Week 4: Treatment Approaches for Lexical Retrieval Deficits

Question 1

treatment approaches can seek to

Answer 1

restore or compensate for lost function

Question 2

restorative tx for function in specific mechanisms can include

Answer 2

1. focus on specific semantic or phonological system tasks
2. engage cognitive mechanisms that are underlying word retrieval
3. re-organize the word retrieval process over time so the person gains function

Question 3

compensative tx for lost function can include

Answer 3

1. find a way around the naming impairment for functional communication
2. circumlocution - talking around the object
3. gesturing in combo with circumlocution
4. writing

Question 4

tx approach will depend on:

Answer 4

• severity of impairment
• time of injury relative to time of treamtment
• treatment time available
• characteristics and desires of the person
• language use and needs

Question 5

tx for severe word-retrieval impairments

Answer 5

autonomic language (yes/no)

basic language

sentence completion activities

formulaic, conversational expressions

Question 6

restorative naming tx includes:

Answer 6

cuing hierarchies - providing less support then more as needed

Question 7

cuing hierarchies include

Answer 7

semantic cues

orthographic cues

target in a different modality

providing the target and asking for repetition

newly developed computer programs

Question 8

semantic tx is based on ______ need for ________ semantic system

Answer 8

underlying; strong

Question 9

semantic tx includes:

Answer 9

use of semantic or comprehension therapy

sorting pictures

involve auditory word and written word picture watching with distractors

y/n questions for characteristics of a target object

rehearsal of word during tasks (repetition)

Question 10

phonological stage tx

Answer 10

based on phonologic representations when doing oral reading, picture naming, repetition, and these have been strategies used

Question 11

reorganization approaches to naming tx

Answer 11

spelling knowledge can facilitate word retrieval through phonemic self cuing

Question 12

gesturing tx

Answer 12

sometimes gesturing facilitates correct word retrieval

train gesture in isolation, target word in isolation, and then target gesture and word together

Question 13

spaced retrieval treaining

Answer 13

1. patients produce a small set of target words with systematically increasing periods between retrieval
2. with error in retrieval, step back time of retrieval
3. with improvement in word retrieval, introduce new words

Question 14

gneralization

Answer 14

training within semantic categories finds generalization to other untrained words within the same category

training atypical words within a category generalized to typical words within a category

Question 14

gneralization

Answer 14

training within semantic categories finds generalization to other untrained words within the same category

training atypical words within a category generalized to typical words within a category