Purpose: Narrative discourse (e.g., telling anecdotes or relating personal events) comprises a key part of social interaction and is commonly affected after traumatic brain injury (TBI). Research over the past decades has enabled improved characterization of discourse impairment after TBI, but a critical lack of research into discourse…

This theoretical review article describes "situated discourse analysis" (SDA) and explores its implications for communication sciences and disorders. Drawing on situated theories of cognition and communication, SDA aims to understand "real-time communicative processes" of people engaging in complex "sociocultural…

Lack of communicatively supportive opportunities for social participation is a critical barrier for many people with aphasia. Speech-language pathologists need to address this barrier by playing a key role in ensuring that adults with aphasia have appropriate social participation choices in their communities. Speech-language pathologists may…

In this article, the breadth and depth of play as an integrating process for children with developmental challenges are explored. The fact that play is a source of developmental growth suggests that its role in intervention with children with language and communication disorders cannot be overstated. Several contemporary play-based intervention…

During clinical interactions between speech-language pathologists and adults with aphasia, a variety of emotional issues arise. The literature suggests that while counseling is within the scope of practice, SLPs tend to avoid emotional issues in therapy (A. Holland, 2007a). The precise mechanisms employed for circumventing emotional issues in…

Small talk has received only limited attention related to its role in general clinical contexts. Interaction in the speech-language pathologist clinic provides a forum for exploring the role of small talk. Although its value is recognized in some speech-language pathologist contexts, little systematic analysis has been undertaken. This paper…

Speech-language pathologists (SLPs) who work with adults with cognitive-linguistic impairments, including aphasia, have long needed an assessment tool that predicts ability to function in the real world. In this article, it is argued that virtual reality (VR)-supported approaches can address this need. Using models of disability such as the…

A qualitative study of group therapy for aphasia was undertaken in order to discover interaction patterns and discourse management strategies that help define "social" or "conversation" group therapy for aphasia. Specifically, an analysis of the discourse of clients and therapists was conducted to identify patterns across therapists and settings.…

Drawing as therapy for the expressively restricted aphasic adult is discussed with sections on: drawing and acquired brain damage, communication through drawing in aphasia, and training expressively restricted aphasic patients to draw communicatively by use of the Lyon/Sims Program. (DB)

Group treatment is explored in light of its psychosocial context, treatment effectiveness, and efficiency. A summary of the four group treatment approaches (two for children, two for adults) for communicative disorders are provided: classroom-based elementary school group, multicultural and multilinguistic preschool group, alaryngeal speech…

Examines factors influencing research-practice gaps in the assessment and treatment of adults with neurologic communication disorders. Both researchers and clinicians are urged to learn alternative research strategies, build partnerships, and take advantage of new information technologies. Strategies are suggested for directly applying, adapting,…