The use of conversation analysis to guide individualized advice to carers and evaluate change in aphasia: a case study

Booth, Susan; Perkins, Lisa

doi:10.1080/026870399402109

Cited by 106 publications

(63 citation statements)

References 17 publications

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“…Booth & Perkins, 1999;Wilkinson, Beeke, & Maxim, 2003)). However, her pragmatic abilities were affected, as she struggled to elaborate on ideas and maintain the floor, particularly when Jim spoke in overlap.…”

Section: Discussionmentioning

confidence: 99%

Mild Aphasia: Is This the Place for an Argument?

Armstrong

Fox

Wilkinson

2013

Am J Speech Lang Pathol

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Purpose Individuals with mild aphasia often report significant disruption to their communication despite seemingly minor impairment. This study explored this phenomenon through examining conversations of a person with mild aphasia engaging in argumentation—a skill she felt had significantly deteriorated after her stroke. Method A person with mild aphasia and her husband recorded 4 conversations involving topical issues. The discourse dynamics and lexical-grammatical content were analyzed using systemic functional linguistic (Halliday & Matthiessen, 2004) and conversation analysis (Sacks, Schegloff, & Jefferson, 1974) frameworks. Results The couple demonstrated similarities in the types of conversational moves, but the language of the person with aphasia was more nonspecific and simplified, manifesting in difficulties developing a logical argument and responding to the partner's line of argument. In addition, the nonaphasic speaker recurrently overlapped the aphasic speaker in order to request clarification of particular points, highlighting the types of behaviors that can occur in this form of higher level language activity. Conclusion The complex argument task and the multilevel and multi-approach analysis are useful tools for examining persons with mild aphasia, revealing aspects that are often overlooked in standard tests. Treatment could incorporate more complex notions such as evaluative language and the role of overlap in complex conversations.

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Section: Discussionmentioning

confidence: 99%

Mild Aphasia: Is This the Place for an Argument?

Armstrong

Fox

Wilkinson

2013

Am J Speech Lang Pathol

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“…As noted in the Introduction, many of the interaction-focused intervention studies carried out so far have involved targeting certain conversational behaviours produced by the non-aphasic partner, in particular pedagogic behaviours such as correct production sequences (e.g., Booth & Perkins, 1999;Wilkinson et al, 1998). These pedagogic behaviours can be seen as one way in which the non-aphasic partner has adapted their manner of talking in light of the person with aphasia's linguistic impairments.…”

Section: Resultsmentioning

confidence: 99%

“…In particular, many of these studies have aimed to stop or reduce the occurrence of certain pedagogic behaviours by the non-aphasic partner which highlight the linguistic incompetence of the person with aphasia. These include test questions, the initiation and/or maintenance of correct production sequences (Lock, Wilkinson, & Bryan, 2001), and cueing (Booth & Perkins, 1999;Burch, Wilkinson, & Lock, 2002;Turner & Whitworth, 2006;Wilkinson, Bryan, Lock, Bayley, Maxim, Bruce, et al, 1998).…”

Section: Introductionmentioning

confidence: 99%

Interaction-focused intervention for acquired language disorders: Facilitating mutual adaptation in couples where one partner has aphasia

Wilkinson

Lock

Bryan

et al. 2011

International Journal of Speech-Language Pathology

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This paper discusses the implementation and evaluation of an interaction-focused intervention single case study for a couple where one partner has aphasia. Drawing on conversation analytic research, naturally occurring conversations of the couple at home pre-and post-intervention were collected and analysed. Analysis of the speaker with aphasia's topic initiating turns in the pre-intervention conversation showed that in each case a feature of the attempt was that the speaker had difficulty in getting the topic initiation accepted and established. Drawing on conversation analytic work on topic initiations in normal conversation, intervention focused on training the couple to co-produce these topic initiating turns of the speaker with aphasia in a collaborative and step-by-step manner. Post-intervention, there was evidence that the couple were now using this new method, albeit in a slightly different way to that worked on in the intervention sessions. Drawing on work into adaptation by speakers with aphasia and their conversation partners, these results are discussed in terms of a process of mutual adaptation by the couple.

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“…However, these typically ask about a range of communication behaviours, only some of which may have been addressed in therapy, and they may not be accessible to people with severe aphasia (Boo & Rose, 2011). Another approach involves sampling and analysing naturally occurring conversations (e.g., Booth & Perkins, 1999;Best, Grassly, Greenwood, Herbert, Hickin & Howard, 2011). However, here variability may mask therapy effects (e.g., see Cunningham & Ward, 2003).…”

Section: Introductionmentioning

confidence: 99%

Enhancing Communication Through Gesture and Naming Therapy

Caute

Pring

Cocks

et al. 2013

J Speech Lang Hear Res

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This is the unspecified version of the paper.This version of the publication may differ from the final published version. Method: All participants received 15 hours of gesture and naming treatment (reported in a companion paper). Half the group received a further 15 hours of strategic therapy, while the remaining seven participants received no further input. The effects of therapy on communication were assessed with two novel measures. These required participants to convey simple messages and narratives to their communication partner. In both assessments a subset of the stimuli featured items that had been targets in gesture or naming treatment. Permanent repository linkResults: Performance on the communication measures was stable over two baseline assessments, but improved after gesture and naming treatment. Those who received additional strategic therapy made further gains on the message but not the narrative task. Communication gains were not specific to the stimuli featuring trained items.Conclusions: This study suggests that gesture and naming treatments can benefit interactive communication. The additional benefits of strategic therapy were less clear cut, but did impact on the transmission of simple messages. Gains seem to reflect the development of general communication skills, rather than the use of trained gestures and/or words.3

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The use of conversation analysis to guide individualized advice to carers and evaluate change in aphasia: a case study

Cited by 106 publications

References 17 publications

Mild Aphasia: Is This the Place for an Argument?

Mild Aphasia: Is This the Place for an Argument?

Interaction-focused intervention for acquired language disorders: Facilitating mutual adaptation in couples where one partner has aphasia

Enhancing Communication Through Gesture and Naming Therapy

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