About The Book

As a consequence of the disability movement, the thinking generated by the World Health Organization’s classification of disability and functioning, and an upturn in concern for the long-term consequences of aphasia, it has become apparent that two distinctive pathways for the treatment of aphasia have emerged over the past decade. The first (and most traditional) involves assessment and management directed toward lessening the effects of the impairment of aphasia, while the second pathway focuses less on specific language than on the psychosocial consequences of aphasia. This unique text specifically contrasts impairment- and consequences-focused treatment with the aim of providing clinicians with a level playing field that permits them to evaluate for themselves the relative contributions that each approach provides, to evaluate their relative strengths and weaknesses, and finally to seek common ground.

An opening chapter sets the scene, while the heart of the book, based on real cases, concerns five meticulously described, yet hypothetical individuals with aphasia. In each of the cases, detailed descriptions and assessment results are provided and clinical management plans, representing each approach, are presented by internationally recognized experts in aphasia rehabilitation.

About The Authors

Nadine Martin is an Associate Professor of Communication Sciences and Disorders at Temple University and is Director of the Eleanor M. Saffran Center for Cognitive Neuroscience. Her NIH supported research focuses on the relationship between word processing and short-memory abilities and the implications of this relationship for rehabilitation of language impairments associated with aphasia.

Dr. Thompson is a Professor of Communication Sciences and Disorders, and Neurology at Northwestern University, Evanston Illinois, with faculty appointments in the School of Communication, Feinberg School of Medicine, the Cognitive Neurology and Alzheimer’s Disease Center, and the Neuroscience Institute. She holds academic degrees in Psychology and Speech and Language Pathology from the University of Oregon and the University of Kansas, respectively. A leading researcher in the field, she uses what is known about normal language processing and representation to guide studies of language breakdown and recovery in persons with stroke-induced aphasia. These patterns provide blueprints for clinical protocols and, in turn, address the utility of this translational approach for studying language disorders. She also studies the processing mechanisms that support recovery by tracking eye movements in sentence processing and production, and the neural correlates of recovery using functional magnetic resonance imaging (fMRI). Her work has been supported by the National Institutes of Health (NIDCD) for over 15 years and has led to publication of over 70 articles in referred journals and 28 book chapters.
Dr. Thompson is a fellow of the American Speech-Language-Hearing Association and the Cognitive Neurology and Alzheimer’s Disease Center (at Northwestern), and recipient of the Walder Award for Research Excellence at Northwestern (2007). She is a member of the Academy of Aphasia (Board of Governor’s of the Academy from 2003-2006), the Academy of Neurological Communication Disorders and Sciences (ANCDS), the American Speech-Language-Hearing Association (ASHA), the Cognitive Neuroscience Society (CNS), the International Neuropsychological Society (INS), the Organization for Human Brain Mapping (OHBM), and the Society for Neuroscience (SFN).

Linda Worrall, PhD, B. Sp. Therapy, is a Professor Emerita of Speech Pathology at The University of Queensland, Brisbane, Australia and current Chairperson of the Australian Aphasia Association. She completed her undergraduate degree in speech pathology at The University of Queensland but then completed her PhD in the Stroke Research Unit in Nottingham, UK.

Tabel Of Contents

1. Approaches to Aphasia Treatment

Cynthia K. Thompson and Linda Worrall
2. A Case of Fluent Aphasia

Anna Basso and Audrey L. Holland
3. Treatment for Fluent Aphasia from a Cognitive-Impairment Perspective

Anna Basso
4. Concentrating on the Consequences: Consequence-Oriented Treatment for MS

Audrey L. Holland
5. Impairment and Life Consequences Approaches for Fluent Aphasia: Convergences and Divergences

Audrey L. Holland and Anna Basso
6. A Case of Severe Apraxia of Speech and Aphasia

David Howard and Nina Simmons-Mackie
7. Intervention for a Case of Severe Apraxia of Speech and Aphasia: A Functional-Social Perspective

Nina Simmons-Mackie
8. Treatment for a Case of Severe Apraxia of Speech and Aphasia: An Impairment-Based Perspective

David Howard
9. Impairment and Functional-Social Approaches for Severe Apraxia of Speech and Aphasia: Convergences and Divergences

Nina Simmons-Mackie and David Howard
10. A Case of Nonfluent Aphasia and Agrammatism

Cynthia K. Thompson and Linda Worrall
11. Impairment-Based Treatment for Agrammatism from a Neurolinguistic Perspective

Cynthia K. Thompson
12. Intervention for Agrammatism from a Consequences Perspective

Linda Worrall
13. Impairment and Life Consequences Approaches for Treatment of Nonfluent Aphasia with Agrammatism: Convergences and Divergences

Linda Worrall and Cynthia K. Thompson
14. A Case of Anomic Aphasia

Nadine Martin and Jacqueline Hinckley
15. Intervention for Anomic Aphasia from a Functional Perspective

Jacqueline Hinckley
16. Intervention for Anomic Aphasia from a Cognitive Impairment-Based Perspective

Nadine Martin
17. Cognitive and Functional Interventions for Anomic Aphasia: Convergences and Divergences

Jacqueline Hinckley and Nadine Martin
18. A Case of Letter-by-Letter Reading

Linda Garcia
19. A Treatment Plan for a Letter-by-Letter Reader: Intervention from an Integrated Perspective

Linda Garcia
20. The State of Impairment- and Consequences-Based Approaches to Treatment for Aphasia: Final Commentary

Argye Hillis, Linda Worrall, and Cynthia K. Thompson
  • Index


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