Table of Contents

 

 

 

 

Preface

ix

 

About the Authors

xiii

 

Contributors

xv

 

Aphasia and Related Neurogenic Communication Disorders: Basic Concepts and Operational Definitions

xix

SECTION I

APHASIA

1

chapter 1

Significant Landmarks in the History of Aphasia and its Therapy   Chris Code

3

 

Introduction

3

 

Aphasia in the Ancient Past

4

 

The Middle Ages

5

 

The Renaissance to the 17th Century

5

 

The 18th-Century Enlightenment: Reason and Nature

6

 

The 19th Century and the Birth of a Science of Aphasiology

6

 

The Growth of Linguistic Aphasiology in the !9th and 20th Centuries

12

 

Aphasiology in the 20th Century

14

 

The Treatment of Aphasia in the Later 20th Century

17

 

References

20

Chapter 2

Elements of Neurology Essential for Understanding the Aphasias   Constantin Potagas, Dimitrios S. Kasselimis, and Ioannis Evdokimidis

23

 

Introduction

23

 

Elements of the Nervous System

23

 

A More Detailed View of the Cerebral Cortex

31

 

Methods for the Study of the Nervous System and the Brain

34

 

Elements of Clinical Neurology

37

 

Cerebral Representation of Language

39

 

Types of Aphasia, Typical Lesion Locations, and Typical Signs and Symptoms

42

 

Notes

45

 

Acknowledgments

46

 

References

46

Chapter 3

Plasticity and Recovery in Aphasia   Ilias Papathanasiou, Patrick Coppens, and Ana Ines Ansaldo

49

 

Introduction

49

 

The Concepts of Plasticity and Recovery

50

 

Prognostic Factors of Recovery

52

 

Biochemical and Physiologic Mechanisms of Recovery

54

 

Structural Mechanisms of Recovery

55

 

Behavioral Mechanisms of Recovery

56

 

Language Recovery in the Brain

57

 

The Link Between Plasticity, Behavior, and Therapy

59

 

Reconceptualizing Aphasia and Aphasia Therapy

60

 

Future Directions

62

 

References

63

Chapter 4

Formal and Informal Assessment of Aphasia   Laura Murray and Patrick Coppens

67

 

Introduction

67

 

Formal Assessment: Purposes

70

 

Formal Assessment: Test Constructs and Procedures

70

 

Informal Assessment: Logic, Purposes, and Procedures

76

 

Assessing the Person with Aphasia

79

 

Ongoing Data Collection

81

 

Assessment Procedures: Some Additional Do's and Don'ts

82

 

Future Directions

84

 

Case Illustration

85

 

References

87

Chapter 5

Therapy Approaches to Aphasia   Linda Worralt, Ilias Papathanasiou, and Sue Sherratt

93

 

Introduction

93

 

What is Therapy?

93

 

Who is the Target of Therapy?

96

 

When?

97

 

Why?

99

 

How?

103

 

Conclusions and Future Directions

106

 

Case Illustration

106

 

References

109

Chapter 6

Disorders of Auditory Comprehension   Julie Morris and Sue Franklin

113

 

Introduction

113

 

Models of Normal Auditory Processing

113

 

Disorders of Auditory Comprehension

115

 

Assessment of Auditory Comprehension

117

 

Intervention Approaches

122

 

Future Directions

126

 

Case Illustration

126

 

Note

128

 

References

128

Chapter 7

Disorders of Word Production   Nadine Martin

131

 

Introduction

131

 

Models of Word Production: Theoretical and Empirical Foundations

132

 

Application of Cognitive/Psycholinguistic Models of Word Production to the Diagnosis of Word Production Disorders in Aphasia

136

 

Treatment of Word Retrieval Disorders

145

 

Future Directions

149

 

Case Illustration

150

 

Acknowledgments

152

 

References

152

Chapter 8

The Acquired Disorders of Reading   Ellyn A, Riley and Diane I. Kendall

157

 

Introduction

157

 

Dual-Route Models

157

 

Connectionist Models

159

 

Acquired Alexia

160

 

Assessment

164

 

Intervention

166

 

Future Directions

168

 

Case Illustration

168

 

References

169

Chapter 9

Written Language and its Impairments   Ilias Papathanasiou and Zsolt Csefalvay

173

 

Introduction

173

 

What is Written Language?

173

 

Classification of Written Language Disorders and Their Neuroanatomic Substrates

174

 

Assessment of Writing Disorders

183

 

Intervention Approaches to Writing Disorders

185

 

Conclusions and Future Directions

190

 

Case Illustration

190

 

References

192

Chapter 10

Disorders of Sentence Processing in Aphasia   Jane Marshall

197

 

Introduction

197

 

Sentence Processing Therapies and the ICF Model

198

 

Agrammatism and Paragrammatism

198

 

Sentence Complexity

199

 

A Sentence Processing Model

199

 

Structural Impairments in Aphasia

200

 

Case Illustration 10-1: Therapy at the Level of the Event

201

 

Case Illustration 10-2: Mapping Therapy with Aer

203

 

Case Illustration 10-3: Tuf Treatment Protocol for Training Object WH- Questions

205

 

Verb Impairments

206

 

Impairments with Grammatical Morphology

208

 

Competence versus Performance

210

 

Conclusions and Future Directions

212

 

Notes

213

 

References

213

Chapter 11

Discourse and Functional Approaches to Aphasia   Elizabeth Armstrong, Alison Ferguson, and Nina Simmons-Mackie

217

 

Introduction

217

 

Rationale for Discourse, Conversation Analytic, and Narrative Approaches

218

 

Difficulties with Everyday Talk: Symptoms of Discourse Breakdown

219

 

Assessment Issues

220

 

Intervention

223

 

Conclusions and Future Directions

225

 

Case Illustration

226

 

References

229

Chapter 12

Quality-Of-Life Approach to Aphasia   Katerina Hilari and Madeline Cruice

233

 

Introduction

233

 

Quality of Life and Related Concepts

233

 

Assessing QoL and HRQL

237

 

Clinical Applications

245

 

Conclusions and Future Directions

245

 

Case Illustration 12-1: Exploring Broader Outcomes

246

 

Case Illustration 12-2: Using Qol Measures in Therapy Planning

247

 

Notes

250

 

References

250

Chapter 13

Living with Aphasia: a Client-Centered Approach   Bronwyn Davidson and Linda Worrall

255

 

Introduction

255

 

A Focus on Client-Centeredness

256

 

The Social and Emotional Impact of Aphasia

261

 

Intervention Approaches that Address the Psychosocial Dimension

262

 

Skills and Strategies for the Client-Centered Aphasia Therapist

267

 

Conclusions and Future Directions

267

 

Case Illustration

268

 

References

271

Chapter 14

Aphasia in Multilingual Populations   Jose C. Centeno and Ana Ines Ansaido

275

 

Introduction

275

 

Experiential Factors in Aphasia Services for Bilingual Speakers

277

 

Aphasia in Bilingual Speakers

280

 

Aphasia Rehabilitation with Bilingual Individuals

282

 

Conclusions and Future Directions

287

 

Case Illustration

288

 

References

290

SECTION II

RELATED COMMUNICATION DISORDERS

295

Chapter 15

Nature and Assessment of Right Hemisphere Disorders   Connie A, Tompkins, Ekaterini Klepousniotou, and April G. Scott

297

 

Introduction

297

 

Theoretical Accounts of Cognitive-Communication Deficits in Right Hemisphere Disorders

297

 

Symptomatology of Cognitive Communication Disorders in RHD

300

 

Assessment of Patients with RHD

307

 

Future Directions

325

 

Case Illustration

325

 

References

327

Appendix 15A

Sample Case History Supplement Form

333

Appendix 15B

A Performance Inventory for Everyday Environments and Tasks

337

Chapter 16

Treatment of Right Hemisphere Disorders   Connie A. Tompkins and April C. Scott

345

 

Introduction

345

 

Focusing Treatment

345

 

Generalization of Treatment Gains

346

 

Evidence-Based Practice

347

 

Treatment for Coarse Coding Deficit and Related Difficulties

348

 

Treatment for Suppression Deficit and Related Difficulties

349

 

Treatment Considerations Related to the Cognitive Resource Hypothesis

350

 

Treatment for Social Cognition Deficit

351

 

Treatment of Prosody

351

 

Treatment of Discourse and Pragmatics

352

 

Treatment of Reading and Writing

354

 

Treatment of Cognition

355

 

Treatment Targeting Other Obstacles to Goal Attainment

359

 

Future Directions

360

 

Case Illustration

360

 

References

362

Chapter 17

Traumatic Brain Injury in Adults   Fofi Constantinidou and Mary Kennedy

365

 

Introduction

365

 

Neurology and Neuropathology of TBI

366

 

Continuum of Rehabilitation in TBI

369

 

Conceptualizing Cognitive Rehabilitation

371

 

Neurobehavioral Assessment in TBI

373

 

Principles of Cognitive Rehabilitation

375

 

Instructional Approaches in Cognitive Rehabilitation

378

 

Reviewing the Evidence for Cognitive Rehabilitation

380

 

Conclusions and Future Directions

384

 

Case Illustration

384

 

Notes

387

 

References

387

Appendix 17A

Rancho Los Amigos Scale

393

Appendix 17B

Assessment Tools Based on the Who Model

395

Chapter 18

Dementia and Related Cognitive Disorders   Nidhi Mahendra and Tammy Hopper

397

 

Introduction

397

 

Defining the Syndrome of Dementia

397

 

Neuropathology in Alzheimer's Disease

398

 

Mild Cognitive Impairment

400

 

Effects of Alzheimer's Disease on Cognition

401

 

Symptomatology of Communication Disorders in Ad

402

 

Role of the Speech-Language Pathologist Working with Individuals Who have Dementia

402

 

Evaluation of Communication in Clients with Ad and Other Dementias

403

 

Cognitive Communication Interventions in Dementia: Challenges and Opportunities

408

 

Other Dementias

415

 

Future Directions

420

 

Case Illustration

421

 

Acknowledgments

425

 

References

425

Chapter 19

Acquired Apraxia of Speech   Nick Miller and Julie Wambaugh

431

 

Introduction

431

 

Defining Apraxia of Speech

431

 

The Nature of Apraxia of Speech

432

 

Speech Output Models and Apraxia of Speech

438

 

Lesion Sites Associated with Aos

441

 

Treatment

442

 

Future Directions

450

 

Case Illustration

451

 

References

453

Chapter 20

Dysarthria   Bruce E. Murdoch

459

 

Introduction

459

 

Flaccid Dysarthria: Lower Motor Neuron Dysarthria

460

 

Spastic Dysarthria: Upper Motor Neuron Dysarthria

465

 

Ataxic Dysarthria

467

 

Hypokinettc Dysarthria

471

 

Hyperkinetic Dysarthria

472

 

Mixed Dysarthria

472

 

Assessment of Dysarthria

475

 

Intervention Approaches for Dysarthria

478

 

Future Directions

489

 

Further Reading

489

 

References

489

 

Index

493