By Anne Whitworth
This e-book offers either a theoretical and functional connection with cognitive neuropsychological methods to speech and language therapists operating with individuals with aphasia. Having advanced from the task of a bunch of clinicians operating with individuals with aphasia, it's a hugely useful advisor that goals to interpret the theoretical literature because it pertains to aphasia and hyperlink it on to to be had overview instruments and treatment suggestions. the outlet portion of the publication offers an summary of the speculation underpinning the strategy and the way it may be utilized to the evaluation and interpretation of language-processing impairments. the second one part bargains a operating clarification of alternative parts of language processing, outlining the deficits that can come up from impairment to every part. furthermore, the clinician is guided to to be had checks to check out medical hypotheses and provided interpretations of functionality styles. the ultimate part presents a entire evaluate of the treatment literature with systematic summaries of the treatments undertaken and a synthesis of the findings up to now. This publication has been written via clinicians with hands-on adventure. it will likely be a useful source for clinicians and scholars of speech and language treatment and similar disciplines.
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Extra resources for A Cognitive Neuropsychological Approach to Assessment and Intervention in Aphasia: A Clinician's Guide
General notes on assessment Need to assess auditory and written comprehension, and spoken and written production, but consider eﬀects of peripheral impairments in each modality. Key assessment areas and available methods Area of assessment Examples of available assessment tools Response type Comprehension of spoken words – high imageability PALPA 47: Spoken word–picture matching Picture selection ADA Comprehension Battery S2: Word–picture matching Picture selection PALPA 48: Written word–picture matching Picture selection ADA Comprehension Battery S2Wr: Word–picture matching Picture selection PALPA 49: Auditory synonym judgements Same/different ADA Comprehension Battery S1: Synonym matching Same/different PALPA 50: Written synonym judgements Same/different ADA Comprehension Battery S1Wr: Synonym matching – written version Same/different Comprehension of written words – high imageability Comprehension of spoken words – high and low imageability Comprehension of written words – high and low imageability 42 Deﬁcits and assessment Comparison across modalities PALPA 53: Picture naming / written naming / repetition / oral reading / written spelling Spoken and written naming, repetition, oral reading, writing Semantic association/ real-world knowledge Pyramids and Palm Trees (picture and written versions) (Howard & Patterson, 1992) Picture selection, written word selection PALPA 51: Word semantic association Written word selection PALPA 52: Spoken wordwritten word matching Written word selection Access to semantics where avoidance of pictures is necessary; comparison with single modality (spoken and written word comprehension) Additional assessment options Assessments that control for imageability investigate the use of the route through the semantic system.
Reduced discrimination of words and nonwords implies that auditory phonological analysis may be impaired. ✗ Reduced discrimination of nonwords relative to words (lexicality eﬀect) implies a deﬁcit in auditory phonological analysis with relatively intact lexical and semantic processing. ✗ Repetition of nonwords and words would also be impaired if auditory phonological analysis is implicated. Performance is characterised by phonologically related errors. ✗ Reduced performance in discriminating between minimal pairs relative to maximal pairs may provide an indication of severity.
Reduced performance with low-imageability words relative to highimageability words (imageability eﬀect) may imply that the person is drawing on an impaired semantic system. 2 A case of impairment to the phonological input lexicon (word form deafness): Client MK (Franklin, 1989; Howard and Franklin, 1988) MK was a 69-year-old man who was 2 years post-onset at the time of testing. He was a consultant for an oil company. His aphasia resulted from a CVA. He had ﬂuent speech and impaired auditory comprehension.