Sharing Information and Retelling Stories in a Memory Clinic MDT Meeting

  • Jennifer DickensonEmail author
  • Cordet Smart
Part of the The Language of Mental Health book series (TLMH)


National healthcare guidelines recommend a multidisciplinary team (MDT) approach for the diagnosis of dementia within a memory clinic setting. MDT working may help to achieve good outcomes by enabling effective assessments, earlier diagnosis and interventions. Limited research has examined how to achieve this effectively during face-to-face MDT meetings, so we sought to explore this here. Twenty-one MDT diagnostic discussion meetings were recorded and transcribed. Conversation analysis was used to identify practices of information sharing within MDT diagnostic meetings. The service user assessors and supporter assessors both used reported speech to represent information. The service user assessors additionally reported features of the assessment itself. Reporting information when people’s memory is being questioned raises ethical issues around how to represent service users during these meetings.



We would like to thank all the staff from the memory clinic service for their support in conducting this study. We would also like to especially thank the clinicians who agreed to participate.


  1. All-Party Parliamentary Group on Dementia. (2012). Unlocking diagnosis: The key to improving the lives of people with dementia. London: House of Commons.Google Scholar
  2. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.CrossRefGoogle Scholar
  3. Bangerter, A., Mayor, E., & Pekarek Doehler, S. (2011). Reported speech in conversational storytelling during nursing shift handover meetings. Discourse Processes, 48(3), 183–214. Scholar
  4. Department of Health (DoH). (2012). Prime Minister’s challenge on dementia—Delivering major improvements in dementia care and research by 2015. DoH: London.Google Scholar
  5. Drew, P., & Heritage, J. (1992). Analyzing talk at work: An introduction. In P. Drew & J. Heritage (Eds.), Talk at work: Interaction in institutional settings (pp. 3–65). Cambridge: Cambridge University Press.Google Scholar
  6. Edwards, D., & Potter, D. (1993). Discursive psychology. London: Sage.Google Scholar
  7. Goffman, E. (1981). Forms of talk. Philadelphia: University of Pennsylvania Press.Google Scholar
  8. Heritage, J. (2012). Epistemics in action: Action formation and territories of knowledge. Research on Language and Social Interaction, 45(1), 1–29. Scholar
  9. Holt, E. (2000). Reporting and reacting: Concurrent responses to reported speech. Research on Language and Social Interaction, 33(4), 425–454. Scholar
  10. Holt, E., & Clift, R. (2007). Reporting talk: Reported speech in interaction. Studies in interactional sociolinguistics. Cambridge: Cambridge University Press.Google Scholar
  11. Jefferson, G. (2004). Glossary of transcript symbols with an introduction. Pragmatics and Beyond New Series, 125, 13–34.CrossRefGoogle Scholar
  12. Mandelbaum, J. (2014). Storytelling in conversation. In J. Sidnell & T. Stivers (Eds.), The handbook of conversational analysis (pp. 350–369). Chichester: Wiley.Google Scholar
  13. National Health Service (NHS) England. (2014). MDT Development—Working towards an effective multidisciplinary/multiagency team. Retrieved from
  14. Nilsson, E., Ekström, A., Majlesi, A. R. (2018). Speaking for and about a spouse with dementia: A matter of inclusion or exclusion? Discourse Studies, 1–22. Scholar
  15. The Royal College of Psychiatrists. (2014). Memory services national accreditation programme (MSNAP) (4th ed.). London: RCPsych.Google Scholar
  16. Sidnell, J. (2006). Coordinating gesture, talk, and gaze in reenactments. Research on Language and Social Interaction, 39(4), 377–409. Scholar
  17. Sidnell, J., & Stivers, T. (2014). The handbook of conversation analysis. Chichester: Wiley.Google Scholar
  18. Spector, A., & Orrell, M. (2010). Using a biopsychosocial model of dementia as a tool to guide clinical practice. International Psychogeriatrics, 22(6), 957–965. Scholar
  19. Stivers, T. (2008). Stance, alignment, and affiliation during storytelling: When nodding is a token of affiliation. Research on Language and Social Interaction, 41(1), 31–57.CrossRefGoogle Scholar
  20. Wolfs, C. A. G., Kessels, A., Dirksen, C. D., Severens, J. L., & Verheij, F. R. J. (2008). Integrated multidisciplinary diagnostic approach for dementia care: Randomised controlled trial. British Journal of Psychiatry, 192, 300–305.CrossRefGoogle Scholar

Copyright information

© The Author(s) 2018

Authors and Affiliations

  1. 1.Devon Partnership NHS TrustExeterUK
  2. 2.School of PsychologyUniversity of PlymouthPlymouthUK

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