Dissertation/Thesis Abstract

Access Denied: An Investigation of the Impact of Aphasia on Social Inclusion in Long-term Care Facilities
by Hartwell, Jamie, Ph.D., University of Louisiana at Lafayette, 2015, 315; 10002394
Abstract (Summary)

This dissertation focused on the impact of aphasia on social inclusion in LTC facilities. Data were gathered and examined using a qualitative research methodology. This research design used several data collection procedures including participant observation, ethnographic interviews, videotaped conversations, and artifact analysis. These procedures preserved the authenticity of the data and allowed for thick description of social interaction as it unfolded in real-time. The results of these data were examined using categorization of the context and culture of each environment, community-based strategies used during social interactions, and the linguistic and interactive devices used during conversational interactions. The views, reactions, and affective reactions of IWA were also explored and discussed. Patterns emerged from the data that revealed the types of strategies that IWA employed to overcome contextual barriers within the nursing home environment. This study uncovered the importance of considering the contextual makeup of nursing homes when examining IWA and the value in exploring the on-line behaviors and strategies that are implemented by IWA as they negotiate social action within these contexts. This study has important implications regarding the value of qualitative research paradigms in investigating social access and inclusion in IWA in LTC settings and exploring the complex interdependent and synergistic relationship of language and its situated context.

Indexing (document details)
Advisor: Damico, Jack S., Roussel, Nancye
Commitee: Damico, Holly, Nelson, Ryan
School: University of Louisiana at Lafayette
Department: Applied Language and Speech Sciences
School Location: United States -- Louisiana
Source: DAI-B 77/06(E), Dissertation Abstracts International
Source Type: DISSERTATION
Subjects: Speech therapy
Keywords: Aphasia, Identity, Interactive strategies, Nursing home, Qualitative research, Socialization
Publication Number: 10002394
ISBN: 978-1-339-41904-6
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