Stratification in Cognition and Consciousness

Challis, Bradford H.; Величковский, Б.М.

doi:10.1075/aicr.15

Cited by 8 publications

(1 citation statement)

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“…This may reflect the obvious fact that dysfunctions in motor and sensory areas are very well described by contemporary neuroscience and medicine, so that detailed links between Luria's rehabilitation procedures and the ICF codes can be established. This close correspondence allows one to see, for example, that Luria's rehabilitation methods developed in the 1940s reflect the idea, now widely accepted, of a vertical organization of cognition (Challis & Velichkovsky, 1999). Luria's rehabilitation methods for efferent motor aphasia, for example, gradually progress through mastering the most basic (data-driven, bottom-up) aspects of sound production, to mastering much more abstract (conceptually driven, top-down) speech production rules.…”

Section: Recovery Of Speech Understanding With Traumatic Aphasiamentioning

confidence: 70%

Luria's Approach to the Restoration of Speech in Aphasia and the International Classification of Functioning, Disability and Health (ICFDH)

Baulina¹,

Skvortsov²,

Kovyazina³

et al. 2019

Psych. Rus.

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Background. Alexandria R. Luria's classic neurorehabilitation methods ("restorative learning") have now been successfully applied in clinical settings for more than seventy years. It is of interest how Luria's methods relate to contemporary strategic approaches to effective rehabilitation. One such framework is the International Classification of Functioning, Disability and Health (ICF)-a comprehensive WHO framework for measuring health and disability for diagnostic and rehabilitation purposes. Objective. To compare Luria's procedure of restorative learning in aphasia and the ICF. Such a comparison may facilitate the use of the ICF in the work of multidisciplinary rehabilitation teams for diagnosis, planning, implementation, and evaluation of rehabilitation programs. Design. A systematic comparison of ICF components with specific rehabilitation procedures developed by Luria aimed at speech understanding and production. Results. Luria's speech rehabilitation methods pertain to the ICF component "Body Functions and Structures". Specific correspondences between Luria's rehabilitation procedures and ICF categories are found, especially for afferent and efferent aphasias. For the aphasias related to speech understanding (sensory and semantic aphasia), such correspondences are rare. This reflects an insufficient differentiation in the understanding of higher cognitive functions in current neurorehabilitation. Luria's concern for patients' personality and social status is also explicated. Conclusion. Although Luria's "restorative learning" is realized within the ICF domain of "Body Functions and Structures", his approach also focuses on the rehabilitation of the personal and social status of the patient. This approach is an important condition for clinical and psychological rehabilitation in the ICF domains of "Activities" and "Participation".

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Section: Recovery Of Speech Understanding With Traumatic Aphasiamentioning

confidence: 70%