Right Hemisphere Treatment

Question 1

Treatment of Right-Hemisphere Damage is..

Answer 1

Relatively new in the field

Question 2

The are few ___ to date.

Answer 2

Treatment Efficacy studies

Question 3

Disagreement about treatment targets

Answer 3

~task-oriented- treating specific skills

~Process-oriented- theory-driven, address cause not symptoms

Question 4

Major Treatment Targets

Answer 4

~Denial and indifference issues
~Impaired attention
~Visual neglect
~Impulsive behavior
~Pragmatic language skills
~Impaired recognition of absurdities
~Impaired comprehension of metaphors and proverbs
~Prosody
~Pragmatics
~Affective language/emotional  expression
~Discourse aspects: ~Macrostructure
~Agnosias:  impaired facial recognition

Question 5

Treatment of Attention Deficits

tasks?

Answer 5

~Simple Reaction Time Tasks
~Complex Reaction time Tasks
~Serial tasks
~Visual matching Tasks
~Stroop-type tasks
~Cancellation tasks
~Alternating responses during cancellation or serial tasks
~Dual tasks

Question 6

Simple Reaction Time Tasks test what?

Answer 6

Arousal and sustained attention

Question 7

Complex Reaction time Tasks test what?

Answer 7

Arousal, vigilance

Question 8

Serial tasks test what?

Answer 8

Selective attention, vigilance

Question 9

Visual matching Tasks test what?

Answer 9

Selective attention

Question 10

Stroop-type tasks test what?

Answer 10

Vigilance, selective attention

Question 11

Cancellation tasks test what?

Answer 11

Selective attention

Question 12

Alternating responses during cancellation or serial tasks test what?

Answer 12

Selective attention, flexibility, vigilance

Question 13

Dual tasks test what?

Answer 13

Sustained attention, flexibility

Question 14

Visual Neglect

Answer 14

~Verbal reminders to look left
~Visual and tactile cues-
~Restructuring the environment
~Reducing Neglect in Reading

Question 15

Reducing Neglect in Reading

Answer 15

~Improved attention skills
~Tracking moving objects on a computer-scanning
~Meaningful stimuli
~Contiguous stimuli
~Interactive stimuli

Question 16

Treatment of Visual Neglect

Answer 16

~verbal reminders
~salient visual and tactile cues used
~restructure environment
~tasks to encourage leftward search
~Use of contiguous stimuli

Question 17

Treatment of Affective Deficits

Answer 17

~Comprehension of nonverbal 
   emotional expression- scene 
   discussion
~Production of nonverbal 
   affective expression:  - not 
   responsive to Speech Tx.  May 
   need counseling.  Could use 
   discourse treatment

Question 18

Treatment of Prosodic Deficits

Answer 18

Comprehension:
Production Tasks:
Produce emotional prosody in  
   sentences
Produce emphatic stress in  
   words
Produce emphatic stress in 
   sentences

Question 19

Comprehension (from treatment of prosodic deficits)

Answer 19

~ID emotional prosody in sentences
~ID emphatic stress
~ID sentence stress
~Discriminate sentence types

Question 20

Treatment of Discourse Deficits

Answer 20

Inference Generation Tasks
Guided inference generation
Individual inferences
Picture/story interpretation
Picture titles/ story headlines
Story continuations

Question 21

Semantic Treatment

Answer 21

-Alternative meanings:
   ~Activation tasks- stimulate 
     activation of alternate 
     meanings
         --Homographs, word   
            associations
         --Resolving ambiguities, 
            inference revision
  ~Suppression Tasks-Improve 
    awareness and conscious 
    control or suppression of 
     inappropriate alternate 
     meanings
          --Homographs, semantic   
            relations
          --Sentence interpretation

Question 22

Treatment of Pragmatic Deficits

Answer 22

-No known treatment to address affective components
-Conversational Conventions:
~Increased conversational
promoters
~Decreased conversational
blockers
~Theory of Mind tasks
~Management of reduced
sensitivity to listener needs

Question 23

Some consider _____ the most difficult aspect to treat!

Answer 23

denial and indifference

Question 24

If in denial..

Answer 24

less motivated to work

Question 25

Denial and Indifference

Answer 25

~May require delaying treatment  
   until reduction of denial.
~Increase awareness of the 
   problems
~Give immediate, systematic, 
   and response-contingent 
   corrective feedback
~Videotaping/audio taping 
~Positive reinforcement of 
   appropriate behaviors should 
   accompany corrective 
   feedback.
~Encourage self-correction- 
     have the client chart or 
    count errors
~Work closely with family or 
  caregivers to give corrective 
  feedback.

Question 26

denial and indifference-

what kind of feedback?

Answer 26

Give immediate, systematic, and response-contingent corrective feedback

Question 27

denial and indifference

encourage what?

Answer 27

self correction

Question 28

Treatment of Impaired Facial Recognition

Answer 28

Very little information available on tx
Focus on part to whole association
Other ideas???