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Aphasia and Related Neurogenic Communication Disorders

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Neurogenic Communication Disorders Research Papers -

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Neurogenic Communication Disorders

Sign In. Note you can select to send to either the free. Find out more about the Kindle Personal Document Service. Research into communication disorders has been undergoing a slow revolution over the past few decades with some fascinating advances and some exciting new directions ahead. The major change in emphasis that has emerged is an interest in assessing communication as this relates to real-life everyday type situations. In particular, three major thrusts can be identified.

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The first is the application of socially relevant linguistic theory to communication disorders. Thus, theorists such as Halliday have provided useful frameworks for identifying patterns in discourse. In turn, these have revealed the strengths and weakness of speakers with aphasia or other communication disorders e. The second is an examination of how cognitive processes, including memory, inferential reasoning and social cognition, contribute to communicative competence in people who have communication disorders but not aphasia, such as those with Alzheimer's disease, with traumatic brain injuries and with right hemisphere lesions.

The third is the adoption of a more integrated approach, whereby verbal and nonverbal behaviours are examined in detail for their communicative meaning, for both the purposes of characterising communication breakdown and for developing an integrated treatment approach. This article discusses the significance of conversation in current clinical practice with individuals with aphasia and their conversation partners.

It explores the nature of everyday talk, and provides an overview of how studies to date have examined the conversations of individuals with aphasia and have provided some promising treatment avenues.

It also proposes another framework, Speech Function Analysis, that may assist further in incorporating conversational principles into the therapy context. The framework provides a system network for examining speech functions in dialogue, while considering the effects of both lexical and syntactic limitations, and context. Examples of conversations between three individuals with aphasia and their partners are used to illustrate the analysis.

The authors suggest that further knowledge of both aphasic speakers' and their partners' interactions as well as clinician—client interactions may increase our insights into this area, and make authentic and meaningful conversation more accessible in the clinical situation and beyond. This article presents preliminary findings on an investigation into the differences in communicative performance across varying speaking conditions, of an individual with a cognitive—linguistic impairment following traumatic brain injury TBI. The article compares the communicative exchanges of an individual in a conversation with a therapist, a conversational dyad with a peer with TBI, and in a communication group task where they were interacting with other participants with TBI.

Neurogenic Communication Disorders: A Functional Approach

The speaking conditions studied included an unstructured chat , the participant requesting information and the participant giving information. Results showed that the person with TBI responded to differences in communication partner and speaker role. He was best able to give information in the unstructured chat with the clinician and the information giving session in the group. Requesting was maximally facilitated in the information request condition with the clinician.

Qualitatively, however, the most equal interactions occurred with the peer, with evidence of the person with TBI engaging in typical conversational strategies such as establishing common ground to facilitate topic development and co-constructing the discourse topics. These strategies did not occur in the clinician or group interactions, possibly due to power imbalance in the former and impaired cognitive—linguistic ability in the latter situation.

Implications for clinical decision making regarding intervention strategies for patients with cognitive—communication deficits are discussed. Right hemisphere damage RHD following unilateral stroke is often associated with impairment of pragmatic language, specifically, the ability to comprehend inferences that arise from language used in context.

This study aims to evaluate the explanatory ability of these theories in relation to the comprehension of nonliteral ironic jokes versus literal lies.

Cognitive-communicative abilities following brain injury : a functional approach

However, neither construct, either in isolation or combined, completely explained the poor performance of RHD patients on this task compared to control participants. Despite this, clear agreement on the meaning of the term has yet to be reached, with the result that it is used both inconsistently and misleadingly. This lack of terminological clarity also undermines the assessment of complex communicative function.