Communicative Aspects of Aging

Picture Description of the Western Aphasia Battery Picnic Scene: Reference Data for the French Canadian Population

PURPOSE

The main aim of this study is to provide French Canadian reference data for quantitative measures extracted from connected speech samples elicited by the Western Aphasia Battery-Revised picnic scene, a discourse task frequently used in clinical assessment of acquired language disorders.

METHOD

Our sample consisted of 62 healthy French Canadian adults divided in two age groups: a 50- to 69-year-old group and a 70- to 90-year-old group.

RESULTS

High interrater reliability scores were obtained for most of the variables. Most connected speech variables did not demonstrate an age effect. However, the 70- to 90-year-old group produced more repetitions than the 50- to 69-year-old group and displayed reduced communication efficiency (number of information content units per minute).

CONCLUSION

These findings contribute to building a reference data set to analyze descriptive discourse production in clinical settings.

Sociopsychological Perspectives on Older People's Language and Communication

This paper overviews a series of recent investigations of the sociopsychological meanings of older people's language and communication. The first set of studies investigated young people's perceptions of younger and older voices. Older voices were, in general, downgraded relative to younger voices by young people. In addition, younger people's messages were recalled significantly better than older people's messages. The next set of studies was concerned with whether people seek information differently from people of various ages. The findings indicate that different questions were posed depending on the target's age. Further studies show that young people's information-seeking strategies draw on various ageist assumptions to formulate questions to both younger and older targets. The next investigation examined how young people address both younger and older people when they are requesting different kinds of assistance from them. Not only do we find ageist assumptions mediating the kinds of compliance-gaining young people use with older people, but also negative stereotypes emerge when younger people are asked what kinds of compliance-gaining strategies older people themselves usually adopt. Finally, the above findings are meshed with a new model being developed concerning the relationships between language, health and the elderly.

Glottic Characteristics and Voice Complaint in the Elderly

This study evaluated the relationship between voice complaint and deviant vocal fold status with special regard to presbylarynx, in patients aged more than 60 years, with pharyngeal-laryngeal complaint. The material consisted of clinical histories and images obtained by laryngoscopies from protocols from the Larynx Institute-INLAR, Sao Paulo, Brazil, of 210 patients, 88 men and 122 women, aged more than 60 years, who had sought otorhinolaryngologic treatment. Indicative glottic characteristics of the presbylarynx, such as vocal fold bowing, prominence of vocal processes, and spindle-shaped glottic chink, were analyzed. The increase in mass, leukoplakia, and other vocal fold alterations, distinct from these two, grouped as miscellaneous, as well as the presence or absence of voice complaint were also analyzed. Vocal fold bowing, prominence of vocal processes, and spindle-shaped glottic chink showed a strong correlation among each other. The presence of presbylarynx was accompanied by less voice complaint than the presence of vocal fold mucosa alterations, which in turn are more common where an absence of presbylarynx exists.

Communicating with the aphasic dental patient

A significant proportion of older adults has communication impairments. Language disorders involve problems with the use of learned symbol systems, including numbers, pictures, and words. Aphasia is one of the most common types of language disorders experienced by the elderly and is usually caused by a cerebrovascular accident or stroke, but can also be caused by head trauma and tumors. The growing number of dental patients with this language disorder will challenge the dental team to understand and evaluate aphasia and develop effective communication strategies. This paper describes the language impairments commonly experienced by stroke victims, and discusses assessment and communication strategies specifically for the aphasic dental patient.