Auditory Comprehension Therapy Flashcards
Therapy for word sound deafness
Phoneme-grapheme matching
Phoneme discrimination
Minimal pair discrimination
Same/different judgements - do these 2 words same/different.
Therapy for word sound deafness 2
Computer therapy
1. Phoneme discrimination tasks - hierachy of increasing phoneme complexity. Errorless learning approach.
2. Phoneme recognition therapy - pt. points to letter representing sound they heard.
Results - improvement in discriminiation and recognition generalises to untreated items - transfer to functional tasks - phone.
Therapy for word sound deafness 3
Conversation partner training
Changing their behaviour, improving impact of impairment = successful - Aphasiology.
Include: writing key words, using gesture, slowing rate, establishing topic, using comprehension checks.
Therapy for word form deafness
Semantic therapy - spoken word to picture matching, categorisation tasks, matching of written words associates.
Auditory training and semantic therapy = spoken word to pic matching, encouraged to lip read but not repeat.
Sentence therapy = selection of 3 names/objects in a sequence, spoken sentence to picture matching.
Intensity for word form deafness
1 hour, x5 days a week, for 4 weeks.
Therapy for word meaning deafness
Implicit vs explicit therapy
Implicit auditory therapy
Silent reading tasks - accessing auditory input indirectly Tasks compromised: Reading of defintions Read definition Fix the meaning Write down word x4 Written synonym judgement using triads.
Explicit Auditory Therapy
Targeted access to semantics directly using reading and listening tasks
Read definitions whilst listening to taped, fix meaning and repeat x4.
Synonym judgement tasks - listen to and read tirad of words - match target words to triad,
Explicit more effect and durable and succesfful in LT.
Ferguson (2000) Communicative strategies
For PWA: Repeating, requesting repeats, asking others to slow down or write things down.
For CP: Using gesture/writing, slow, exaggerating stress, altering word choice, repeating, reduce complexity, using verbal introducers, using touch or name, seeking feedback.