Hartley L L, Jensen P J
Galveston Institute of Human Communication, Transitional Learning Community, Texas 77550.
Brain Inj. 1992 May-Jun;6(3):271-81. doi: 10.3109/02699059209029669.
This study examined the variation in narrative discourse production noted in an earlier report of 11 closed-head-injury (CHI) patients and 21 normal speakers. Measures of productivity (fluency), content, and cohesion for two narratives (one elicited visually and the other auditorily) were analysed for each CHI speaker. Three distinct discourse profiles emerged, categorized as follows: confused, impoverished, and inefficient. It is suggested that these data, although involving few subjects in each profile, have important theoretical and clinical implications. Most particularly, a treatment approach based on each discourse profile is presented.
本研究考察了在一份早期报告中所指出的11名闭合性颅脑损伤（CHI）患者和21名正常说话者在叙事话语生成方面的差异。对每位CHI患者的两篇叙事（一篇通过视觉引发，另一篇通过听觉引发）的产出（流畅性）、内容和衔接性指标进行了分析。出现了三种不同的话语特征，分类如下：混乱型、匮乏型和低效型。研究表明，这些数据尽管每个特征组中的受试者较少，但具有重要的理论和临床意义。最特别的是，提出了一种基于每种话语特征的治疗方法。
