Discourse/RH Damage Flashcards

1
Q

Why should we investigate discourse?

A
  • affects Social participation
  • Personal narrative contribute to self-awareness
  • psychosocial adjustment
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2
Q

What does discourse involve?

A
  • establishing coherent relationships between sentences
  • imagining situations
  • adopting different points of view
  • attributing mental states to protagonists
  • inferences and gist
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3
Q

What are the types of narrative

A
  • narrative (story)
  • procedural (how to make a PB&J)
  • conversational (2 people)
  • expository (lecture)
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4
Q

One suggestion for discourse structure is

A

story grammar

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5
Q

What does it mean for a story to be coherent?

A

it is chronological, logical and causal

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6
Q

What is local coherence?

A

coherence within a sentence, linking between clauses

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7
Q

What is global coherence?

A

coherence across discourse- a unified message overall

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8
Q

What cognitive skills are involved in discourse?

A

language
memory (semantic & episodic)
attention
goal-directed planning

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9
Q

What is the micro level of discourse

A
  • sequence of propositions (information)
  • includes lexical-syntactic difficulty, informativeness and cohesion
  • corresponds to local coherence
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10
Q

What is the macro level of discourse

A
  • schema/plan of story
  • includes coherent, relevance and gist
  • corresponds to global coherence
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11
Q

What are the 3 key elements of discourse production

A
  1. personnel - 2+ participants
  2. accumulation of common ground (personal and communal)
  3. Contributions
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12
Q

What are some ways we can assess discourse impairment

A
  • personal narratives
  • picture description
  • story telling
  • procedural language
  • persuasive language
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13
Q

What are some task variables to consider when assessing discourse impairment?

A
  • memory demands
  • sequencing/organizational skills
  • modality (written/verbal)
  • stimulus complexity
  • linguistic specificity and complexity
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14
Q

What are ways to assess the micro-structure of discourse?

A
  • length of utterance
  • syntactic complexity
  • semantic accuracy
  • pauses/restarting
  • sentence fragments
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15
Q

What are ways to assess the macro-structure of discourse?

A
  • Information content: quantity, quality, efficiency, relevance, manner
  • Cookie theft picture: literal information and inferences
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16
Q

What do we look at when looking at supra-structural/conversational analysis of discourse?

A
  • turn taking
  • topic manipulation/maintenance
  • speech acts
  • paralinguistic and non verbal
  • repair
17
Q

Which side of the brain is responsible for understanding metaphors, sarcasm and humour?

A

right hemisphere

18
Q

T or F: the left and right hemispheres are functionally different but physically the same

A

False! they are different both physically and functionally

19
Q

How are the RH and LH physically different?

A
  • Frontal lobe bigger on RH
  • Occipital lobe bigger on LH
  • Sylvian fissure longer on RH
  • Neuronal and neurochemical differences
20
Q

How are the RH and LH functionally different

A

LH: piecemeal (time)
RH: holistic (spatial)

21
Q

The _______ hemisphere is responsible for fine semantic coding, while the _______ hemisphere is responsible for coarse semantic coding

A

left

right

22
Q

RH damage leads to _________ comprehension of implied information, and _________ in comprehension of explicit information

A

poorer

no difference

23
Q

Describe the suppression deficits hypothesis

A

-when the RH activates many meanings of a word, understanding is hampered by ineffective suppression of incorrect meanings

24
Q

Describe the cognitive resources hypothesis

A

-demands on attentional resources

25
Describe the social cognition deficit hypothesis
RH damage can reduce the ability to engage in social relations and understand social information which influence language performance -reduced complex inferencing in general
26
Describe right hemisphere damage (RHD) effects on cognition
- anosognosia - attention - visuoperceptual/visuospatial processing (neglect) - memory - executive functioning
27
Describe the RHD damage effects on discourse production (macrostructures and microstructures)
- issues generating macrostructures (gist, topic, moral) - microstructures: words, clauses or turns in conversation - diminished informational content - paucity - production based on scripts with tangential associations - difficulty telling an integrated, coherent story - impaired organization on story recall - inaccurate incomplete main concepts etc.
28
Describe RHD effects on discourse comprehension
problems abstracting overall meanings, themes or gist
29
Describe RHD effects on pragmatics
- emotional non-verbal communication - speech acts - figurative and implied meaning - sensitivity to listener needs - humour
30
Describe RHD effects on prosody
- aprosodia - hypermelodic tone - monotonous voice
31
Describe RHD effects on reading and writing
- process visual info - scanning line of print, tracking back to margin to find next line, or scan a page for info - neglect dyslexia
32
What information do you need for an initial Ax of RHD?
- identify impairments | - consider patient's cognitive-communicative activity limitation and participation restrictions
33
What should you assess in your informal assessment of RHD?
- discourse production | - discourse comprehension
34
Why do we need to exercise caution when using formal assessment to look at RHD?
a lot of standardized tests were only validated for LH damage
35
What are some formal tests we can use for RHD?
- Burden of Stroke Scale (BOSS) - Discourse Comprehension Test (DCT) - Assessment of language-related functional activities (ALFA) - Rey complex figure test and recognition trial