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.
Nadine Martin, Ph.D. Nadine Martin, PhD, is an Associate Professor of Communication Sciences and Disorders at Temple University and is Director of the Eleanor M. Saffran Center for Cognitive Neuroscience. Cynthia Thompson, Ph.D. Cynthia K. Thompson, Ph.D. is a Professor in the Department of Communication Sciences and Disorders, the Department of Linguistics, and the Department of Neurology at Northwestern University. Linda Worrall, Ph.D. Linda Worrall, PhD, is the co-director of the Communication Disability Centre within the School of Health and Rehabilitation Sciences, The University of Queensland, Australia. Contributors Anna Basso Argye Hillis Audrey Holland, Ph.D. David Howard, PhD Linda Garcia Nina Simmons-Mackie
SECTION I 1. Approaches to Aphasia Treatment Cynthia K. Thompson and Linda Worrall SECTION II 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 SECTION III 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 SECTION IV 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 SECTION V 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 SECTION VI 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