Sentence Level Therapy Flashcards
LUNA Project
Language underpins narrative in aphasia
Identify a story of personal relevance, deconstruct the story into different elements, repackage the story as a whole.
Script Training
Identify a monologue of personal relevance
Rote learn it
Voluntary control of involuntary utterances
More conscious control - phrase level
Language in context
work in progress
Mapping Therapy
Eirian Jones (86) I Identify verb Which part of the sentence answers -WHO WHAT WHERE Wh - questions releate to thematic roles and Garrets model
3 sources of competition
Semantically related lemmas
Phonologically related lemmas
Lemmas from elsewhere in potential sentence - anticipatory
Relate therapy to client’s own life
Always try to relate to their own life
V-NEST
Verb network strengthening therapy
Take 10 verbs - take one and ask question - what can you climb.
Prime with gesture and multiple choice.
Continue different questions can end up with a collection of sentences from questions.
Individual pictures suggesting events (IPSE) - Output
Use pics to lay out bones of scenario of event. Can use it for input.
Thinking for speaking
conceptualising the world in a way that is compatible with translation from thought into language
Closure cues: capitalising on auditory memory
bread and …
Encourage to think beyond fixed units of closure cues and use richer scenarios - Imagine you been shopping and can’t get in the house because you have forgotten your…
Imposing syntactical constraints
It’s a … (knife)
Could use pic with surrounding nouns - eliminate verbs and adjectives.
Verb phrase-picture matching
Which one is washing a car - chooses out of 4 pics.
TROG
Constraint Induced Aphasia Therapy
CIAT
30 pics/pairs shuffle and deal, take it in turns to ask other for 1 of the pics.
May not suit everyone but ones it does is successful.
Access word and put in sentence context.
Principles of therapy
focus on what the person can do., not just can’t
Generation of concepts is a good aim
PWA vary a lot - individual
Evidence for CIAT
; Pulvermuller et al (2001) found that CILT group (compared to traditional) made significantly more verbal improvement, but could be due to massed practise.