Chen2026a
| Chen2026a | |
|---|---|
| BibType | ARTICLE |
| Key | Chen2026a |
| Author(s) | Chin-Hui Chen, Chia-Yu Li |
| Title | From resistance to progressivity: The sequential organisation of refusal management in Taiwanese long-term home-based dementia care |
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| Tag(s) | EMCA, Conversation analysis, Dementia care communication, Refusal management, Home-based care, Taiwan |
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| Year | 2026 |
| Language | English |
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| Journal | Language & Communication |
| Volume | 108 |
| Number | May 2026 |
| Pages | 88-100 |
| URL | Link |
| DOI | 10.1016/j.langcom.2026.03.004 |
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Abstract
Dementia care communication frequently encounters refusals, particularly in home-based settings where institutional authority must be negotiated. Departing from clinical models that treat resistance as a symptom, this study approaches refusals as socially situated interactional events. Drawing on a corpus of naturally occurring interactions between a professional caregiver and an older woman in Taiwan, the analysis employs Conversation Analysis to examine how refusal management is accomplished as a sequential practice. The caregiver maintains task progressivity through deferrals, downgraded directive renewals, and trajectory modifications, while silence operates as interactional non-uptake occasioning reformulations or activity shifts. Confucian-based expectations of filial respect and face maintenance are further indexed to pursue cooperation while preserving the recipient’s dignity, extending person-centred care theory in this Taiwan-based context.
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