Applying conversation analysis to aphasia: clinical implications and analytic issues

Perkins, Lisa

doi:10.3109/13682829509021449

Cited by 80 publications

(41 citation statements)

References 11 publications

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“…One study used structural equation modeling to examine the relationships between caregivers’ psychosocial functions and their care recipients’ abilities, including language function (Perrin et al, 2008). The authors reported a profound impact of caregivers’ feelings of competence, depression, and coping skills on their care recipients’ emotional states, cognitive functions, and life participation.…”

Section: Resultsmentioning

confidence: 99%

Ambient Experience in Restitutive Treatment of Aphasia

McClung¹,

Rothi²,

Nadeau³

2010

Front. Hum. Neurosci.

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One of the greatest challenges to language rehabilitation is reconciling the fact that the same therapeutic intervention, provided to different individuals with similar types of stroke-induced aphasia, may result in divergent outcomes. In this paper, the authors reviewed existing literature to identify relevant ambient factors – those outside the control of the clinician – that may potentially influence functional language recovery in aphasia and response to treatment. The goal was to develop a clinical history-taking tool to assist clinicians in gathering information germane to each individual's unique circumstances and environment, elements that may have previously been underestimated, to provide a complete inventory of potentially potent prognostic factors. First, two of the authors, speech–language pathologists experienced in aphasia rehabilitation, identified and categorized factors that seemed likely to influence aphasia outcomes. Then, a wide range of literature was reviewed in an effort to identify factors empirically found to be potent influences on aphasia recovery. Where studies relating these factors to aphasia were not found, relevant research from allied fields that examined recovery from brain injury is reported. Moreover, some factors thought to be potentially potent have yet to be examined. Finally, the ambient factors supported by evidence were categorized as facilitators or barriers to functional improvement, and the Ambient Influences on Outcome Checklist (AOC) was developed, including only those factors shown to be potent in the recovery process. It is hoped that this checklist can be used to more broadly assess potential prognostic influences in aphasia restitution, as well as spawn further research.

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Section: Resultsmentioning

confidence: 99%

Ambient Experience in Restitutive Treatment of Aphasia

McClung¹,

Rothi²,

Nadeau³

2010

Front. Hum. Neurosci.

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“…Since the behavioural phenomena that make up social actions are contextually situated, these phenomena are most adequately studied by attending to the variables that act to influence them. For example, several researchers have demonstrated the importance of the collaborative dyad communicative success or failure, and to the recognition and establishment of communicative competence (Ferguson, 1996;Goodwin, 1995;Perkins, 1995). Qualitative research thus involves observing people``in their own territory'' (Damico et al, 1999b).…”

Section: )mentioning

confidence: 98%

Discussion The case for qualitative case study methodology in aphasia: An introduction

Sorin-Peters

2004

Aphasiology

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Background: Qualitative research methods are still largely untapped, but research has shown that they are appropriate for capturing the complexity of the psychosocial consequences of aphasia. While``single case'' research in various guises has been widely utilised, the qualitative case study research design has had quite limited application to the study of aphasia. Aims: The aim of this paper is to outline the characteristics of the qualitative case study research design and to discuss potential applications of this methodology to research of the psychosocial consequences of aphasia. Main Contribution: An overview of the qualitative case study design is presented. The aspects described include case selection, data collection, data analysis, and methods to enhance trustworthiness. Conclusions: It is concluded that qualitative case study research allows the study of complex communication behaviours in context. Its end product is a holistic and intensive description and interpretation of communication. It can answer questions related to how and why communication changes after intervention programmes that address the psychosocial consequences of aphasia. This methodology appears to offer great promise in making significant contributions to the knowledge base and practice of speech-language pathology with adults and families with aphasia.

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“…Also, some researchers have looked more specifically at repair mechanisms in aphasia (Milroy and Perkins 1992, Ferguson 1994a, Perkins 1995, Laakso 1997. Schienberg and Holland's (1980) study has not been replicated hitherto, and it is suggested that such replication is needed.…”

Section: A Fergusonmentioning

confidence: 99%

Conversational turn-taking and repair in fluent aphasia

Ferguson

1998

Aphasiology

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This study replicated and extended the previous investigation of conversational turn-taking in fluent aphasia by Schienberg and Holland. The present study analysed a series of casual conversations which were videotaped between two fluent aphasic speakers talking with each other, and with non-aphasic partners who varied with regard to clinical experience with aphasia and personal familiarity with the aphasic speakers. Analysis was based on transcription and examined general aspects of turn-taking, as well as turn allocation techniques and their success, with results being compared with those presented by Schienberg and Holland. Additionally, repair trajectories and their acceptance were analysed for each dyad. Results supported Schienberg and Holland's previous findings and conclusions with regard to the relative preservation of communicative competence in aphasia. Additionally, results suggest that measures of turn-taking allocation showed no effect of the familiarity of the partners. For some individuals, it was suggested that turn-taking techniques might be consistent across occasions of sampling, so long as the role relationship remains constant. Measures of repair showed no effect of familiarity, and varied across occasions of sampling.

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Applying conversation analysis to aphasia: clinical implications and analytic issues

Cited by 80 publications

References 11 publications

Ambient Experience in Restitutive Treatment of Aphasia

Ambient Experience in Restitutive Treatment of Aphasia

Discussion The case for qualitative case study methodology in aphasia: An introduction

Conversational turn-taking and repair in fluent aphasia

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