Skip to main content
SpringerLink
Log in

Aphasia Rehabilitation: A Sociolinguistic Perspective

  • Chapter
Aphasia Treatment

Abstract

The clinical approach taken to the rehabilitation of aphasic speakers depends very heavily on the perspective from which the clinician views communication and, in particular, language. Although many such perspectives exist in the field of clinical aphasiology, which indeed are not necessarily mutually exclusive, they appear to fall basically into two main categories. The first includes those who view the language system as a set of rule-governed principles, driven by internal processes, existing within an individual (the intrapsychological perspective). The second includes those who view language as a social process in itself, the means by which meanings are created and negotiated between individuals (the interpsychological perspective). Having worked with aphasic adults for over 15 years in the acute stage and in the longer term, I have utilized aspects of both of these approaches at one time or another, often taking what I think is a typical eclectic approach to treatment. However, in recent times, my approach has reflected the latter perspective, the interpsychological one, in which language as a social process is central to my treatment strategies. In this chapter I attempt to outline why I am pursuing this approach, and how I am implementing it clinically. Finally, I offer some ideas that may stimulate further discussion of such approaches.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Armstrong, E. M. (1987). Cohesive harmony in aphasic discourse and its significance in listener perception of coherence. In R. H. Brookshire (Ed.), Clinical aphasiology: Conference proceedings. Minneapolis, MN: BRK Publishers.

    Google Scholar 

  • Armstrong, E. M. (1989, November). Conversational interaction between clinician and aphasic client during treatment sessions. Paper presented at the American Speech-Language-Hearing Association annual conference, St. Louis, MO.

    Google Scholar 

  • Armstrong, E. M. (1991). The potential of cohesion analysis in the analysis and treatment of aphasic discourse. Clinical Linguistics and Phonetics, 5(1), 39–51.

    Article  Google Scholar 

  • Armstrong, E. M. (1992). The logical metafunction in aphasic discourse: A case study. Paper presented at the 19th International Systemic Functional Congress, Sydney, Australia.

    Google Scholar 

  • Aten, J. L., Caliguiri, M. P., & Holland, A. L. (1982). The efficacy of functional communication therapy for chronic aphasic patients. Journal of Speech and Hearing Disorders, 47, 93–96.

    PubMed  CAS  Google Scholar 

  • Behrmann, M., & Lieberthal, T. (1989). Category-specific treatment of a lexicalsemantic deficit: A single case study of global aphasia. British Journal of Disorders of Communication, 24, 281–299.

    Article  PubMed  CAS  Google Scholar 

  • Berko-Gleason, J., Goodglass, H., Obler, L., Green, E., Hyde, M. R., & Weintraub, S. (1980). Narrative strategies of aphasic and normal-speaking subjects. Journal of Speech and Hearing Research, 23, 370–382.

    Google Scholar 

  • Bottenberg, D., Lemme, M., & Hedberg, N. (1985). Analysis of oral narratives of normal and aphasic adults. In R. H. Brookshire (Ed.), Clinical aphasiology: Conference proceedings. Minneapolis, MN: BRK Publishers.

    Google Scholar 

  • Brookshire, R. H. (1987). Auditory language comprehension disorders in aphasia. Topics in Language Disorders, 8(1), 11–23.

    Article  Google Scholar 

  • Brookshire, R. H., & Nicholas, L. E. (1984). Comprehension of directly and indirectly stated main ideas and details in discourse by brain-damaged and non-brain-damaged listeners. Brain and Language, 21, 21–26.

    Article  PubMed  CAS  Google Scholar 

  • Buck, M. (1968). Dysphagia: Professional guidance for family and patient. Engelwood Cliffs, NJ: Prentice-Hall.

    Google Scholar 

  • Byng, S. (1988). Sentence processing deficits: Theory and therapy. Cognitive Neuropsychology, 5, 629–676.

    Article  Google Scholar 

  • Byng, S., & Coltheart, M. (1986). Aphasia research: Methodological requirements and illustration results. In E. Hjelmquist & L. B. Nilsson (Eds.), Communication and handicap. Amsterdam: North-Holland, Elsevier.

    Google Scholar 

  • Caramazza, A. (1984). The logic of neuropsychological research and the problem of patient classification in aphasia. Brain and Language, 21, 9–20.

    Article  PubMed  CAS  Google Scholar 

  • Caramazza, A. (1986). On drawing inferences about the structure of normal cognitive systems from the analysis of patterns of impaired performance: The case for single-patient studies. Brain and Cognition, 5, 41–66.

    Article  PubMed  CAS  Google Scholar 

  • Chapey, R. (1981). Divergent semantic intervention. In R. Chapey (Ed.), Language intervention strategies in adult aphasia. Baltimore, MD: Williams & Wilkins.

    Google Scholar 

  • Chomsky, N. (1981). Lectures on government and binding. Dordrecht, Holland: Foris.

    Google Scholar 

  • Collins, M. (1986). Diagnosis and treatment of global aphasia. London: Taylor & Francis.

    Google Scholar 

  • Coltheart, M. (1980). Deep dyslexia: A review of the syndrome. In M. Coltheart, K. E. Patterson, & J. C. Marshall (Eds.), Deep dyslexia. London: Routledge & Kegan Paul.

    Google Scholar 

  • Coltheart, M. (1985). Cognitive neuropsychology and the study of reading. In M. I. Posner & G. S. M. Marin (Eds.), Attention and performance XI. Hillsdale, NJ: Lawrence Erlbaum.

    Google Scholar 

  • Coltheart, M., Sartori, G., & Job, R. (Eds.) (1987). The cognitive neuropsychology of language. Hillsdale, NJ: Lawrence Erlbaum.

    Google Scholar 

  • Damico, J. (1985). Clinical discourse analysis: A functional approach to language assessment. In C. S. Simon (Ed.), Communication skills and classroom success: Assessment of language-learning disabled students. San Diego, CA: College-Hill Press.

    Google Scholar 

  • Davis, G. A., & Wilcox, M. J. (1985). Adult aphasia rehabilitation: Applied pragmatics. San Diego, CA: College-Hill Press.

    Google Scholar 

  • de Beaugrande, R. (1980). Text, discourse and process: Toward a multi-disciplinary science of texts. Norwood, NJ: Longman.

    Google Scholar 

  • Derman, S., & Manaster, A. (1967). Family counseling with relatives of aphasic patients at Schwab rehabilitation hospital. Asha, 9, 175–177.

    PubMed  CAS  Google Scholar 

  • Doyle, P. J., Goldstein, R., Bourgeois, M. S., & Nakles, K. (1989). Facilitating generalized requesting behavior in Broca’s aphasia: An experimental analysis of a generalization training procedure. Journal of Applied Behavior Analysis, 22(2), 157–170.

    Article  PubMed  CAS  Google Scholar 

  • Ellis, A. W., & Young, A. W. (1988). Human cognitive neuropsychology. East Sussex, England: Lawrence Erlbaum.

    Google Scholar 

  • Fawcett, R. P., van der Mije, A., & van Wissen, C. (1988). Towards a systemic flowchart model for discourse structure. In R. P. Fawcett & D. J. Young (Eds.), New developments in systemic linguistics. Vol. 2: Theory and application. London: Printer Publishers.

    Google Scholar 

  • Fawcett, R. P., & Young, D. J. (Eds.) (1988). New developments in systemic linguistics. Vol. 2: Theory and application. London: Printer Publishers.

    Google Scholar 

  • Ferguson, A. J. (1992a). Interpersonal aspects of aphasic conversation. Paper presented at the 19th International Systemic Functional Congress, Sydney, Australia.

    Google Scholar 

  • Ferguson, A. J. (1992b). Conversational repair in aphasic and normal interaction. Unpublished dissertation, Macquarie University, Sydney, Australia.

    Google Scholar 

  • Ferguson, A. J. (1993). Conversational repair of word-finding difficulty. In M. Lemme (Ed.), Clinical aphasiology: Conference proceedings (Vol. 21, pp. 299–307), Austin TX: Pro-Ed.

    Google Scholar 

  • Firth, J. R. (1959). Personality and language in society. In J. R. Firth, (Ed.), Papers in linguistics 1934-1951, London: Oxford University Press. (Original work published in 1950.)

    Google Scholar 

  • Goodglass, H., & Kaplan, E. (1972). The assessment of aphasia and related disorders. Philadelphia: Lea & Febiger.

    Google Scholar 

  • Goodkin, R., Diller, L., & Shah, N. (1973). Training spouses to improve the functional speech of aphasic patients. In B. Lahey (Ed.), The modification of language behavior (pp. 218–269). Springfield, IL: Charles C. Thomas.

    Google Scholar 

  • Green, G. (1982). Assessment and treatment of the adult with severe aphasia: Aiming for functional generalization. Australian Journal of Human Communication Disorders, 10(1), 11–23.

    Google Scholar 

  • Grodzinsky, Y. (1986). Cognitive deficits: Their proper description and its theoretical relevance. Brain and Language, 27, 178–191.

    Article  PubMed  CAS  Google Scholar 

  • Gurland, G., Chwat, S., & Wollner, S. (1982). Establishing a communication profile in adult aphasia: Analysis of communicative acts and conversational sequences. In R. Brookshire (Ed.), Clinical aphasiology: Conference proceedings. Minneapolis, MN: BRK Publishers.

    Google Scholar 

  • Halliday, M. A. K. (1973). Explorations in the function of language. London: Edward Arnold.

    Google Scholar 

  • Halliday, M. A. K. (1974). Language and social man. London: Longman for the Schools Council.

    Google Scholar 

  • Halliday, M. A. K. (1977). Text as semantic choice in social contexts. In T. A. Van Dijk & J. S. Petofi (Eds.), Grammars and descriptions (pp. 176–225). Berlin: de Gruyter.

    Google Scholar 

  • Halliday, M. A. K. (1985a). An introduction to functional grammar. London: Edward Arnold.

    Google Scholar 

  • Halliday, M. A. K. (1985b). Context of situation. In M. A. K. Halliday & R. Hasan (Eds.), Language, context and text: Aspects of language in a social-semiotic perspective (pp. 3–48). Geelong, Australia: Deakin University Press.

    Google Scholar 

  • Halliday, M. A. K. (1985c). Spoken and written language. Geelong, Australia: Deakin University Press.

    Google Scholar 

  • Halliday, M. A. K., & Hasan, R. (1976). Cohesion in English. London: Longmans.

    Google Scholar 

  • Hasan, R. (1973). Code, register and social dialect. In B. Bernstein (Ed.), Class, codes and control Vol. 2: Applied studies towards a sociology of languages (pp. 252–292). London: Tourledge & Kegan Paul.

    Google Scholar 

  • Holland, A. L. (1975, November). Aphasics as communicators: A model and its implications. Paper presented to the American Speech-Language-Hearing Association, Washington, DC.

    Google Scholar 

  • Holland, A. L. (1980). Communicative abilities in daily living. Baltimore, MD: University Park Press.

    Google Scholar 

  • Holland, A. L. (1982). Observing functional communication of aphasic adults. Journal of Speech and Hearing Disorders, 47, 50–56.

    PubMed  CAS  Google Scholar 

  • Holland, A. (1991). Pragmatic aspects of intervention in aphasia. Journal of Neurolinguistics, 6(2), 197–211.

    Article  Google Scholar 

  • Hymes, D. H. (1967). Models of the interaction of language and social setting. Journal of Social Issues, 23, 8–28.

    Article  Google Scholar 

  • Jones, E. V. (1986). Building the foundations for sentence production on a nonfluent aphasic. British Journal of Disorders of Communication, 21, 63–82.

    Article  PubMed  CAS  Google Scholar 

  • Kay, J., Lesser, R., & Coltheart, M (1991). Psycholinguistic assessment of language processing in aphasia. Hillsdale, NJ: Lawrence Erlbaum.

    Google Scholar 

  • Kertesz, A. (1982). Western aphasia battery. New York: Grune & Stratton.

    Google Scholar 

  • Kimbarow, M. (1982, November). Discourse analysis: A look at clinicians’ conversational strategies in treatment. Paper presented at the Annual Meeting of the American Speech-Language-Hearing Association, Toronto.

    Google Scholar 

  • Kintsch, W. (1974). The representation of meaning in memory. Hillsdale, NJ: Lawrence Erlbaum.

    Google Scholar 

  • Kintsch, W., & Van Dijk, T. E. (1978). Toward a model of text comprehension and production. Psychological Review, 85, 363–394.

    Article  Google Scholar 

  • Lemme, M. L., Hedberg, N. L., & Bottenberg, D. F. (1984). Cohesion in narratives of aphasic adults. In R. H. Brookshire (Ed.), Clinical aphasiology: Conference proceedings (pp. 215–222). Minneapolis, MN: BRK Publishers.

    Google Scholar 

  • Lesser, R., Bryan, K., Anderson, J., & Hilton, R. (1986). Involving relatives in aphasia therapy: An application of language enrichment therapy. International Journal of Rehabilitation Research, 9, 259–267.

    Article  PubMed  CAS  Google Scholar 

  • Linebaugh, C. W., & Young-Charles, H. Y. (1978). The counseling needs of the families of aphasic patients. In R. H. Brookshire (Ed.), Clinical aphasiology: Conference proceedings. Minneapolis, MN: BRK Publishers.

    Google Scholar 

  • Longacre, R. (1976). An anatomy of speech notions. Lisse: The Peter de Ridder Press.

    Google Scholar 

  • Lubinski, R., Duchan, J., & Weitzner-Lin, B. (1980). Analysis of breakdowns and repairs in aphasic adult communication. In R. H. Brookshire (Ed.), Clinical aphasiology: Conference proceedings (pp. 111–116). Minneapolis, MN: BRK Publishers.

    Google Scholar 

  • Martin, J. (1992). English text: System and structure. Amsterdam: John Benjamins.

    Google Scholar 

  • Martin, J., & Halliday, M. A. K. (Eds.). (1981). Readings in systemic linguistics. London: Batsford Academic and Educational Ltd.

    Google Scholar 

  • Matthiesson, C., & Halliday, M. A. K. (in press). Systemic functional grammar. In F. Peng & J. Ney (Eds.), Current approaches to syntax. Amsterdam and London: Benjamins & Whurr.

    Google Scholar 

  • Milroy, L., & Perkins, L. (1992). Repair strategies in aphasic discourse: Towards a collaborative model. Clinical Linguistics and Phonetics, 6, 27–40.

    Article  PubMed  CAS  Google Scholar 

  • Pannbacker, M. (1972) Publications for families of adult aphasics. Rehabilitation Literature, 33(3), 72–78.

    PubMed  CAS  Google Scholar 

  • Penn, C. (1988). The profiling of syntax and pragmatics in aphasia. Clinical Linguistics and Phonetics, 2, 179–207.

    Article  Google Scholar 

  • Porch, B. E. (1967). Porch index of communicative ability. Palo Alto, CA: Consulting Psychologists Press.

    Google Scholar 

  • Porch, B. E. (1981). Porch index of communicative ability (3rd ed.). Palo Alto, CA: Consulting Psychologists Press.

    Google Scholar 

  • Prutting, C. A., & Kirchner, D. M. (1983). Applied pragmatics. In T. M. Gallagher & C. A. Prutting (Eds.), Pragmatic assessment and intervention issues in language. San Diego, CA: College-Hill Press.

    Google Scholar 

  • Rice, B., Pauli, A., & Müller, D. J. (1987). An evaluation of a social support group for spouses of aphasic partners. Aphasiology, 1(3), 247–256.

    Article  Google Scholar 

  • Ripich, D., Hambrecht, G., & Panagos, J. (1985). Discourse analysis of aphasia therapy. Aphasia-Apraxia-Agnosia, 3(4), 1–10.

    Google Scholar 

  • Rumelhart, D. E. (1980). Schemata: The building blocks of cognition. In B. Spiro, B. Bruce, & W. Brower (Eds.), Theoretical issues in reading comprehension. Hillsdale, NJ: Lawrence Erlbaum.

    Google Scholar 

  • Sacks, H., Schegloff, E., & Jefferson, G. (1974). A simplistic systematics for the organization of turn taking for conversation. Language, 50, 696–735.

    Article  Google Scholar 

  • Sarno, M. T. (1980). Review of research in aphasia: Recovery and rehabilitation. In M. T. Sarno & O. Hook (Eds.), Aphasia: Assessment and treatment (pp. 485–529). New York: Masson.

    Google Scholar 

  • Schegloff, E. A., Jefferson, G., & Sacks, H. (1977). The preference for self-correction in the organization of repair in conversation. Language, 53, 361–382.

    Google Scholar 

  • Schuell, H. (1965). The Minnesota test for differential diagnosis of aphasia. Minneapolis: University of Minnesota Press.

    Google Scholar 

  • Schwartz, M., Linebarger, M. C., Saffran, E. M., & Pate, D. S. (1987). Syntactic transparency and sentence interpretation in aphasia. Language and Cognitive Processes, 2, 85–113.

    Article  Google Scholar 

  • Shapiro, L. P., & B. A. Levine (1989). Real-time sentence processing in aphasia. In T. E. Prescott (Ed.), Clinical aphasiology (Vol. 18, pp. 281–296). Boston, MA: College-Hill Press.

    Google Scholar 

  • Shapiro, L. P., & Thompson, C. K. (1992). The use of linguistic theory as a framework for treatment studies in aphasia. Paper presented at the Clinical Aphasiology Conference, Durango, CO.

    Google Scholar 

  • Shewan, C. M. (1988). The Shewan spontaneous language analysis (SSLA) system for aphasic adults: Description, reliability and validity. Journal of Communication Disorders, 21, 103–138.

    Article  PubMed  CAS  Google Scholar 

  • Simmons, N. N., Kearns, K. P., & Potechin, G. (1987). Treatment of aphasia through family member training. In R. H. Brookshire (Ed.), Clinical aphasiology: Conference proceedings. Minneapolis, MN: BRK Publishers.

    Google Scholar 

  • Thompson, C. K., & Shapiro, L. P. (1992). A linguistic-specific approach to treatment of sentence production deficits in aphasia. Paper presented at the Clinical Aphasiology Conference, Durango, CO

    Google Scholar 

  • Ulatowska, H. K., & Bond-Chapman, S. (1989). Discourse considerations for aphasia management. Seminars in Speech and Language, 10(4), 298–314.

    Article  Google Scholar 

  • Ulatowska, H. K., North, A., & Macaluso-Haynes, S. (1980). Production of discourse and communicative competence in aphasia. In R. H. Brookshire (Ed.), Clinical aphasiology: Conference proceedings. Minneapolis, MN: BRK Publishers.

    Google Scholar 

  • Ulatowska, H. K., North, A. J., & Maculuso-Haynes, S. (1981). Production of narrative and procedural discourse in aphasia. Brain and Language, 13, 345–371.

    Article  PubMed  CAS  Google Scholar 

  • Ulatowska, H. K., Weiss-Doyell, A., Freedman-Stern, R., & Macaluso-Haynes, S. (1983). Production of narrative discourse in aphasia. Brain and Language, 19, 317–334.

    Article  PubMed  CAS  Google Scholar 

  • Van Dijk, T. E. (1977). Text and context: Explorations in the semantics and pragmatics of discourse. New York: Longmans.

    Google Scholar 

  • Ventola, E. (1988). Text analysis in operation: A multilevel approach. In R. P. Fawcett & D. J. Young (Eds.), New developments in systemic linguistics. Vol. 2: Theory and application (pp. 52–75). London: Pinter Publishers.

    Google Scholar 

  • Wagenaar, E., Snow, G., & Prins, R. (1975). Spontaneous speech of aphasic patients: A psycholinguistic analysis. Brain and Language, 2, 281–303.

    Article  PubMed  CAS  Google Scholar 

  • Wilcox, M. J., & Davis, G. A. (1977). Speech act analysis of aphasic communication in individual and group settings. In R. H. Brookshire (Ed.), Clinical aphasiology: Conference proceedings (pp. 166–174). Minneapolis, MN: BRK Publishers.

    Google Scholar 

  • Yorkston, K., & Beukelman, D. (1980). An analysis of connected speech samples of aphasic and normal speakers. Journal of Speech and Hearing Disorders, 45, 27–36.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. School of English and Linguistics, Macquarie University, Sydney, Australia

    Elizabeth M. Armstrong

Authors
  1. Elizabeth M. Armstrong
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. University of Arizona, USA

    Audrey L. Holland Ph.D.

  2. University of Pittsburgh, USA

    Margaret M. Forbes Ph.D.

Rights and permissions

Reprints and permissions

Copyright information

© 1993 Springer Science+Business Media Dordrecht

About this chapter

Cite this chapter

Armstrong, E.M. (1993). Aphasia Rehabilitation: A Sociolinguistic Perspective. In: Holland, A.L., Forbes, M.M. (eds) Aphasia Treatment. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-7248-4_11

Download citation

  • DOI: https://doi.org/10.1007/978-1-4899-7248-4_11

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-0-412-57210-4

  • Online ISBN: 978-1-4899-7248-4

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation