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畅所欲言,被倾听:失语症干预中功能性沟通和话语原则的重要性。

Speaking Up and Being Heard: The Importance of Functional Communication and Discourse Principles in Aphasia Intervention.

机构信息

Department of Rural Health South West, Edith Cowan University, Bunbury, Australia.

Curtin School of Allied Health, Curtin University, Kent Street, Bentley, Australia.

出版信息

Semin Speech Lang. 2024 Aug;45(4):356-367. doi: 10.1055/s-0044-1788981. Epub 2024 Aug 8.

DOI:10.1055/s-0044-1788981
PMID:39117319
Abstract

This article acknowledges Audrey Holland's influence on aphasiology as it specifically relates to the emergence of a strengths-based perspective on the everyday communication of people with aphasia. We explore a historical perspective, as well as current ways in which everyday communicative events are approached in both clinical and research practice. The term "functional communication" is synonymous with Audrey's work, with linguistically-based discourse analysis and therapy both viewed as natural companions and extensions of the concept within aphasiology. Audrey's focus on the interactional side of communication and psychosocial impacts of aphasia, as well as her expertise in analysis and measurement, contributed to the coalescing of impairment-based and social communication approaches, encompassing a true sense of humanity and connectedness. Her application of these in international contexts was also noteworthy. In this article, we hope to capture principles of aphasia management that underpin current clinical practice, and also move beyond the traditional clinic context to consider aphasia groups that have had such a key role in promoting successful social communication by and with people with aphasia. We suggest future directions to further promote the principles advocated by Audrey Holland in assisting people with aphasia to move forward with confidence with their conversation partners, friends, and communities.

摘要

本文承认奥黛丽·霍兰德(Audrey Holland)对失语症学的影响,特别是在以优势为基础的视角看待失语症患者的日常交流方面。我们探讨了历史视角,以及当前在临床和研究实践中接近日常交际事件的方式。“功能性沟通”一词与奥黛丽的工作是同义词,基于语言的话语分析和治疗都被视为失语症学中该概念的自然伴侣和延伸。奥黛丽专注于沟通的互动方面和失语症的心理社会影响,以及她在分析和测量方面的专业知识,促成了以损伤为基础和社会沟通方法的融合,真正体现了人性和联系。她在国际背景下的应用也值得注意。在本文中,我们希望捕捉到当前临床实践所依据的失语症管理原则,并超越传统的临床环境,考虑那些在促进成功的社会沟通方面发挥了关键作用的失语症群体,让失语症患者与他们的对话伙伴、朋友和社区充满信心地交流。我们提出了未来的方向,以进一步促进奥黛丽·霍兰德(Audrey Holland)所倡导的原则,帮助失语症患者与他们的对话伙伴、朋友和社区充满信心地交流。

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