Communication disorder revealed in a group setting

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  • Tanji Kazuyo
    Department of Clinical neuroscience Yamagata university graduate school of medicine Medical Institute of Developmental Disabilities Research Showa University.

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  • コミュニケーション障害の視点から

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Abstract

Although aphasia is a common neurological condition, and its diagnostic procedure is mostly established, it is not easy to classify the communicative ability of each patient, as there are huge interindividual differences among patients, and their abilities may vary depending on their circumstances. To evaluate their residual abilities which helps daily communication, it is valuable to observe their abilities in a setting which reflects real social contexts. In this presentation a patient with total aphasia who showed rich communicative ability in a group therapy setting is presented, which was largely discrepant from his results of standardized language evaluation. We found that his residual communicative ability has things much in common with linguistic ability shown to reside in the right hemisphere, and mostly dependent on a particular class of sign classified as ʻindexʼ according to Peirce. The observation also revealed that the group treatment of patients with chronic aphasia provides a unique occasion to participate in social activities which helps to fulfill their psychosocial needs.

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