Written Communication Apr 2019

Negotiating Communicative Access in Practice: A Study of a Memoir Group for People With Aphasia

Elisabeth L. Miller University of Nevada, Reno

Abstract

Resulting from stroke or brain injury, aphasia affects individuals’ ability to produce and comprehend language, but it also creates profound social changes, limiting individuals’ opportunities to communicate or to be seen as capable of communication. To address these challenges, the field of communicative sciences and disorders (CSD) has sought to ensure “communicative access” by reducing barriers to communication. This article, through an analysis of the communicative practices of participants in a memoir group for people with aphasia, develops a nuanced conception of communicative access as a process of negotiation across individuals and modes and not just as a process of reducing barriers. The study shows, specifically, that rather than the mere presence of multiple semiotic resources enabling communicative access, individuals enact access by flexibly shifting between modes to take advantage of various kinds of affordances that best suit their needs. This willingness to use modes in atypical or nonnormative ways importantly challenges the very idea of “normal” communication. The theory of communicative access developed in this article melds (a) a CSD understanding of communication as social and tied inextricably to identity with (b) a disability studies conception of access as an ongoing, negotiated process and with (c) a writing studies emphasis on literate, communicative activity as complexly layered, distributed, negotiated, and (multi)semiotic.

Journal
Written Communication
Published
2019-04-01
DOI
10.1177/0741088318823210
CompPile
Open Access
Closed
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Citation context

Cited by in this index (3)

  1. Lindenman et al. (2024)
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References (59) · 7 in this index

  1. Alexander et al. (2015)
    DMAC After Dark: Toward a Theory of Distributed Invention
    Computers and Composition
  2. American Speech-Language-Hearing Association. (2018). Aphasia. Retrieved from https://www.asha.org/PRPSpecifi…
  3. 10.1080/02687030544000128
     ↗
  4. Ceraso S. (2014)
    College English
  5. Charmaz K. (2006)
    Constructing grounded theory: A practical guide through qualitative analysis
Show all 59 →
  1. Clayson (2018)
    Distributed Cognition and Embodiment in Text Planning: A Situated Study of Coll…
    Written Communication
  2. Dolmage J. (2007)
    Disability in the teaching of writing: A critical sourcebook
  3. Dolmage J. (2013)
    Disability rhetoric
  4. 10.3998/mpub.9708722
     ↗
  5. Dunn P., Dunn De Mers K. (2002). Reversing notions of disability and accommodation: Embracing universal desig…
  6. 10.1207/s15327973rlsi2803_4
     ↗
  7. Goodwin C. (2004). A competent speaker who can’t speak: The social life of aphasia. Journal of Linguistic Ant…
     ↗
  8. Haas et al. (2001)
    Writing as an Embodied Practice: The Case of Engineering Standards
    Journal of Business and Technical Communication
  9. Hamraie A. (2013). Designing collective access: A feminist disability theory of universal design. Disability …
     ↗
  10. Heller C. E. (1997)
    Until we are strong together: Women writers in the Tenderloin
  11. 10.1057/9780230250628_5
     ↗
  12. Hengst J. (2008)
    Handbook of research on writing: History, society, school, individual, text
  13. Hitt A. (2012)
    Praxis: A Writing Center Journal
  14. 10.1080/02687039808249578
     ↗
  15. 10.1080/02687039808249575
     ↗
  16. Kagan A., Shumway E., Podolsky L. (2010). Supported conversation for adults with aphasia: Why and how? Americ…
  17. Kagan A. (1996)
    Pictographic communication resources
  18. Kerschbaum S. (2013). Modality. Multimodality in motion: Disability and kairotic spaces. Kairos: A Journal of…
  19. Kerschbaum et al. (2017)
    Forum: Centering Disability in Qualitative Interviewing
    Research in the Teaching of English
  20. 10.1111/j.1467-9337.2010.00473.x
     ↗
  21. 10.2511/rpsd.26.1.1
     ↗
  22. Kress G. (2010)
    Multimodality: A social semiotic approach to contemporary communication
  23. Laquintano (2010)
    Sustained Authorship: Digital Writing, Self-Publishing, and the Ebook
    Written Communication
  24. Leonard (2015)
    Writing Through Bureaucracy: Migrant Correspondence and Managed Mobility
    Written Communication
  25. Mortensen P. (1996)
    Ethics and representation in qualitative studies of literacy
  26. Moss B. J. (2004)
    Writing groups inside and outside the classroom
  27. National Aphasia Association. (2016). The NAA Aphasia Awareness Survey. Retrieved from https://www.aphasia.or…
  28. National Institute on Deafness and Other Communication Disorders. (2015). Aphasia. Retrieved from https://www…
  29. Oswal S. K. (2013). Ableism. Multimodality in motion: Disability and kairotic spaces. Kairos: A Journal of Rh…
  30. 10.1080/02687039508248197
     ↗
  31. 10.1080/02687039808249579
     ↗
  32. Parr S. (1997)
    Talking about aphasia: Living with loss of language after stroke
  33. Price M. (2012)
    Practicing research in writing studies: Reflexive and ethically responsible research
  34. Prior P. A. (2013)
    Literacy, economy, and power: Writing and research after Literacy in American lives
  35. 10.1057/9780230250628
     ↗
  36. 10.37514/PER-B.2003.2317.2.06
     ↗
  37. 10.1515/9783110220674.31
     ↗
  38. Ratcliffe K. (2005)
    Rhetorical listening: Identification, gender, whiteness
  39. Reynolds N. (2007)
    Geographies of writing: Inhabiting places and encountering difference
  40. 10.1080/02687930444000697
     ↗
  41. 10.1097/00011363-200407000-00005
     ↗
  42. 10.1097/01.TLD.0000299887.24241.39
     ↗
  43. 10.3998/mpub.309723
     ↗
  44. Simmons-Mackie N. (2008)
    Language intervention strategies in aphasia and related neurogenic communication disorders
  45. 10.1080/13682820701437245
     ↗
  46. 10.3102/00346543071001133
     ↗
  47. 10.1177/030802260306600403
     ↗
  48. Syverson M. A. (1999)
    The wealth of reality: An ecology of composition
  49. Titchkosky T. (2011)
    The question of access: Disability, space, meaning
  50. 10.1515/9780804773720
     ↗
  51. Wenger E. (2002)
    Cultivating communities of practice: A guide to managing knowledge
  52. WITTE (1992)
    Context, Text, Intertext: Toward a Constructivist Semiotic of Writing
    Written Communication
  53. Yergeau M., Brewer E., Kerschbaum S. L., Oswal S., Price M., Salvo M. Howes F. (2013). Multimodality in motio…
  54. Zdenek S. (2009). Accessible podcasting: College students on the margins in the new media classroom. Computer…
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