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STORIES AND EMBODIED MEMORIES IN DEMENTIA Lars-Christer Hydén, PhD

STORIES AND EMBODIED MEMORIES IN DEMENTIA Lars-Christer Hydén, PhD Center for Dementia Research (CEDER) Linköping University, Sweden. CEDER - Center for Dementia Research. Interest in people with dementia as storytellers. Dementia:

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STORIES AND EMBODIED MEMORIES IN DEMENTIA Lars-Christer Hydén, PhD

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  1. STORIES AND EMBODIED MEMORIES IN DEMENTIA Lars-Christer Hydén, PhD Center for Dementia Research (CEDER) Linköping University, Sweden CEDER - Center for Dementia Research

  2. Interest in people with dementia as storytellers.

  3. Dementia: a brain disease first resulting in linguistic and cognitive challenges - later on more functions are involved - and eventually resulting in death. A disease with many faces and causes.

  4. Storytelling: * is ubiquitous; * is important in presenting and negotiating identities; * important in understanding other persons and the world.

  5. Research on dementia invites us to re-think some theoretical issues: (1) what is memory? (2) what does ”losing memory” mean and imply?

  6. Episodic memory Event representation Semantic memory Words & linguistic constructions Talk: linguistic representation of retrieved events

  7. Embodiment

  8. Embodiment: (1) Communicative body (2) ”Embodied cognition” and a combinations of these

  9. An example Laura * 52 years old * early on-set dementia * two children * divorced

  10. The interview Thematic: - diagnosis - life history - present life

  11. The interview situation * In Laura’s home * Social support person present, and * Two interviewers Video recorded

  12. Set up

  13. The start of the sequence: Laura is telling about where she has been living - as part of that story she tells about separating from her husband and about her son.

  14. The sound file

  15. Laura: well my son ehh lives with his father and we all lived there I1: mm Laura: we separated and then we had different he came to me and then it was empty I2: yes Laura: and then I2: [alternate residence] Laura: [we did this for a while]

  16. Laura: well my son ehh (1,5s) lives with his father (2s) and we all lived there (0.75s) I1: mm Laura: we separated and then (1,5s) we had different (2s) he came to me (0.8) and then it was empty (0.5s) I2: yes Laura: and then (2.0s) I2: [alternate residence] Laura: [we did this for a while]

  17. Laura: well my son ehh lives with his father and we all lived there I1: mm Laura: we separated and then we had different he came to me  and then it was empty  I2: yes Laura: and then I2: [alternate residence] Laura: [we did this for a while] 

  18. Build a case for incompleteness: * frequent in the interview * pauses quite long * grammatical constructions: lack of words that differentiate in events, situations and physical arrangements. Utterances are ’syncretic’.

  19. The video

  20. The gestures, eyes, body posture

  21. Laura: well my son ehh Gestures: ((hands resting in knee - default)) Gaze: ((gaze directed towards I1))

  22. Laura: well my son ehh Gestures: ((hands resting in knee - default)) Gaze: ((gaze directed towards I1)) Laura: lives with his father Laura: and w-we all lived there ((I1: mm)) Laura: w-we separated Gestures: ((raises both hands in outward movement))

  23. Laura: well my son ehh Gestures: ((hands resting in knee - default)) Gaze: ((gaze directed towards I1)) Laura: lives with his father Laura: and w-we all lived there ((I1: mm)) Laura: w-we separated and Gestures: ((raises both hands in outward movement)) Laura:and then Gestures: ((join hands))

  24. Laura: well my son ehh Gestures: ((hands resting in knee - default)) Gaze: ((gaze directed towards I1)) Laura: lives with his father Laura: and w-we all lived there ((I1: mm)) Laura: w-we separated Gestures: ((raises both hands in outward movement)) Laura:and then Gestures: ((join hands)) Laura: we had different Gestures: ((outward hand movements hands separated))

  25. Laura: well my son ehh Gestures: ((hands resting in knee - default)) Gaze: ((gaze directed towards I1)) Laura: lives with his father Laura: and w-we all lived there ((I1: mm)) Laura: w-we separated Gestures: ((raises both hands in outward movement)) Laura:and then Gestures: ((join hands)) Laura: we had different Gestures: ((outward hand movements hands separated)) Laura: he came to me Gestures: ((right hand in to the body midline))

  26. Laura: we had different Gestures: ((outward hand movements hands separated)) Laura: he came to me Gestures: ((right hand in to the body midline)) Laura: and then it was empty ((small laughter)) I2: yes Gestures: ((left hand in to body midline)) Gaze: ((shifts gaze to I2))

  27. Laura: and then it was empty ((small laughter)) I2: yes Gestures: ((left hand in to body midline)) Gaze: ((shifts gaze to I2)) Laura: and then Gestures: ((right hand from right to midline => both hand to default position)) Gaze: ((shifts gaze to I1))

  28. Laura: well my son ehh Gestures: ((hands resting in knee - default)) Gaze: ((gaze directed towards I1)) Laura: lives with his father Laura: and w-we all lived there ((I1: mm)) Laura: w-we separated and Gestures: ((raises both hands in outward movement)) Laura:then Gestures: ((join hands)) Laura: we had different Gestures: ((outward hand movements hands separated)) Laura: he came to me Gestures: ((right hand in to the body midline)) Laura: and then it was empty ((small laughter)) I2: yes Gestures: ((left hand in to body midline)) Gaze: ((shifts gaze to I2)) Laura: and then Gestures: ((right hand from right to midline => both hand to default position)) Gaze: ((shifts gaze to I1)) I2: [alternate residence] Laura: [we did this for a while] Gaze: ((shifts gaze to I2))

  29. Sum up of analysis: * Gestures take on the functions of words;

  30. Sum up of analysis: * Gestures take on the functions of words; * Complex gestures - events;

  31. Sum up of analysis: * Gestures take on the functions of words; * Complex gestures - events; * Gestures connected to embodied experiences;

  32. Sum up of analysis: * Gestures take on the functions of words; * Complex gestures - events; * Gestures connected to embodied experiences; * Gestures are ”syncretic”.

  33. Conclusions * Indication that memories are not representations stored in an archive but rather bits and pieces of modular (embodied) experiences and patterns of experiences that can be re-created in a new situation.

  34. Conclusions * Experiential fragments are not ”mapped” into linguistic expressions, but rather developed through various semiotic tools (language, gestures).

  35. Conclusions * Dementia do not lead to erasure of ”memories” in the brain, but to loss of certain possibilities - and inventions of new possibilities.

  36. The End

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