Robson J, Marshall J, Chiat S, Pring T
Department of Language and Communication Science, City University, Northampton Square, London EC1V 0HB, UK.
Int J Lang Commun Disord. 2001 Oct-Dec;36(4):471-88. doi: 10.1080/13682820110089371.
People with jargon aphasia have severely disordered and incomprehensible speech that may be resistant to therapeutic intervention. In this study, we treated written output and examined whether it assisted communication for these clients. In stage one of the study, anagram sorting, delayed copying and lexical decision tasks were used to investigate the residual knowledge of written words in a group of ten people with jargon aphasia. Evidence of the presence of orthographic knowledge was taken as an indication that writing might be a useful focus for therapy. This hypothesis was explored in stage two with six clients. A personally useful vocabulary was selected for each, and copying, word completion and written picture-naming tasks were used in therapy to improve written production of these words. The clients made progress in written naming. However, they showed little change on a 'message' assessment that tested their ability to use the written words to convey messages. Stage three targeted communicative writing. Here, three of the clients received 'message therapy', which encouraged them to relate treated words to functional messages and to communicate them to a partner. The clients improved on the message assessment and observation of their communication and reports from relatives suggested that they made functional use of writing in a range of communication settings.
患有行话失语症的人言语严重紊乱且难以理解，可能对治疗干预有抵抗性。在本研究中，我们对书面输出进行了治疗，并考察其是否有助于这些患者的交流。在研究的第一阶段，我们使用了变位词排序、延迟抄写和词汇判断任务，对一组10名患有行话失语症的患者的书面单词残留知识进行了调查。存在正字法知识的证据被视为写作可能是治疗的一个有用重点的迹象。在第二阶段，我们对6名患者探讨了这一假设。为每位患者选择了一份个人有用词汇表，并在治疗中使用抄写、单词完成和书面图片命名任务来提高这些单词的书面产出。患者在书面命名方面取得了进步。然而，在一项测试他们使用书面单词传达信息能力的“信息”评估中，他们几乎没有变化。第三阶段针对交际性写作。在这里，3名患者接受了“信息治疗”，这鼓励他们将治疗过的单词与功能性信息联系起来，并与同伴进行交流。患者在信息评估方面有所改善，对他们交流的观察以及亲属的报告表明，他们在一系列交流场景中实际运用了写作。
