A Study of Interruption Behaviors of Elderly Patients with Cognitive Impairment in Physician-patient Conversations
This study focuses on the interruption in behaviors of cognitively impaired elderly people in physician-caregiver-patient conversation.The data we used were collected during the memory consultation in a hospital in southern China.We start with a theoretical and epistemological reflection on the notion of interruption before conducting a multimodal analysis of the characteristics of patients'interruptions.The results reveal that despite cognitive impairment,some patients still retain the ability to interrupt their interlocutors but in different ways.It is essentially a cooperative interruption between physician and patient and an intrusive interruption between caregiver and patient.We observe that unsuccessful interruption on the part of the patient is strictly related to the misinterpretation of the TRP,formulation difficulties and deterioration of the interactive multimodal capacity.The study of interruption behaviors in cognitively impaired individuals may provide suggestions and recommendations for physician-caregiver-patient communication,maintenance of communication between patient and the outside world,and cognitive rehabilitation.