Beyond words: Older people with dementia using and interpreting nonverbal behaviour |
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| Institution: | 1. Department of Applied Social Science, University of Stirling, Stirling FK9 4LA, Scotland, UK;2. University of Bradford, Bradford BD5 OBB, England, UK;1. University of California, Los Angeles, United States;2. UCLA Psychology Department, Franz Hall, 502 Portola Plaza, Los Angeles, CA 90095, United States;1. Departments of Psychiatry and of Epidemiology & Biostatistics, Schulich School of Medicine and Dentistry, The University of Western Ontario, London, Ontario, Canada;2. Lawson Health Research Institute, London, Ontario, Canada;3. Center for the Study and Prevention of Suicide, Department of Psychiatry, University of Rochester School of Medicine and Dentistry, Rochester, NY;4. Veterans Health Administration VISN 2 Center of Excellence for Suicide Prevention, Canandaigua, NY;1. Department of Psychosomatic Medicine, University of Rostock, Rostock, Germany;2. DZNE, German Center for Neurodegenerative Diseases, Rostock, Germany;3. Department of Physiology and Pharmacology “V. Erspamer”, University of Rome “La Sapienza”, Rome, Italy;4. IRCCS San Raffaele Pisana of Rome, Rome, Italy;5. School of Computer Science, University of Waterloo, Waterloo, Ontario, Canada;6. NIA - Layton Aging & Alzheimer''s Disease Center and ORCATECH, the Oregon Center for Aging & Technology, Oregon Health & Science University, Portland, OR, USA;7. Department of Computer Science, University of Rostock, Rostock, Germany;8. School of Computing and Mathematics, Charles Sturt University, Bathurst, Australia;1. Centre for Rural Health, College of Health and Medicine, University of Tasmania, Australia;2. Wicking Dementia Centre, College of Health and Medicine, University of Tasmania, Australia;3. Circular Head Aboriginal Corporation, Smithton, Tasmania, Australia;1. Memory and Aging Center, Department of Neurology, University of California San Francisco, CA, USA;2. Neurology Department, Toulouse University Hospital, Toulouse, France;3. Global Brain Health Institute, University of California, San Francisco, USA;4. Istituti Clinici Scientifici Maugeri IRCCS, Institute of Bari, Via Generale Nicola Bellomo, Bari, Italy;5. Universidad De San Andrés, Buenos Aires, Argentina;6. National Scientific and Technical Research Council (CONICET), Buenos Aires, Argentina;7. Departamento de Lingüística y Literatura, Facultad de Humanidades, Universidad de Santiago de Chile, Santiago, Chile;8. Department of Epidemiology & Biostatistics, University of California San Francisco, CA, USA |
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| Abstract: | This article addresses a gap in research on nonverbal communication and dementia. It presents findings from a study that explored ways in which older people with dementia used and interpreted nonverbal behaviour within the context of social interactions. Two researchers, using an ethnographic approach, jointly observed nonverbal communicative behaviours occurring in a day-care centre. The findings show that older people with dementia used nonverbal behaviour in meaningful ways for others to interpret, and as a way of self-communication; and that they actively interpreted others' nonverbal behaviour. In specific situations, these people acted in the context of shared meanings, possessed a ‘self’, and took on the ‘role’ of others. This approach has implications for understanding the social experience of dementia and for the ways that care is organised. The role of nonverbal behaviour offers potential for carers to preserve older people's self-identity and improve their quality of life and care. |
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