Aphasia Therapy File, Volume 2

The Aphasia Therapy Filesrepresent a practical resource for people who work with individuals with aphasia, either as therapists or as researchers. An overview of the current theoretical thinking and research is combined with a study of the practicalities of determining, designing and implementing the therapies. This second volume continues to explore the possibility of bridging the gap between therapy in a clinical setting and the practical issues faced by the patient living with aphasia. Each author presents one or more of their clinical practices in order to share their therapy experiences and reasoning with others. These contributions provide an insight into the complex issues that face both the practitioner and the patient, including discussion of subjects such as: Revealing competence and rethinking identity in severe aphasia using drawing and a communication book Respecting the rights of a person with aphasia to their own life choices: a longitudinal therapy study A groupapproach to the long-term rehabilitation of people with acquired head injury within the community Lexical and functionally based treatment: effects on word retrieval and conversation While each of the chapters is of considerable interest on its own, the final chapter offers readers a method of describing and capturing what happens in therapy and why, to enable comparisons between therapies and application by readers themselves. Written by speech and language therapists working in clinical practice, the studies included in this unique resource reflect the realities of everyday practice and will appeal to therapists, students and researchers in aphasia.

List of contributors	p. ix
Acknowledgments	p. xi
Introduction: Describing therapies for aphasia	p. 1
About the chapters in this volume	p. 2
Summary	p. 10
Using this book	p. 12
References	p. 12
Controlling language and life: Therapy for communication and identity in a bilingual speaker	p. 15
Introduction	p. 16
Tony-background information	p. 17
Therapy interventions	p. 21
The Bilingualism Project	p. 23
The Communication Book/Portfolio Project	p. 27
Reviewing the benefits of therapy	p. 30
Future challenges	p. 32
Acknowledgments	p. 32
References	p. 32
Appendices	p. 33
Reassembling language and identity: A longitudinal programme involving psycholinguistic and social approaches in the life of a young man with aphasia	p. 35
Introduction	p. 35
Section one	p. 36
Discussion of section one	p. 46
Section two	p. 50
References	p. 56
Beyond the simple sentence level: a case study of a client with high level aphasia	p. 59
Background	p. 59
Assessment	p. 60
The first phase of therapy: Syntax, phonology, and morphology (6 months post-onset)	p. 61
The second phase of therapy: On-line processing, complex sentences, low frequency verbs	p. 62
The third phase of therapy: Organisational skills and discourse cohesion	p. 64
Summary	p. 65
Acknowledgments	p. 66
References	p. 66
Appendices	p. 66
Lexical and functionally based treatment: Effects on word retrieval and conversation	p. 69
Method	p. 70
Lexical treatment: Word and picture naming with phonological and orthographic cuing, treatment Phase 1	p. 73
Functionally based treatment, Phase 2	p. 74
Results	p. 74
Summary	p. 79
Notes	p. 80
References	p. 80
Appendices	p. 81
A group approach to the long-term rehabilitation of clients with acquired brain injury within the community	p. 83
Introduction	p. 83
Procedures: Rationales for the group therapy	p. 86
Methods	p. 87
Therapy	p. 87
Results	p. 90
Discussion	p. 94
References	p. 98
Appendices	p. 99
"What's in a name?" Improving proper name retrieval through therapy	p. 101
Introduction	p. 101
Communication profile	p. 102
Proper and common nouns	p. 103
Therapy rationale	p. 104
The therapy study	p. 105
Post-therapy assessment	p. 107
Follow-up maintenance assessment	p. 107
Results	p. 107
Discussion	p. 112
Conclusions	p. 114
Acknowledgments	p. 114
Notes	p. 114
References	p. 115
Symptom-based versus theoretically motivated therapy for anomia: A case study	p. 117
Background	p. 117
The client and initial symptom-based therapy	p. 117
Theoretically motivated assessment	p. 118
Assessment of single word processing	p. 118
Assessment of sentence-level processing	p. 119
Theoretically motivated, thematic role therapy	p. 122
Reassessment	p. 123
FR's views of the effect of therapy	p. 126
Discussion	p. 126
Note	p. 127
References	p. 127
Therapy for life: Challenging the boundaries of aphasia therapy	p. 129
Introduction	p. 129
The context of therapy	p. 130
Tony	p. 130
Assessment results	p. 131
Phase 1 therapy	p. 132
Phase 1 therapy outcomes	p. 135
Phase 2 therapy	p. 137
Questions and challenges	p. 144
Acknowledgments	p. 145
Postscript	p. 145
References	p. 145
Appendices	p. 147
Replicating therapy-more than just more of the same?	p. 151
Introduction	p. 151
A single case study of writing therapy	p. 152
A group study using residual orthographic skills in a group of jargon speakers	p. 153
Two therapists with the same client-is it the same therapy?	p. 157
Conclusions	p. 159
Acknowledgments	p. 160
Notes	p. 160
References	p. 160
Revealing competence and rethinking identity in severe aphasia using drawing and a communication book	p. 163
Introduction	p. 163
Drawing Together therapy project	p. 164
FM's background	p. 165
FM: Initial assessment results	p. 166
Therapy programme	p. 167
Outcomes	p. 173
Discussion	p. 174
Developing the communication book	p. 175
Outcomes of therapy, and conclusion	p. 178
References	p. 178
Appendices	p. 180
Respecting the rights of a person with aphasia to their own life choices: A longitudinal case study	p. 181
Introduction	p. 181
Carlos's story	p. 183
Therapist's reflections	p. 184
Carlos's injury	p. 184
First admission to the WNRC	p. 185
Assessment findings on initial admission	p. 186
Intervention	p. 188
Outcome	p. 192
Carlos's journey following the WNRC	p. 198
The second admission	p. 201
Intervention	p. 202
Preliminary evaluation	p. 205
Discussion	p. 205
Final comment	p. 207
References	p. 207
A case study of a client with mild language problems	p. 209
Introduction	p. 209
Background	p. 209
First meeting	p. 210
Assessment	p. 210
Therapy	p. 211
Outcomes	p. 213
Identity therapy	p. 214
Discussion	p. 215
References	p. 216
Appendix	p. 217
AL: Accessing the predicate argument structure	p. 219
Introduction and overview	p. 219
Background	p. 220
Method	p. 221
Therapy	p. 224
Results	p. 225
Discussion	p. 226
References	p. 228
Appendices	p. 229
A framework for describing therapies and discovering their whys and wherefores	p. 231
The therapy description framework	p. 232
Applying the therapy framework to each of the therapies in this volume	p. 235
Summary of data from the tables generated from the therapy description framework	p. 270
References	p. 277
Author Index	p. 279
Subject Index	p. 282
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Aphasia Therapy File, Volume 2

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