Repetitiveness and Conversational Functioning in Dementia

Dr. Nicole Müller

Department of Communicative Disorders

University of Louisiana at Lafayette

 

Abstract

Repetitive verbal behaviors (RVBs) in various neurogenic disorders have a long history of attracting scholarly attention, and the literature shows an impressive number of categories and definitions of RVBs. Thus we find terms such as iteration, perseveration, recurrent utterance, stereotypy, speech automatism, and others. Much of the available research is concerned with neuropathological correlates of the behavioral manifestations classified as RVBs. As well as repetitive behavioral patterns, such as the repetition of utterances, parts of utterances, or motor sequences, persons with, for example, dementia or brain damage secondary to closed head injury may also show patterns of topic repetitiveness or marked redundancy of information. Much of the available research is concerned with neuropathological correlates of the behavioral manifestations classified as RVBs, and topic repetitiveness. In contrast, the main concern of this presentation is the conversational embeddedness, and function, of RVBs and topic bias in conversations involving persons with and without dementia.