Pragmatic Assessment and Therapy for Persons with Brain Damage: What Have Clinicians Gleaned in Two Decades?

Penn, Claire

doi:10.1006/brln.1999.2127

Cited by 33 publications

(17 citation statements)

References 52 publications

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“…An explanation might be that former studies did not propose a sensitive-enough assessment of communication, and particularly of conversational discourse. Conversational discourse is known to be particularly discriminating when it comes to pragmatics and assessment of RBD [33]. And indeed, one cluster is characterized by an almost exclusive impairment in this task.…”

Section: Discussionmentioning

confidence: 99%

“…Indeed, researchers have begun to find clues demonstrating that some tasks might be predictive of other abilities [50]. Meanwhile, the conversational discourse task could be analyzed by itself, as it contains all aspects of communication and seems particularly sensitive to RBD deficits [33]. Conversational discourse, described as a very rich and complex language task, would benefit from a more detailed analysis.…”

Section: Discussionmentioning

confidence: 99%

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Communicative Clusters after a Right-Hemisphere Stroke: Are There Universal Clinical Profiles?

Ferré

Fonseca²,

Ska³

et al. 2012

Folia Phoniatr Logop

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Objective: The current research aimed at classifying communication profiles among right-brain-damaged adults with an intercultural perspective, and so begins to fill in a long-standing gap in the literature. Method: The sample was made up of 112 right-brain-damaged individuals from three nationalities (Canadians, Brazilians and Argentineans). They were assessed using 13 language tasks from the Protocol MEC in Spanish, Brazilian Portuguese and French. Results: A hierarchical cluster analysis led to four distinct clinical profiles of communication. Since only a few distinctions between nationalities were observed, the results suggest that there probably is a partial universality of clinical profiles of communication impairments after a right brain damage. Conclusions: This study proposes a preliminary taxonomy of communication disorders among right-brain-damaged individuals with cross-cultural implications. The exploration of associated stroke sites and neuropsychological concomitant deficits would contribute to the eventual development of a more accurate clinical intervention.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Communicative Clusters after a Right-Hemisphere Stroke: Are There Universal Clinical Profiles?

Ferré

Fonseca²,

Ska³

et al. 2012

Folia Phoniatr Logop

View full text Add to dashboard Cite

show abstract

“…On the contrary, as I have argued elsewhere, I think it is because many of them are embedded in the WHO that they are insufficient (Penn, 1999(Penn, , 2000 because such a division creates artificial distinctions on a more synergistic understanding of language and its uses.…”

Section: University Of the Witwatersrand South Africamentioning

confidence: 92%

Forum

Ross

Wertz

2005

Aphasiology

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Background: Focusing treatment for aphasia requires systematic collection and analysis of an individual's biographical, medical, and behavioural data including, ideally, appraisal of his or her health, functioning, and quality of life. Determining treatment outcomes requires methodical indexing of therapeutic effect(s), ranging from a decrease in one or more specific communication impairments to an increase in overall quality of life. Despite the abundance of available measures, current appraisal of aphasia may be insufficient for focusing socially valid treatment and evaluating its outcomes, because most tests were developed without the advantage of a widely accepted, programmatic framework for evaluating the interaction between an individual's health condition and personal factors, and the external factors that represent the circumstances in which he or she lives. Aims: This paper urges incorporation of the World Health Organisation's (WHO) international classifications of functioning, disability, and quality of life into the appraisal of aphasia to facilitate both more meaningful treatment planning, designed to address the entire consequences of aphasia for each individual, and more meaningful comparison of treatment outcomes, within and among healthcare disciplines and providers. Main Contribution: Limitations of the current appraisal of aphasia are listed, and suggestions for using the WHO framework to evaluate existing instruments and develop new measures are provided. Conclusions: If proven applicable, incorporation of the WHO international classifications of functioning, disability, and quality of life into the appraisal of aphasia should facilitate: development of meaningful and practical health policy; methods to assess quality assurance; improved outcome evaluation; and, most importantly, development of socially relevant treatment for people with aphasia.

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“…a distinct and autonomous cognitive system which is domain specific, fast, automatic and informationally encapsulated. Kasher In contrast to the modular approach, the 'interactionist' view sees pragmatics as a functional or interactional phenomenon (see, for example, discussion in Craig, 1995;McTear & Conti-Ramsden, 1992;Penn, 1999). Bates and MacWhinney's (1982) Competition Model sees pragmatics as a function of the interplay between the information value of a particular form or pattern and its processing cost.…”

Section: An Emergentist Account Of Pragmatic Ability and Disabilitymentioning

confidence: 99%

Pragmatic ability and disability as emergent phenomena

Perkins

2005

Clinical Linguistics & Phonetics

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A holistic approach to pragmatic ability and disability is outlined which takes account both of the behaviour of individuals involved in the communicative process, and also of the underlying factors which contribute to such behaviour. Rather than being seen as resulting directly from a dysfunction in some kind of discrete pragmatic 'module' or behavioural mechanism, pragmatic impairment and also normal pragmatic functioning are instead viewed as the emergent consequence of interactions between linguistic, cognitive and sensorimotor processes which take place both within and between individuals.

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Pragmatic Assessment and Therapy for Persons with Brain Damage: What Have Clinicians Gleaned in Two Decades?

Cited by 33 publications

References 52 publications

Communicative Clusters after a Right-Hemisphere Stroke: Are There Universal Clinical Profiles?

Communicative Clusters after a Right-Hemisphere Stroke: Are There Universal Clinical Profiles?

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Pragmatic ability and disability as emergent phenomena

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