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How to construct a case of Alzheimer's disease in three languages: case-based reasoning in narrative gerontology

Published online by Cambridge University Press:  17 October 2012

ROBERT W. SCHRAUF ,
MADELYN IRIS ,
ELLEN NAVARRO  and
TETYANA SMOTROVA
ROBERT W. SCHRAUF*
Affiliation:
Department of Applied Linguistics, Pennsylvania State University, University Park, USA.
MADELYN IRIS
Affiliation:
Leonard Schanfield Research Institute, Council for Jewish Elderly (CJE) Senior Life, Chicago, USA.
ELLEN NAVARRO
Affiliation:
George Warren Brown School of Social Work, Washington University, St. Louis, Missouri, USA.
TETYANA SMOTROVA
Affiliation:
Department of Applied Linguistics, Pennsylvania State University, University Park, USA.
*
Address for correspondence: Robert W. Schrauf, Department of Applied Linguistics, Pennsylvania State University, 234 Sparks Building, University Park, PA 16802, USA. E-mail: [email protected]
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Abstract

This paper explores how people reason about Alzheimer's disease by telling stories about others who have the disease. More specifically, the paper is a cross-linguistic investigation of the narrative and linguistic devices used by African Americans in English, Mexican Americans in Spanish, and refugees/immigrants from the former Soviet Union (to the United States of America) in Russian in their oral productions of such stories. We examine the narratives as instances of case-based reasoning in which lay people (non-medical professionals) distinguish, represent and ‘perform’ symptomatic behaviours and construct a ‘case’ of the disease as a way of probing the difference between the normal and the pathological in conversational contexts. In particular, we examine situations in which stories are accepted and confirmed and situations in which stories are contested and negotiated. Common narrative and discursive devices across the three languages include concatenation, intertextuality, conjunction and conjunctive adverbs, lexical opposition, past progressive tenses, temporal adverbials, reported speech and prosodic cues. The fine-grained analysis of these narrative and discursive devices lays bare the inner-workings of case-based reasoning as a conversational task and suggests specific linguistic tools for intervening in lay narrative reasoning in clinical settings and in public health messaging about Alzheimer's disease.

Keywords

Alzheimer's diseasenarrative gerontologydiscourse analysiscase-based reasoningEnglishAfrican AmericanMexicanSpanishRussian
Type
Articles
Information
Ageing & Society , Volume 34 , Issue 2 , February 2014 , pp. 280 - 309
Copyright
Copyright © Cambridge University Press 2012 

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