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Speech and language interventions for stroke-induced aphasia 脑卒中性失语症的言语和语言干预
IF 0.3 Q4 Arts and Humanities Pub Date : 2021-01-01 DOI: 10.1558/jircd.19317
I. L. Hammarström, Christina Samuelsson
The aim of the present study was to investigate whether the use of video recordings of interactions involving persons with aphasia and speech-language pathology students enhance students’ competence as conversation partners of people with communicative disabilities. A further aim was to explore the experiences and perspectives from the viewpoint of both participating students and persons with aphasia. Six persons with aphasia met 34 speech and language pathology students in pairs for 10 minutes of conversation. The video recordings were transcribed, in order to identify phenomena influencing the interaction. The students answered a questionnaire about the assignment. A semi-structured group interview with the aphasic individuals was conducted. The analyses of the conversations and the answers to the questionnaire revealed that the students gained important knowledge both on how aphasia may affect and limit aphasic individuals’ communicative activity and participation, and hands-on insights into how different interactional strategies may enhance aphasic individuals’ possibilities in interaction, but also highlighting behaviors that may be less beneficial. The persons with aphasia perceived the activity as important and rewarding. The results demonstrate the benefits of involving patients in health education and the students’ use of video recordings, transcriptions, and subsequent analysis.
本研究的目的是探讨使用失语症和言语语言病理学学生的互动录像是否能提高学生作为交流障碍患者的对话伙伴的能力。进一步的目的是从参与的学生和失语症患者的角度探讨经验和观点。6名失语症患者与34名语言病理学学生进行了10分钟的对谈。录像经过转录,以确定影响互动的现象。学生们回答了一份关于作业的问卷。对失语症患者进行半结构化的小组访谈。通过对对话和问卷回答的分析,学生们对失语症如何影响和限制失语症个体的交际活动和参与有了重要的认识,并对不同的互动策略如何提高失语症个体在互动中的可能性有了实际的认识,但也突出了可能不太有益的行为。失语症患者认为这项活动是重要的和有益的。结果表明,让患者参与健康教育和学生使用录像、转录和后续分析的好处。
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引用次数: 1
Facilitators’ use of a communication device following children’s aided turns in everyday interaction 在孩子的日常互动中,辅导员在孩子的辅助下使用通讯设备
IF 0.3 Q4 Arts and Humanities Pub Date : 2021-01-01 DOI: 10.1558/jircd.19318
M. S. Pilesjö, Niklas Norén
This conversation analysis study investigates facilitators’ simultaneous use of speech and aided means in instructional interaction with children with complex communication needs (CCN), who use aided communication in an everyday setting. The participants were children with severe speech impairments and their everyday communication partners. The analysis focused on facilitators’ aided turns immediately following aided turns by the children, within so-called retro-sequences. Retro-sequences were found in interactions involving four out of nine children. The facilitators systematically combined a spoken turn with an aided turn, a speaking and pointing (SAP) practice. The pointing consisted of a single graphical word, mostly a noun. The multimodal practice generally highlighted, emphasized, or exposed graphical words that increased noticeability and understandability within the local context. Adult repeats were treated as requests for confirmation of a candidate understanding and were responded to by the child using vocal and embodied resources. Reformulations (recasts) were treated as profferings of candidate understandings and were responded to using the communication device. The findings indicate that the partner’s use of a spoken and aided follow-up action shaped the immediate context for device use. The findings are relevant for the design of naturalistic interventions and may be used to improve treatment descriptions in augmentative and alternative communication (AAC) interventions.
本对话分析研究调查了辅导员在与有复杂沟通需要(CCN)的儿童进行教学互动时同时使用言语和辅助手段的情况,这些儿童在日常环境中使用辅助沟通。参与者是有严重语言障碍的儿童和他们的日常交流伙伴。分析的重点是在所谓的“回溯序列”中,辅导员在孩子们的帮助下紧接着进行的辅助转身。在涉及9个孩子中的4个的互动中发现了逆转录序列。引导者系统地将口头转向与辅助转向相结合,即说话和指向(SAP)练习。这种指向由一个单一的图形词组成,主要是一个名词。多模态实践通常突出、强调或暴露图形词,以增加在当地上下文中的可注意性和可理解性。成人重复被视为确认候选理解的请求,并由儿童使用声音和身体资源作出回应。重新表述(重铸)被视为候选理解的提供,并使用通信设备作出回应。研究结果表明,伴侣使用口头和辅助的后续行动塑造了设备使用的即时环境。研究结果与自然干预措施的设计相关,并可用于改进辅助和替代沟通(AAC)干预措施的治疗描述。
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引用次数: 0
Unmet wishes: A multimodal interaction analysis of the rejection of choice in assisted shopping interactions 未满足的愿望:辅助购物交互中拒绝选择的多模态交互分析
IF 0.3 Q4 Arts and Humanities Pub Date : 2021-01-01 DOI: 10.1558/jircd.19315
A. Krummheuer
In the field of health communication, it is increasingly important to understand the interactional management of free choice and the demands of (good) care, especially in situations where these two objectives conflict with each other. In a multimodal interaction analysis of video recordings, this article examines decision-making processes in which a caretaker refuses to retrieve a requested object for a woman living with acquired brain injury during their weekly shopping trip. The multimodal analysis describes both the sequential unfolding of these assisted shopping interactions and the interplay of multimodal resources used by the participants. The analysis demonstrates how choice is made available, despite communication impairments, and how the participants deal with the potential loss of face resulting from the caretaker’s rejections.
在卫生传播领域,了解自由选择和(良好)护理需求的相互作用管理变得越来越重要,特别是在这两个目标相互冲突的情况下。在视频记录的多模式交互分析中,本文研究了在每周购物旅行中,一名看护人拒绝为一名患有后发性脑损伤的妇女取回要求的物品的决策过程。多模式分析既描述了这些辅助购物互动的顺序展开,也描述了参与者使用的多模式资源的相互作用。分析表明,尽管存在沟通障碍,参与者如何做出选择,以及参与者如何处理因看护人的拒绝而可能造成的面子损失。
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引用次数: 2
Communication after traumatic brain injury: the effectiveness of a Pragmatics rehabilitation programme 创伤性脑损伤后的沟通:语用康复计划的有效性
IF 0.3 Q4 Arts and Humanities Pub Date : 2020-02-13 DOI: 10.1558/jircd.38533
Nicole Agrela, Maria Emília Santos, S. Guerreiro
Objective: The present study intends to assess the effects of a Pragmatics rehabilitation programme on communication skills. Method: We have recruited 12 participants who had suffered from severe or moderate Traumatic Brain Injury (TBI), with more than two years post-onset, who were randomly divided into two groups, an Experimental Group (EG) and a Control Group (CG). The EG followed a specific programme for the rehabilitation of Pragmatic Communication and the CG followed a programme of communication stimulation through group conversation. Each programme consisted of 24 one-hour, thirty-minute sessions, twice a week, for 12 weeks. In order to verify the efficacy of the programme, both groups were assessed before and after using the two equivalent forms of the same scale, Forms A and B, of The Assessment Battery of Communication (ABaCo). Results: Improvements were observed in both groups, although much more evident in the EG. Both groups obtained better results regarding Extralinguistic Comprehension and Production (questions, assertions, commands, requests and ironies by using gesticulation). In the EG there was also an improvement in Paralinguistic Production (facial expressions and intonation). Conclusion: The results demonstrate the effectiveness and relevance of establishing rehabilitation programmes for communicative pragmatic disorders after TBI. The study shows how a simple conversation intervention programme can be beneficial when more elaborated therapies cannot be executed.
目的:本研究旨在评估语用康复计划对交际能力的影响。方法:选取12例发病2年以上的重度或中度创伤性脑损伤患者,随机分为实验组(EG)和对照组(CG)两组。EG组遵循一个具体的语用交际康复方案,CG组遵循一个通过小组对话刺激交际的方案。每个方案包括24次1小时30分钟的会议,每周两次,为期12周。为了验证该方案的有效性,使用沟通评估电池(ABaCo)中相同量表的两种等效形式,表格A和表格B,在前后对两组进行评估。结果:两组均观察到改善,尽管EG更明显。两组在语言外理解和生产(通过手势提问、断言、命令、请求和反讽)方面都取得了更好的结果。在EG中,副语言产生(面部表情和语调)也有改善。结论:研究结果证明了创伤后交际语用障碍康复方案的有效性和相关性。这项研究表明,当更复杂的治疗方法无法实施时,一个简单的谈话干预计划是如何有益的。
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引用次数: 1
Transfer sequences involving persons with dementia: Instrumental tasks as opportunities for conversation 涉及痴呆症患者的转移序列:工具性任务作为对话的机会
IF 0.3 Q4 Arts and Humanities Pub Date : 2020-01-07 DOI: 10.1558/jircd.38225
E. Kristiansen, E. Andersen, Gitte Rasmussen
This article analyzes a series of sequences taking place in the common room of a Danish dementia care unit in which food or drink is given to a resident with dementia. Giving something to a resident, such as food or drink, constitutes a recurring common activity for care staff and residents and thus also provides an opportunity for talk between the resident with dementia and the care staff. However, in many cases, rather than engaging residents in talk in connection with e.g. offering of food or drink, care staff resorts to so-called ‘care speak’ (Ward, Vass, Aggarwal, Garfield, and Cybyk, 2008), i.e. neither requiring nor eliciting input from residents when accomplishing the transfer of food or drink to the resident. This article aims to show in what ways the transferrers’ interactional methods influence the opportunities for participation for the resident. The analyses show first that sequences without a preceding offer sequence are accompanied by a verbal narration of the transfer of the object during the transferring action itself, thus presuming compliance from the recipient. Second, they show that sequences in which the transfer of the object is preceded by offer sequences seek the recipient’s acceptance before carrying out the transfer. Thereby, transfer sequences preceded by offer sequences provide participants with sequential opportunities for willingly engaging in an upcoming activity as an individual with the capacity of making choices while transfer sequences without offer sequences do not. However, as we show, the organization of transfer sequences depends not only on verbal contributions but also on participants’ embodied conduct.
本文分析了一系列发生在丹麦痴呆症护理单位的公共休息室的序列,其中食物或饮料被给予痴呆症患者。给住院医生一些东西,比如食物或饮料,是护理人员和住院医生之间反复出现的共同活动,因此也为痴呆症住院医生和护理人员之间提供了一个交谈的机会。然而,在许多情况下,护理人员不是与居民交谈,例如提供食物或饮料,而是诉诸所谓的“护理语言”(Ward, Vass, Aggarwal, Garfield, and Cybyk, 2008),即在完成向居民转移食物或饮料时,既不要求也不征求居民的意见。这篇文章的目的是展示在哪些方面移转者的互动方式影响的机会参与住院医师。分析首先表明,在转移行为本身中,没有先前要约序列的序列伴随着对对象转移的口头叙述,因此假设接受者服从。其次,他们表明,在客体转移之前有要约序列的序列在进行转移之前寻求接受者的接受。因此,在要约序列之前的转移序列为参与者提供了作为具有选择能力的个体自愿参与即将到来的活动的顺序机会,而没有要约序列的转移序列则没有。然而,正如我们所展示的,迁移序列的组织不仅取决于口头贡献,还取决于参与者的具体行为。
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引用次数: 6
Coconstructing in Conversations Using a Communication Book 使用沟通书进行对话构建
IF 0.3 Q4 Arts and Humanities Pub Date : 2019-06-26 DOI: 10.1558/JIRCD.36668
Irina Savolainen, Anu Klippi, Kaisa Launonen
This study describes the multiple coconstruction process of aided utterances that occur when non-speaking people use a communication book in their everyday conversations. Previous studies have reported that coconstruction is present both in the progress of pointing-voicing pairs and in the negotiation of meanings. Adopting the concepts and the tools of multimodal conversation analysis, this study demonstrates how two non-speaking boys and their speech and language therapists utilized simultaneously six interactional resources that were interwoven in different multimodal practices during their coconstruction of aided utterances. The observations elicited by microanalysis provide an insight into the temporal, co-operative and progressive nature of conversations that are constructed with a communication book. The findings of this study are helpful for professionals in assessing and scaffolding aided communicators during their conversations with their significant communicative partners.
本研究描述了非说话人在日常会话中使用交际书时辅助话语的多重建构过程。以往的研究报告指出,建构既存在于指声对的过程中,也存在于意义的协商中。本研究采用多模态会话分析的概念和工具,展示了两名不会说话的男孩及其言语和语言治疗师如何同时利用在不同多模态实践中交织在一起的六种互动资源来构建辅助话语。通过微观分析得出的观察结果提供了一种洞察力,可以洞察到用沟通书构建的对话的时间、合作和进步性质。本研究的结果有助于专业人士在与重要交际伙伴的对话中评估和辅助交际者。
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引用次数: 0
Diagnosogenic thinking in speech-language pathology and some viable alternatives 语言病理学中的诊断性思维及一些可行的替代方法
IF 0.3 Q4 Arts and Humanities Pub Date : 2019-04-03 DOI: 10.1558/JIRCD.36997
J. Duchan
Diagnosis has long played a central role in the field of speech-language pathology. It governs how clinicians define what they do, who they work with, and how they carry out their practice. Diagnosis also impacts individual clients, often negatively. In this sense, our field can be characterized as diagnosogenetic. This article describes the historical role diagnosis has played in the field since the late nineteenth century, argues how diagnosogenic thinking can be probematic, and offers alternative ways of construing and executing our clinical practices.
诊断长期以来一直在言语病理学领域发挥着核心作用。它管理临床医生如何定义他们做什么,与谁合作,以及他们如何进行实践。诊断也会影响个别客户,通常是负面的。从这个意义上说,我们的领域可以被定性为诊断遗传学。本文描述了自19世纪末以来诊断在该领域发挥的历史作用,论证了诊断思维是如何成为问题的,并提供了构建和执行我们临床实践的替代方法。
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引用次数: 4
Supporting adultsSupporting adults with intellectual disabilities by protecting their footing in a challenging conversational taskwith intellectual disabilities by protecting their footing in a challenging conversational task 支持有智力障碍的成年人,保护他们在具有挑战性的对话任务中的立足点
IF 0.3 Q4 Arts and Humanities Pub Date : 2018-09-25 DOI: 10.1558/JIRCD.36199
C. Antaki
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引用次数: 1
Otherness in the Clinical Borderlands 临床边缘地带的差异性
IF 0.3 Q4 Arts and Humanities Pub Date : 2018-09-25 DOI: 10.1558/JIRCD.36206
D. Kovarsky
Clinical practice represents a kind of cultural borderland territory bringing together people from different walks of life with distinctive social experiences and expectations related to gender, age, status, and health, to name a few, who otherwise might not encounter one another (Mattingly, 2010). In these borderland encounters, culture is realized and made relevant during moments of social differentiation. This paper focuses on how such social differences manifest themselves in clinical discourse through encounters with otherness—otherness referring to a negative cultural capacity to transform those who are different into devalued Others. Interrelated themes of space, change and transformation, group membership categorization, and the structuring of participation in clinical interaction are used as an exploratory framework to illuminate the construction of otherness. By conceiving of the clinical world as a territory where otherness is woven into the experiences of those we are seeking to help, it is hoped that practitioners will be encouraged to develop a more nuanced understanding of clinical practice as cultural borderlands.
临床实践代表了一种文化边界领域,将来自不同行业的人聚集在一起,他们具有不同的社会经历和与性别、年龄、地位和健康相关的期望,仅举几例,否则他们可能不会遇到彼此(马丁利,2010)。在这些边疆遭遇中,文化得以实现,并在社会分化的时刻变得相关。本文关注的是这种社会差异如何通过与他者的接触在临床话语中表现出来——他者指的是一种消极的文化能力,将那些不同的人转变为被贬低的他者。空间、变化和转变、群体成员分类和临床互动参与结构等相关主题被用作阐释他者建构的探索性框架。通过将临床世界设想为一个领域,在这个领域中,我们正在寻求帮助的人的经历与他人的经历交织在一起,我们希望鼓励从业者对临床实践作为文化边界有更细致入微的理解。
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引用次数: 0
Verbal play as a discourse resource in the social interactions of older and younger communication pairs. 语言游戏作为年长者和年幼者社会交往中的一种话语资源。
IF 0.3 Q4 Arts and Humanities Pub Date : 2014-01-01 DOI: 10.1558/jircd.v5i2.193
Samantha Shune, Melissa Collins Duff

Verbal play, or the playful manipulation of elements of language, is a pervasive component of social interaction, serving important interpersonal functions. We analyzed verbal play in the interactional discourse of ten healthy younger pairs and ten healthy older pairs as they completed a collaborative referencing task. A total of 1,893 verbal play episodes were coded. While there were no group differences in verbal play frequency, age-related differences in the quality and function of these episodes emerged. While older participants engaged in more complex, extended, and reciprocal episodes that supported the social nature of communicative interactions (e.g., teasing), younger participants were more likely to engage in verbal play episodes for the purpose of successful task completion. Despite these age-related variations in the deployment of verbal play, verbal play is a robust interactional discourse resource in healthy aging, highlighting an element of human cognition that does not appear to decline with age.

语言游戏或对语言元素的游戏性操作是社会交往的一个普遍组成部分,具有重要的人际功能。我们分析了十对健康的年轻人和十对健康的老年人在完成合作参考任务时的互动话语中的语言游戏。共对 1,893 个言语游戏情节进行了编码。虽然在言语游戏频率上没有群体差异,但在这些情节的质量和功能上却出现了与年龄相关的差异。年龄较大的参与者参与的游戏情节更复杂、更长、更互惠,从而支持了交流互动的社会性(如戏弄),而年龄较小的参与者则更倾向于为了成功完成任务而参与语言游戏情节。尽管语言游戏的运用存在着这些与年龄相关的差异,但语言游戏在健康的老龄化过程中是一种强有力的互动话语资源,突出了人类认知的一个要素,它似乎不会随着年龄的增长而衰退。
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引用次数: 0
期刊
Journal of Interactional Research in Communication Disorders
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