Older adults' refusal speech act in cognitive assessment: A multimodal pragmatic perspective

This paper explores how older adults with different cognitive abilities perform the refusal speech act in the cognitive assessment in the setting of memory clinics. The refusal speech act and its corresponding illocutionary force produced by nine Chinese older adults in the Montreal Cognitive Assessment-Basic was annotated and analyzed from a multimodal perspective. Overall, regardless of the older adults' cognitive ability, the most common discursive device to refuse is the demonstration of their inability to carry out or continue the cognitive task. Individuals with lower cognitive ability were found to perform the refusal illocutionary force (hereafter RIF) with higher frequency and degree. Additionally, under the pragmatic compensation mechanism, which is influenced by cognitive ability, multiple expression devices (including prosodic features and non-verbal acts) interact dynamically and synergistically to help older adults carry out the refusal behavior and to unfold older adults' intentional state and emotion as well. The findings indicate that both the degree and the frequency of performing the refusal speech act in the cognitive assessment are related to the cognitive ability of older adults.