School of Behavioral and Brain Sciences, University of Texas, Dallas, TX, USA.
Top Stroke Rehabil. 2013 Jan-Feb;20(1):36-43. doi: 10.1310/tsr2001-36.
Personal narratives have been suggested as a way for persons post stroke to re-establish their identity. To relate tellable personal stories, narrative competence - along with its building blocks - is essential.
The objective of this study was to describe narrative competence in persons with mild to moderate aphasia. It addressed the areas of coherence, clarity, temporal-causal structure, and reference in narratives. The study also examined the strategies used (evaluative language) as well as the topics and themes in personal narratives.
Sixteen individuals with mild to moderate aphasia were asked to relate the story of their stroke and stories of a memorable and a frightening experience. Stories were elicited using a "willing listener" procedure. Responses were analyzed quantitatively in terms of the number of propositions and the instances of temporal-causal sequences, reference, and evaluation. Qualitative analysis was performed to determine the overall coherence and clarity of the narratives.
Narrative competence was present in the majority of participants. Although difficulties with reference were observed, high ratings of narrative coherence and clarity were attributed to sufficient amount of language, preserved temporal-causal sequencing, and the use of strategies (evaluative language).
Narrative competence was exhibited in the personal narratives of individuals with mild to moderate aphasia. In addition to pinpointing essential elements of narrative competence, the use of personal narratives was deemed beneficial for both the clinician, by providing a better understanding of the individual with aphasia, and the individual with aphasia, by providing opportunities for self-disclosure.
个人叙事被认为是中风后患者重新建立自我认同的一种方式。为了讲述可讲述的个人故事，叙事能力及其构成要素是必不可少的。
本研究旨在描述轻度至中度失语症患者的叙事能力。它涉及连贯性、清晰度、时间因果结构和叙事中的参照等方面。该研究还考察了所使用的策略（评价性语言）以及个人叙事中的主题和主题。
要求 16 名轻度至中度失语症患者讲述他们中风的故事以及一个令人难忘和一个可怕经历的故事。使用“愿意倾听者”程序引出故事。通过命题数量和时间因果序列、参考和评价实例，对反应进行定量分析。进行定性分析以确定叙事的整体连贯性和清晰度。
大多数参与者都具有叙事能力。尽管存在参考困难，但叙事的连贯性和清晰度评分较高，这归因于足够的语言量、保留的时间因果序列以及策略（评价性语言）的使用。
轻度至中度失语症患者的个人叙事中表现出叙事能力。除了指出叙事能力的基本要素外，个人叙事的使用被认为对临床医生有益，因为它可以更好地了解失语症患者，对失语症患者也有益，因为它为自我披露提供了机会。
