8.5 - Aphasia Treatment Models vs. Treatment Approaches vs. Treatment Techniques Flashcards
What does the Stimulation-Facilitation Model of Aphasia Treatment target?
Auditory Processing Deficit
What is performed in the Stimulation-Facilitation Model of Aphasia Treatment?
(5)
Intensive auditory stimulation
Meaningful varied material
Repetitive sensory stimulation
Elicited not forced responses
Stimulation not correction
What does the Modality Model aphasia treatment model target?
Uni or Multi-modality deficit
What is performed in the Modality Model aphasia treatment model?
(2)
Remediate input and output modalities, singly or in combination
Pair weak with strong modalities to “deblock” impaired performances
What does the Linguistic Model aphasia treatment model target?
Selective deficit in language system or subsystems
i.e., Phonology, lexical-semantics, morphosyntax
What is performed in the Linguistic Model aphasia treatment model?
Restoring language performance by organizing stimuli according to linguistic system and linguistic complexity
What does the Processing Model aphasia treatment model target?
Aphasia reflects the product of spared language in response to impaired modules or impaired
relational processes and/or in the “executor” that allocates attentional resources to modules and processes
What is performed in the Processing Model aphasia treatment model target?
Restoring or compensating for language-specific and language-related processing deficit
What is the Minor Hemisphere Mediation Model?
Using one’s minor hemisphere abilities to mediate communication through use of imagery, drawing, melody, contextually rich stimuli, novel stimuli, humor
What is the Language Dominant Hemisphere specialize in?
Sequential, linguistic information processing
What is the Language Non-Dominant Hemisphere specialize in?
3
Visual-spatial skills
Holistic, melodic, contextual processing
Novel stimuli
What does it mean if the Minor Hemisphere Mediation Model is correct?
Treatment should be designed to…
- Capitalize on spared abilities - Activate minor hemisphere abilities (drawing, melody, context, humor)
What is the purpose of the Functional Communication Model?
4
To facilitate more normal communication
Emphasizing pragmatic function over linguistic form
Enhancing inter-modality flexibility
Establish strategies for circumventing and/or repairing communication breakdowns
What areas does treatment focus on in the Functional Communication Model?
(4)
The specific tasks the patient wants/needs to achieve
Calling 911
Naming family members
Answering “yes” and “no”
What is the purpose of Response Elaboration Training (RET)?
What does it enhance?
To increase MLU in confluent patients by capitalizing on preserved oral repetition (“house” -> “big house” -> “live in big house”)
Initiation ability
What does Promoting Aphasics’ Communicative Effectiveness (PACE) use?
What does it emphasize?
All channels of communication (verbal, gestural, writing)
Content over form
How do the clinician and clients interact in Promoting Aphasics’ Communicative Effectiveness (PACE)?
(2)
Pt. + clinician simulate conversation interactions (message sending- receiving)
Pt. + clinician participate equally as senders and receivers of messages
What is the Life Participation Approach?
A consumer-driven service-delivery approach
Supports individuals with aphasia and others affected by it in achieving their immediate and longer term life goals
(Note that “approach” refers here to a general philosophy and model of service delivery, rather than to a specific clinical approach)
What is the emphasis of the Life Participation Approach?
Broadening and refocusing of clinical practice and research on the consequences of aphasia.
What is the focus of the Life Participation Approach?
How long does it last?
Re-engagement in life
Begins with initial assessment and intervention, and continuing, after hospital discharge, until the consumer no longer elects to have communication support.
What is the goal of the Social Approach to aphasia?
To promote membership in a society and participation in personally relevant activities by those with aphasia
What approach is the Social Approach to aphasia consistent with?
The Life Participation Approach
Social Approach to Aphasia moves from ______ model (problem with individual) to _______ model where problems emerge from interaction between individual and the environment.
Medical
Social
What are the principles of the Social Approach to aphasia?
9
Dual Goals of Transaction + Interaction
Address Communication Within an Authentic Contex
Communication as Dynamic, Flexible, + Multidimensional
Communication as Collaborative
Focus on Natural Interaction: Conversation
Focus on Adaptations and Enablement Rather Than Impairment + Disability
Focus on Personal and Social Consequences
The Perspective of Those Affected by Aphasia
Qualitative as well as Quantitative Measures