Anne Marie Landmark

• Svennevig, Jan; Hansen, Pernille; Simonsen, Hanne Gram & Landmark, Anne Marie Dalby (2019). Code-switching in multilinguals with dementia: patterns across speech contexts. Clinical Linguistics & Phonetics.  ISSN 0269-9206. . doi: 10.1080/02699206.2019.1600170 Vis sammendrag

  The study investigates code-switching by multilingual persons with dementia in two different speech contexts, picture naming tests and spontaneous conversation. It combines a psycholinguistic perspective on cognitive and linguistic skills with a qualitative conversation analytic approach to understanding the functions and appropriateness of code-switching in social interaction. The analysis shows that code-switching is used as a resource for compensating for word-retrieval problems in both the naming tests and in word search sequences in conversation. Furthermore, it serves to demarcate meta-communicative parentheses in which the participants comment on their process of word retrieval or express frustration about processing problems. Code-switching is generally treated as appropriate and relevant by the participants. In most instances, the speakers switch to a language known by the interlocutor. Only a few instances are treated as inappropriate by not being understandable to the interlocutor or by not adapting to the established language of the conversation. The patterns of code-switching are discussed considering typical symptoms of cognitive decline associated with dementia. Only very few instances may be interpreted as caused by a lack of awareness of the interlocutor’s language background (associated with reduced episodic memory) or a lack of inhibition. Code-switching thereby presents itself primarily as a communicative resource for handling and overcoming another dementia-related symptom, namely anomia.

• Svennevig, Jan & Landmark, Anne Marie (2019). Accounting for forgetfulness in dementia interaction. Linguistics Vanguard.  ISSN 2199-174X.  5(s2), s 1- 12 . doi: 10.1515/lingvan-2018-0021 Vis sammendrag

  The article identifies and describes conversational practices used by persons with dementia and their interlocutors to account for the former’s lack of knowledge in cases where information about their personal experiences is made relevant and expectable at a specific point in a conversation. First, they may seek to normalize the lack of knowledge by claiming that it would be difficult for anyone to know or remember the information in question. Second, they may exceptionalize it by claiming that their cognitive or communicative impairment incidentally and temporarily disables them from accessing the information. Finally, they may justify their failure to provide information by claiming that it is not important, relevant or expectable that they should know. Such accounts dissociate the social character from the forgetfulness and thus constitute an attempt to avoid the loss of face associated with not remembering personal experiences. By specifying these conversational accounting practices, the study thus adds to existing knowledge on how participants handle the social sensitivity of typical dementia symptoms.

• Landmark, Anne Marie Dalby; Ofstad, Eirik Hugaas & Svennevig, Jan (2017). Eliciting patient preferences in shared decision-making (SDM): Comparing conversation analysis and SDM measurements. Patient Education and Counseling.  ISSN 0738-3991.  100(11), s 2081- 2087 . doi: 10.1016/j.pec.2017.05.018 Fulltekst i vitenarkiv.
• Landmark, Anne Marie Dalby; Svennevig, Jan; Gerwing, Jennifer & Gulbrandsen, Pål (2017). Patient involvement and Language Barriers: Problems of agreement of understanding?. Patient Education and Counseling.  ISSN 0738-3991.  100(6), s 1092- 1102 . doi: 10.1016/j.pec.2016.12.006 Fulltekst i vitenarkiv.
• Landmark, Anne Marie Dalby; Svennevig, Jan & Gulbrandsen, Pål (2016). Negotiating treatment preferences: Physicians' formulations of patients' stance. Social Science and Medicine.  ISSN 0277-9536.  149, s 26- 36 . doi: 10.1016/j.socscimed.2015.11.035 Fulltekst i vitenarkiv. Vis sammendrag

  Eliciting patients' values and treatment preferences is an essential element in models of shared decision making, yet few studies have investigated the interactional realizations of how physicians do this in authentic encounters. Drawing on video-recorded encounters from Norwegian secondary care, the present study uses the fine-grained empirical methodology of conversation analysis (CA) to identify one conversational practice physicians use, namely, formulations of patients' stance, in which physicians summarize or paraphrase their understanding of the patient's stance towards treatment. The purpose of this study is twofold: (1) to explore what objectives formulations of patients' stance achieve while negotiating treatment and (2) to discuss these objectives in relation to core requirements in shared decision making. Our analysis demonstrates that formulating the patient's stance is a practice physicians use in order to elicit, check, and establish patients' attitudes towards treatment. This practice is in line with general recommendations for making shared decisions, such as exploring and checking patients' preferences and values. However, the formulations may function as a device for doing more than merely checking and establishing common ground and bringing up patients' preferences and views: Accompanied by subtle deprecating expressions, they work to delegitimize the patients' stances and indirectly convey the physicians' opposing stance. Once established, these positions can be used as a basis for challenging and potentially altering the patient's attitude towards the decision, thereby making it more congruent with the physician's view. Therefore, in addition to bringing up patients' views towards treatment, we argue that physicians may use formulations of patients' stance as a resource for directing the patient towards decisions that are congruent with the physician's stance in situations with potential disagreement, whilst (ostensibly) avoiding a more authoritarian or paternalistic approach.

• Dalby, Anne Marie Landmark; Gulbrandsen, Pål & Svennevig, Jan (2015). Whose decision? Negotiating epistemic and deontic rights in medical treatment decisions. Journal of Pragmatics.  ISSN 0378-2166.  78, s 54- 69 . doi: 10.1016/j.pragma.2014.11.007 Fulltekst i vitenarkiv.
• Gerwing, Jennifer & Dalby, Anne Marie Landmark (2014). Gestures convey content: An exploration of the semantic functions of physicians' gestures. Patient Education and Counseling.  ISSN 0738-3991.  96(3), s 308- 314 . doi: 10.1016/j.pec.2014.07.014
• Gulbrandsen, Pål; Dalby, Anne Marie Landmark; Ofstad, Eirik Hugaas & Gerwing, Jennifer (2014). Confusion in and about shared decision making in hospital outpatient encounters. Patient Education and Counseling.  ISSN 0738-3991.  96(3), s 287- 294 . doi: 10.1016/j.pec.2014.07.012

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• Hansen, Pernille; Landmark, Anne Marie Dalby; Simonsen, Hanne Gram & Svennevig, Jan (2019). Ordfinning og ordleting hos sju flerspråklige med demens.
• Landmark, Anne Marie Dalby & Hansen, Pernille (2019). Bruk ordfinningsvansker!. Tidsskriftet Den norske legeforening.
• Landmark, Anne Marie Dalby; Nilsson, Elin; Ekström, Anna & Svennevig, Jan (2019). Conflicting knowledge claims in couples living with dementia.
• Landmark, Anne Marie Dalby; Nilsson, Elin; Ekström, Anna & Svennevig, Jan (2019). Managing conflicting knowledge claims in dementia interaction.
• Landmark, Anne Marie Dalby & Svennevig, Jan (2019). Managing knowledge claims in dementia care encounters: A conversation analytic case study.
• Hansen, Pernille; Landmark, Anne Marie Dalby; Lind, Marianne; Simonsen, Hanne Gram & Svennevig, Jan (2018). Communicative competence in multilingual persons with dementia: A linguistic perspective.
• Hansen, Pernille; Landmark, Anne Marie Dalby; Lind, Marianne; Simonsen, Hanne Gram; Svennevig, Jan & Vonen, Maria Njølstad (2018). Code-switching in multilinguals with dementia: Individual patterns across speech contexts.
• Landmark, Anne Marie Dalby (2018). Har pasientene reell medvirkning i valg av behandling? Vi ser på hva forskningen viser om dette.
• Landmark, Anne Marie Dalby & Svennevig, Jan (2018). Managing knowledge claims in dementia care encounters.
• Hansen, Pernille & Landmark, Anne Marie Dalby (2017). The MultiLing Dementia Project - status and way forward.
• Landmark, Anne Marie Dalby (2017). Har pasientane reell medverknad i val av behandling? Vi ser på kva forskinga viser om dette.
• Landmark, Anne Marie Dalby (2017). Reell brukarmedverknad og samval.
• Landmark, Anne Marie Dalby (2017). Shared decision making. Samvalg - hva er det?.
• Landmark, Anne Marie Dalby (2017). Språk og kommunikasjon hos flerspråklige med demens i Norge.
• Landmark, Anne Marie Dalby (2017). Språk og kommunikasjon hos flerspråklige med demens i Norge.
• Landmark, Anne Marie Dalby & Hansen, Pernille (2017). Språk og kommunikasjon hos flerspråklige med demens i Norge.
• Landmark, Anne Marie Dalby & Hansen, Pernille (2017). The MultiLing Dementia Project.
• Svennevig, Jan; Landmark, Anne Marie Dalby & Lind, Marianne (2017). Collaborative word searches in conversations involving bilingual speakers with dementia.
• Svennevig, Jan; Landmark, Anne Marie Dalby & Lind, Marianne (2017). Dementia and communication problems in a first and second language.
• Hanger, Mari Rian & Landmark, Anne Marie Dalby (2016, 19. oktober). Legene legger sterke føringer. [Fagblad].  Dagens Medisin.
• Landmark, Anne Marie Dalby (2016). Conversation analytic insights into Shared Decision-Making: What does ‘best actual practice’ look like? Symposium contribution to «Assessing Shared Decision-Making - Analyzing the Same 32 Encounters Using Six Different Methods».
• Landmark, Anne Marie Dalby (2016). Hvordan ser pasientmedvirkning ut i praksis? En videostudie av reelle sykehuskonsultasjoner.
• Landmark, Anne Marie Dalby & Christensen, Arnfinn (2016, 19. oktober). Legen får ofte det siste ord.  Forskning.no.
• Landmark, Anne Marie Dalby; Gulbrandsen, Pål & Svennevig, Jan (2016). Negotiating patient involvement in treatment decision making. A conversation analytic study of Norwegian hospital encounters.
• Landmark, Anne Marie Dalby (2015). Legens strategier for å sikre forståelse og aksept.
• Svennevig, Jan & Dalby, Anne Marie Landmark (2014). Negotiating treatment preferences: Physician's formulations of patients' stance.
• Gulbrandsen, Pål; Dalby, Anne Marie Landmark & Ofstad, Eirik Hugaas (2013). Confusion in and about shared decision making.
• Landmark, Anne Marie Dalby; Svennevig, Jan & Gulbrandsen, Pål (2013). Whose decision? Negotiating deontic rights in secondary care treatment decisions.

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