often not followed up. This leads to the deletion of PD turns at talk and therefore reduced participation in conversations. The implications of these phenomena for both client well-being and clinical interventions are discussed.

Citations

Jan 30, 2015·International Journal of Speech-language Pathology·Steven BlochUlrika Ferm
Jul 15, 2015·International Journal of Language & Communication Disorders·Sarah GriffithsRay Wilkinson
Nov 3, 2016·International Journal of Language & Communication Disorders·Jessica A YoungWillem van Steenbrugge
Nov 10, 2016·Neurodegenerative Disease Management·Thomas Holtgraves
May 28, 2014·International Journal of Language & Communication Disorders·Emilia CarlssonCharlotta Saldert
Jun 18, 2014·International Journal of Language & Communication Disorders·Charlotta SaldertSteven Bloch
Oct 5, 2016·International Journal of Speech-language Pathology·Christina Samuelsson, Lars-Christer HydéN
May 18, 2016·International Journal of Language & Communication Disorders·Steven Bloch, Jyrki Tuomainen
Jul 7, 2021·International Journal of Language & Communication Disorders·Anahita BasiratDominique Knutsen
Sep 28, 2021·International Journal of Speech-language Pathology·Ramishka ThilakaratneNaomi Cocks

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