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Narrative and Procedural Discourse Production by Severely Aphasic PatientsNational Center for Medical Rehabilitation Research and the National Institute of Child Health and Human Development, Bethesda, Maryland
Department of Neurology and Rehabilitation, University of Maryland School of Medicine, Baltimore, Maryland
The Johns Hopkins School of Medicine, Baltimore, Maryland
Good Samaritan Hospital, Baltimore, Maryland Five chronically aphasic subjects were trained on a computerized iconographic communication system (C-VIC). Their performance in producing single sentences, scripts, and narratives was assessed using both spoken English and C-VIC. The requisite vocabulary necessary and the narrative complexity of the target productions were controlled. Subject performance using C-VIC indicates that the ability to construct discourse at the macrostructural level is largely intact. Despite significant improvements in spoken production after C-VIC training, especially at the single sentence level, the subjects spoken discourse remains severely impaired by their failures at the microlinguistic level. These results point to the limits of currently available approaches to the remediation of aphasia and suggest avenues for future research.
Key Words: Aphasia Rehabilitation Computer Augmentative and alternative communication
Neurorehabilitation and Neural Repair, Vol. 16, No. 3,
249-274 (2002) |
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