Diehl Joshua J, Paul Rhea
Yale School of Medicine, USA.
Int J Speech Lang Pathol. 2009 Aug 1;11(4):287-292. doi: 10.1080/17549500902971887.
In this article, we comment on specific aspects of Peppé (Peppé, 2009). In particular, we address the assessment and treatment of prosody in clinical settings and discuss current theory on neurological models of prosody. We argue that in order for prosodic assessment instruments and treatment programs to be clinical effective, we need assessment instruments that: (1) have a representative normative comparison sample and strong psychometric properties; (2) are based on empirical information regarding the typical sequence of prosodic acquisition and are sensitive to developmental change; (3) meaningfully subcategorize various aspects of prosody; (4) use tasks that have ecological validity; and (5) have clinical properties, such as length and ease of administration, that allow them to become part of standard language assessment batteries. In addition, we argue that current theories of prosody processing in the brain are moving toward network models that involve multiple brain areas and are crucially dependent on cortical communication. The implications of these observations for future research and clinical practice are outlined.
在本文中,我们对佩佩(Peppé,2009年)的具体方面进行评论。特别是,我们探讨了临床环境中韵律的评估与治疗,并讨论了当前关于韵律神经模型的理论。我们认为,为使韵律评估工具和治疗方案在临床上有效,我们需要具备以下特点的评估工具:(1)有具有代表性的常模比较样本且具备强大的心理测量特性;(2)基于有关韵律习得典型顺序的实证信息且对发育变化敏感;(3)对韵律的各个方面进行有意义的细分;(4)使用具有生态效度的任务;(5)具有诸如长度和易于实施等临床特性,使其能够成为标准语言评估组合的一部分。此外,我们认为当前大脑中韵律处理的理论正朝着涉及多个脑区且关键依赖皮层交流的网络模型发展。概述了这些观察结果对未来研究和临床实践的影响。