Skip to main content
SpringerLink
Log in

The Concept of Holistic Rehabilitation of Persons with Aphasia

  • Chapter
Aphasia Treatment

Abstract

The concept of holistic rehabilitation of patients with aphasia is presented in this chapter. First, some information on the history of aphasia therapy in Poland is presented. Next, principles of assessment are discussed. Then, the theoretical framework of holistic rehabilitation is given, with emphasis on a model for aphasia therapy called the Complex Aphasia Rehabilitation Model (CARM) (Pachalska, 1986a). Methods for both individuals and groups, focused on the stimulation and training of language functions, cognitive functions, and communication in general are discussed. Finally, the efficacy of the treatment is shown. It is emphasized that the primary goal of holistic rehabilitation of an aphasic person is the restoration of his or her effective communication, as well as the fullest possible reintegration into society.

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

  • Aten, J. L. (1986). Functional communication treatment. In R. Chapey (Ed.), Intervention strategies in adult aphasia (2nd ed., pp. 266–276). Baltimore, MD: Williams & Wilkins.

    Google Scholar 

  • Bierkowski, L. (1837). Kilka uwag o waznosci i potrzebie stosowania gimnastyki leczniczej. Cracow: Wyd. Univ. Jagiellonski.

    Google Scholar 

  • Davis, G. A., & Wilcox, M. J. (1981). Incorporating parameters of natural conversation in aphasia treatment. In R. Chapey (Ed.), Language intervention strategies in adult aphasia (pp. 169–193). Baltimore, MD: Williams & Wilkins.

    Google Scholar 

  • Dega, W. (1975). Rehabilitacja—polska specjalnosc. Probletny, 7, 16–17.

    Google Scholar 

  • Dega, W., & Milanowska, K. (1988). Model of medical rehabilitation in Poland. In M. Pachalska (Ed.), Contemporary problems in rehabilitation of persons with aphasia (pp. 37–41). Cracow: AWF.

    Google Scholar 

  • DeRenzi, E., & Vignolo, L. A. (1962). The Token Test: A sensitive test to detect receptive disturbances in aphasia. Brain, 85, 665–678.

    Article  CAS  Google Scholar 

  • Finkelstein, V. (1980). Attitudes and disabled people (p. 33). New York: World Rehabilitation Foundation.

    Google Scholar 

  • Goodglass, H., & Kaplan, E. (1983). The assessment of aphasia and related disorders. Boston Diagnostic Aphasia Examination. Philadelphia: Lea & Febiger.

    Google Scholar 

  • Grochmal, S. (1985). Neurofizjologiczne mechanizmy w kompensacji zaburzen ukladu nerwowego. In W. Dega (Ed.), Zdolnosci kompensacyjne i mozliwosci ich wykorzystania u osob z ogniskowym uszkodzeniem osrodkowego ukladu nerwowego (pp. 30–35). Warszawa: PZWL.

    Google Scholar 

  • Grochmal, S., & Zielinska-Charszewska, S. (1980). Rehabilitacja w chorobach ukladu nerwowego. Warszawa: PZWL.

    Google Scholar 

  • Helm-Estabrooks, N., Fitzpatrick, P. M., & Baresi, B. (1982). Visual action therapy for global aphasia. Journal of Speech and Hearing Disorders, 47, 385–389.

    PubMed  CAS  Google Scholar 

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

    Google Scholar 

  • Kaczmarek, B. L. J., (1991). The communicative brain: A neurolinguistic outlook. Unpublished manuscript.

    Google Scholar 

  • Kaczmarek, B. L. J., & Pachalska, M. (1987). Polymodal approach to rehabilitation of aphasics. Proceedings of the Third Pan-Hellenic Symposium of Speech Disorders. Athens.

    Google Scholar 

  • Kadzielawa, D., & Romero, B. (1978). Metody rehabilitacji chorych z zaburzeniami rozumienia mowy. In M. T. Nowakowska (Ed.), Rehabilitacja chorych z afazja (pp. 67–93). Ossolineum, Wroclaw, Warszawa, Krakow, Gdansk

    Google Scholar 

  • Kearns, K. P. (1986). Group therapy for aphasia: Theoretical and practical considerations. In R. Chapey (Ed.), Language intervention strategies in adult aphasia (2nd ed., pp. 304–318). Baltimore: Williams & Wilkins.

    Google Scholar 

  • Kertesz, A. (1982). The Western Aphasia Battery. New York: Grime & Strattoa ai]Knapik, H. (1986). The therapeutic program for family and patient (TPFP). Unpublished manuscript (in Polish).

    Google Scholar 

  • Knapik, H. (1989). Therapy of memory. Paper presented at the Third National Conference on Aphasiology, Jastrzebia Gora, Poland.

    Google Scholar 

  • Knapik, H. (1990). Community based treatment for aphasics. Cracow: TWK (in Polish).

    Google Scholar 

  • Knapik, H., & Knapik, K. (1990). Theoretical and practical considerations in aphasia group therapy. Paper presented at the Fourth National Conference of Aphasiology, Cracow, Poland.

    Google Scholar 

  • Konorski, J. (1969). Integracyjna dzialalnosc mozgu. Warszawa: PWN.

    Google Scholar 

  • Kuzak (Pachalska), M. (1978). Group art therapy for aphasic patients. In Proceedings of the II Polish Symposium on Rehabilitation (pp. 79–86). Krakow: AWF.

    Google Scholar 

  • Luria, A. R. (1963). Restoration of function after brain injury. New York: Macmillan.

    Google Scholar 

  • Lopatkiewicz, J. (1961). Analiza zaburzen nominacji w afazji. Rozpr. Wydz. Nauk Med. PAN, 6(2), 129–144.

    Google Scholar 

  • Lopatkiewicz, J. (1988). Studies in the variabilty of naming disorders in aphasia. In M. Pachalska (Ed.), Contemporary problems in the rehabilitation of persons with aphasia (pp. 195–202). Cracow: AWF.

    Google Scholar 

  • Maruszewski, M. (1966). Speech and brain, neuropsychological problems. Warszawa: PWN (in Polish).

    Google Scholar 

  • Maruszewski, M. (1974). The patient with aphasia and his therapy. Warszawa: Nasza Ksiegarnia (in Polish).

    Google Scholar 

  • Müller, D. J., & Code, C. (1989). Interpersonal perception of psychpsocial adjustment to aphasia. In C. Code & D. Müller (Eds.), Aphasia therapy (2nd ed.). London: Cole & Whurr.

    Google Scholar 

  • Pachalska, M. (1980). Cognitive approach to aphasia rehabilitation. Cracow: TWK (in Polish).

    Google Scholar 

  • Pachalska, M. (1982). Therapy of thinking processes. Cracow: TWK (in Polish).

    Google Scholar 

  • Pachalska, M. (1983). Kinaesthetic therapy of apraxia (KTA). Cracow: TWK

    Google Scholar 

  • Pachalska, M. (1986a). A complex model of rehabilitation of the persons with aphasia. Cracow: AWF (in Polish).

    Google Scholar 

  • Pachalska, M. (1986c). The evaluation of speech therapy of global aphasic persons treated by therapeutic teams trained and untrained in nonlingual communication. In Logopedics and phoniatrics issues for future research, Proceedings of the XXth IALP Congress (pp. 118–119). Tokyo: Publ. Organizing Committee of the Congress.

    Google Scholar 

  • Pachalska, M. (1988a, November). Selective or rather systematic configuration of the therapeutic information given to the patient with aphasia. Paper presented at the Second Polish Conference of Aphasiology, Cracow, Poland.

    Google Scholar 

  • Pachalska, M. (1988b). Social communication oriented treatment (SCOT). Cracow: TWK (in Polish).

    Google Scholar 

  • Pachalska, M. (1988c). Art therapy in aphasia. In M. Pachalska (Ed.), Contemporary problems in the rehabilitation of persons with aphasia (pp. 365–371). Cracow: AWF.

    Google Scholar 

  • Pachalska, M. (1989). Complex aphasia rehabilitation model (CARM) (in press).

    Google Scholar 

  • Pachalska, M. (1990, September). Language oriented art therapy. Poster presentation at the Fourth International Aphasia Rehabilitation Congress, Edinburgh, Scotland.

    Google Scholar 

  • Pachalska, M. (1991a). Group therapy: A way of reintegrating patients with aphasia. Aphasiology, 6, 541–554.

    Article  Google Scholar 

  • Pachalska, M. (1991b). Recovery of a pianist with aphasia (in Polish, in press).

    Google Scholar 

  • Pachalska, M. (in press). The efficacy of modeling in PACE—therapy.

    Google Scholar 

  • Pachalska, M., Czarnocka, I., Knapik, H., Ladecki, B., & Rafalski, L. (1985). “Apha-Ralies”—modern form of rehabilitation of patients with aphasia. In Proceedings of the Fifth Symposium of Rehabilitation. Cracow: TWK (in Polish).

    Google Scholar 

  • Pachalska, M., Kaczmarek, B. L. J., & Knapik, H. (1991). Cracow test of differential diagnosis of aphasia (CTDDA) (in Polish, in press).

    Google Scholar 

  • Pachalska, M., & Knapik, H. (1988a, June). Recovery of piano playing skills in aphasic pianist. Videotape presented at the Third International Aphasia Rehabilitation Congress, Florence, Italy.

    Google Scholar 

  • Pachalska, M., & Knapik, H. (1988b). Method of nonlinguistic psychotherapy for persons with aphasia. In M. Pachalska (Ed.), Contemporary problems in the rehabilitation of persons with aphasia (pp. 233–236). Cracow: AWF.

    Google Scholar 

  • Pachalska, M., & Knapik, H. (1989). Communicative abilities in social situations. Unpublished manuscript.

    Google Scholar 

  • Pachalska, M., & Knapik, H. (1990). A fascinating world of artistic creation after stroke. Videotape presented at the Second Polish Congress on Rehabilitation, Cracow, Poland.

    Google Scholar 

  • Pachalska, M., & Knapik, H. (1991). An evaluation of CARM for reintegration of linguistic functions in patients with aphasia (in press).

    Google Scholar 

  • Pachalski, A. (1988). The Polish concept of rehabilitation. In M. Pachalska (Ed.), Contemporary problems in the rehabiltation of persons with aphasia: Proceedings of the First International Aphasia Rehabilitation Congress (pp. 48–51). Cracow: AWF.

    Google Scholar 

  • Sarno, M. T. (1965). A measurement of functional communication in aphasia. Archives of Physical Medicine Rehabilitation, 46, 101–107.

    Google Scholar 

  • Schuell, H., Jenkins, J. J., & Jimenez-Pabon, E. (1964). Aphasia in adults: Diagnosis, prognosis, and treatment. New York: Harper & Row.

    Google Scholar 

  • Skinner, C., Wirtz, S., & Thompson, J. (1984). The Edinburgh functional communicative profile. Buckingham: Winslow.

    Google Scholar 

  • Szumska, J. (1980). Metody rehabilitacji afazji. Warszawa: PZWL.

    Google Scholar 

  • Tlokinski, W. (1986). Mowa. Przeglad problematyki dla psychology. Warszawa: PWN.

    Google Scholar 

  • Tlokinski, W. (1990). Efficacy of CARM for language functions. Paper presented at the Second Polish Congress on Rehabilitation.

    Google Scholar 

  • Van Eeckhout, P., Honrado, C., Bhatt, P., & Ceblais, J. C. (1983). De la TMR et de sa practique. Rééducation Orthophonique, 22(132), 305–316.

    Google Scholar 

  • Weiss, M. (1961). Podstawy rehabilitacji leczniczej. Zdrowie Publiczne, 4-5.

    Google Scholar 

  • Wepman, J. M. (1951). Recovery from aphasia. New York: Ronald Press.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Institute and Clinic of Rehabilitation, Academy of Physical Education, Cracow, Poland

    Maria Pachalska

Authors
  1. Maria Pachalska
    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

Pachalska, M. (1993). The Concept of Holistic Rehabilitation of Persons with Aphasia. In: Holland, A.L., Forbes, M.M. (eds) Aphasia Treatment. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-7248-4_7

Download citation

  • DOI: https://doi.org/10.1007/978-1-4899-7248-4_7

  • 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