Choosing Discourse Types That Align With Person-Centered Goals in Aphasia Rehabilitation: A Clinical Tutorial.

Purpose: People with aphasia and their families want rehabilitation services that improve real-world communication. Thus, clinicians and researchers have increased focus on discourse-level interventions and outcome measures, most often using monologue tasks to assess discourse production and guide t...

Descripción completa

Detalles Bibliográficos
Publicado en:Perspectives of the ASHA Special Interest Groups Vol. 8; no. 2; pp. 254 - 274
Autores principales: Leaman, Marion C., Archer, Brent
Formato: case study research Journal Article
Publicado: American Speech-Language-Hearing Association Apr2023
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=163143715&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 163143715
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        2381473X
        KTSD
      jtl: Perspectives of the ASHA Special Interest Groups
      issn: 2381473X
      maglogo: N
    pubinfo:
      dt: Apr2023
      vid: 8
      iid: 2
      pid: 42
      pub: American Speech-Language-Hearing Association
      place: Rockville, Maryland
    artinfo:
      ui:
        163143715
        163143715
        163143715
        10.1044/2023_PERSP-22-00160
        163143715
      ppf: 254
      ppct: 20
      formats:
        fmt:
          @attributes:
            type: P
      tig:
        atl: Choosing Discourse Types That Align With Person-Centered Goals in Aphasia Rehabilitation: A Clinical Tutorial.
      aug:
        au:
          Leaman, Marion C.
          Archer, Brent
        affil: Department of Hearing and Speech, The University of Kansas Medical Center, Kansas City
      sug:
        subj:
          Aphasia Rehabilitation
          Patient Centered Care
          Goals and Objectives
          Human
          Discourse Analysis
          Communication
          Conversation
          Linguistics
          Speech-Language Pathologists
          Professional Role
          Professional Knowledge
          Professional-Client Relations
          Task Performance and Analysis
          Nonverbal Communication
          Case Studies
      ab: Purpose: People with aphasia and their families want rehabilitation services that improve real-world communication. Thus, clinicians and researchers have increased focus on discourse-level interventions and outcome measures, most often using monologue tasks to assess discourse production and guide treatment planning. However, communication in everyday life usually involves participating in conversational discourse. This mismatch raises concern because the literature indicates that different types of discourse possess different linguistic and interactional characteristics and that the communication skills of people with aphasia vary across different types of discourse. In order to provide appropriate, client-centered services, speech-language pathologists (SLPs) need resources that outline the linguistic and interactional characteristics of each type of discourse. Few user-friendly materials of this sort exist. This tutorial aims to equip clinicians with essential foundational knowledge regarding features of narrative, procedural, and expository monologue, as well as conversation, to aid in the design of discourse-level interventions specific to each individual's discourse needs. Method: This tutorial provides an overview of the research regarding the structure and function of commonly assessed and treated forms of discourse, along with findings regarding the varied and unpredictable communicative performance of people with aphasia across the different types of discourse. We then provide practical applied clinical examples to illustrate the literature findings. Conclusion: Given the differences between types of discourse, when SLPs include discourse in a client's treatment program, the types of discourse activities the client wants to address should align very closely with the types of discourse assessed and treated in the clinic room.
      pubtype: Academic Journal
      doctype:
        case study
        research
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N