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Combining lexical and interactional approaches to therapy for word finding deficits in aphasia

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TitleCombining lexical and interactional approaches to therapy for word finding deficits in aphasia
Publication TypeJournal Article
AbstractThere are two theoretical positions underlying approaches to aphasia therapy. The first addresses the language impairment directly through tasks designed to improve performance in that language function. The second seeks to bypass the language impairment by, for example promoting alternative forms of communication, and stressing the importance of successful rather than normal communication. Our aim was to investigate the effectiveness of combining a lexical therapy, targeting a discrete set of items and using cues to prompt name retrieval, with communicative use of those items, in tasks ranging from naming to definition through to structured conversation. We investigated the effects of the therapy in terms of gains in picture naming, and performance in a task simulating communication situations. The study is a case series design involving six people with aphasia. All were adult English speakers aged 39 and upwards who were aphasic following a single left hemisphere stroke. Picture naming and production of nouns in everyday communication was assessed prior to and after therapy. The combined therapy described here was effective for five of the six participants in terms of gains in picture naming, and an increase in communicatively effective responses in the noun production task.
AuthorsHerbert, R., Best W., Hickin J., Howard D., and Osborne F.
Year of Publication2003
Date PublishedDec
PublicationAphasiology
Volume17
Issue12
Pages1163-1186
ISSN0268-7038 (print), 1464-5041 (electronic)
Publisher DOIhttp://www.tandfonline.com/doi/abs/10.1080/02687030344000454
Keywords (MeSH)adult, aphasia, language, language disorders
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