Through a deeper qualitative analysis, conversational research can provide extended knowledge of the occurrence and style of ordinary repair initiations and highlight their relationship in certain conversational environments. A robust starting point in communication therapy is increasing the awareness of HI individuals' existing skills.
Few studies have been focused on the local contexts in the conversation prior to hearing-impaired (HI) individuals’ ‘What?’ and ‘Where?’ type clarification requests, other-initiations of repair (OI-actions). To address this gap, the present study utilized conversation analysis (CA) and video recordings of one married couple (a severely to profoundly HI individual and his spouse) as data. The analysis revealed that OIactions occurred in irregular frequency and that the HI recipient utilized OI-actions as any interactant, but the ability of the HI recipient to continue a conversation was susceptible to distraction. Several local contexts at risk for HI recipient as well as other reasons for the HI individual to use OI-actions were found. Furthermore, the analysis revealed what type of OI-actions were used in certain contexts. This study suggests that clinicians adopt an interaction orientation that is client-pair centred and further, that they incorporate an intervention that is oriented to conversation in their clinical work.
This study applies conversation analysis to compare everyday conversation samples between a person with aphasia (PWA) and a familiar communication partner (CP) before and after intensive language-action therapy (ILAT). Our analysis concentrated on collaborative repair sequences with the assumption that impairment-focused therapy would translate into a change in the nature of trouble sources, which engender collaborative repair action typical of aphasic conversation. The most frequent repair initiation technique used by the CP was candidate understandings. The function of candidate understandings changed from addressing specific trouble sources pre-ILAT to concluding longer stretches of the PWA's talk post-ILAT. Alongside with these findings, we documented a clinically significant increase in the Western Aphasia Battery's aphasia quotient post-ILAT. Our results suggest that instead of mere frequency count of conversational behaviours, examining the type and function of repair actions might provide insight into therapy-related changes in conversation following impairment-focused therapy.
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