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Improved comprehension of irony and indirect requests following a severe traumatic brain injury: two case studies 在严重创伤性脑损伤后提高对讽刺和间接请求的理解:两个案例研究
IF 2 4区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-11-16 DOI: 10.1080/02687038.2023.2272962
Natacha Cordonier, Maud Champagne-Lavau, Marion Fossard
Following a traumatic brain injury (TBI), people frequently have difficulty understanding nonliteral language, including irony and indirect requests. Despite the handicap that these disorders can r...
在创伤性脑损伤(TBI)后,人们经常难以理解非字面语言,包括讽刺和间接请求。尽管这些疾病可能会造成障碍……
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引用次数: 0
Feasibility of an abstract verb naming treatment for aphasia 抽象动词命名治疗失语症的可行性
4区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-11-13 DOI: 10.1080/02687038.2023.2279180
Dallin J. Bailey, Lisa Bunker, Julie L. Wambaugh
ABSTRACTPurpose Verb production impairments in aphasia have important implications for sentence production and communication in general. Verbs with low concreteness may be especially important for certain functional uses, and yet limited data regarding their response to treatment are available. This study was designed to examine a novel behavioral treatment approach to improve low concreteness verb naming in persons with aphasia.Method Three persons with nonfluent aphasia participated in a single-subject experimental design research study examining the feasibility of the novel treatment. The treatment was based on approaches that target the verb as the central node of meaning during sentence construction. The primary outcome measure was a sentence completion probe. Effects on untreated stimuli and on general language and naming assessments were also examined.Results Results indicated some limited changes associated with the treatment for two of the participants. Treatment performance data suggested possible improvements in verb processing that were not reflected in the primary outcome measure. Modest decreases in aphasia severity were noted for two of the participants.Conclusions The findings provide further support for targeting verbal production of verbs with low concreteness in aphasia. Several lessons learned may benefit future researchers examining areas related to the topic.KEYWORDS: Aphasiatreatmentabstractconcretenessverbs AcknowledgementSpecial thanks to Lisa Johnson and Heather Bailey for their assistance with this project. Portions of this research were presented at the 2017 Clinical Aphasiology Conference in Park City, UT. This research represents part of the first author’s dissertation work.Disclosure statementNo potential conflict of interest was reported by the author(s).Supplemental dataSupplemental data for this article can be accessed online at https://doi.org/10.1080/02687038.2023.2279180Notes1The sentence frame has a slot for the agent (a person), the target verb, and the object (a person or thing)2These are functional clinician-selected corpus-informed collocates, as well as items from the client-informed list prepared before treatment. Vary these between sessions as much as is reasonable, depending on the verb’s possibilities and the patient’s preferences.Additional informationFundingThis research was supported by SPiRE Award RX-RX001356-01 and VA RR&D Research Career Scientist Award IK6RX002706, both awarded to Julie Wambaugh.
【摘要】目的失语症患者动词生成障碍对句子生成和交际具有重要意义。具有低具体性的动词可能对某些功能用途特别重要,但关于它们对治疗的反应的数据有限。本研究旨在探讨一种新的行为治疗方法,以改善失语症患者的低具体动词命名。方法对3例非流利性失语症患者进行单受试者实验设计研究,探讨该治疗方法的可行性。这种治疗是基于将动词作为句子构建过程中意义的中心节点的方法。主要的结果测量是一个句子完成的探针。对未经处理的刺激和一般语言和命名评估的影响也进行了检查。结果结果表明,两名参与者的治疗有一些有限的变化。治疗表现数据表明,动词处理可能有所改善,这在主要结果测量中没有反映出来。两名参与者的失语症严重程度略有下降。结论研究结果为失语症低具体动词的言语生成提供了进一步的支持。从中获得的一些经验教训可能有助于未来研究人员研究与该主题相关的领域。关键词:失语症治疗抽象具体性动词致谢特别感谢Lisa Johnson和Heather Bailey对本项目的协助。这项研究的部分内容在2017年在犹他州帕克城举行的临床失语症会议上发表。本研究是第一作者论文工作的一部分。披露声明作者未报告潜在的利益冲突。补充数据本文的补充数据可以在线访问https://doi.org/10.1080/02687038.2023.2279180Notes1The,句子框架有一个槽,用于代理(人),目标动词和对象(人或物)2这些是功能性临床医生选择的语料库知情搭配,以及治疗前准备的客户知情列表中的项目。根据动词的可能性和病人的喜好,在每次治疗之间尽可能多地改变这些词。本研究得到了SPiRE奖RX-RX001356-01和VA研发研究职业科学家奖IK6RX002706的支持,这两个奖项都授予了Julie Wambaugh。
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引用次数: 0
Telerehabilitation of aphasia: A systematic review of the literature 失语症的远程康复:文献综述
4区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-11-08 DOI: 10.1080/02687038.2023.2274621
Berzan Cetinkaya, Katherine Twomey, Bria Bullard, Sabrina EL Kouaissi, Paul Conroy
Background/Aims This review aims to describe the rapidly developing field of telerehabilitation of post-stroke aphasia. In doing so, it considered the impact of telerehabilitation on the treatment literature for aphasia from different perspectives: Treatment classification and description; outcome measurement; feasibility; acceptability; efficacy and quality assessment.
背景/目的本文综述了脑卒中后失语远程康复的研究进展。在此过程中,本文从不同的角度考虑了远程康复对失语症治疗文献的影响:治疗分类和描述;测量结果;可行性;可接受性;疗效和质量评价。
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引用次数: 0
“I Wasn’t Just Sitting There”: Empowering Care Partners through the Aphasia-Friendly Reading Approach “我不只是坐在那里”:通过失语友好阅读方法赋予护理伙伴权力
4区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-10-31 DOI: 10.1080/02687038.2023.2272956
Erin L. O’Bryan, Harold R. Regier, Katie A. Strong
ABSTRACTBackground Sharing stories is a way that people make meaning out of life and connect with others socially. For couples in which one person has aphasia, the ability to have conversations and share stories may be disrupted. Many people with aphasia benefit from support in constructing and sharing stories with others. To share experiences with his wife, the spouse of a person with aphasia developed an intervention approach called Aphasia-Friendly Reading that supports oral storytelling and sharing stories with others.Aim The current study explored the experiences of care partners in a pilot study using the Aphasia-Friendly Reading approach.Methods & Procedures Three people with aphasia and their care partners participated in the Aphasia-Friendly Reading pilot study one hour per week for 9 to 14 weeks. Following the pilot program, each care partner was interviewed about their experience participating in the study. Interview data was analysed using reflexive thematic analysis.Outcome & Results Three major themes were identified: (1) Care partner empowerment, (2) Collaboration, and (3) Different therapy experience. Care partners expressed that they were “totally involved” in all stages of the intervention and that they highly valued being involved. Further, care partners reported specific ways that they started taking initiative in supporting their partner with aphasia outside of the sessions. Care partners described the project as collaborative, noting the role of all participants in story co-construction and mentioning how they both taught and learned from graduate student clinicians. The care partners reported that the project was distinctly different from their previous therapy experiences, noting that they appreciated the person-centeredness of the stories, the fun of working together in sessions, and the opportunity to share their stories with the aphasia group.Conclusion The results indicated that the care partners experienced benefits of being actively included in the Aphasia-Friendly Reading approach. The approach appears to be harmonious with core values of the Life Participation Approach to Aphasia and research on the value of considering aphasia to be a family issue rather than an individual issue.KEYWORDS: care partnersnarrativescript trainingoral readingaphasia AcknowledgmentsThe authors thank the participants and families and the members of the Wichita Adult Language Lab, Taylor Brandenberger, Sydney Brown, Ellasyn Heuer, Addison Powell, and Madison Zwanziger for serving as graduate clinicians and Sabrina Gooch, Logan Patterson, Emily Ray, and Madeline Rondeau for transcription support, and the audience of the Aphasia Access Leadership Summit 2021 Brag and Steal session for encouragement in the early phase of this project.CRediT Author StatementErin O’Bryan: conceptualisation, writing–original draft, review and editing, visualisation, investigation, supervision, analysis. Harold Regier: conceptualisation of therapy approach, writ
【摘要】背景分享故事是人们从生活中获得意义并与他人建立社会联系的一种方式。如果夫妻中有一方患有失语症,那么交谈和分享故事的能力可能会受到干扰。许多失语症患者在与他人构建和分享故事方面得到了帮助。为了与妻子分享经验,失语症患者的配偶开发了一种名为“失语症友好阅读”的干预方法,支持口头讲故事和与他人分享故事。目的:本研究采用失语症友好阅读方法,在一项试点研究中探讨护理伙伴的经验。方法与步骤3名失语症患者及其护理伙伴参加了为期9至14周的失语症友好阅读先导研究,每周1小时。在试点项目之后,每个护理伙伴都接受了关于他们参与研究的经历的采访。访谈数据采用反身性主题分析进行分析。结果和结果确定了三个主要主题:(1)护理伙伴授权,(2)协作,(3)不同的治疗体验。护理伙伴表示,他们“完全参与”了干预的所有阶段,他们非常重视参与。此外,护理伙伴报告了他们在治疗之外开始主动支持失语症伙伴的具体方式。护理合作伙伴将该项目描述为协作,注意到所有参与者在故事共同构建中的作用,并提到他们如何教授和向研究生临床医生学习。护理伙伴报告说,这个项目与他们以前的治疗经历明显不同,他们注意到他们欣赏以人为中心的故事,在会议中一起工作的乐趣,以及与失语症组分享他们的故事的机会。结论:失语友好性阅读方法对护理伙伴有积极的影响。该方法似乎与失语症生活参与方法的核心价值观以及将失语症视为家庭问题而不是个人问题的价值研究相协调。关键词:作者感谢参与者和家庭以及威奇托成人语言实验室的成员,Taylor Brandenberger, Sydney Brown, Ellasyn Heuer, Addison Powell和Madison Zwanziger作为研究生临床医生,以及Sabrina Gooch, Logan Patterson, Emily Ray和Madeline Rondeau的转录支持。以及2021年失语症访问领导力峰会吹牛和偷窃会议的听众,以鼓励该项目的早期阶段。作者声明enterin O 'Bryan:构思、写作——原稿、审查和编辑、可视化、调查、监督、分析。哈罗德·雷吉尔:治疗方法的概念化,原稿。凯蒂·斯特朗:概念化,写作-原稿,审查和编辑,可视化,分析。披露声明harold Regier从他在文章中提到的自己出版的书的销售中获得一小部分版税。艾琳·奥布莱恩受雇于威奇托州立大学。凯蒂·斯特朗受雇于中密歇根大学。这个项目没有资金。数据可用性声明本研究的参与者没有书面同意公开分享他们的数据,因此由于研究的敏感性,无法获得支持数据。本文的补充数据可以在线访问https://doi.org/10.1080/02687038.2023.2272956。
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引用次数: 0
A Novel Morphology-Based Naming Therapy for People with Aphasia 一种新的基于形态学的失语症患者命名疗法
4区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-10-22 DOI: 10.1080/02687038.2023.2257354
Tammar Truzman, Michal Biran, Nachum Soroker, Tamar Levy, Tali Bitan
Background Previous studies have demonstrated that naming treatments can improve language abilities in people with aphasia (PWA). However, there is currently a lack of protocols for evidence-based naming treatment in Hebrew.
以往的研究表明,命名治疗可以提高失语症患者的语言能力。然而,目前缺乏以希伯来语为基础的命名治疗方案。
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引用次数: 0
An electrophysiological and behavioral investigation of feedback-based learning in aphasia 失语症患者反馈学习的电生理和行为研究
4区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-10-22 DOI: 10.1080/02687038.2023.2267780
Kristen Nunn, Yael Arbel, Sofia Vallila-Rohter
ABSTRACTIntroduction Feedback is a fundamental aspect of aphasia treatments. However, learning from feedback is a cognitively demanding process. At the most basic level, individuals must detect feedback and extract outcome-related information (i.e., feedback processing). Neuroanatomical and neuropsychological differences associated with post-stroke aphasia may influence feedback processing and potentially how people with aphasia (PWA) respond to feedback-based treatments. To better understand how post-stroke aphasia affects feedback-based learning, the current study leverages event-related potentials (ERPs) to (1) characterize the relationship between feedback processing and learning, (2) identify cognitive skills that are associated with feedback processing, and (3) identify behavioural correlates of feedback-based learning in PWA.Methods Seventeen PWA completed a feedback-based novel word learning task. Feedback processing was measured using the feedback-related negativity (FRN), an ERP hypothesized to reflect the detection and evaluation of outcomes communicated via feedback. Individuals also completed neuropsychological assessments of language (phonological processing, verbal short-term memory) and executive functioning.Results PWA elicited an FRN that was sensitive to feedback valence. The magnitude of the FRN was not associated with novel word learning but was strongly correlated with performance on another feedback-based task, the Berg Card Sort. Cognitive variables (information updating, selective attention) but not language variables were associated with novel word learning.Discussion & Conclusion For PWA, feedback processing may be associated with learning in some but not all feedback-based contexts. These findings may inform future research in determining which variables moderate the relationship between feedback processing and learning with the long-term goal of identifying how feedback can be modified to support successful learning during aphasia rehabilitation.KEYWORDS: Aphasiafeedbacklearningevent-related potentialsfeedback-related negativity AcknowledgmentsThank you, Asiya Gul, for your support with EEG data processing; Kesi Cania, for assistance with behavioural data processing and double scoring; and Victoria Tilton-Bolowsky for your feedback on this manuscript. Thank you to the individuals with aphasia who participated in this research.Disclosure statementNo potential conflict of interest was reported by the author(s).Declaration of interest statementThe authors have no relevant financial or nonfinancial conflicts of interest to disclose.Notes1 To verify that this participant did not have a response preference, we calculated the percent of responses that were for the target on the left and the right. The participant chose the item on the left 48% of the time and the item on the right 52% of the time indicating no response bias secondary to a history of visual inattention.2 To ensure that latency correction did not impact findin
反馈是失语症治疗的一个基本方面。然而,从反馈中学习是一个认知要求很高的过程。在最基本的层面上,个体必须检测反馈并提取与结果相关的信息(即,反馈处理)。与脑卒中后失语症相关的神经解剖学和神经心理学差异可能影响反馈处理,并可能影响失语症患者对反馈治疗的反应。为了更好地理解脑卒中后失语症如何影响基于反馈的学习,本研究利用事件相关电位(erp)来(1)表征反馈加工与学习之间的关系,(2)识别与反馈加工相关的认知技能,(3)识别PWA中基于反馈的学习的行为相关因素。方法17名PWA完成基于反馈的新词学习任务。反馈处理使用反馈相关负性(FRN)来测量,这是一种假设的ERP,用于反映通过反馈传达的结果的检测和评估。受试者还完成了语言(语音处理、言语短期记忆)和执行功能的神经心理学评估。结果PWA诱发的FRN对反馈价敏感。FRN的大小与新单词学习无关,但与另一项基于反馈的任务(伯格卡排序)的表现密切相关。认知变量(信息更新、选择性注意)与新词学习相关,而语言变量与新词学习无关。讨论与结论对于PWA来说,在一些但不是所有的基于反馈的环境中,反馈处理可能与学习有关。这些发现可能为未来的研究提供信息,以确定哪些变量调节了反馈处理和学习之间的关系,并确定如何修改反馈以支持失语症康复期间的成功学习。关键词:失语反馈反馈学习事件相关电位反馈相关消极性感谢Asiya Gul在脑电数据处理方面的支持;Kesi Cania,协助处理行为数据及双重评分;感谢维多利亚·蒂尔顿·博洛夫斯基对这份手稿的反馈。感谢参与这项研究的失语症患者。披露声明作者未报告潜在的利益冲突。利益声明作者没有相关的财务或非财务利益冲突需要披露。注1为了验证该参与者没有响应偏好,我们计算了左侧和右侧目标的响应百分比。参与者在48%的时间里选择了左边的项目,在52%的时间里选择了右边的项目,这表明没有视觉不注意史引起的反应偏差为了确保延迟校正不会影响结果,对延迟和非延迟校正的数据都进行了分析。不同数据集的重要发现是相同的。为了使图更清晰,这里给出了经过延迟校正的数据。本研究得到了美国国立卫生研究院耳聋和其他交流障碍研究所的支持,研究人员分别为Sofia Vallila-Rohter [R21 DC019203]和Yael Arbel [R15 DC016438]。克里斯汀·纳恩的一部分时间也得到了退伍军人事务部学术协会办公室、匹兹堡退伍军人事务部医疗保健系统老年病学高级奖学金和匹兹堡退伍军人事务部老年病学研究、教育和临床中心(grec)的支持。内容完全是作者的责任,不代表美国国立卫生研究院,VA或美国政府的观点。
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引用次数: 0
Muddles and puzzles: Metaphor use associated with disease progression in Primary Progressive Aphasia 混淆和谜题:隐喻的使用与原发性进行性失语症的疾病进展有关
4区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-10-16 DOI: 10.1080/02687038.2023.2257356
Anna Volkmer, Jade Cartwright, Leanne Ruggero, Maria Loizidou, Chris JD Hardy, Deborah Hersh
Background Primary Progressive Aphasia describes a language-led dementia and its variants. There is little research exploring the experiences of living with this disease. Metaphor, words that represent something else, have been studied extensively in health-related narratives to gain a more intimate insight into health experiences.
原发性进行性失语症描述了一种语言导致的痴呆及其变体。很少有研究探索患有这种疾病的经历。隐喻,代表其他事物的词语,在与健康有关的叙述中得到了广泛的研究,以获得对健康经历的更深入的了解。
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引用次数: 0
‘To be’ or not ‘to be’: an analysis of copula production and omission in people with non-fluent aphasia “生存”还是“死亡”:非流利性失语症患者连词产生与遗漏的分析
4区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-10-04 DOI: 10.1080/02687038.2023.2262687
Giuditta Smith, Charlotte Kershaw, Valentina Brunetto, Maria Garraffa
Background Agrammatic aphasia has been widely associated with impairments with functional words and complex sentences. Speech errors of people with aphasia (PWA) have been reported to be selective, with patterns of omissions in functional words, most notably in the domain of tense inflection on verbs compared to agreement in morphologically rich languages.
语法性失语症与功能词和复合句的功能障碍有着广泛的联系。据报道,失语症患者的言语错误是有选择性的,其功能词的遗漏模式,最明显的是在动词的时态屈折变化领域,而不是在词形丰富的语言中。
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引用次数: 0
To make a long story short: A descriptive study of formulaic language use in post-stroke fluent aphasia 长话短说:一项关于中风后流利失语症中公式化语言使用的描述性研究
4区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-10-04 DOI: 10.1080/02687038.2023.2265101
Catherine Torrington Eaton, Sarah Thomas
ABSTRACTBackground Language sample analysis is a common tool for inventorying an individual’s linguistic strengths and weaknesses. Although most research has focused on quantifying propositional or novel language production, studies suggest that individuals with aphasia, specifically nonfluent aphasia, produce high percentages of formulaic language relative to healthy controls. To date, little is known about how individuals with fluent aphasia subtypes use formulaic language and how the elicitation task influences their production.Aims The purpose of this research was to comprehensively describe patterns of formulaic language use in various discourse tasks in language samples of individuals with fluent aphasia.Methods & Procedures The retrospective analysis included discourse samples from Aphasiabank from 142 individuals with anomic, conduction, and Wernicke’s aphasia across four monologic discourse tasks. After identifying and classifying formulaic items into nine types, percentages of formulaic language were calculated for each participant and discourse task. Non-parametric statistics and Pearson’s correlations were used to compare production patterns and explore relationships between language severity and formulaic item types.Outcomes & Results Unique patterns of formulaic language were observed across groups including lower proportions of fillers in individuals with Wernicke’s aphasia and higher proportions of yes/no variants and speech formulas in individuals with conduction aphasia. Production patterns were most influenced by discourse task in individuals with anomic aphasia. Formulaic language use did not correlate with aphasia severity as measured by aphasia quotient.Conclusions Findings add to the evidence base describing formulaic language usage in individuals with post-stroke aphasia, which serves as a necessary foundation for eventual clinical application.KEYWORDS: Formulaic languageaphasiaspontaneous speech AcknowledgementsWe wish to thank Melanie Smith, Emily Lafitte, and the members of the San Antonio Network for Aphasia (SANA) Lab for their endless hours spent coding transcripts. Thanks also to Brian MacWhinney, Davida Fromm, contributing researchers, and willing participants for their invaluable support and contributions to Aphasiabank.Disclosure statementThe authors report there are no competing interests to declare.
摘要语言样本分析是一种常用的分析个人语言优势和劣势的工具。虽然大多数研究都集中在量化命题或新语言的产生,但研究表明,失语症患者,特别是非流利失语症患者,相对于健康对照者,产生公式化语言的比例很高。迄今为止,对于流利失语症亚型的个体如何使用公式化语言以及启发任务如何影响其产生知之甚少。目的本研究旨在全面描述流利性失语症患者语言样本在不同语篇任务中公式化语言的使用模式。方法与步骤回顾性分析来自失语库的142例失语症、传导失语症和韦尼克失语症患者的四种单一话语任务的话语样本。在将公式化项目识别并分类为九种类型后,计算每个参与者和话语任务的公式化语言百分比。使用非参数统计和Pearson相关来比较生产模式,并探索语言严重程度和公式化项目类型之间的关系。结果和结果在不同组中观察到独特的公式化语言模式,包括Wernicke失语症患者中填充语的比例较低,而传导性失语症患者中是/否变体和言语公式的比例较高。言语任务对失语症患者生产模式的影响最大。公式化语言的使用与失语症的严重程度不相关。结论研究结果为描述脑卒中后失语症患者的公式化语言使用提供了证据基础,为最终的临床应用奠定了必要的基础。致谢致谢致谢致谢致谢致谢致谢致谢致谢致谢致谢致谢致谢致谢致谢致谢致谢致谢致谢致谢致谢致谢致谢致谢致谢致谢致谢致谢致谢致谢致谢致谢致谢致谢致谢致谢致谢致谢致谢还要感谢Brian MacWhinney, Davida Fromm,贡献研究人员和自愿参与者对Aphasiabank的宝贵支持和贡献。作者报告无利益竞争需要申报。
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引用次数: 0
Counseling practices of speech-language pathologists working with aphasia: “I did not have adequate training in actual counseling strategies.” 语言病理学家治疗失语症的咨询实践:“我没有接受过充分的实际咨询策略培训。”
4区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-09-29 DOI: 10.1080/02687038.2023.2262682
Jerry K. Hoepner, Aspen K. Townsend
ABSTRACTBackground Counseling is a part of the scope of practice for speech-language pathologists (SLPs), however training has been inconsistent across programs. Students, clinical fellows, and practicing SLPs alike report feeling under-prepared to address the counseling needs of clients and their families. Research evidence about counseling training and practices specific to addressing the psychological well-being of individuals with aphasia and their families is even more limited. While practicing SLPs feel confident and prepared to address communication-specific interventions for aphasia, they feel ill prepared to address the counseling needs that arise on a regular basis.Aims The present investigation was part of a two-part investigation that included an online survey to practicing SLPs throughout the United States (US) and follow-up interviews with a subgroup of those participants. This paper addresses the counseling practice interview portion and addresses two research questions: How confident do SLPs feel using counseling with individuals with aphasia? To what extent are SLPs implementing counseling in practice with individuals with aphasia and their family members?Methods & Procedures Eight practicing SLPs who participated in the part 1 counseling practices survey agreed to participate in the part 2 counseling practices intervention. They varied by years of practice, region of practice, and practice setting (acute, subacute, and chronic). Participants engaged in the Counseling Practices Interview (CPI) via the BlueJeans video conferencing application. Interviews were transcribed and coded qualitatively using open and axial coding methods. Multiple rounds of iterative coding were conducted to ensure rigor and coding stability.Outcomes & Results Multiple rounds of coding resulted in the following overarching themes: confidence in aphasia-specific skills/techniques, SLPs encounter emotional and psychosocial discussions regularly, confidence with educational counseling, not prepared for psychosocial adjustment counseling, taking the perspective of individuals with aphasia and their family, referrals/interprofessional practices and scope of practice issues, and SLP self-care. SLPs reported a clear difference between knowledge and skills for which they feel prepared and confident, versus addressing psychological well-being of individuals with aphasia and understanding practice boundaries.Conclusions SLPs recognize the importance of counseling skills for working with individuals with aphasia because counseling moments arise regularly. They use a variety of techniques but lack intentionality and specialised training. Academic training was deemed to be inadequate in scope and instructional methods. Post-academic training was identified as hard to access but useful. SLPs reported a lack of clarify on scope of practice, practice boundaries, and referrals.KEYWORDS: counselingeducationscope of practiceaphasia AcknowledgementsThe second author was awar
【摘要】背景咨询是语言病理学家(slp)实践范围的一部分,然而各个项目的培训一直不一致。学生、临床研究员和执业slp都报告说,他们在解决客户及其家庭的咨询需求方面准备不足。专门针对失语症患者及其家庭心理健康的咨询培训和实践的研究证据更加有限。虽然练习特殊语言处理者有信心并准备好应对针对失语症的特定沟通干预措施,但他们对应对定期出现的咨询需求感到准备不足。本研究是一项由两部分组成的调查的一部分,其中包括对全美国执业slp的在线调查和对这些参与者的一个亚组的随访访谈。本文讨论了咨询实践访谈部分,并解决了两个研究问题:在对失语症患者进行咨询时,语言服务提供者有多自信?在实践中,语言服务提供者对失语症患者及其家庭成员实施咨询的程度如何?方法与程序参加第1部分咨询实践调查的8名执业slp同意参加第2部分咨询实践干预。它们因执业年限、执业区域和执业环境(急性、亚急性和慢性)而异。参与者通过BlueJeans视频会议应用程序参与咨询实践访谈(CPI)。使用开放和轴向编码方法对访谈进行定性转录和编码。进行多轮迭代编码,确保编码的严谨性和稳定性。多轮编码产生了以下总体主题:对失语症特定技能/技巧的信心,SLP经常遇到情感和心理社会讨论,对教育咨询的信心,对心理社会调整咨询的准备,从失语症患者及其家庭的角度来看,转诊/跨专业实践和实践问题的范围,以及SLP自我护理。slp报告说,他们感到准备和自信的知识和技能与解决失语症患者的心理健康和理解实践界限之间存在明显差异。结论:心理咨询师认识到咨询技巧对失语症患者工作的重要性,因为咨询时刻经常出现。他们使用各种各样的技术,但缺乏目的性和专门的训练。学术培训被认为在范围和教学方法上是不够的。毕业后的培训被认为很难获得,但很有用。slp报告缺乏对实践范围、实践界限和转诊的澄清。关键词:辅导教育实践范围失语症致谢第二作者因本工作的研究基础被授予校级优秀硕士论文。我们要感谢第二作者的论文指导老师L.Q.和t.s.。感谢我们的研究助理Caryn Donahue和Brianna Bennett在转录和格式化采访记录方面所做的大量工作。最后,感谢参加这些访谈的slp。补充材料本文的补充数据可在https://doi.org/10.1080/02687038.2023.2262682.Disclosure上在线获取声明作者未报告潜在的利益冲突。未来的发展方向很明显,在学术和后学术背景下都需要更系统的心理咨询教育。有必要澄清实践范围,因为本研究中的slp不确定他们的角色和专业界限。
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Aphasiology
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