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Aphasia Lecture 1
definitions of aphasia
26
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Graduate
06/06/2010

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Term
basic definition of aphasia
Definition
An impairment of comprehension or production of communication secondary to cognitive, linguistic, and/or pragmatic impairment
Term
Cognitive
Definition
Processes by which sensory input is transformed, reduced, elaborated, stored, recovered, and used
Term
Linguistic
Definition
Processes of language content, form, & use
Term
Pragmatic
Definition
Rule-based processes for conversing with different partners & contexts & initiating, maintaining, & terminating discourse & conversation
Term
Goodglass' Definition of Aphasia
Definition

 

A family of clinically-diverse disorders that affect the ability to communicate by oral or written language, or both, following brain damage.

 

Term
Chapey, Brookshire and Goodglass' definition of aphasia
Definition
an acquired communication disorder caused by brain damage, characterized by an impairment of language modalities; speaking, listening, reading and writing.
Term
Halpem's definition of aphasia
Definition

 

A multi-modality language disturbance due to brain damage.  A linguistic deficit causing difficulty in the comprehension and/or formulation of language symbols

 

Term
The four primary factors of aphasia
Definition
  • Neurogenic
  • Acquired
  • Language problem only
  • not sensory or intellectual problem
Term
Neurogenic
Definition
Always caused by neurological damage
Term

Acquired

Definition

Not developmental; partial or complete loss of language function in persons who had previously developed normal language ability.

Term

Language problem only

Definition

All modalities (speech, comprehension, writing, reading) are affected.

Term
History of Aphasia Study
Definition
  • Propositional
  • Unidimensional
  • Multidimensional
  • Microgenetic
  • Concrete-Abstract
  • Thought Process
  • Psycholinguistic/Problem Solving/Information Processing
  • Body Structure & Functions, Activity, & Participation

 

Term
Propositional
Definition

Hughlings Jackson (1835-1911)

Inability to make propositions: to convey intent of an utterance; to use spontaneous language to communicate specific meaning.

Term
Unidimensional
Definition
Hildred Schuell (1950’s)
Language is a single entity; aphasia is not modality specific, but affects the ability to access & retrieve words & rules of language.

 

Term
Multidimensional
Definition
Harold Goodglass, Edith Kaplan, Andrew Kertesz (1960’s-present) Site of lesion corresponds to specific language impairment; use language symptoms to classify aphasia type-fluent vs nonfluent, semantic vs syntactic, Broca’s vs Wernicke’s

 

Term
Microgenetic
Definition
Joseph Brown (present) Language processing is an event that emerges over different levels of the brain corresponding to different levels of evolutionary development; simultaneous processing event

 

Term
Concrete-abstract
Definition
Goldstein & Scheerer --“Abstract attitude” allows person the ability to react to what is heard or seen in a “conceptual” manner; propositional language is abstract, whereas automatic & emotional utterances, sounds, single words, & automated word series are concrete

 

Term
Thought process
Definition
Joseph Wepman
A disordered thought process; word substitution

 

Term
Psycholinguistic/problem solving/information processesing
Definition
Muma, Bloom & Lahey, Chapey
Couched in Cognitive Theory; Impairment of language content, form, & use & the cognitive processes underlying language-memory & thinking; cognitive problems with problem-solving & information processing

 

Term
Body Structure & function, Activity & Participation
Definition
Fougeyrollas

De-medicalizes language disorder, focuses on health & well-being as related to life's purposes & qualities; participation in live activites & realizing long-term life goals; life functions
Term
Etiology of Aphasia
Definition
  • Brain damage
  • Primarily cerebrovascular accident (CVA)
    • Stroke or "brain attack"
    • Blood flow interrupted by blockage of a blood vessel to an area of the brain or by rupturing an artery.
Term

What are the positive risk-factors for stroke and aphasia?

Definition
  • Positive factors
    • Hypertension
    • diabetes
    • high cholesterol
    • smoking
    • stress
    • inactivity
    • alcohol excess
    • Poor diet (fats, sodium, cholesterol)
    • Access to health care
Term
What are the negative factors for stroke and aphasia?
Definition
  • Gender
  • aging
  • handedness
Term
What is the purpose for treating aphasia?
Definition

 

Intervention enables an affected person to be able to comprehend & express language more effectively.

 

Term
What are possible outcomes from aphasia intervention?
Definition
  • Heightens potential for maximum functioning with his or her environment
  • Helps facilitate meaningful relationships
  • Helps restore self-esteem, dignity, & independence

 

Term
What is the objective of this course?
Definition
To study the characteristic nature (etiology and symptomatology) of aphasic disturbances, including principles of evaluation, treatment, and management
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