Carriero M R, Faglia L, Vignolo L A
Clinica Neurologica, Università degli Studi di Brescia.
Cortex. 1987 Dec;23(4):667-72. doi: 10.1016/s0010-9452(87)80056-4.
We report preliminary data on aphasic patients who, in spite of their language problems, have succeeded in finding a reasonably satisfactory occupational resettlement. Patients who: (a) still had a moderate to sever aphasia, (b) had resumed a gainful employment requiring interpersonal communication, were recalled for a check-up and assessed with: (1) a comprehensive aphasia test: (2) a semistructured interview including detailed questioning about the type and reaction to aphasia, the type of work before the onset of aphasia, the type of current work with particular emphasis on the patients' compensatory mechanisms and emotional reactions. Results comprise 10 cases up to date. One case is described in detail. Findings indicate that the ability to resume a gainful occupation is often greater than could be expected on the sole basis of formal language examination. Findings are discussed from a neuropsychological, social and rehabilitation point of view.
我们报告了有关失语症患者的初步数据,这些患者尽管存在语言问题,但仍成功找到了相当令人满意的职业安置。这些患者具备以下情况:(a) 仍存在中度至重度失语症;(b) 已恢复需要人际沟通的有酬工作,他们被召回进行复查,并接受以下评估:(1) 全面失语症测试;(2) 半结构化访谈,包括详细询问对失语症的类型和反应、失语症发作前的工作类型、当前工作类型,尤其着重于患者的代偿机制和情绪反应。截至目前,结果包括10个病例。详细描述了其中1个病例。研究结果表明,恢复有酬职业的能力通常比仅基于正式语言检查所预期的要强。从神经心理学、社会和康复的角度对研究结果进行了讨论。