All effective communication is based on the participants trusting that they share their basic orientations to the world – that is, they have a common ground. In this paper, however, we examine situations in which such trust is lacking. Drawing on conversation–analytic methodology and on 30 hours of video data featuring persons with dementia and their caregivers in a Swedish-language daycare center in Finland, we consider some of the social consequences resulting from a lack of trust. Our analysis focused on (...) three different interactional contexts, highlighting the relevance of different facets of the participants’ common ground. These facets are anchored in the deontic, epistemic, and emotional orders, respectively. We show that, with regard to each order, a lack of trust in the existence of common ground has drastic consequences, leading to problems related to getting one’s will acknowledged, a scarcity of conversational partners, and a lack of resources to maintain affection. (shrink)

In this article, we explore the organization of assistance in multilingual interaction in Swedish residential care. The data that form the basis for the study cover care encounters involving three residents with a language background other than Swedish, totalling 13 hours and 14 minutes of video documentation. The empirical data consists of a collection of 134 instances where residents seek assistance with the realization of a practical action. For this article, three examples that involve the manipulation of an object have (...) been selected for analysis. We use the concept of ‘recruitment’ to encompass the various methods by which assistance is sought in the care encounter. In the first example, the need for assistance concerns the transfer of an object that is recognizable and physically available for both participants. This, in combination with the resident’s gestural work that pinpoints the description of the action, facilitates its realization. In the second and third examples, the realization of the action becomes more difficult because the object involved is not recognizable for the caregiver. The article highlights the collaborative ways in which residents manage to support their talk through bodily practices, and the strong and empathetic engagement with which caregivers become involved in interpreting the meaning of these practices. Finally, we discuss the implications of our findings for care provision in multilingual circumstances. (shrink)

People with early-to-mid stage dementia frequently attend groups that provide opportunities for socialising and engaging in group activities, such as quizzes. This article uses conversation analysis to investigate the interactional strategies that the staff use to initiate and keep these quizzes ‘on track’, and what they orient to as impediments and facilitators of quiz progression. Specifically, we outline how staff deal with incorrect or ‘non-answers’, and what happens when players have their own goals or ‘projects’ that do not align with (...) staff members’ orientations to the overarching activity completion. We reflect on the tensions that arise between doing interactional work to progress through the quiz, and how that goal can conflict with attending to the needs or wishes expressed by the person living with dementia, potentially resulting in threats to the ‘face’ of the quiz players. Data are taken from a corpus of 10 quizzes recorded in 4 different group settings in England. (shrink)