Hough M S
School of Allied Health Sciences, Department of Speech-Language & Auditory Pathology, East Carolina University, Greenville, NC 27858.
J Commun Disord. 1993 Jun;26(2):101-11. doi: 10.1016/0021-9924(93)90003-s.
This case study concerns an adult with Wernicke's aphasia characterized by neologistic jargon and a severe auditory comprehension deficit. No communicative or linguistic improvements had been observed after eight months poststroke. Up until this time, therapeutic intervention was aimed at managing the patient's rambling communicative style and improving auditory comprehension skills. A therapeutic regimen was introduced that focused on visual/written information and included a hierarchy of visual word and sentence comprehension tasks. All auditory/verbal stimulus presentation was eliminated. After two months on the program, improvement was noted in naming abilities and general ability to communicate in conversation, including a reduction of neologistic jargon and an increase in semantic jargon. No improvement was noted in auditory comprehension. The visual program may have facilitated the patient's general attentional set, thereby possibly contributing to her improvement in communicative style and sensitivity to conversational interactions with others.
本案例研究涉及一名患有韦尼克失语症的成年人，其特征为新语症行话和严重的听觉理解缺陷。中风八个月后未观察到沟通或语言方面的改善。在此之前，治疗干预旨在管理患者漫无边际的沟通方式并提高听觉理解能力。引入了一种治疗方案，该方案侧重于视觉/书面信息，并包括一系列视觉单词和句子理解任务。所有听觉/言语刺激呈现均被消除。在该方案实施两个月后，命名能力和对话中的总体沟通能力有了改善，包括新语症行话减少和语义行话增加。听觉理解方面未观察到改善。视觉方案可能促进了患者的总体注意力集中，从而可能有助于她在沟通方式上的改善以及对与他人对话互动的敏感度提高。
