Coelho C A, Liles B Z, Duffy R J
Department of Communication Disorders, Gaylord Hospital, Wallingford, Connecticut 06492.
Brain Inj. 1991 Oct-Dec;5(4):381-92. doi: 10.3109/02699059109008111.
Higher level traumatically brain-injured (TBI) adults often present a challenge in assessment as well as in the measurement of recovery. Traditional clinical measures of language abilities have not been adequate to identify and describe precisely what is deviant about their communication. Assessment has generally consisted of aphasia tests and measures of general cognitive abilities. Although such measures may be sensitive to deficits in lower level TBI patients or those in the early stages of recovery, their usefulness with higher functioning patients is questionable due to the often subtle nature of their residual communication problems. An overview of discourse analyses is presented and recent applications of these procedures with TBI patients reviewed.
对于重度创伤性脑损伤（TBI）的成年患者，在评估以及恢复情况的测量方面往往颇具挑战。传统的语言能力临床测量方法并不足以精确识别和描述他们交流中存在的异常之处。评估通常包括失语症测试和一般认知能力测量。尽管这些测量方法可能对轻度TBI患者或处于恢复早期阶段的患者的缺陷较为敏感，但对于功能较高的患者，由于其残留交流问题往往较为细微，这些方法的有效性存疑。本文将概述语篇分析，并回顾这些方法最近在TBI患者中的应用情况。
