Cognitive Pragmatic Treatment

Gabbatore, Ilaria; Sacco, Katiuscia; Angeleri, Romina; Zettin, Marina; Bara, Bruno G.; Bosco, Francesca

doi:10.1097/htr.0000000000000087

Cited by 66 publications

(34 citation statements)

References 61 publications

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“…In line with Gabbatore et al ( 2015 ), we predict a post-training increase of our chronic patients’ communicative performance, as assessed through the equivalent forms of ABaCo (Bosco et al, 2012 ). At the neural level, in line with the previous literature (Yin et al, 2014 ; Lampit et al, 2015 ), we expect that behavioral improvements are accompanied by functional plastic changes in regions involved in the training: explorative imaging analysis should highlight what circuits support such changes.…”

Section: Introductionsupporting

confidence: 82%

“…Moreover, the protocol works on self-awareness, theory of mind and planning abilities, which are essential aspects of effective communication (Coelho et al, 1995 ; Barkley et al, 2001 ; Champagne-Lavau et al, 2006 ). In our previous work (Gabbatore et al, 2015 ) we demonstrated the efficacy of CPT in the rehabilitation of a group of TBI patients. This result is of great importance because, as TBI patients often show specific pragmatic impairments that undermine the effectiveness and informativeness of communication (e.g., McDonald et al, 2000 ; Bara et al, 2001 ; Carlomagno et al, 2011 ; Coelho et al, 2013 ; Bosco et al, 2015 ), enhancing their communicative-pragmatic abilities can have a major impact on long-term outcome and social reintegration (Togher et al, 2014 ).…”

Section: Introductionmentioning

confidence: 80%

“…In order to rehabilitate patients whose communicative abilities have been impaired as a result of brain pathologies, we have developed the Cognitive Pragmatic Treatment (CPT; Gabbatore et al, 2015 ; Bosco et al, 2016 ). This clinical protocol derives its theoretical basis from Cognitive Pragmatics, a theory of the cognitive processes underlying human communication, according to which the essence of communication is to create meanings and share them with interlocutors, focusing on the interpretation of the intended meaning and going beyond the literal one (Bara, 2010 ).…”

Section: Introductionmentioning

confidence: 99%

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Rehabilitation of Communicative Abilities in Patients with a History of TBI: Behavioral Improvements and Cerebral Changes in Resting-State Activity

Sacco

Gabbatore

Geda

et al. 2016

Front. Behav. Neurosci.

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A targeted training program for the rehabilitation of communicative abilities—Cognitive Pragmatic Treatment (CPT)—has been developed and previously tested on a sample of patients with traumatic brain injury (TBI), whose performance was found to have improved. Since cortical plasticity has been recognized as the main mechanism of functional recovery, we investigated whether and how behavioral improvements following the training program are accompanied by brain modifications. Eight TBI patients took part in the training program and were behaviorally assessed pre- and post-treatment; six of these patients were also evaluated with pre- and post-treatment resting state (rs) functional magnetic resonance imaging (fMRI). At the end of the rehabilitation program patients showed improvement in overall communicative performance, in both comprehension and production tasks. A follow-up retest revealed the stability of these results 3 months after completing the training program. At the brain level, we found significant increases in the amplitude of low frequency fluctuation (ALFF) index in the bilateral precentral gyrus, in the right middle and superior temporal gyri, in the right cingulate gyrus, and in the left inferior parietal lobule. We discuss these differences of brain activity in terms of their possible contribution to promoting recovery.

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Section: Introductionsupporting

confidence: 82%

Section: Introductionmentioning

confidence: 80%

Section: Introductionmentioning

confidence: 99%

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Rehabilitation of Communicative Abilities in Patients with a History of TBI: Behavioral Improvements and Cerebral Changes in Resting-State Activity

Sacco

Gabbatore

Geda

et al. 2016

Front. Behav. Neurosci.

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“…Extending treatment to include interventions focusing on the pragmatic skills of individuals with dyslexia should, thus, be of primary interest in order to promote successful access to all levels of education and inclusion across their lifespan. Recently, a number of training programmes to promote pragmatic abilities and figurative language have been developed (Gabbatore et al, 2015;Melogno, Pinto, & Di Filippo, 2017), and we believe that, with proper adjustments, they could be beneficial also for individuals with dyslexia.…”

Section: Figurementioning

confidence: 99%

Pragmatic competence and its relationship with the linguistic and cognitive profile of young adults with dyslexia

et al. 2018

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The study assessed the pragmatic skills of 19 well-compensated Italian-speaking young adults with dyslexia compared with controls. A comprehensive pragmatic assessment tool was employed, targeting production and comprehension (Assessment of Pragmatic Abilities and Cognitive Substrates [APACS]). Participants were also administered a series of standardized tests to assess verbal and non-verbal cognitive abilities, including executive functions and social cognition tests. Data were analysed with the aim of understanding whether pragmatic abilities are compromised in dyslexia and of exploring associations between pragmatic performance and other cognitive domains. The performance of the dyslexia group was poorer than that of the control group in both expressive and receptive modalities. Data showed diffuse problems across several domains, with the greatest challenge posed by inferring nonliteral meanings, which indicates that pragmatic inefficiency is an important aspect of the linguistic and communicative profile of dyslexia in adulthood. Explorative correlations highlighted a relation between pragmatic performance and reading and vocabulary abilities, as well as between pragmatics and working memory. This suggests that pragmatic difficulties are strongly tied to the most distinctive aspects of dyslexia, namely, phonological awareness, verbal short-term memory, pseudo-word repetition, whereas the link with high-level executive functions and Theory of Mind is negligible.

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“…For example they share an impaired ability to go beyond the literal meaning of utterances, and thus to correctly interpret indirect speech acts, metaphors, and irony (see Angeleri et al, 2008 ); moreover, these patients have difficulties in producing requests and exhibit a deficit in integrating information, with low levels of adherence to the context (see Cummings, 2014 ). CPT has already shown to be effective in improving and enhancing communicative-pragmatic abilities in TBI patients ( Gabbatore et al, 2015 ).…”

Section: Introductionmentioning

confidence: 99%

Communicative-Pragmatic Treatment in Schizophrenia: A Pilot Study

Bosco

Gabbatore

Gastaldo³

et al. 2016

Front. Psychol.

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This paper aims to verify the efficacy of Cognitive Pragmatic Treatment (CPT), a new remediation training for the improvement of the communicative-pragmatic abilities, in patients with schizophrenia. The CPT program is made up of 20 group sessions, focused on a number of communication modalities, i.e., linguistic, extralinguistic and paralinguistic, theory of mind (ToM) and other cognitive functions able to play a role on the communicative performance, such as awareness and planning. A group of 17 patients with schizophrenia took part in the training program. They were evaluated before and after training, through the equivalent forms of the Assessment Battery for Communication (ABaCo), a tool for testing, both in comprehension and in production, a wide range of pragmatic phenomena such as direct and indirect speech acts, irony and deceit, and a series of neuropsychological and ToM tests. The results showed a significant improvement in patients’ performance on both production and comprehension tasks following the program, and in all the communication modalities evaluated through the ABaCo, i.e., linguistic, extralinguistic, paralinguistic, and social appropriateness. This improvement persisted after 3 months from the end of the training program, as shown by the follow-up tests. These preliminary findings provide evidence of the efficacy of the CPT program in improving communicative-pragmatic abilities in schizophrenic individuals.

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Cognitive Pragmatic Treatment

Abstract: The results suggest that the CPT program is efficacious in improving communicative-pragmatic abilities in individuals with TBI, and that improvements at this level are still detectable even in chronic patients years after the injury.

Cited by 66 publications

References 61 publications

Rehabilitation of Communicative Abilities in Patients with a History of TBI: Behavioral Improvements and Cerebral Changes in Resting-State Activity

Rehabilitation of Communicative Abilities in Patients with a History of TBI: Behavioral Improvements and Cerebral Changes in Resting-State Activity

Pragmatic competence and its relationship with the linguistic and cognitive profile of young adults with dyslexia

Communicative-Pragmatic Treatment in Schizophrenia: A Pilot Study

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