Linguistic analysis of discourse in aphasia: A review of the literature

Bryant, Lucy; Ferguson, Alison; Spencer, Elizabeth

doi:10.3109/02699206.2016.1145740

Cited by 148 publications

(155 citation statements)

References 39 publications

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“…2016; Bryant et al . 2016; Dietz and Boyle 2018), and recent clinicians’ consensus research also emphasizes dyadic communication as a priority outcome in aphasia treatment (Wallace et al . 2017).…”

Section: Discussionmentioning

confidence: 99%

“…A further challenge is that reviews show a lack of consensus in the field about which are the best discourse measures to use (Bryant et al . 2016) and studies adopt numerous measures with no clear indication of preference (Pritchard et al . 2017).…”

Section: Introductionmentioning

confidence: 99%

“…Most studies used only structured language samples, mostly typically elicited using the Cookie Theft Picture Description and the Cinderella fairy‐tale telling from a wordless picture book; and narrative was the most common discourse genre, although exposition, procedure and conversation were also identified (Bryant et al . 2016).…”

Section: Introductionmentioning

confidence: 99%

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UK speech and language therapists’ views and reported practices of discourse analysis in aphasia rehabilitation

Cruice

Botting

Marshall

et al. 2020

Intl J Lang & Comm Disor

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Background: Discourse assessment and treatment in aphasia rehabilitation is a priority focus for a range of stakeholder groups. However, a significant majority of speech and language therapists (SLTs) infrequently conduct discourse analysis, and do not feel competent in doing so. Known barriers identified in other countries, specifically a lack of time, training, expertise and resources, affect use of discourse analysis in clinical practice. Aims: To investigate UK SLTs' reported practices and views of discourse analysis, barriers and facilitators, and clinical feasibility in aphasia rehabilitation. Methods & Procedures:An online survey of 52 questions adapted from existing research and incorporating behaviour change literature was created for the study and piloted. UK SLTs working in aphasia rehabilitation for at least 6 months were invited to participate. Potential participants were contacted through national and local clinical excellence networks, a National Health Service (NHS) bespoke e-mail list, and national magazine advertisement, and the study was also advertised on social media (Twitter). Therapists read an online participant information sheet and submitted individual electronic consent online; then progressed to the Qualtrics survey. Descriptive, correlational and inferential statistical analyses were conducted, and content analysis was carried out on the questions requiring text. Outcomes & Results: A total of 211 valid responses were received from primarily female SLTs, aged 20-40 years, working full-time in the NHS in England, in community, inpatient and acute/subacute multidisciplinary settings. A total of 30% SLTs collected discourse analysis often, were mostly very experienced, and working part-time in community settings. Years of experience was predictive of use. Discourse was most often collected using standardized picture descriptions and recounts during initial assessment. Samples were infrequently recorded, and typically transcribed in real-time. Most SLTs (53-95%) reported making clinical judgements or manually counted words, sentences, communication of ideas and errors, and were confident in doing so. Barriers included time constraints; lack of expertise, confidence, training, resources and equipment; and patient severity. Discourse 'super-users' were distinguished by significantly higher professional motivation for discourse and workplace opportunity than other SLTs, and 'non-users' were distinguished by significantly less knowledge and skills in discourse analysis than other SLTs. SLTs reported a desire and need for training, new/assistive tools and time to do more discourse analysis in practice.Conclusions & Implications: Clinicians were highly engaged and relatively active in at least some aspects of discourse analysis practice. Interventions that target individual clinicians as well as organizations and systems are needed to improve the uptake of discourse analysis in practice. 418Madeline Cruice et al. What this paper addsWhat is already known on the subject? r Discourse in aphasia r...

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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UK speech and language therapists’ views and reported practices of discourse analysis in aphasia rehabilitation

Cruice

Botting

Marshall

et al. 2020

Intl J Lang & Comm Disor

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show abstract

“…The research literature offers an extensive catalogue of methods for assessing discourse, including discourse-language measures (e.g. assessments of syntactic complexity and counts of narrative words) [69] and discourse-information measures (e.g. story grammar and ratings of coherence) [58].…”

Section: Discourse Assessment For Adults With Aphasiamentioning

confidence: 99%

Discourse: Assessment and Therapy

Dipper¹,

Pritchard²

2017

Advances in Speech-Language Pathology

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Discourse is essential for interaction and for the expression of ideas, feelings and opinions. Telling personal stories, such as talking about your day or recounting what happened in the playground, is essential for communication and establishing relationships. However, due to their language impairments, people with aphasia (PWA) and children with developmental language disorder (DLD) often have problems with everyday discourse which impact on their lives more widely. While improvement in language skills is supported by speech-language pathology (therapy), it tends to focus on smaller linguistic components, such as single words and sentences. This chapter outlines how speakers construct discourse in everyday situations and focuses on the meanings that people use discourse to convey, as well as the lexical and grammatical resources they use to convey these meanings. Current methods for discourse analysis will be outlined and key developments in narrative discourse production therapy will be reviewed.

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“…Research studies reporting on this phenomenon are referenced in three recent reviews addressing discourse production in aphasia: one on describing the linguistic level of analysis [8], the second highlighting current theoretical and methodological challenges [9] and the third reporting on the quality of discourse information measures used in aphasia work [10]. On the whole, at the microstructure level, impaired narrative abilities have been linked to word level deficits [11], difficulties with verb semantics [12] and/or breakdown of sentence structure related to complex verb argument deficits [13].…”

Section: Introductionmentioning

confidence: 99%

Evaluating Personal Stroke Narratives from Bilingual Greek-English Immigrants with Aphasia

Kambanaros

2019

Folia Phoniatr Logop

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Objective: For people with aphasia (PWA) and their significant others, narratives are intricately intertwined with quality of life, culture, and social participation. This paper reports stories told by bilingual people with aphasia (bPWA), describing the events or consequences of a stroke on their lives. Patients and Methods: Six participants with chronic mild-moderate anomia (mean age 70 years) spontaneously produced a narrative recounting their personal experience of stroke in their native language (Greek) and in their second language (English). All bPWA had learned English in early adulthood upon migration from Greece to Australia, not through formal teaching but on the job (e.g., in the factory). The bPWA had lived in Australia for 46 years (average) and were less than 4 years post-stroke. Results: Narratives in the two languages underwent quantitative (number of propositions, noun/verb tokens) and qualitative analyses (ratings of coherence, ratings of clarity). Most bPWA produced coherent “tellable” stories despite disruptions in language because of aphasia. Overall, stories were better told (length, complexity of content, temporal-causal sequencing, reference) in Greek – their native language. Conclusion: The results have implications for policy-makers providing health and welfare services to ageing immigrant populations. The findings are also relevant to other countries that have large immigrant populations of stroke survivors.

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Linguistic analysis of discourse in aphasia: A review of the literature

Cited by 148 publications

References 39 publications

UK speech and language therapists’ views and reported practices of discourse analysis in aphasia rehabilitation

UK speech and language therapists’ views and reported practices of discourse analysis in aphasia rehabilitation

Discourse: Assessment and Therapy

Evaluating Personal Stroke Narratives from Bilingual Greek-English Immigrants with Aphasia

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