Enhanced patient involvement in Swedish aphasia intervention

Abstract

The present article is a case study in which participation is investigated in terms of the use of interactional practices that enhance the involvement of a man with severe aphasia in activities that aim to capture his and his wifes experiences of everyday communication, and their views of his speech and language intervention. Five practices are identified: 1) collaborative telling, 2) formulations, 3) yes/no questions, 4) declaratives and 5) hint-and-guess strategies. It is demonstrated how participants (wife, a speech and language pathologist, and two research assistants) use of these practices are beneficial for making the viewpoints of the man with aphasia come across, despite his communication difficulties. Results are discussed in light of the importance of finding ways to make patients influence their own intervention, both in terms of a raised awareness of facilitative interactional practices and of activities such as interviews and retrospection sessions with patients and their significant others.<p>Funding Agencies|Swedish Research Council, VR [2010-1440]</p

Speech and language interventions for stroke-induced aphasia

“…Traditionally, aphasia intervention has been symptom based, with the goal of improving PWAs' linguistic abilities by focusing on the areas that they have particular difficulties with (Basso, 2003;Plejert, Samuelsson, and Anward, 2016). In the past few decades, there has been a growing trend in aphasia intervention to focus more on communicative participation in family as well as community contexts (Horton, Lane, and Shiggins, 2016).…”

Kommunikationsassistenz in Gesprächssituationen mit Menschen mit komplexem Unterstützungsbedarf

“…Die Überlegung folgt den ähnlichen Veränderungen der Gesprächsorganisation, wie sie Wilkinson für atypische Gesprächssituationen (s. a. Abschnitt 2) beschreibt. [24] Wenn die Person alternative und ergänzende Kommunikationsmittel nutzt, stellt die Co-Konstruktion von Gesprächsinhalten eine zentrale Strategie dar, einen komplexen Inhalt zu übermitteln(Plejert, Samuelsson & Anward, 2016). In der Unterstützten Kommunikation wird unter Co-Konstruktion ein Prozess verstanden, bei dem der Inhalt einer einzelnen Äußerung einer Person als Folge aufeinander Bezug nehmender Aktivitäten (i. d. R. mehrere Redezüge) zweier Gesprächspartner:innen nach und nach entwickelt wird(Tetzchner & Martinsen, 1996).…”