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Negotiating the Impact of Forgetting

Dimensions of Resistance in Task-Oriented Conversations between People with Early-Stage Dementia and their Partners

University of Wales, Bangor, UK, l.clare{at}bangor.ac.uk

Pam Shakespeare

The Open University, UK, P.R.Shakespeare{at}open.ac.uk

Dialectical and social constructionist approaches to dementia emphasize the importance of social interaction, and recent work has begun to call for a more relationship-based approach. However, little attention has yet been paid to the interactions of couples where one partner has early-stage dementia. This article describes some of the findings from an exploratory, qualitative study investigating conversational interactions between people with early-stage dementia and their spouses. Analysis of data from ten couples draws primarily on voice-relational analytic methods to explore how these couples use talk in conversation to negotiate and co-construct an account of their situation, and to outline the dimensions of resistance in this context. The findings suggest a need to attend to interaction and conversation from the very earliest stages of dementia. The concept of resistance, as evidenced in the interactions presented here, provides a framework that can assist in this endeavour.

Key Words: conversations • early-stage Alzheimer’s disease • relationship-based approach • voice-relational analysis

Dementia, Vol. 3, No. 2, 211-232 (2004)
DOI: 10.1177/1471301204042338


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