Communication & Medicine, Vol 11, No 3 (2014)

Defusing practices as mitigation in speech and language intervention

Christina Samuelsson, Charlotta Plejert, Jan Anward
Issued Date: 27 Apr 2016

Abstract


In the present paper, speech and language intervention was investigated in order to explore the use and function of defusing practices. Defusing practices may be viewed as a special form of mitigation. In previous research, including studies on clinical interaction, mitigation has been described mainly as devices used in order to reduce the unwelcome effects of an utterance, or reduce the discomfort of bad news. Defusing practices, however, appear to serve somewhat different functions, which are examined here. Data comprises video and audio recordings of eight intervention sessions with children with language impairment (LI), and six intervention sessions with adults with aphasia, The analysis revealed the following kinds of defusing practices: circumscriptions/figurative language, diminutive words, words like ‘try’ or ‘test’, placing the problem outside of the patient, collective pronouns, diminishing the speech and language pathologist’s own competence, encouragement, and references to well-known phenomena. If speech and language therapists (SLPs) are made aware of the practice and function of defusing, they may make conscious use of these practices in order to reduce face-threatening situations in intervention

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DOI: 10.1558/cam.v11i3.24802

References


Ahlsén, E. (1995) Pragmatics in Aphasia: An Activity Based Approach. Gothenburg Papers in Theoretical Linguistics 77. Gothenburg: Department of Linguistics, Gothenburg University.


Aronsson, K. and Rundström, B. (1988) Child discourse and parental control in peadiatric consultation. Text 8 (3): 159–190. http://dx.doi.org/10.1515/text.1.1988.8.3.159


Baker, E. (2010) Minimal pair intervention. In A. L. Williams, S. McLeod and R. J. McCauley (eds) Interventions for Speech Sound Disorders in Children, 41–73. Baltimore: Paul H. Brookes.


Baker, E. and Williams, A. L. (2010) Complexity approaches to intervention. In A. L. Williams, S. McLeod and R. J. McCauley (eds.) Interventions for Speech Sound Disorders in Children, 95–117. Baltimore, MD: Paul H. Brookes.


Basso, A. (2010) ‘Natural’ conversation: A treatment of severe aphasia. Aphasiology 24 (4): 466–479. http://dx.doi.org/10.1080/02687030802714165


Basso, A. and Caporali, A. (2001) Aphasia therapy or the importance of being earnest. Aphasiology 15 (4): 307–332. http://dx.doi.org/10.1080/02687040042000304


Beeke, S., Johnson, F., Beckley, F., Heilemann, C., Edwards, S., Maxim, J. and Best, W. (2014) Enabling better conversations between a man with aphasia and his conversation partner: Incorporating writing into turn taking. Research on Language and Social Interaction 47 (3): 292–305. http://dx.doi.org/10.1080/08351813.2014.925667


Blum-Kulka, S. (1990). You don’t touch lettuce with your fingers: Parental politeness in family discourse. Journal of Pragmatics 14 (2): 259–288. http://dx.doi.org/10.1016/0378-2166(90)90083-P


Brown, P. and Levinson, S. C. (1987) Politeness: Some Universals in Language Use. Cambridge: Cambridge University Press.


Brumark, Å. (2006) Regulatory talk and politeness at the family dinner table. Pragmatics 16 (2–3): 171–211. http://dx.doi.org/10.1075/prag.16.2-3.06bru


Caffi, C. (1999) On mitigation. Journal of Pragmatics 31 (7): 881–909. http://dx.doi.org/10.1016/S0378-2166(98)00098-8


Caporael, L. R. (1981) The paralanguage of caregiving: Baby talk to the institutionalized aged. Journal of Personality and Social Psychology 40 (5): 876–884. http://dx.doi.org/10.1037/0022-3514.40.5.876


Czerwionka, L. A. (2010). Mitigation in Spanish Discourse: Social and Cognitive Motivations, Linguistic Analyses, and Effects on Interaction and Interlocutors. Unpublished doctoral dissertation, University of Texas, Austin.


Dean, E. and Howell, J. (1986) Developing linguistic awareness: A theoretically based approach to phonological disorders. British Journal of Disorders of Communication 21 (1): 223–238. http://dx.doi.org/10.3109/13682828609012279


Flores-Ferrán, N. (2010) An examination of mitigation strategies used in Spanish psychotherapeutic discourse. Journal of Pragmatics 42 (7): 1964–1981.


Foster, S. H. (1990) The Communicative Competence of Young Children. New York: Longman. http://dx.doi.org/10.1016/j.pragma.2009.12.005


Fraser, B. (1980) Conversational mitigation. Journal of Pragmatics 4 (4): 341–350. http://dx.doi.org/10.1016/0378-2166(80)90029-6


Gardner, H. (2006) Training others in the art of therapy for speech sound disorders: An interactional approach. Child Language Teaching and Therapy 22 (1): 27–46. http://dx.doi.org/10.1191/0265659006ct296oa


Goffman, E. (1990 [1959]) The Presentation of Self in Everyday Life. Harmondsworth, UK: Penguin Books.


Grieser, D. L. and Kuhl, P. K. (1988) Maternal speech to infants in a tonal language: Support for universal prosodic features in motherese. Developmental Psychology 24 (1): 14–20. http://dx.doi.org/10.1037/0012-1649.24.1.14


Heeschen, C. and Schegloff, E. A. (1999) Agrammatism, adaptation theory, conversation analysis: On the role of so-called telegraphic style in talk-in-interaction. Aphasiology 13 (4–5): 265–405. http://dx.doi.org/10.1080/026870399402145


Herbert, R., Best, W., Hickin, J., Howard, D. and Osborne, F. (2003) Combining lexical and interactional approaches to therapy for word finding deficits in aphasia. Aphasiology 17 (12): 1163–1168. http://dx.doi.org/10.1080/02687030344000454


Holck, P., Dahlgren Sandberg, A. and Nettelbladt, U. (2009) Interaction during intervention: Conversations between professionals and children with cerebral palsy. Communication & Medicine 6 (1): 49–60. http://dx.doi.org/10.1558/cam.v6i1.49


Hulterstam, I. and Nettelbladt, U. (2002) Clinician elicitation strategies and child participation. Comparing two methods of phonological intervention. Logopedics Phoniatrics Vocology 27 (4): 155–168. http://dx.doi.org/10.1080/140154302762493216


Jucker, A. H., Smith, S. W. and Lüdge, T. (2003) Interactive aspects of vagueness in conversation. Journal of Pragmatics 35 (12): 1737–1769. http://dx.doi.org/10.1016/S0378-2166(02)00188-1


Kagan, A. (1995) Revealing the competence of aphasic adults through conversation: A challenge to health professionals. Topics in Stroke Rehabilitation 2: 15–28.


Kagan, A. (1998) Supported conversation for adults with aphasia: Methods and resources for training conversation partners. Aphasiology 12 (9): 816–830. http://dx.doi.org/10.1080/02687039808249575


Kagan, A. (1999) Supported Conversation for Adults with Aphasia: Methods and Evaluation. Unpublished doctoral dissertation, University of Toronto.


Kemper, S. (1994) Elderspeak: Speech accommodations to older adults. Aging and Cognition 1 (1): 17–28. http://dx.doi.org/10.1080/09289919408251447


Lindsey, J. and Wilkinson, R. (1999) Repair sequences in aphasiac talk: A comparison of aphasic-speech and language therapist and aphasic-spouse conversations. Aphasiology 13 (4–5): 305–325. http://dx.doi.org/10.1080/026870399402118


Lock, S., Wilkinson, R. and Bryan, K. (2001) SPPARC: Supporting Partners of People with Aphasia in Relationships and Conversations. Bicester: Winslow Press.


Lock, S., Wilkinson, R., Bryan, K., Maxim, J., Edmundson, A., Bruce, C. and Moir, D. (2001) Supporting partners of people with aphasia in relationships and conversation (SPPARC). International Journal of Communication Disorders 36 (Suppl.): 25–30. http://dx.doi.org/10.3109/13682820109177853


Monzoni, C. M., Duncan, R., Grünewald, R. and Reuber, M. (2011) How do neurologists discuss functional symptoms with their patients: A conversation analytic study. Journal of Psychosomatic Research 71 (6): 377–383. http://dx.doi.org/10.1016/j.jpsychores.2011.09.007


Peräkylä, A., Antaki, C., Vehviläinen, S. and Leudar, I. (eds) (2008) Conversation Analysis and Psychotherapy. Cambridge: Cambridge University Press. http://dx.doi.org/10.1017/CBO9780511490002


Plejert, C., Jansson, G. and Yazdanpanah, M. (2014) Response practices in multilingual interaction with an older Persian woman in a Swedish residential home. Journal of Cross-Cultural Gerontology 29 (1): 1–23. http://dx.doi.org/10.1007/s10823-013-9217-2


Sacks, H. (1984) Notes on methodology. In J. M. Atkinson and J. Heritage (eds) Structures of Social Action: Studies in Conversation Analysis, 21–27. Cambridge: Cambridge University Press.


Sacks, H. (1987) On the preferences for agreement and contiguity in sequences in conversation. In G. Button and J. R. E. Lee (eds) Talk and Social Organisation, 54–69. Clevedon, UK: Multilingual Matters.


Samuelsson, C. and Plejert, C. (2015) On the use of conversation analysis and retrospection in intervention for children with language impairment. Child Language Teaching and Therapy 31 (1): 19–36. http://dx.doi.org/10.1177/0265659014532477


Saxton, M. (2005) ‘Recast’ in a new light: Insights for practice from typical language studies. Child Language Teaching and Therapy 21 (1): 23–38. http://dx.doi.org/10.1191/0265659005ct279oa


Saxton, M., Houston-Price, C. and Dawson, N. (2005) The Prompt Hypothesis: Clarification requests as corrective input for grammatical errors. Applied Psycholinguistics 26 (3): 393–414. http://dx.doi.org/10.1017/s0142716405050228


Schegloff, E. A, Jefferson, G. and Sacks, H. (1977) The preference for self-correction in the organization of repair in conversation. Language 53 (1–2): 361–382. http://dx.doi.org/10.1353/lan.1977.0041


Sidnell, J. (2010) Conversation Analysis: An Introduction. Chichester, UK: Wiley-Blackwell.


Simmons-Mackie, N. and Damico, J. S. (1999) Social role negotiation in aphasia therapy: Competence, incompetence and conflict. In D. Kovarsky, J. Duchan and M. Maxwell (eds) Constructing (In)Competence: Disabling Evaluations in Clinical and Social Interaction, 313–342. Mahwah, NJ: Lawrence Erblaum Associates.


Wilkinson, R. (2007) Managing linguistic incompetence as a delicate issue in aphasic talk-in-interaction: On the use of laughter in prolonged repair sequences. Journal of Pragmatics 39 (3): 542–569. http://dx.doi.org/10.1016/j.pragma.2006.07.010


Wilkinson, R. (2014) Intervening with conversation analysis in speech and language therapy: Improving aphasic conversation. Research on Language and Social Interaction 47 (3): 219–238. http://dx.doi.org/10.1080/08351813.2014.925659


Wilkinson, R., Beeke, S. and Maxim, J. (2003) Adapting to conversation: On the use of linguistic resources by speakers with fluent aphasia in the construction of turns at talk. In C. Goodwin (ed.) Conservation and Brain Damage, 59–89. New York: Oxford University Press.


Williams, A. L. (2010) Multiple oppositions intervention. In A. L. Williams, S. McLeod and R. J. McCauley (eds) Interventions for Speech Sound Disorders in Children, 73–94. Baltimore, MD: Paul H. Brookes.


Williams, A. L., McLeod, S. and McCauley, R. J. (2010) Interventions for Speech Sound Disorders in Children. Baltimore, MD: Paul H. Brookes.


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