Processos de significação de afásicos usuários de comunicação suplementar e/ou alternativa

Abstract

Este trabalho volta-se ao estudo da Comunicação Suplementar e/ou Alternativa (CSA) na afasia sob uma perspectiva discursiva, assumindo caráter original e fundamental. Interessa investigar processos de significação de afásicos não fluentes, usuários de CSA por meio de estudo de caso longitudinal e qualitativo de cinco sujeitos com idades, dificuldades linguísticas e tipos de afasia variados, acompanhados em grupo fonoaudiológico. Os dados foram gravados em vídeo de 2006 a 2008, analisando-se episódios relevantes aos objetivos da investigação. Os resultados evidenciaram que a CSA possibilita processos de significação diversos. Os sujeitos realizaram traduções linguísticas, em termos jakobsonianos: do símbolo à palavra, do gesto à palavra, do desenho à palavra e da circulação entre sistemas verbais e não-verbais. A CSA mostrou-se eficaz nas atividades linguísticas dos sujeitos estudados, produzindo efeitos na qualidade de sua interação social.

Quality of life in aphasia: differences between fluent and non-fluent aphasic Augmentative and Alternative Communication users

“…The literature in the area mentions the role of AAC as a facilitator of the oral and discursive production in NF aphasics, promoting changes in this group social relations (11)(12)(13) . Thus, we can infer that the AAC contributes to positive changes in the QOL of the aphasic.…”

“…Taking into consideration that difficulties in communication are among the aphasic patient's most common complaints, it is important that, during aphasic clinical follow-up procedures, the conditions under which language produced is examined, verbal and non-verbal, analyzing dialogues, and spontaneous narratives, in other words, contextualized actions considering the social subject as an active participant of their own language reconstruction, to increase their QOL (11)(12)(13) . Thus, the search of better understanding and the inter-relation of life conditions, one of the factors that interfere in the aphasic subject's language, are of extreme relevance.…”

“…In this context, the Augmentative and Alternative Communication (ACC) appears as a possibility to improve aphasics clinical follow-up (11)(12)(13)16) , mainly in situations in which no advances in clinical therapy are present, or when the advances are poor in order to allow the assessment of the language evolution (17) .…”

“…Thus, the AAC is an important Speech-Language Pathology resource in aphasia (11)(12)(13) , bearing in mind that "the aphasic patient's quality of life is closely related to the intensity of the aphasia impact upon them" (1) . Hence, the AAC is an auxiliary aid to *The protocol validation in Portuguese did not involve patients with linguistic-cognitive impairment.…”

Comunicação aumentativa e alternativa: panorama dos periódicos brasileiros

“…The AAC in the aphasia theme was also the subject of research in two studies 9,24 . The effects on life quality were observed in a therapeutic group of patients with different types of aphasia from the implementation of AAC resources 9 , corroborating a study on satisfaction in AAC 21 .…”