Replicating therapy for mapping deficits in agrammatism: Remapping the deficit?

Abstract This study was designed to replicate and extend an earlier study in which a therapy programme was carried out with two agrammatic aphasic patients with sentence processing impairments suggested to be at the level of mapping thematic roles and grammatical relations (Byng 1988). In the current study one of the therapy procedures implemented in the previous study was repeated with three different people with long-term ‘agrammatism’. The outcome of the therapy resulted in some gains in sentence production and verb retrieval, but these gains varied across the three patients. Whilst some change had taken place for each person, the pattern of results showed that the quality and extent of the change was different in each case. The potential source for these differences is explored and the implications of the study for the necessary development of theories about therapy are discussed.

[1]  Myrna F. Schwartz,et al.  The quantitative analysis of agrammatic production: Procedure and data , 1989, Brain and Language.

[2]  Argye E. Hillis,et al.  The role of models of language processing in rehabilitation of language impairments , 1993 .

[3]  Alfonso Caramazza,et al.  A Multicomponent Deficit View of Agrammatic Broca's Aphasia , 1985 .

[4]  Noam Chomsky.  Knowledge of language: its nature, origin, and use , 1988 .

[5]  Myrna F. Schwartz,et al.  The Status of the Syntactic Deficit Theory of Agrammatism , 1985 .

[6]  S. Byng.  Hypothesis Testing and Aphasia Therapy , 1993 .

[7]  Carole Pound,et al.  The use of picture/word matching tasks to assist word retrieval in aphasic patients , 1990 .

[8]  Jones Ev.  Word order processing in aphasia: effect of verb semantics. , 1984 .

[9]  David Howard,et al.  The facilitation of picture naming in aphasia , 1985 .

[10]  A. Caramazza.  Cognitive neuropsychology and rehabilitation: An unfulfilled promise? , 1989 .

[11]  Sally Byng,et al.  Sentence processing deficits: Theory and therapy , 1988 .

[12]  Sally Byng,et al.  Some aspects of sentence production in aphasia , 1989 .

[13]  Marie-Pierre de Partz,et al.  In defence of cognitive approaches in neuropsychological therapy , 1991 .

[14]  Lyndsey Nickels.  The autocue? self-generated phonemic cues in the treatment of a disorder of reading and naming , 1992 .

[15]  E. Williams.  Argument Structure and Morphology , 1981 .

[16]  Lyndsey Nickels,et al.  Patterns of sentence processing deficit: Processing simple sentences can be a complex matter , 1991, Journal of Neurolinguistics.

[17]  E. Kaplan,et al.  The assessment of aphasia and related disorders , 1972 .

[18]  M Black,et al.  Sentence processing deficits: a replication of therapy. , 1991, The British journal of disorders of communication.

[19]  K. Patterson,et al.  Rehabilitation for cognitive impairment: Does cognitive psychology apply? , 1990 .