About The Book

There is currently considerable focus on psychosocial issues for persons with aphasia and their significant others. However, there has been little unifying work that brings diverse interdisciplinary perspectives together to understand the impact of aphasia and other neurogenic communication disorders on the social construction and mediation of self or identity. In this book, the authors explore this idea of social construction of self as it relates to the human need to create, share, and modify life stories, particularly when confronting major life changes. Their premise is that impaired communication can have a profound impact on one’s perception of self and one’s ability to negotiate the social reconstruction of self in the context of a neurological disorder. The nature and extent of impact varies, as seen in the book’s in-depth examination of narrative self for persons living with aphasia, ALS, Parkinson’s disease, and dementia, as well as those aging without impairment. The authors present theoretical grounding for using the concepts of self and the idea of a social and cultural tool kit that enables clients to interact with others and to define themselves in the context of those around them. The text moves from theory to qualitative analyses of living with neurogenic disorders to implications for clinical interventions for individual clients and their significant others.

About The Authors

Professor/Director of the Program in Communication Disorders and Co-Director of the Office for Studies on Aging at the University of Arkansas. She has published three textbooks and presented on topics in aging, aphasia, and other neurogenic disorders, discourse, and augmentative communication. She has also served on the editorial board of two journals and as reviewer for seven journals and three funding agencies. Dr. Shadden worked previously as co-coordinator of Neuropathology Services, University of Tennessee, and speech-language consultant to two hospitals. She has recently served as a Board Member for the Academy of Neurological Communication Sciences and Disorders, and is an ASHA Fellow and honoree of the Council of Academic Programs in Communication Sciences and Disorders.

Associate Professor in the Program in Communication Disorders at the University of Arkansas. She has published and presented widely on topics associated with socio-cultural approaches to cognition and communication across the life-span and on identity issues for those with a variety of communication differences. She has also served on the editorial board of two international journals and as a reviewer for two journals in the field of communication disorders. Her extensive clinical work includes adult and pediatric rehabilitation at Fresno Community Hospital in Fresno, California, and home-based service delivery through the California-Hawaii Elks Major Project and the Massachusetts Society for the Prevention of Cruelty to Children.

Associate Dean of the Graduate School and Associate Professor in the Department of Sociology and Criminal Justice at the University of Arkansas, where she also previously served as the Chair of the Department of Sociology, Social Work, and Criminal Justice. She has published and presented primarily on topics related to family violence, sociology of culture, and the creation of the self. She received her PhD in sociology from Washington State University. In recent years, her professional affiliations have been in the area of graduate education, where she has served on various committees with the Conference of Southern Graduate Schools.

Table Of Contents

    • Preface
    • Acknowledgments
    • Chapter 1
      Clinical Practices and the Narrative Self
    • Chapter 2
      Neurogenic Communication Disorders
    • Chapter 3
      The Self
    • Chapter 4
      Narrative Processes
    • Chapter 5
      Life Stories across the Life Span:Considering Time
    • Chapter 6
      Life Stories in ALS
    • Chapter 7
      Life Stories in Parkinson’s Disease
    • Chapter 8
      Life Stories in Aphasia
    • Chapter 9
      Life Stories in Dementia
    • Chapter 10
      Postmodernism and the Story of the Self:A Call to Action
    • Chapter 11
      A Sociocultural Approach to Clinical Action
    • Chapter 12
      Supporting the Narrative Self
  • References
  • Index


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