Catalogo Articoli (Spogli Riviste)


Written communication in undifferentiated jargon aphasia: a therapy study
Robson, J; Pring, T; Marshall, J; Morrison, S; Chiat, S;
City Univ London, Dept Clin Commun Studies, London EC1V 0HB, England City Univ London London England EC1V 0HB udies, London EC1V 0HB, England Wandsworth Community Hlth Trust, London, England Wandsworth Community HlthTrust London England h Trust, London, England
Titolo Testata:
fascicolo: 3, volume: 33, anno: 1998,
pagine: 305 - 328
jargon aphasia; therapy; written communication;
Tipo documento:
Settore Disciplinare:
Social & Behavioral Sciences
Indirizzi per estratti:
Indirizzo: Robson, J City Univ London, Dept Clin Commun Studies, Northampton Sq, London EC1V 0HB, England City Univ London Northampton Sq London England EC1V 0HB England
J. Robson et al., "Written communication in undifferentiated jargon aphasia: a therapy study", INT J LAN C, 33(3), 1998, pp. 305-328


A subject, R.M.M., with a 2-year history of jargon aphasia is described. At the beginning of this study she had minimal meaningful spoken output and showed little awareness of her speech despite having relatively well-preserved auditory comprehension. Her spoken output had proved resistant to earlier periods of therapy. In contrast, R.M.M.'s written output showed some ability to access orthographic information and monitoring of this modality wasshown by an acute awareness of her errors. A 3-stage therapy programme is described. This was designed to improve R.M.M.'s writing of single words and to encourage use of writing as an alternative means of communication. Theinitial stage of therapy aimed to increase R.M.M.'s access to written wordforms by use of picture stimuli. She showed significant improvement in writing treated items in response to pictures both immediately after therapy and at re-assessment 6 weeks later. Despite the acquisition of these skills,R.M.M. failed to use them in communicative contexts. A second stage of therapy replicated the results of the first and sought to facilitate R.M.M.'s functional use of her written vocabulary by asking her to write words to spoken questions. She again showed improved written naming of the treated items and could now produce written names appropriately in a questionnaire-type assessment. Generalization of this ability extended to items that had notbeen trained in this way. Functional use of writing in everyday communication remained absent, however. The final stage of therapy made explicit the potential links between items which R.M.M. could now write and functional messages which they might convey. She again showed significant changes in the acquisition of new vocabulary and, encouragingly, progress was also seen in her use of the strategy in functional communication. R.M.M.'s speech is almost entirely incomprehensible. It has remained unchanged for 2 years andhas not responded to therapy. Relatively well-preserved auditory comprehension and good monitoring of written output allowed therapy to effectively target a small written vocabulary. Despite significant progress in the acquisition of new items, transfer of this skill to functional communication wasinitially absent. Further therapy which specifically targeted the impairment causing this failure mas needed before functional use tvas seen. The potential for treating written output in cases of jargon aphasia which have been resistant to therapy for spoken language is discussed.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 01/12/20 alle ore 07:26:27