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Using the Systems Approach for Aphasia introduces therapists to systems theory, exploring the way in which a holistic method that is already a key part of other health and social care settings can be employed in aphasia therapy. Detailed case studies from the author’s own extensive experience demonstrate how systemic tools can be incorporated into practice, offering practical suggestions for service delivery and caseload management in frequently overloaded community health services. Exploring the treatment process from first encounters, through the management of goals and attainments, to caring for patients after therapy has ended, the book demonstrates a method of delivering therapy in a way that will better serve the people who live with aphasia and their families, as well as the clinician themselves. Key features of this book include: • An accessible overview of systems theory and its use in aphasia therapy. • Consideration of how current popular ideas such as self-management, holistic rehabilitation and compassion focussed therapy can be incorporated to provide the best treatment. • Guidance on when and how to involve families based on case studies. • Case studies throughout to fully illustrate systemic approaches. An essential resource for both students and seasoned clinicians, the theory explored in this book will provide a fresh approach to therapy and new skills for working with people with aphasia and their families.
This is the first single-authored book to attempt to bridge the gap between aphasia research and the rehabilitation of patients with this language disorder. Studies of the deficits underlying aphasia and the practice of aphasia rehabilitation have often diverged, and the relationship between theory and practice in aphasiology is loose. The goal of this book is to help close this gap by making explicit the relationship between what is to be rehabilitated and how to rehabilitate it.Early chapters cover the history of aphasia and its therapy from Broca's discoveries to the 1970s, and provide a description of the classic aphasia syndromes. The middle section describes the contribution of cognitive neuropsychology and the treatment models it has inspired. It includes discussion of the relationship between the treatment approach and the functional model upon which it is based. The final chapters deal with aphasia therapy. After providing a sketch of a working theory of aphasia, Basso describes intervention procedures for disorders resulting from damage at the lexical and sentence levels as well as a more general conversation-based intervention for severe aphasics.Anna Basso has run an aphasia rehabilitation unit for more than thirty years. In this book she draws on her considerable experience to provide researchers, clinicians, and their students and trainees in speech-language pathology and therapy, aphasiology, and neuropsychology with comprehensive coverage of the evolution and state of the art of aphasia research and therapy.
How do we manage to speak and understand language? How do children acquire these skills and how does the brain support them? This book provides a fascinating personal history of the men and women whose intelligence, brilliant insights, fads, fallacies, cooperations, and rivalries created the discipline we call psycholinguistics.
Exploring the history of disability and special education practices from the seventeenth to the twenty-first century indicates similar ideas and similar human approaches that have developed independently over time. People who survived the eugenics movement were placed in asylums and segregated special schools. In Europe and America, the general systems theory has been applied as a logico-mathematical discipline to include students of all special needs categories in their placements and education. The systems approach to special education practices has evolved from a historical model of diagnoses and cures to the biological and ecological models, integrating technology as the driving force in implementing curriculum, instruction, and assessment.
A Linguistic Investigation of Aphasic Chinese Speech is the first detailed linguistic analysis of a large body of aphasic Chinese natural speech data. This work describes how the major aphasia syndromes are manifest in Chinese, a language which differs significantly from languages upon which traditional aphasia theory is based. Following the Chinese data, a new explanation for the major aphasia syndromes is offered based on the cognitive science modularity hypothesis. The theory posits that Broca's aphasia is the result of computational deficits that occur within linguistic components, while Wernicke's aphasia is the result of deficits that occur in the transfer of information between components. It is demonstrated how the fluent and non-fluent characteristics of the major aphasia syndromes follow directly from the properties of cognitive modules. Detailed linguistic descriptions of Broca's and Wernicke's aphasia in Chinese are provided, including a summary of diagnostics of aphasia type. The complete corpora of four aphasic Chinese speakers, including interlinear and free translations, are presented in an Appendix.
Aphasia and Related Neurogenic Communication Disorders, Second Edition reviews the definition, terminology, classification, symptoms, and neurology of aphasia, including the theories of plasticity and recovery. Best practices of aphasia assessment and intervention are presented including neuropsychological models and formal and informal testing procedures to maximize correct clinical rehabilitative decisions. Theoretical bases for rehabilitation, guidelines for organization and delivery of evidence-based therapy, as well as augmentative and alternative communication therapy, and computer-based treatments are also presented.
The selected contributions in this volume bring together applications of pragmatics in speech and language pathology, as well as discussions of the applicability of different theoretical strands of the study of human linguistic interaction and its cognitive bases to the field of communication disorders. The authors address practical issues in the classification, assessment and treatment of pragmatic disorders both in developmental and acquired contexts. Further major concerns are the theoretical foundations of clinical pragmatics (such as linguistic pragmatics, functional approaches to language analysis, and cognitive science), and the development of clinical pragmatics.
Balancing Acts offers consultants and managers a simple, powerful way to think about change, and ascribes a four-phase iterative process for implementing change. Reviewing change initiatives from different types of organizations, Balancing Acts confronts the problems and pitfalls head-on that often arise during workplace transitions. Conklin explains why organizational change can be so difficult, and shows that by balancing a set of competing psychological and systemic challenges, interveners will increase their chance of success. Conklin shows that human groups function as complex systems, and that a change initiative is not a linear progression toward a predefined result. Instead, change is an iterative process that involves a search for feasible and useful solutions. The book’s central argument is that while leading or supporting this search, consultants and leaders must balance four critical concerns: confrontation and compassion, participation and observation, assertion and inquiry, and planfulness and emergence.
Application of analytic discourse techniques to clinical practice is relatively recent. This book's contributors begin with the notion that systematic examination of discourse provides a rich source of data for describing the complex relationships among language, social context, and the cognitive processes that underlie discourse comprehension and production. Evidence is provided that when discourse is studied across different clinical populations, analysis yields an optimal opportunity for developing dynamic models of brain and language that more thoroughly account for the complexity of language use in social contexts. Accordingly, studies presented in this volume have a dual focus -- to examine the implications of discourse research on neurolinguistic theories and to evaluate the contribution of discourse analysis to understanding the clinical status of patients with brain damage. As such, this volume reports patterns of preserved and impaired discourse behavior in normal adults and in different adult clinical populations. It also describes numerous tasks designed to elicit a variety of discourse genres and a host of techniques created to describe how subjects order information and relate ideas across sentences. In addition, it includes numerous abstract units and linguistic devices targeted to examine those aspects of discourse that govern cohesion, organization, and topic manipulation. This volume is unique because it presents both theoretical and clinical papers that examine a variety of communication pathologies. Clinicians often report dissatisfaction with formal test batteries in that results are often at variance with clinical observation of performance in real life situations. To address this concern, this work proposes methods for examining discourse that move the examiner closer to naturalistic sampling. The research presented demonstrates that discourse analysis provides clinically significant information that contributes to the understanding of the cognitive, linguistic, and social status of people with communication disorders. These studies also offer a framework to support continuously evolving diagnostic and treatment paradigms for adults with neurological communication pathologies.