By Anna Basso (auth.), Audrey L. Holland Ph.D., Margaret M. Forbes Ph.D. (eds.)
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Additional resources for Aphasia Treatment: World Perspectives
MT started rehabilitation 4 months post-onset with moderate-to-severe impairment of all language functions and severe reduction of spontaneous language. After 8 months of daily therapy, she had better scores on all subtests and reported speaking more at home. Rehabilitation had no effect in the first 3 months and only after she was taught to "see" events in her mind did she start getting better. At this point it was possible to identify two areas of major impairment: Grammatical comprehension and sublexical and lexical writing.
Many patients reside far from available facilities. Many patients are poorly educated, often functionally illiterate or barely literate, making the application of formal testing inappropriate. Finally, high levels of unemployment and the breakup of traditional family structure make for a mobile and inaccessible aphasic population. The aphasia clinician working in a large hospital normally can expect to see a patient only during the acute phase. After discharge, unless the patient lives near the hospital or clinic and is mobile, it is unlikely that there will be follow up.
2. Self-monitoring of audiotaped conversations along these same dimensions (graded for complexity) . At the micro level, the following activities were included: 1. Certain specific aspects were targeted during the therapy period. The pragmatic behaviors targeted were pronominalization and specific fluency behaviors, chosen because of their large contribution to inappropriateness in all the discourse samples judged. 2. Clarification was sought on the specific behavior targeted for the session. " 3.