This book investigates the ways in which context shapes how cognitive
challenges and strengths are navigated and how these actions impact the
self-esteem of individuals with dementia and their conversational
partners. The author examines both the language used and face
maintenance in everyday social interaction through the lens of epistemic
discourse analysis. In doing so, this work reveals how changes in
cognition may impact the faces of these individuals, leading some to
feel ashamed, anxious, or angry, others to feel patronized,
infantilized, or overly dependent, and still others to feel threatened
in both ways. It further examines how discursive choices made by healthy
interactional partners can minimize or exacerbate these feelings. This
path-breaking work will provide important insights for students and
scholars of sociolinguistics, applied linguistics, medical anthropology,
and health communication.