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Article published In: Concentric
Vol. 50:1 (2024) ► pp.89–111

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Power, solidarity, and sajiao in dementia care

 | National Yang Ming Chiao Tung University
Published online: 21 May 2024
DOI logo with link
https://doi.org/10.1075/consl.00035.lin
Abstract
While scholars in the sociolinguistics of aging have shown that communication in eldercare is characterized by the predominance of infantilizing speech or elderspeak, sajiao, a self-infantilizing speech, has not been examined in this context. Further, current research on sajiao has focused primarily on young women. How sajiao is used in intergenerational communication involving adults and older adults is rarely examined. Drawing on two years of ethnography in two adult day centers in Taiwan, this paper examines the negotiation of power and solidarity through sajiao in dementia care. Sajiao is used for both task-oriented/transactional goals and interpersonal/relational goals and often serves multifunctional purposes to influence and to connect simultaneously. The intent and effect of sajiao as strategies of persuasion and influence (that is, power) and/or strategies of engagement and connection (that is, solidarity) is jointly constructed and negotiated. The multiple data sources of this longitudinal study—including ethnographic observations, interviews, and video-recordings—allow for richly contextualized interpretations of interactional episodes and reflective accounts, revealing a complex picture of power and solidarity negotiated through sajiao. This study contributes to research on eldercare communication by demonstrating the ambiguity and polysemy of discursive strategies in eldercare communication with regard to power and solidarity.
Article outline
  • 1.Introduction
  • 2.Sajiao, power, and solidarity
  • 3.The study
  • 4.Findings
    • 4.1Sajiao for task-oriented goals
    • 4.2Sajiao for relational goals
      • 4.2.1Connecting through playing and teasing
      • 4.2.2Connecting through physical contact
  • 5.Concluding remarks
  • Acknowledgements
  • Notes
  • Transcription symbols
  • References
References (38)
References
Atkinson, John Maxwell, and John Heritage. 1984. Transcript notation. Structures of Social Action: Studies in Conversation Analysis, ed. by John Maxwell Atkinson and John Heritage, ix–xvi. New York: Cambridge University Press.Google Scholar logo with link to Google Scholar
Backhaus, Peter. 2009. Politeness in institutional elderly care in Japan: A cross-cultural comparison. Journal of Politeness Research 5.1:53–71. Google Scholar logo with link to Google Scholar
. 2017. Care Communication: Making Home in a Japanese Eldercare Facility. New York: Routledge. Google Scholar logo with link to Google Scholar
Basting, Anne Davis. 2009. Forget Memory: Creating Better Lives for People with Dementia. Baltimore, MA: Johns Hopkins University Press. Google Scholar logo with link to Google Scholar
. 2020. Creative Care: A Revolutionary Approach to Dementia and Elder Care. New York: HarperCollins.Google Scholar logo with link to Google Scholar
Cavallaro, Francesco, Mark Fifer Seilhamer, Yi Tian Felicia Chee, and Bee Chin Ng. 2016. Overaccommodation in a Singapore eldercare facility. Journal of Multilingual and Multicultural Development 37.8:817–831. Google Scholar logo with link to Google Scholar
Chuang, Tzu-I. 2005. The power of cuteness: Female infantilization in urban Taiwan. Stanford Journal of East Asian Affairs (SJEEA) 5.2:21–28.Google Scholar logo with link to Google Scholar
Chye, David Yoong Soon, and Maya Khemlani David. 2006. Talking to older Malaysians: A case study. Multilingua 251:165–182. Google Scholar logo with link to Google Scholar
Coupland, Nikolas, Justin Coupland, Howard Giles, and Karen Henwood. 1988. Accommodating the elderly: Invoking and extending a theory. Language in Society 171:1–41. Google Scholar logo with link to Google Scholar
de León, Lourdes. 2011. Language socialization and multiparty participation framework. The Handbook of Language Socialization, ed. by Alessandro Duranti, Elinor Ochs and Bambi B. Schieffelin, 81–111. Hoboken, NJ: Wiley-Blackwell. Google Scholar logo with link to Google Scholar
Farris, Catherine S. 1995. A semeiotic analysis of sajiao as a gender marked communication style in Chinese. Unbound Taiwan: Closeups from a Distance, ed. by Marshall Johnson and Fred Y. L. Chiu, 9–30. Chicago, IL: The University of Chicago Press.Google Scholar logo with link to Google Scholar
Fu, Tsung-Hsi. 2019. Changqi zhaogu 2.0 chuqi de ziyuan bujian yu fuwu fazhan [Long-term care 2.0 resource distribution and service development in the early stage]. Guotu Ji Gonggong Zhili Jikan 7.3:60–71.Google Scholar logo with link to Google Scholar
Goffman, Erving. 1961. Asylums: Essays on the Social Situation of Mental Patients and Other Inmates. New York: Anchor Books.Google Scholar logo with link to Google Scholar
Goodwin, Marjorie Harness. 2006. Participation, affect, and trajectory in family directive/response sequences. Text & Talk 26.4–5:515–543. Google Scholar logo with link to Google Scholar
Grainger, Karen. 1993. “That’s a lovely bath, dear”: Reality construction in the discourse of elderly care. Journal of Aging Studies 7.3:247–262. Google Scholar logo with link to Google Scholar
. 2004. Communication and the institutionalized elderly. Handbook of Communication and Aging Research, ed. by Jon F. Nussbaum and Justin Coupland, 479–497. Mahwah, NJ: Lawrence Erlbaum Associates Publishers.Google Scholar logo with link to Google Scholar
Kelly, Martina Ann, Lara Nixon, Caitlin McClurg, Albert Scherpbier, Nigel King, and Tim Dornan. 2018. Experience of touch in health care: A meta-ethnography across the health care professions. Qualitative Health Research 28.2:200–212. Google Scholar logo with link to Google Scholar
Labov, William. 1972. The transformation of experience in narrative syntax. Language in the Inner City: Studies in the Black English Vernacular, ed. by William Labov, 354–396. Philadelphia, PA: University of Pennsylvania Press.Google Scholar logo with link to Google Scholar
Lin, Shumin. 2020. From infantilizing to collaborating: Interactions in an adult day center in Taiwan. Paper presented at The Gerontological Society of America (GSA) 2020 Annual Scientific Meeting Online, The Gerontological Society of America.
Lin, Shumin, and Chia-Hsun Hsueh. 2022. Task-plus communication: Beyond the binary of task talk versus social talk in dementia care. Dementia Caregiving East and West: Issues of Communication, ed. by Boyd. H. Davis and Margaret Maclagan, 102–113. Newcastle Upon Tyne, UK: Cambridge Scholar Publishing.Google Scholar logo with link to Google Scholar
Liou, Chih-ling, and Shannon E. Jarrott. 2013. Taiwanese experiences: Elders with dementia in two different adult day service (ADS) environments. Aging & Mental Health 17.8:942–951. Google Scholar logo with link to Google Scholar
Marsden, Sharon, and Janet Holmes. 2014. Talking to the elderly in New Zealand residential care settings. Journal of Pragmatics 641:17–34. Google Scholar logo with link to Google Scholar
Marson, Stephen M., and Rasby Marlene Powell. 2014. Goffman and the infantilization of elderly persons: A theory in development. Journal of Sociology and Social Welfare 41.4:143–158. Google Scholar logo with link to Google Scholar
Ministry of Health and Welfare. 2021. Promotion of Various Strategies for the “Dementia Prevention and Care Policy and Action Plan 2.0” from January to June 2021. Retrieved June 15, 2022, from [URL]
. 2022. Annual Report on Aging and Long-term Care in Taiwan. Retrieved January 15, 2023, from [URL]
Pan, Cai-Xuan. 2021, November 8. Beishi man liushiwu sui guan liu du gongyou rizhao que zuishao [Taipei city has the largest population aged over 65 and the smallest number of public adult day centers among the six major cities]. Lianhe Bao [United Daily News]. Retrieved December 17, 2021, from [URL]
Qiu, Zitong. 2013. Cuteness as a subtle strategy. Cultural Studies 27.2:225–241. Google Scholar logo with link to Google Scholar
Routasalo, Pirkko, and Arja Isola. 1998. Touching by skilled nurses in elderly nursing care. Scandinavian Journal of Caring Sciences 12.3:170–178. Google Scholar logo with link to Google Scholar
Ryan, Ellen Bouchard, Howard Giles, Giampiero Bartolucci, and Karen Henwood. 1986. Psycholinguistic and social psychological components of communication by and with the elderly. Language & Communication 6.1–2:1–24. Google Scholar logo with link to Google Scholar
Ryan, Ellen Bouchard, Mary Lee Hummert, and Linda H. Boich. 1995. Communication predicaments of aging: Patronizing behavior toward older adults. Journal of Language and Social Psychology 14.1–2:144–166. Google Scholar logo with link to Google Scholar
Salari, Sonia Miner. 2002. Intergenerational partnerships in adult day centers: Importance of age-appropriate environments and behaviors. The Gerontologist 421:321–333. Google Scholar logo with link to Google Scholar
. 2006. Infantilization as elder mistreatment: Evidence from five adult day centers. Journal of Elder Abuse and Neglect 17.4:53–91. Google Scholar logo with link to Google Scholar
Taiwan Alzheimer Disease Association. 2023. Taiwan Shizhizheng Renkou Tuigu [The Estimate of Population Living With Dementia in Taiwan]. Retrieved August 9, 2023, from [URL]
Tannen, Deborah. 1994. Gender and Discourse. New York: Oxford University Press.Google Scholar logo with link to Google Scholar
Wang, Yu-Fang, Ming-Fang Lin, David Treanor, and I-Ni Tsai. 2022. Disagreement in casual Taiwanese Mandarin conversations: A gender-based study. Journal of Pragmatics 1921:1–18. Google Scholar logo with link to Google Scholar
Yueh, Hsin-I Sydney. 2013. Body performance in gendered language: Deconstructing the Mandarin term Sajiao in the cultural context of Taiwan. Journal of Theories and Research in Education 8.1:159–182.Google Scholar logo with link to Google Scholar
. 2017. Identity Politics and Popular Culture in Taiwan: A Sajiao Generation. New York: Lexington Books.Google Scholar logo with link to Google Scholar
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