Alcohol and common ground: The effects of intoxication on linguistic markers of shared understanding during social exchange.

OBJECTIVE: Most alcohol consumption takes place in social contexts, and the belief that alcohol enhances social interactions has been identified as among the more robust predictors of alcohol use disorder (AUD) development. Yet, we know little of how alcohol affects mental representations of others-what we share and do not share-nor the extent to which intoxication might impact the development of shared understanding (i.e., common ground) between interaction partners. Employing a randomized experimental design and objective linguistic outcome measures, we present two studies examining the impact of alcohol consumption on the development and use of common ground. METHOD: In Study 1, groups of strangers or friends were administered either alcohol (target Breath Alcohol Content = .08%) or a control beverage, following which they completed a task requiring them to develop a shared language to describe ambiguous images and then describe those images to either a knowledgeable or a naïve partner. The same procedures were completed in Study 2 using a within-subjects alcohol administration design and all-stranger groups. RESULTS: Study 1 findings did not reach significance but suggested that alcohol may facilitate common ground development selectively among stranger groups. This effect emerged as significant in the context of the within-subjects design of Study 2, b = -0.19, p = .007, with participants demonstrating greater facility in establishing common ground during alcohol versus control sessions. CONCLUSIONS: Results suggest that alcohol facilitates the development of shared linguistic understanding in novel social spaces, indicating common ground as one potential mechanism to consider in our broader examination of alcohol reinforcement and AUD etiology. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Keeping track of who knows what in multiparty conversation despite severe memory impairment.

Language use has long been understood to be tailored to the intended addressee, a process termed audience design. Audience design is reflected in multiple aspects of language use, including adjustments based on the addressee's knowledge about the topic at hand. In group settings, audience design depends on representations of multiple individuals, each of whom may have different knowledge about the conversational topic. A central question, then, concerns how these representations are encoded and retrieved in multiparty conversation where successful conversation requires keeping track of who knows what. In the present research, we probe the biological memory systems that are involved in this process of multiparty audience design. We present the results of two experiments that compare language use in persons with bilateral hippocampal damage and severe declarative memory impairment (amnesia), and demographically matched neurotypical comparison participants. Participants played a game in which they discussed abstract images with one partner in conversation, and then discussed the images again with the same partner or with a new partner in a three-party conversation. Neurotypical participants' language use reflected newly formed representations of which partner was familiar with which images. Participants with amnesia showed evidence of partner-specific audience design in multiparty conversation but it was attenuated, especially when success required rapid alternations between representations of common ground. The findings suggest partial independence of the formation and use of partner-specific representations from the hippocampal-dependent declarative memory system and highlight the unique contributions of the declarative memory system to flexible and dynamic language use.

Mealtime interactions between nursing home staff and residents with dementia: a behavioral analysis of Language characteristics.

BACKGROUND: Quality staff-resident communication is crucial to promote outcomes in nursing home residents with dementia requiring assistance during mealtimes. Better understanding of staff-resident language characteristics in mealtime interactions help promote effective communication, yet evidence is limited. This study aimed to examine factors associated with language characteristics in staff-resident mealtime interactions. METHODS: This was a secondary analysis of 160 mealtime videos involving 36 nursing staff and 27 residents with moderately severe to severe dementia in 9 nursing homes. Mixed-effects models was used to examine the relationships between factors and language characteristics in staff-resident mealtime interactions. The independent variables were speaker (resident vs. staff), utterance quality (negative vs. positive), intervention (pre- vs. post-communication intervention), and resident dementia stage and comorbidities. The dependent variables were expression length (number of words in each utterance) and addressing partner by name (whether staff or resident named their partner in each utterance). All models included staff, resident, and staff-resident dyad as random effects. RESULTS: Staff (utterance n = 2990, 99.1% positive, mean = 4.3 words per utterance) predominated conversations and had more positive, longer utterances than residents (utterance n = 890, 86.7% positive, mean = 2.6 words per utterance). As residents progressed from moderately severe to severe dementia, both residents and staff produced shorter utterances (z=-2.66, p = .009). Staff (18%) named residents more often than residents (2.0%; z = 8.14, p < .0001) and when assisting residents with more severe dementia (z = 2.65, p = .008). CONCLUSIONS: Staff-resident communication was primarily positive, staff-initiated, and resident-oriented. Utterance quality and dementia stage were associated with staff-resident language characteristics. Staff play a critical role in mealtime care communication and should continue to initiate resident-oriented interactions using simple, short expressions to accommodate resident declining language abilities, particularly those with severe dementia. Staff should practice addressing residents by their names more frequently to promote individualized, targeted, person-centered mealtime care. Future work may further examine staff-resident language characteristics at other levels of language using more diverse samples.

Mealtime Interactions between Nursing Home Staff and Residents with Dementia: A Behavioral Analysis of Language Characteristics.

Background. Quality staff-resident communication is crucial to promote outcomes in nursing home residents with dementia requiring assistance during mealtimes. Better understanding of staff-resident language characteristics in mealtime interactions help promote effective communication, yet evidence is limited. This study aimed to examine factors associated with language characteristics in staff-resident mealtime interactions. Methods. This was a secondary analysis of 160 mealtime videos involving 36 staff and 27 residents with dementia (53 unique staff-resident dyads) in 9 nursing homes. We examined the associations of speaker (resident vs. staff), utterance quality (negative vs. positive), intervention (pre- vs. post-communication intervention), and resident dementia stage and comorbidities with expression length (number of words in each utterance) and addressing partner by name (whether staff or resident named their partner in each utterance), respectively. Results. Staff (utterance n = 2990, 99.1% positive, mean = 4.3 words per utterance) predominated conversations and had more positive, longer utterances than residents (utterance n = 890, 86.7% positive, mean = 2.6 words per utterance). As residents progressed from moderately-severe to severe dementia, both residents and staff produced shorter utterances (z=-2.66, p = .009). Staff (18%) named residents more often than residents (2.0%; z = 8.14, p < .0001) and when assisting residents with more severe dementia (z = 2.65, p = .008). Conclusions. Staff-resident communication was primarily positive, staff-initiated, and resident-oriented. Utterance quality and dementia stage were associated with staff-resident language characteristics. Staff play a critical role in mealtime care communication and should continue to initiate resident-oriented interactions using simple, short expressions to accommodate resident declining language abilities, particularly those with severe dementia. Staff should practice addressing residents by their names more frequently to promote individualized, targeted, person-centered mealtime care. Future work may further examine staff-resident language characteristics at word and other levels using more diverse samples.

Video Call Usage in Older Adults With or Without Dementia Impacted by the COVID-19 Pandemic.

The usage of video calls for social connection generally increased during the COVID-19 pandemic. It remains unclear, how individuals with dementia (IWD), many of who already experienced isolation in their care settings, use and perceive video calls, what barriers and benefits exist, and how the COVID-19 pandemic impacted their use of video calls. An online survey was conducted to healthy older adults (OA) and people surrounding IWD as proxies. Both OA and IWD showed increased use of video calls after COVID-19 and the severity of dementia was not correlated with the video call usage among IWD during this period. Both groups perceived significant benefits in using video calls. However, IWD exhibited more difficulties and barriers to using them compared to OA. Given the perceived benefits of video calls to the quality of life in both populations, education and support by family, caregivers, or healthcare professionals are necessary for them.

Incorporating Functional Response Time Effects into a Signal Detection Theory Model.

Signal detection theory (SDT; Tanner & Swets in Psychological Review 61:401-409, 1954) is a dominant modeling framework used for evaluating the accuracy of diagnostic systems that seek to distinguish signal from noise in psychology. Although the use of response time data in psychometric models has increased in recent years, the incorporation of response time data into SDT models remains a relatively underexplored approach to distinguishing signal from noise. Functional response time effects are hypothesized in SDT models, based on findings from other related psychometric models with response time data. In this study, an SDT model is extended to incorporate functional response time effects using smooth functions and to include all sources of variability in SDT model parameters across trials, participants, and items in the experimental data. The extended SDT model with smooth functions is formulated as a generalized linear mixed-effects model and implemented in the gamm4 R package. The extended model is illustrated using recognition memory data to understand how conversational language is remembered. Accuracy of parameter estimates and the importance of modeling variability in detecting the experimental condition effects and functional response time effects are shown in conditions similar to the empirical data set via a simulation study. In addition, the type 1 error rate of the test for a smooth function of response time is evaluated.

Detecting Alzheimer's Disease Using Natural Language Processing of Referential Communication Task Transcripts.

BACKGROUND: People with Alzheimer's disease (AD) often demonstrate difficulties in discourse production. Referential communication tasks (RCTs) are used to examine a speaker's capability to select and verbally code the characteristics of an object in interactive conversation. OBJECTIVE: In this study, we used contextualized word representations from Natural language processing (NLP) to evaluate how well RCTs are able to distinguish between people with AD and cognitively healthy older adults. METHODS: We adapted machine learning techniques to analyze manually transcribed speech transcripts in an RCT from 28 older adults, including 12 with AD and 16 cognitively healthy older adults. Two approaches were applied to classify these speech transcript samples: 1) using clinically relevant linguistic features, 2) using machine learned representations derived by a state-of-art pretrained NLP transfer learning model, Bidirectional Encoder Representation from Transformer (BERT) based classification model. RESULTS: The results demonstrated the superior performance of AD detection using a designed transfer learning NLP algorithm. Moreover, the analysis showed that transcripts of a single image yielded high accuracies in AD detection. CONCLUSION: The results indicated that RCT may be useful as a diagnostic tool for AD, and that the task can be simplified to a subset of images without significant sacrifice to diagnostic accuracy, which can make RCT an easier and more practical tool for AD diagnosis. The results also demonstrate the potential of RCT as a tool to better understand cognitive deficits from the perspective of discourse production in people with AD.

What are friends for? The impact of friendship on communicative efficiency and cortisol response during collaborative problem solving among younger and older women.

Conversation is a skilled activity that depends on cognitive and social processes, both of which develop through adulthood. We examined the effects of age and partner familiarity on communicative efficiency and cortisol reactivity. Younger and older women interacted with familiar or unfamiliar partners in a dyadic collaborative conversation task (N = 8 in each group). Regardless of age, referential expressions among familiar and unfamiliar partners became more efficient over time, and cortisol concentrations were lower for speakers interacting with familiar partners. These findings suggest that communicative effectiveness is largely preserved with age, as is the stress-buffering effect of a familiar partner.

Referential Form and Memory for the Discourse History.

The way we refer to things in the world is shaped by the immediate physical context as well as the discourse history. But what part of the discourse history is relevant to language use in the present? In four experiments, we combine the study of task-based conversation with measures of recognition memory to examine the role of physical contextual cues that shape what speakers perceive to be a part of the relevant discourse history. Our studies leverage the differentiation effect, a phenomenon in which speakers are more likely to use a modified expression to refer to an object (e.g., dotted sock) if they had previously described a similar object (e.g., striped sock) than when they had not described a similar object. Two physical cues-the background that framed the to-be-described pictures and the position of the pictures in the display-were manipulated to alter perceptions about the relevant discourse context. We measured the rate with which speakers modify referring expressions to differentiate current from past referents. Recognition memory measures following the conversation probed what was and was not remembered about past discourse referents and contexts. Analysis of modification rates indicated that these contextual grouping cues shaped perceptions about the relevant discourse context. The contextual cues did not affect memory for the referents, but the memory for past referents was better for speakers than for listeners. Our findings show that perceptions about the relevant discourse history are a key determinant of how language is used in the moment but also that conversational partners form asymmetric representations of the discourse history.

Standardizing Assessment of Spoken Discourse in Aphasia: A Working Group With Deliverables.

Purpose The heterogeneous nature of measures, methods, and analyses reported in the aphasia spoken discourse literature precludes comparison of outcomes across studies (e.g., meta-analyses) and inhibits replication. Furthermore, funding and time constraints significantly hinder collecting test-retest data on spoken discourse outcomes. This research note describes the development and structure of a working group, designed to address major gaps in the spoken discourse aphasia literature, including a lack of standardization in methodology, analysis, and reporting, as well as nominal data regarding the psychometric properties of spoken discourse outcomes. Method The initial initiatives for this working group are to (a) propose recommendations regarding standardization of spoken discourse collection, analysis, and reporting in aphasia, based on the results of an international survey and a systematic literature review and (b) create a database of test-retest spoken discourse data from individuals with and without aphasia. The survey of spoken discourse collection, analysis, and interpretation procedures was distributed to clinicians and researchers involved in aphasia assessment and rehabilitation from September to November 2019. We will publish survey results and recommend standards for collecting, analyzing, and reporting spoken discourse in aphasia. A multisite endeavor to collect test-retest spoken discourse data from individuals with and without aphasia will be initiated. This test-retest information will be contributed to a central site for transcription and analysis, and data will be subsequently openly curated. Conclusion The goal of the working group is to create recommendations for field-wide standards in methods, analysis, and reporting of spoken discourse outcomes, as has been done across other related disciplines (e.g., Consolidated Standards of Reporting Trials, Enhancing the Quality and Transparency of Health Research, Committee on Best Practice in Data Analysis and Sharing). Additionally, the creation of a database through our multisite collaboration will allow the identification of psychometrically sound outcome measures and norms that can be used by clinicians and researchers to assess spoken discourse abilities in aphasia.

Partner-Specific Communication Deficits in Individuals With Alzheimer's Disease.

Purpose Speakers adjust referential expressions to the listeners' knowledge while communicating, a phenomenon called "audience design." While individuals with Alzheimer's disease (AD) show difficulties in discourse production, it is unclear whether they exhibit preserved partner-specific audience design. The current study examined if individuals with AD demonstrate partner-specific audience design skills. Method Ten adults with mild-to-moderate AD and 12 healthy older adults performed a referential communication task with two experimenters (E1 and E2). At first, E1 and participants completed an image-sorting task, allowing them to establish shared labels. Then, during testing, both experimenters were present in the room, and participants described images to either E1 or E2 (randomly alternating). Analyses focused on the number of words participants used to describe each image and whether they reused shared labels. Results During testing, participants in both groups produced shorter descriptions when describing familiar images versus new images, demonstrating their ability to learn novel knowledge. When they described familiar images, healthy older adults modified their expressions depending on the current partner's knowledge, producing shorter expressions and more established labels for the knowledgeable partner (E1) versus the naïve partner (E2), but individuals with AD were less likely to do so. Conclusions The current study revealed that both individuals with AD and the control participants were able to acquire novel knowledge, but individuals with AD tended not to flexibly adjust expressions depending on the partner's knowledge state. Conversational inefficiency and difficulties observed in AD may, in part, stem from disrupted audience design skills.

What's New to You? Preschoolers' Partner-Specific Online Processing of Disfluency.

Speech disfluencies (e.g., "Point to thee um turtle") can signal that a speaker is about to refer to something difficult to name. In two experiments, we found evidence that 4-year-olds, like adults, flexibly interpret a particular partner's disfluency based on their estimate of that partner's knowledge, derived from the preceding conversation. In entrainment trials, children established partner-specific shared knowledge of names for tangram pictures with one or two adult interlocutors. In each test trial, an adult named one of two visible tangrams either fluently or disfluently while children's eye-movements were monitored. We manipulated speaker knowledge in the test trials. In Experiment 1, the test-trial speaker was the same speaker from entrainment or a naïve experimenter; in Experiment 2, the test-trial speaker had been one of the child's partners in entrainment and had seen half of the tangrams (either animal or vehicle tangrams). When hearing disfluent expressions, children looked more at a tangram that was unfamiliar from the speaker's perspective; this systematic disfluency effect disappeared in Experiment 1 when the speaker was entirely naïve, and depended on each speaker's entrainment experience in Experiment 2. These findings show that 4-year-olds can keep track of two different partners' knowledge states, and use this information to determine what should be difficult for a particular partner to name, doing so efficiently enough to guide online interpretation of disfluent speech.

Contextual Integration in Multiparty Audience Design.

Communicating with multiple addressees poses a problem for speakers: Each addressee necessarily comes to the conversation with a different perspective-different knowledge, different beliefs, and a distinct physical context. Despite the ubiquity of multiparty conversation in everyday life, little is known about the processes by which speakers design language in multiparty conversation. While prior evidence demonstrates that speakers design utterances to accommodate addressee knowledge in multiparty conversation, it is unknown if and how speakers encode and combine different types of perspective information. Here we test whether speakers encode the perspective of multiple addressees, and then simultaneously consider their knowledge and physical context during referential design in a three-party conversation. Analyses of referential form-expression length, disfluency, and elaboration rate-in an interactive multiparty conversation demonstrate that speakers do take into consideration both addressee knowledge and physical context when designing utterances, consistent with a knowledge-scene integration view. These findings point to an audience design process that takes as input multiple types of representations about the perspectives of multiple addressees, and that bases the informational content of the to-be-designed utterance on a combination of the perspectives of the intended addressees.

Audience Design in Multiparty Conversation.

How do speakers design what they say in order to communicate effectively with groups of addressees who vary in their background knowledge of the topic at hand? Prior findings indicate that when a speaker addresses a pair of listeners with discrepant knowledge, that speakers Aim Low, designing their utterances for the least knowledgeable of the two addressees. Here, we test the hypothesis that speakers will depart from an Aim Low approach in order to efficiently communicate with larger groups of interacting partners. Further, we ask whether the cognitive demands of tracking multiple conversational partners' perspectives places limitations on successful audience design. We find that speakers can successfully track information about what up to four of their partners do and do not know in conversation. When addressing groups of 3-4 addressees at once, speakers design language based on the combined knowledge of the group. These findings point to an audience design process that simultaneously represents the perspectives of multiple other individuals and combines these representations in order to design utterances that strike a balance between the different needs of the individuals within the group.

Evidence of preserved audience design with aging in interactive conversation.

Speakers tailor referential expressions to the listener's knowledge, a phenomenon called audience design. Audience design requires access to partner-specific representations in memory, which could be compromised among older adults who experience memory declines. In fact, little is known about how the memory representation of shared knowledge with a conversational partner influences audience design in multiparty conversation. We examined how young and older adults tailor their utterances for partners holding different representations of the same item. Both younger and older adults successfully adjusted their referential expressions to the current partner's knowledge state in a live conversation. However, when memory was explicitly probed, older adults showed a source memory deficit in distinguishing which partner held which label. These results suggest that explicit memory may not be necessary for audience design, and that implicit memory processes, which are preserved with aging, may contribute to effective audience design. The findings highlight a pathway to preserved communicative competence with aging and the roles of multiple memory systems including both implicit and explicit systems. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Learning and using knowledge about what other people do and don't know despite amnesia.

Successful communication requires keeping track of what other people do and do not know, and how this differs from our own knowledge. Here we ask how knowledge of what others know is stored in memory. We take a neuropsychological approach, comparing healthy adults to patients with severe declarative memory impairment (amnesia). We evaluate whether this memory impairment disrupts the ability to successfully acquire and use knowledge about what other people know when communicating with them. We tested participants in a referential communication task in which the participants described a series of abstract "tangram" images for a partner. Participants then repeated the task with the same partner or a new partner. Findings show that much like healthy individuals, individuals with amnesia successfully tailored their communicative language to the knowledge shared with their conversational partner-their common ground. They produced brief descriptions of the tangram images for the familiar partner and provided more descriptive, longer expressions for the new partner. These findings demonstrate remarkable sparing in amnesia of the acquisition and use of partner-specific knowledge that underlies common ground, and have important implications for understanding the memory systems that support conversational language.

The historical context in conversation: Lexical differentiation and memory for the discourse history.

When designing a definite referring expression, speakers take into account both the local context and certain aspects of the historical context, including whether similar referents have been mentioned in the past. When a similar item has been mentioned previously, speakers tend to elaborate their referring expression in order to differentiate the two items, a phenomenon called lexical differentiation. The present research examines the locus of the lexical differentiation effect and its relationship with memory for the discourse. In three experiments, we demonstrate that speakers differentiate to distinguish current from past referents; there was no evidence that speakers differentiate in order to avoid giving two items the same label. Post-task memory tests also revealed a high level of memory for the discourse history, a finding that is inconsistent with the view that failures of memory underlie low differentiation rates. Instead, memory for the discourse history, while necessary, is not sufficient for speakers to design language with respect to the historical context. Speakers must additionally view the discourse history as relevant to design language with respect to this broader context. Finally, measures of memory for past referents point to asymmetries between speakers and listeners in their memory for the discourse, with speakers typically remembering the discourse history better.

Adjusting conceptual pacts in three-party conversation.

During conversation, partners develop representations of jointly known information--the common ground--and use this knowledge to guide subsequent linguistic exchanges. Extensive research on 2-party conversation has offered key insights into this process, in particular, its partner-specificity: Common ground that is shared with 1 partner is not always assumed to be shared with other partners. Conversation often involves multiple pairs of individuals who differ in common ground. Yet, little is known about common ground processes in multi-party conversation. Here, we take a 1st step toward understanding this problem by examining situations in which simple dyadic representations of common ground might cause difficulty--situations in which dialogue partners develop shared labels (entrained terms), and then a 3rd (naïve) party joins the conversation. Experiment 1 examined unscripted, task-based conversation in which 2 partners entrained on terms. At test, speakers referenced game-pieces in a dialogue with their partner, or in a 3-party conversation including a new, naïve listener. Speakers were sensitive to the 3rd party, using longer, disfluent expressions when additionally addressing the new partner. By contrast, analysis of listener eye-fixations did not suggest sensitivity. Experiment 2 provided a stronger test of sensitivity and revealed that listeners do cancel expectations for terms that had been entrained before when a 3rd, naïve party joins the conversation. These findings shed light on the mechanisms underlying common ground, showing that rather than a unitary construct, common ground is flexibly adapted to the needs of a naïve 3rd party.

What is the context of prediction?

We agree with Pickering & Garrod's (P&G's) claim that theories of language processing must address the interconnection of language production and comprehension. However, we have two concerns: First, the central notion of context when predicting what another person will say is underspecified. Second, it is not clear that P&G's dual-mechanism model captures the data better than a single-mechanism model would.

Influence of perspective and goals on reference production in conversation.

We examined the extent to which speakers take into consideration the addressee's perspective in language production. Previous research on this process had revealed clear deficits (Horton & Keysar, Cognition 59:91-117, 1996; Wardlow Lane & Ferreira, Journal of Experimental Psychology: Learning, Memory, and Cognition 34:1466-1481, 2008). Here, we evaluated a new hypothesis--that the relevance of the addressee's perspective depends on the speaker's goals. In two experiments, Korean speakers described a target object in situations in which the perspective status of a competitor object (e.g., a large plate when describing a smaller plate) was manipulated. In Experiment 1, we examined whether speakers would use scalar-modified expressions even when the competitor was hidden from the addressee. The results demonstrated that information from both the speaker's and the addressee's perspectives influenced production. In Experiment 2, we examined whether utterance goals modulate this process. The results indicated that when a speaker makes a request, the addressee's perspective has a stronger influence than it does when the speaker informs the addressee. These results suggest that privileged knowledge does shape language use, but crucially, that the degree to which the addressee's perspective is considered is shaped by the relevance of the addressee's perspective to the utterance goals.