Chapter 4-5 Flashcards
(210 cards)
1
Q
Aphasia therapy timeline includes
A
Spontaneous recovery- 6 months post onset
Individuals improve even with no intervention
Therapy facilitates even greater recovery
2
Q
After stoke or other damage to the brain that produces aphasia, individuals experience a period of ____ that lasts approximately ____ ____ ___
A
After store or other damage to the brain that produces aphasia, individuals experience a period of spontaneous recovery that lasts approximately 6 months post onset
3
Q
During aphasia therapy, individuals with aphasia _____ to some degree even with ___ _____
A
During aphasia therapy, individuals with aphasia improve to some degree even with no intervention
4
Q
Therapy for aphasia during this time of spontaneous recovery facilities even greater levels of recovery and cues further improvement past the level achieved with spontaneous recovery alone
A
5
Q
Three types of aphasia therapy approaches
A
- Restorative
- Compensatory
- Social therapy
6
Q
____ is meant to help a patient regain lost ability by reducing actual levels of deficits
A
Restorative therapy
7
Q
The ability of a part of the brain to change its previous function and to take on and learn a new and previously unknown role
A
Neuroplasticity
8
Q
____ is central to the concept of restorative therapy
A
Neuroplasticity
9
Q
Hidred Schuell speech language pathologist who pioneered the idea that with appropriate ____ individuals with ____ can ____ ____ ___
A
Hidred Schuell speech language pathologist who pioneered the idea that with appropriate intervention individuals with aphasia can regain lost abilities
10
Q
Neuroplascitiy is central to the concept of ____
A
Restorative therapy
11
Q
Restorative therapy is meant to help a patient _____ by reducing ____ ____ of ____
A
Is meant to help a patient regain lost ability by reducing actual levels of deficit.
12
Q
Which speech language pathologist pioneered the idea that with appropriate intervention individuals with aphasia can regain lost abilities
A
Hildred schuell
13
Q
This approach focuses on using the auditory modality of language to restimulate the acquisition of language in other modalities
A
Schuells stimulation approach
14
Q
4 examples of therapy tasks used in schuells stimulation approach:
A
- Point-to tasks
- Following directions with objects
- Yes/no questions
- Paraphrasing/retelling
15
Q
The schuells stimulation approach focuses on using the ___ _____ of ____ to ____ the ___ of _____ in other ___.
A
The stimulation approach focuses on using the auditory modality of language to restimulate the acquisition of language in other modalities.
16
Q
During these tasks, the speech language pathologist asks the patient to point to something or to many things sequentially.
A
Point-to tasks
17
Q
The higher the verbal comprehension level of the patient, the point-to utterance he should be able to understand and hold in memory long enough to complete.
A
18
Q
Higher the ____ ___, the ____, more ____ the utterance should be.
A
Higher the verbal comprehension the longer more complex the utterance should be.
19
Q
Schuells stimulation approach therapy tasks can be completed with no verbal language. True or false
A
True
20
Q
Schuells stimulation approach can be completed with no ___ ____.
A
Can be completed with no verbal language.
21
Q
Questions that require a simple yes or no response from the patient are classic tasks of aphasia therapy
A
Yes/no questions
22
Q
In these tasks, the patient must retell a story or paraphrase a paragraph that she read quietly to herself or heard read aloud by the speech-language pathologist
A
Paraphrasing/retelling
23
Q
The speech language pathologist gives the patient a simple task, such as “pick up the flashlight”, progressing to more difficult tasks, such as “pick up the flashlight and put in soon beside the mirror after i touch the pencil.”
A
Following directions with objects
24
Q
In paraphrasing/ retelling, comprehend the material, remember, and find the words to communicate the meaning appropriately.
A
25
___ Focuses on using the intact melodic/prosodic processing skills of the right hemisphere to cue retrieval of words and expressive language.
Melodic intonation therapy (MIT)
26
Melodic intonation therapy (MIT) universally involves ___ and ___ at first, ___ words or ____ phrases in a ___ and ___ manner that varies only by two notes.
Modeling and eliciting at first, functional words or short phrases in a slow and singsong manner that varies only by two notes.
27
The clinician uses his/her hand as a visual cue to emphasize the change in phonation or by tapping the left hand along with the syllables of the short utterance.
Melodic intonation therapy (MIT)
28
Modeling and eliciting functional words or short phrases in a slow and singsong manner that varies only by two notes.
Melodic intonation therapy (MIT)
29
Melodic intonation therapy, the clinician uses his/her ___ as a ___ cue to emphasize the ___ in _____ or by ____ the left hand along with the ____ of the ___ utterance.
The clinician uses his/her hand as a visual cue to emphasize the change in phonation or by tapping the left hand along with the syllables of the short utterance.
30
Melodic intonation therapy focuses on using the intact ___/____ ____ skills of the right hemisphere to ___ retrieval of ___ and ___ language.
Focuses on using the intact melodic/prosodic processing skills of the right hemisphere to cue retrieval of words and expressive language.
31
A successful patient will progress through various ___ of the Melodic intonation therapy program envisioned by ___(1991).
Patient will progress through various levels of the MIT program envisioned by Helm-Estabrooks (1991).
32
The first level of melodic intonation therapy focus on successful elicitation of ____
Verbal utterances
33
Level two of melodic intonation therapy focuses on elicitation of ____ after a delay in ___ from the SLP
Level 2: Verbal utterances after a delay in cues from the SLP
34
Last level of melodic intonation therapy, the SLP attempts to push the patient into producing more ___ spontaneous utterances while ___ ____ the use of melodic intonation therapy ___ and intonation patterns and slowly ___ them with normal prosody.
Encourage client to produce more complex and spontaneous utterances while fading out the use of MIT cues and intonation patterns and slowly replacing them with normal prosody.
35
Levels of melodic intonation therapy
Level 1: Verbal utterances
Level 2: Verbal utterances after a delay in cues from the SLP
Level 3: Encourage client to produce more complex and spontaneous utterances while fading out the use of MIT cues and intonation patterns and slowly replacing them with normal prosody.
36
when an individual learns to compensate for a deficit by employing other intact abilities and, in doing so, ceases to exercise the physical or intellectual ability in which the deficit is present.
Learned nonuse
37
the reversal of learned nonuse stemming from ___(CIMT)
Reversal of learned nonuse stemming from Constraint induced movement therapy (CIMT)
38
The primary principles of constraint- induced movement therapy are the following:
1) The use of constraints to restrict compensation for the target deficit.
2) Massed practice
3) Shaping of the behavior
39
Constraint induced aphasia therapy (CIAT) applies the principles of constraint induced movement therapy (CIMT) to the rehabilitation of aphasia.
40
CIAT applies the principles of ___ to the rehabilitation of __.
CIAT applies the principles of CIMT to the rehabilitation of aphasia.
41
Prevent the individual with aphasia from producing any errors in therapy to avoid reinforcement for error production.
Errorless learning therapy
42
The use of errorless learning therapy is primarily supported in the realm of treating ____ ____
Primarily used in the realm of treating memory deficits.
43
Errorless learning therapy Has begun being used with ____.
Has begun being used with anomia.
44
Errorless learning therapy prevent the individual with ___ from producing any ___ in therapy to ___ ____ for error production.
Prevent the individual with aphasia from producing any errors in therapy to avoid reinforcement for error production.
45
To achieve errorless therapy for errorless learning, the difficulty level of the task is set so ___ as to ___ any possibility of __ production.
The difficulty of the task is set so low as to avoid any possibility of error production.
46
Uses large amounts of repetition and drill
Errorless learning therapy Uses large amounts of repetition and drill
47
Errorless learning therapy uses large amounts of __ and ___
Uses large amounts of repetition and drill
48
The difficulty of the task is set so low as to avoid any possibility of error production.
Errorless learning therapy
49
Difficulty level arises slowly over time when the patient can succeed 100% at a higher level of difficulty.
Errorless learning therapy
50
Errorless learning therapy ____ level arises ___ over time when the patient can succeed 100% at a ___ level of difficulty.
Difficulty level arises slowly over time when the patient can succeed 100% at a higher level of difficulty.
51
___ Is meant to help patients increase their level of function despite their deficits.
Compensatory therapy
52
Compensatory therapy is used especially for individuals with ___ to __ __
Especially for individuals with severe to profound aphasia.
53
Compensatory therapy Is meant to help patients ___ their level of ___ despite their ___.
Is meant to help patients increase their level of function despite their deficits.
54
The primary form of compensatory therapy used in aphasia is ____
Augmentative and alternative communication (AAC)
55
What does AAC stand for?
Augmentative and Alternative Communication (AAC)
56
In Augmentative and Alternative Communication (AAC), augmentative refers to ___, and alternative refers to ___
Augmentative- complementing the remaining language abilities
Alternative- replace the person’s language system entirely
57
_____- complementing the remaining language abilities
Augmentative- complementing the remaining language abilities
58
____- replace the person’s language system entirely
Alternative- replace the person’s language system entirely
59
___ includes gestures, draw pictures, point to pictures or symbols on a communication board or folder to communicate
Low tech: gestures, draw pictures, point to pictures or symbols on a communication board or folder to communicate
60
___ includes programmable voice-generating computer devices like Lingraphica and Proloquo2go
High tech: programmable voice-generating computer devices like Lingraphica and Proloquo2go
61
Two types of AAC
Low tech and high tech
62
The presence and severity of ____ deficits is a determining factor in the AAC strategy that is implemented for patients
Cognitive deficits
63
Focuses on reducing individual’s barriers to communication and improver overall quality of life.
Social therapy
64
Social therapy primarily used to address the problems of a ____ of ____ and____ ___ due to aphasia.
Primarily used to address the problems of a loss of confidence and social isolation due to aphasia.
65
3 goals of social therapy include:
1. Increase confidence as a speaker.
2. Increase opportunities a person has to communicate.
3. Increase the person’s overall sense of being valued and accepted by others.
66
The right hemisphere processes certain nonlinguistic and emotional elements of communication. True or false
True
67
Normal functions of the right hemisphere include: 1
-Perception:
of depth
of distance
of shapes
-Localization of targets in space
-Puts together small details for the perception of the larger picture.
68
Normal functions of the right hemisphere include: 2
-Processing the melody of music
-Sustained and selected attention
-Nonlinguistic and emotional elements of communication:
Prosody and facial expression
Gestures
Body language
69
These non linguistic elements of communication include:
Nonlinguistic and emotional elements of communication:
Prosody and facial expression:
Gestures
Body language
70
The right hemisphere plays very important roles in math and visuospatial skills such as perception of ___, perception of ___, perception of ___, localization of ____-, and identification of ___ relationships.
The right hemisphere plays very important roles in math and visuospatial skills such as perception of depth, perception of distance, perception of shapes, localization of targets in space, and identification of figure-ground relationships.
71
the cerebral hemispheres do not normally operate in isolation but in tandem. True or false
True
72
One hemisphere may play the dominant role, the processes of one hemisphere support and augment the processes in the other. True or false
True
73
Typically, right hemisphere disorders often not involved in ______
Not involved in (language –related deficits)
74
An individual who has a experienced a right hemisphere stroke might still have intact and functional ____ abilities because those skills localized in the ___ cerebral hemisphere remain untouched.
Language; left
75
The right hemisphere regulates many cognitive functions that subserve language, such as sustained and selective attention, that make effective linguistic communication possible
76
A study by Glosser, Wiener, and Kaplan indicates that speakers with aphasia can use their intact right hemisphere functions of processing nonlingustic cues ( i.e., prosody, body language, and facial expression) to communicate with others (to some degree) despite their language deficits.
77
The right hemispheres role in communication is to process nonlinguistic cues, which include:
Prosody,
Body language
Facial expression
78
The source of damage to the brain that is most often responsible for right hemisphere damage is ____
Stroke
79
Other etiologies (causes) of right hemisphere disorders include
Trauma
Disease
Seizure disorders
Infection
Toxicity
80
A person can have aphasia cannot have right hemisphere deficits. True or false
False. ** A person can have aphasia and right hemisphere deficits.**
81
____ is most often responsible for right hemisphere damage
Stroke
82
Categories of disorders and deficits with right hemisphere damage:
Communication deficits
Visuoperceptual deficits
Attentional deficits
Neuropsychiatric disorders
83
What disorders/deficits fall under communication deficits in right hemisphere disorders?
A. Facial recognition (prosopagnosia)
B. Comprehending and using facial expressions
C. Prosodic deficits
D. Inferencing deficits
E. Discourse deficits
84
What disorders/deficits fall under attentional deficits in right hemisphere disorders?
A. Sustained
B. Selective attention deficits
85
What disorders/deficits fall under neuropsychiatric disorders in right hemisphere disorders?
A. Anosognosia
B. Depression
C. Capgras delusion
D. Fregoli delusion
E. Visual hallucinations
F. Paranoid hallucinations
86
What disorders/deficits fall under visuoperceptual deficits in right hemisphere disorders?
Simultagnosia
Cerebral achromatopsia
87
a deficit in the ability to recognize faces ability to recognize and perceive faces is lost
Prosopagnosia
88
In prosopagnosia, the individuals eye do not work. True or false
False * In prosopagnosia, the individuals eyes work fine**
89
Have no difficulty recognizing any other objects than faces.
this is characterized by ___
Facial deficits or prosopagnosia
90
The only way individuals with prosopagnosia are a let to recognize family members is by ___
**Are able to to recognize by voice, smell, clothing, or other distinctive features of an individual
91
Prosopagnosia present primarily in the realm of ____.
Present primarily in the realm of pragmatics.
92
In prosopagnosia, _____ in the occipital lobe that processes and interprets ____ information from the ___ regarding ___ has been damaged
**Visual association cortex in the occipital lobe that processes and interprets visual information from the eyes regarding faces has been damaged
93
A neurological deficit in the specific ability to cognitively process sensory information regarding the faces of others for the purposes of recognition
Prosopagnosia
94
Visual association cortex in the occipital lobe that processes and interprets visual information from the eyes regarding faces has been damaged
Prosopagnosia
95
Prosody is the ___ in __, __, timbre, cadence, and ___ a person uses to infuse spoken words with __ content
Prosody is the change in pitch, stress, timbre, cadence, and tempo a person uses to infuse spoken words with emotional content
96
Less adept to correctly identify the emotions being conveyed in the faces of speakers
Communication Deficits: Comprehending Facial Expressions and Expressing using facial expressions
97
Individuals with right hemisphere damage can present with a ___ __ and ___ facial ___
Flat facial affect and reduced facial expression
98
In communication Deficits: Comprehending Facial Expressions and Expressing using facial expressions, ___ interactions suffer as a result
Social interactions suffer
99
changes in pitch, stress, timbre, cadence, and tempo
Prosody
100
Prosody is used to infuse ___ word with ____ content.
Prosody is used to infuse spoken word with emotional content.
101
Prosodic deficits occur when damage to the ____ of the right hemisphere results in difficulty comprehending the ___ content because they ____ process the prosodic content.
Damage to the parietotemporal damage of the right hemisphere results in difficulty comprehending the emotional content because they cannot process the prosodic content.
102
Perform poorly at identifying the emotion behind a speaker’s utternances
Prosodic deficits
103
Damage to the parietotemporal damage of the right hemisphere results in difficulty comprehending the emotional content because they cannot process the prosodic content.
Prosodic deficits
104
Individuals with Prosodic deficits perform poorly at identifying the emotion behind a speakers speaker’s utternances
Which leads to…
very literal interpretations of verbal language &
Difficulty with sarcasm and idioms.
105
Prosodic deficits individuals will have very ___ ____ of verbal language &
Difficulty with __ and ___
very literal interpretations of verbal language &
Difficulty with sarcasm and idioms.
106
take previous knowledge and experience and apply it to interpretation of meaning of details in a situation
Inferencing
107
accurate interpretation of overall meaning of stimuli indicated by the details
Perception of macrostructure
108
The ability to take previous knowledge and experience and apply it to the interpretation of meaning of details in a situation
Inferencing
109
Inferencing allows for the appropriate __ of ____
Perception of macrostructure
110
Perception of macrostrucute (or gestalt) is the accurate interpretation of overall ___ of ___ indicated by the ___
Accurate interpretation of overall meaning of stimuli indicated by the details
111
____ deficits results in an individual being stuck on details of a picture and cannot form overall interpretation of it.
Inferencing
112
The appropriate perception of ___, ___, and other ____ __ is rooted in a persons ability to interpret the information in a nonliteral sense and infer the true meaning of the expression.
Humor, sarcasm, nonliteral expressions
113
In Inferencing deficits, individuals will be stuck on ___ of a picture and cannot form ____ ____ of it.
Stuck on details of a picture and cannot form overall interpretation of it.
114
Inferencing deficits will affect ___, ___, and __ ___
Humor, sarcasm, nonliteral expressions
115
the exchange between a speaker and a listener
Discourse
116
The most common disocoure deficits of those with right hemisphere damage include:
-Lack of sensitivity to shared knowledge
-Difficulties with turn-taking in conversation
-Difficulties with topic maintenance
117
Discourse deficit includes lack of ___ to ____ knowledge
Sensitivity; shared
118
Discourse deficits involves difficulties with ___ in conversation
Turn- taking
119
Discourse deficits involve difficulties with _____
Topic maintenance
120
Visuoperceptual deficits include the following:
1) Simultagnosia
2) Cerebral Achromatopsia
121
inability to visually perceive many details at once, or simultaneously
Simultagnosia
122
Communication deficits include
Facial recognition (prosopagnosia)
Comprehending and using facial expressions
Prosodic deficits
Inferencing deficits
Discourse deficits
123
Neuropsychiatric disorders include
Anosognosia
Depression
Capgras delusion
Fregoli delusion
Visual hallucinations
Paranoid hallucinations
124
Complete inability for the individual to see the 'whole picture.' The individual will only be able to see an object, or a part, out of the whole field of vision.
Simultagnosiaa
125
Lesions in the _____areas display a form of ____ agnosia known as Simultagnosia
Lesions in the right parietal-occipital areas display a form of visual agnosia
126
Simulatagnosia - inability to ____ perceive many ____ at once, or _____
- inability to visually perceive many details at once, or simultaneously
127
Complete inability for the individual to see the '____' The individual will only be able to see an ___, or a ____, out of the whole field of vision. This is known as ___
Whole picture; an object; a part
Simultagnosia
128
A person may be shown a wreath with a bow on it, and then when asked, "What is this?" The individual may reply "bow" when they should have said 'wreath.'
This is an example of __
Simultagnosia
129
A neurological disorder that produces the inability to visually perceive many details at once
Simultagnosia
130
Individuals with simultagnosia may be able to make an __ guess based on ___ __.
They may be able to make an accurate guess based on distinctive features.
131
An individual with simultagnoisa may be able to make an accurate guess based on distinctive features, through ___, and ____
Specific feature & tactile sense
132
In simultagnoisia, If given the object to feel, the person can experience the objects features in a ____, not a ___ one, and might readily be able to perceive the object as a whole
Tactile sense, not a visual one
133
Cerebral Achromatopsia “color agnosia” is also known as ___
Achromatopsia “color agnosia” is color blindness.
134
There are ___ & ___ forms of Achromatopsia “color agnosia”
Congenital and acquired form
135
The acquired cerebral Achromatopsia, is ___ and often results from damage to the ____
Cerebral achromatopsia is acquired and is rare.
Damage to the cortex of the right cerebral hemisphere.
136
Individuals with Cerebral achromatopsia see the world in ___ of ___
Shades of grey
137
Color blindness, also known as color agnosia
achromatopsia
138
A general term used to describe a deficits in the ability to attend to sensory stimuli from one side of the body or the environment
Neglect
139
Attentional deficits include the following
-Neglect
-Sustained and selective attention deficits
140
Two primary types of unilateral neglect:
1. Hemibody neglect
2. Hemispatial neglect
141
The side of the body or environment that is left unattended and unrecognized is contralateral to the damaged cerebral hemisphere.
Attentional deficits: Neglect
142
Right side damage results in ___ side neglect.
Right side damage results in left side neglect.
143
No popular consensus on exact lesion for neglect, however lesions to the right hemisphere’s ____, and ____
No popular consensus on exact lesion, however lesions to the right hemisphere’s parietal-temporal-occipital area, and basal ganglia
144
In neglect, the side of the body or environment that is left ____ and ___ is ____ to the damaged cerebral hemisphere.
The side of the body or environment that is left unattended and unrecognized is contralateral to the damaged cerebral hemisphere.
145
No popular consensus on exact lesion, however lesions to the right hemisphere’s parietal-temporal-occipital area, and basal ganglia
Attentional deficits: Neglect
146
a deficit in the ability to attend to one side of the body.
Hemibody neglect / personal neglect
147
In severe cases of Hemibody neglect/ personal neglect:
1. May not be able to _____.
2. May display _____
3. May create ____
In severe cases:
1. May not be able to recognize the existence of the neglected side of their body.
2. May display confusion to identify the left side of their body.
3. May create nonsensical explanations as to where their left extremities went and why they cannot find them.
148
In Hemibody neglect, there are ____ and ___ only of the non neglected side of the body
Hyper functions and awareness
149
May not be able to ___ the existence of the ___ side of their body.
May display ___ to identify the left side of their body.
May create ___ ____ as to where their left extremities ___ and __ they ____ ___ them.
May not be able to recognize the existence of the neglected side of their body.
May display confusion to identify the left side of their body.
May create nonsensical explanations as to where their left extremities went and why they cannot find them.
150
a deficit in the ability to attend to one side of the environment
Hemispatial neglect
151
Hemibody neglect deals with one side of the ___, while Hemispatial neglect deals with one side of the ___-
Body; environment
152
Mild case of Hemispatial neglect is referred to as extinction.- might be able to attend to their neglected side but only with prompting.
153
In severe cases of Hemispatial neglect- unable to recognize or acknowledge the existence of the neglected side of the world. Including auditory, visual, and olfactory.
154
Mild case of Hemispatial is referred to as ___.- might be able to ___ to their neglected side but only with ____.
Mild case is referred to as extinction.- might be able to attend to their neglected side but only with prompting.
155
In severe cases of Hemispatial neglect- unable to ___ or ____ the ___ of the neglected side of the ___.
In severe cases- unable to recognize or acknowledge the existence of the neglected side of the world. Including auditory, visual, and olfactory.
156
In severe cases- unable to recognize or acknowledge the existence of the neglected side of the world. Including ___, ___, and ___.
In severe cases- unable to recognize or acknowledge the existence of the neglected side of the world. Including auditory, visual, and olfactory.
157
Other signs that someone is suffering from left neglect include: 1
-Eating only from the right side of their plate
-Brushing only the right side of their hair
-Bumping into objects on their left
158
Other signs that someone is suffering from left side neglect include: 2
-Ignoring people speaking from their left side
-Constantly or frequently having their head and eyes turned to the right, with cues needed to turn their head to the left
159
Condition in which an individual is unable to recognize or acknowledge a part of their own body (usually an extremity) as belonging to themselves.
Asomatognosia
160
A subtype of asomatognosia, which a person believes that an extremity or side of their body belongs to someone else.
Somatophrenia
161
Believe that their arms or legs belong to someone family members living or dead, and often of the opposite gender.
Somatophrenia
162
May experience a strong sense of disgust or aversion to the limb they believe is not theirs and yet somehow attached to their body.
Somatophrenia
163
What are some related syndromes of neglect:
Asomatognosia & Somatophrenia
164
____ attention- capacity to stay alert and hold one’s attention on a single stimulus over time
Sustained attention- capacity to stay alert and hold one’s attention on a single stimulus over time
165
Sustained attention is often disordered in individuals with ___
Right hemisphere disorder
166
Individuals with sustained attention deficits often ___ relevant information
Miss relevant information
167
ability to focus on one stimulus while ignoring another stimulus.
Selective attention
168
Capacity to stay alert and hold one’s attention on a single stimulus over time
Sustained attention
169
Selective attention involves ___ or ___ out the competing stimuli while ___ on the ____ stimuli
Ignoring or blocking out the competing stimuli while focusing on the selected stimuli
170
Selective attention deficits cause ____ and ____ the thread of a ___ or ___.
Distracted and lose the thread of a conversation or detail.
171
Attention hierarchy
Divided attention
Alternating attention
Selective attention
Sustained attention
172
Neuropsychiatric disorders include
Anosognosia
Depression
The Cagras Delusion
The Fregoli Delusion
Visual Hallucinations
Paranoid Hallucinations
173
Attentional deficits include
Neglect & Sustained and selective attention deficits
174
The ability to move or alternate one’s attention back and forth from one stimulus to another
Alternating attention
175
The ability to attend to one stimulus while simultaneously attending to another stimulus (also known as multitasking)
Divided attention
176
An individual’s ability to recognize or realize he/she has a problem.
Anosognosia
177
Often present with those who have right hemisphere disorders
Anosognosia
178
In Anosognosia, May ____ any ____ on clinicians or caregivers for their failures while ____ to ___ the possibility that they have deficits
In Anosognosia, May blame any problems on clinicians or caregivers for their failures while refusing to acknowledge the possibility that they have deficits
179
When asked as to why they are in the clinic usually reply with some form of “I don’t know why I am here.” Usually followed up with pointing towards their caregiver or spouse saying, “They brought me here.”
Anosognosia
180
Clinical note: Anosognosia can severely limit a patient’s ____ as one must be able to ____ they have a ___ before they begin to really address it.
Clinical note: Anosognosia can severely limit a patient’s recovery as one must be able to acknowledge they have a problem before they begin to really address it.
181
Following disease, surgery, stroke or trauma, _____ is common.
Following disease, surgery, stroke or trauma, depression is common.
182
Can go undetected with those with right hemisphere disorders and be masked by other deficits.
Depression
183
Depression:Remember those with right hemisphere disorders can have difficulty expressing ___ indicative of their true emotional state.
Remember those with right hemisphere disorders can have difficulty expressing emotion indicative of their true emotional state.
184
Clinical note: in depression, be careful to inquire earnestly into the emotional state of the person with right hemisphere damage
185
If depression is suspected, the SLP must refer to appropriate professionals, such as counselors, psychologists, or psychiatrists. True or false
True
186
A neuropsychiatric deficit characterized by a belief that loved ones, significant others, or family members have been replaced by imposters
Capgras delusion
187
The capgras delusion= Affected individual’s belief that loved ones, significant others, or family members have been ____ by ___ who look and sound like the original persons.
Affected individual’s belief that loved ones, significant others, or family members have been replaced by imposters who look and sound like the original persons.
188
Affected person is able to acknowledge the imposter looks exactly like the loved one, but insists the person is not the loved one.
Capgras delusion
189
Although most often displayed in persons with schizophrenia, Parkinson’s disease, or Alzheimer’s disease, Capgras delusion does at times present in those with epilepsy, TBI, and stroke or acute lesion to the right cerebral hemisphere.
190
In capgras delusion, location of lesion ____
Location of lesion varies. Damage is usually in the right hemisphere or both the right and left hemispheres and can be found in the frontal, parietal, or temporal lobes.
191
In Capgras delusion, Damage is usually in the ____ hemisphere or __ the right and left hemispheres and can be found in the ___, ___, or ___ lobes.
Location of lesion varies. Damage is usually in the right hemisphere or both the right and left hemispheres and can be found in the frontal, parietal, or temporal lobes.
192
Affected individual’s belief that a familiar person is able to take on the guise of another person, at times many other people, and assumes the other person’s exact appearance.
Fregoli delusion
193
In fregoli delusion, Usually have some degree of paranoid belief that the person in disguise has some __ ____ towards them, which explains why they are constantly ____ their ____ to stay ____.
Usually have some degree of paranoid belief that the person in disguise has some malevolent intent towards them, which explains why they are constantly changing their appearances to stay hidden.
194
In fregoli delusion, Affected individual’s belief that a familiar person is able to take on the _____ of another person, at times many other people, and assumes the other person’s exact ___.
Affected individual’s belief that a familiar person is able to take on the guise of another person, at times many other people, and assumes the other person’s exact appearance.
195
A neuropsychiatric disorder in which the affected individual believes a familiar person is able to take on the guise of another person- at times, many other people- and can assume that others persons exact appearance
Fregoli delusion
196
____ is when an individual perceives something visually that does not truly exist or that is not really there.
Visual hallucinations
197
lesions or seizure activity in the ____ hemisphere can produce visual hallucinations.
Lesions or seizure activity in the right hemisphere can produce visual hallucinations.
198
Lesions or seizure activity Usually in the ____ aspect right hemisphere within the ___ processing areas, lead to visual hallucinations
Usually in the posterior aspect right hemisphere within the visual processing areas.
199
Paranoid hallucination can be hen a person perceives something ___ or ____ or both that is ___ ____ there.
Paranoid hallucination can be hen a person perceives something visually or auditorily or both that is not really there.
200
In paranoid hallucinations, Person experiencing them perceives them as ____, ___, or ___
Person experiencing them perceives them as threatening, ominous, or foreboding.
201
The assessment of right hemisphere disorders include
Case History
Informally testing for deficits associated with right hemisphere damage
Formal testing
202
In prosopagnosia, an informal assessment would be to present the patient with their ___ ___ and ask the patient to ___ them.
Present the patient with their family members and ask the patient to name them.
203
In informal assessment of prosopagnosia, Present the patient with ____ of their ___- or friends.
Present the patient with photos of their family members or friends.
204
In informal assessment of prosopagnosia, Present the patient with ____ of ___the patient might know and ask the patient to ___ the individual in the photo.
Present the patient with photos of famous individuals the patient might know and ask the patient to name the individual in the photo.
205
Three types of informal assessment of prosopagnosia:
Present the patient with their family members, with photos of them, with photos of famous individuals the patient might know and ask the patient to name them
206
Informal assessment of comprehension of facial affect is to make a _____ using a certain ___ and ask the patient to name the ___.
Make a face using a certain emotion and ask the patient to name the emotion.
207
Informal assessment of comprehension of facial affect, use ___ of people making a certain ____ are also used.
Photos of people making a certain expression are also used.
208
Comprehension of facial affect informal assessment includes:
Make a face or use photos of people making a certain emotion and ask the patient to name the emotion.
209
In informal assessment, facial affect of expression, ___ the patient to ___ a ___ ____ to match a certain ___.
Ask the patient to produce a facial expression to match a certain emotion.
210
“Can you make an angry face?”
This is an example of which informal assessment
expression of emotion through facial affect
