Aphasia - Hint and Guess Flashcards

1
Q

Aphasia

A
  • Language impairment often caused by brain damage from a stroke resulting in problems regarding language production and comprehension
  • Fluent: WFD and comprehension problems
  • non fluent: inability to speak grammatically
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2
Q

General aphasia

A
  • Long and often abandoned, SISR preferred then SIOR (B)
  • Use a range of verbal and nonverbal resources to construct turns
  • CP may adapt their turns in a distinct way that interrupts the sequence e.g. test questions
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3
Q

H&G sequence (L&K) - stage 1

A
  1. SWA signals presence of a problem (often by making overt comment about having a WFD)
    - May conduct solitary search first
    - Evident when engaged in search for a long time
    - Manifest in sound stretches/pausing/search questions
    - May withdraw gaze/look down to the floor
    - Does it succeed?
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4
Q

H&G, stage 2

A
  1. The SWA appeals to their CP for help
    - Can be invited or invites themselves
    - Collaborative sequences occur when it is clear to CP that there is WFD
    - H&G sequences launched when aphasic speaker shifts orientation to CP
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5
Q

H&G, stage 3

A
  1. The SWA offers a ‘hint’ and the CP offers a ‘guess’/candidate resolution/form of OR
    - Can be multiple H&G
    - How many attempts?
    - Can reject but display willingness to continue
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6
Q

H&G, stage 4

A
  1. Confirmation stage occurs, often with multiple acknowledgment tokens
    - may increase volume/stretch
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7
Q

General findings

A
  • Pauses/looking to distance/fillers signal WFD (L&K)
  • Preference for SR before launching H&G
  • Can look to CP when need help/CP may invite themselves
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8
Q

Multi-modal

A
  • Gesture contributes to an embodied complex of action (GW)
  • Increase in volume = change in heightened expression?
  • Extend H&G tend to appear in positions where aphasic speaker introduces new topic/subtopic and SWA may have trouble initiating new topic
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