Something that really bugs me is how most people think Steve is incapable of understanding them since he has dementia. Eve started talking over and around Steve several years ago and it bugged me then. Steve understands most of what is going on around him. But because he can't always verbalize what he wants to say they think, "Well, he can't talk. He can't think.". People are stupid.
Expressive aphasia (non-fluent aphasia) is characterized by the loss of the ability to produce language (spoken or written). Sufferers of this form of aphasia exhibit the common problem of
agrammatism. For them,
speech is difficult to initiate,
non-fluent, labored, and halting. Writing is difficult, as well.
Intonation and stress patterns are deficient.
Language is reduced to disjointed words, and sentence construction is poor, omitting
function words and
inflections (
bound morphemes). A person with expressive aphasia might say
"Son ... University ... Smart ... Good ... Good ... " (Wikipedia)
Steve has moments when he gets out very clear sentence but few people hear them because he only speaks clearly when he is calm or happy and not stressed. He has been stressed for a while. You also have to listen. Few people take the time to just ask a question and then wait for an answer. It can be a few seconds or a minute or more. Sometime Steve answers a question I asked 20 minutes before - and we have had a couple more questions in between - and I have to go back and think about what I asked.
I think the aphasia Steve has falls into a couple of categories and at his age no one is going to really do a bunch of testing to see what he specifically has. Here is what I know: Steve gets what is going on and has become depressed often by conversations held around him, about him.
We need to remember that people are no matter what state YOU think they are in. Respect and love will get them and you to a much better place.