Kekes-Szabo Sophia, Clough Sharice, Brown-Schmidt Sarah, Duff Melissa C
Department of Hearing & Speech Sciences, Vanderbilt University Medical Center, Nashville, TN.
Multimodal Language Department, Max Planck Institute for Psycholinguistics, Nijmegen, the Netherlands.
Am J Speech Lang Pathol. 2025 Jun 26;34(3S):1896-1909. doi: 10.1044/2025_AJSLP-24-00151. Epub 2025 Jun 16.
The purpose of this viewpoint is to advocate for increased study of common ground and audience design processes in multiparty communication in traumatic brain injury (TBI).
Building on discussions at the 2024 International Cognitive-Communication Disorders Conference, we review common ground and audience design processes in dyadic and multiparty communication. We discuss how the diffuse profiles of neural and cognitive deficits place individuals with TBI at increased risk for keeping track of who knows what in group settings and using that knowledge to flexibly adapt their communication behaviors.
We routinely engage in social communication in groups of three or more people at work, school, and social functions. While academic, vocational, and interpersonal domains are all areas where individuals with TBI are at risk for negative outcomes, we know very little about the impact of TBI on group, or multiparty, communication.
The empirical study of common ground and audience design in multiparty communication in TBI presents a promising new direction in characterizing the impact of TBI on social communication, uncovering the underlying mechanisms of cognitive-communication disorders, and may lead to new interventions aimed at improving success in navigating group communication at work and school, and in interpersonal relationships.
本观点文章的目的是倡导加强对创伤性脑损伤（TBI）多方沟通中共同基础和受众设计过程的研究。
基于2024年国际认知沟通障碍会议的讨论，我们回顾了二元和多方沟通中的共同基础和受众设计过程。我们讨论了神经和认知缺陷的弥散特征如何使创伤性脑损伤患者在群体环境中追踪谁知道什么以及利用这些知识灵活调整其沟通行为方面面临更高风险。
我们在工作、学校和社交活动中经常在三人或更多人的群体中进行社交沟通。虽然学术、职业和人际领域都是创伤性脑损伤患者面临负面结果风险的领域，但我们对创伤性脑损伤对群体或多方沟通的影响知之甚少。
对创伤性脑损伤多方沟通中共同基础和受众设计的实证研究为表征创伤性脑损伤对社交沟通的影响、揭示认知沟通障碍的潜在机制提供了一个有前景的新方向，并可能导致旨在提高在工作、学校和人际关系中进行群体沟通成功率的新干预措施。
