Production of narrative discourse in aphasia

Ulatowska, Hanna K.; Freedman-Stern, Renee; Doyel, Alice Weiss; Macaluso-Haynes, Sara; North, Alvin J.

doi:10.1016/0093-934x(83)90074-3

Cited by 133 publications

(83 citation statements)

References 13 publications

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“…These problems contribute to maintaining the aphasic patient in a passive role during the conversation, and to his dependence on the interlocutor [40]. Furthermore, we do not confirm the preservation of the global organisation of discourse which has been proposed by other authors [6]. Producing feedback was relatively preserved, suggesting that subjects were still able to use it to partially encompass their difficulties in understanding the interlocutor.…”

Section: Discussionsupporting

confidence: 41%

Communication in conversation in stroke patients

Rousseaux¹,

Daveluy²,

Kozlowski³

2010

J Neurol

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In stroke patients, it has been suggested that communication disorders could result from lexical and syntactic disorders in left hemisphere lesions and from pragmatics problems in right lesions. However, we have little information on patient behaviour in dyadic communication, especially in conversation. Here, we analyzed the various processes participating in communication difficulties at the rehabilitation phase (1-6 months) post-stroke, in order to define the main mechanisms of verbal and non-verbal communication (VC, NVC) disorders and their relationship with aphasic disorders. Sixty-three patients were recruited, who belonged to six groups, with left or right cortico-sub-cortical (L-CSC, R-CSC) or sub-cortical (L-SC, R-SC), frontal (Fro) or posterior fossa (PF) lesions. They were compared with an equivalent control group (gender, age, education level). We used the Lille Communication Test, which comprises three parts: participation to communication (greeting, attention, engagement), verbal communication (verbal comprehension, speech outflow, intelligibility, word production, syntax, verbal pragmatics and verbal feedback) and non-verbal communication (understanding gestures, affective expressivity, producing gestures, pragmatics and feedback). We also used the Functional Communication Profile and the Boston Diagnostic Aphasia Examination (BDAE). Decrease in participation was found in L-CSC, R-CSC and Fro patients. Verbal communication was essentially disrupted in L-SCS and L-SC groups, including by verbal pragmatic disorders, and to a lesser degree in frontal patients. Nonverbal communication was mainly affected in R-CSC patients, especially by pragmatic difficulties. L-CSC patients showed an increase in gesture production, compensating for aphasia. In conclusion, communication disorders were relatively complex and could not be summarised by syntactical and lexical difficulties in left stroke and pragmatic problems in right stroke. The former also showed severe verbal pragmatic difficulties. Frontal stroke also resulted in evident verbal and non-verbal disorders.

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Section: Discussionsupporting

confidence: 41%

Communication in conversation in stroke patients

Rousseaux¹,

Daveluy²,

Kozlowski³

2010

J Neurol

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“…Previous studies of narrative discourse in individuals with aphasia following left-hemisphere stroke suggest that their discourse is reduced in complexity and volume [20][21]. Ulatowksa et al noted that during self-generated discourse, individuals with aphasia produced less complex language than normal control subjects [20].…”

Section: Introductionmentioning

confidence: 99%

Recovery of cohesion in narrative discourse after left-hemisphere stroke

Ellis¹,

Rosenbek²,

Rittman³

et al. 2005

JRRD

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Abstract-Little is known about the recovery of narrative discourse after stroke. While several studies have analyzed the recovery of language in individuals with aphasia, few known studies exist on the recovery of narrative discourse in stroke survivors, particularly those who have not been diagnosed with aphasia. In this study, we evaluated the cohesiveness of narrative discourse in a cohort of individuals who had suffered a left-hemisphere stroke and had not been diagnosed with expressive language impairment. We analyzed their narrative discourse at 1, 6, and 12 months poststroke. Our findings indicate that, while the mean number of cohesive ties in narrative discourse remained generally constant during the first year poststroke, the percentage correct use of cohesive ties increased significantly during the same time period. These findings suggest that subtle disruptions in expressive language can be present initially in narrative discourse, and recovery from these disruptions can occur naturally over time.

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“…These must be considered subtle differences in performance, as statistical analyses revealed no significant effects between the two dialects in discourse production. In view of this, a discourse analysis that quantifies sentential and discourse grammar within a narrative proposed by Ulatowska, Freedman-Stern, Doyel, Macaluso-Haynes, and North (1983) and Ulatowska, North, and Macaluso-Haynes (1981) could be used to investigate whether YF's discourse production differed in L1 and L2. It is possible that indices such as complexity and types of clauses could allow capturing of subtle differences in YF's recovery and use of the two dialects when the focus is not restricted to the quantification of lexical contents and sentence structures of narratives as in QPA (Berndt et al, 2000).…”

Section: Discussionmentioning

confidence: 99%