Grochmal-Bach Bozena, Pachalska Maria, Markiewicz Katarzyna, Tomaszewski Wiesław, Olszewski Henryk, Pufal Anna
Institute of Applied Psychology, Jagiellonian University, Cracow, Poland.
Med Sci Monit. 2009 Apr;15(4):CS67-76.
There has been little attention given to traumatic aphasia in recent neuropsychological literature. It is difficult to justify this relative neglect, however, since speech and language disturbances subsequent to traumatic brain injury (TBI) causa serious therapeutic difficulties. Hence the problems encountered by our patient, K.P., who had a severe TBI, are described in the present study.
K.P. suffered from traumatic aphasia and executive dysfunction. These difficulties made her dependent upon others and unable to function by herself in many situations of everyday living. Very little progress was made in ordinary rehabilitation. Improvements in cognitive functioning were observed only after a novel staged program of rehabilitation, based on the microgenetic theory of brain function, had been implemented.
After the last phase of rehabilitation K.P. became more self-dependent in social situations. The need for a deeper analysis of the patient's problems in both a personal and social context is stressed in order to adapt therapeutic procedures heuristically, consistent with a process-based approach.
在近期的神经心理学文献中，外伤性失语很少受到关注。然而，鉴于创伤性脑损伤（TBI）后的言语和语言障碍会引发严重的治疗困难，这种相对忽视很难说得过去。因此，本研究描述了我们的患者K.P.所遇到的问题，她遭受了严重的创伤性脑损伤。
K.P.患有外伤性失语和执行功能障碍。这些困难使她在日常生活的许多情况下都依赖他人，无法独立生活。在普通康复治疗中进展甚微。只有在实施了基于脑功能微发生理论的新型分阶段康复计划后，才观察到认知功能有所改善。
在康复的最后阶段后，K.P.在社交场合中变得更加自立。强调需要在个人和社会背景下更深入地分析患者的问题，以便根据基于过程的方法启发式地调整治疗程序。
