Background: Aphasia is a communication disorder caused by brain damage. People with aphasia (PWA) often experience difficulties in interaction. Methods: This study uses conversation analysis (CA) and examines the interactions of 10 PWA (5 fluent and 5 non-fluent speakers) and their healthcare professionals. Aims: The study aims to to explore how…

Background: In everyday conversations, a person with aphasia (PWA) compensates for their language impairment by relying on multimodal and material resources, as well as on their conversation partners. However, some social actions people perform in authentic interaction, proposing a joint future activity, for example, ordinarily rely on a speaker…

Purpose: This article reviews four discourse measures and examines whether they are sensitive to impairments in people with both mild and severe aphasia. We also ask whether these measures were sensitive to effects of conversation treatment in two case examples. Method: Two people with aphasia, one mild and fluent and the other severe and…

Purpose: Spoken discourse analysis is commonly employed in the assessment and treatment of people living with aphasia, yet there is no standardization in assessment, analysis, or reporting procedures, thereby precluding comparison/meta-analyses of data and hindering replication of findings. An important first step is to identify current practices…

Purpose: Evidence has shown that group conversation treatment may improve communication and reduce social isolation for people with aphasia. However, little is known about the impact of conversation group treatment on measures of discourse. This project explored the impact of conversation treatment on measures of monologic discourse. Method: In…

Background: Discourse assessment and treatment in aphasia rehabilitation is a priority focus for a range of stakeholder groups. However, a significant majority of speech and language therapists (SLTs) infrequently conduct discourse analysis, and do not feel competent in doing so. Known barriers identified in other countries, specifically a lack of…

Resolving the inability to produce a word through a gestural realization is often a compensatory strategy used with aphasic patients. However, context and interpersonal knowledge between participants are also essential factors for finding or guessing the right word or the right gesture. In the "Interactions between Aphasic people &…

Background: Various quantitative systems have been proposed to examine aphasic oral narratives in English. A clinical tool for assessing discourse produced by Cantonese-speaking persons with aphasia (PWA), namely Main Concept Analysis (MCA), was developed recently for quantifying the presence, accuracy and completeness of a narrative. Similar…

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.…

The nature of research on speech communication in asymmetrical interactions, such as those between a speech therapist and patient, is discussed and some general approaches to therapy are noted. The situation of the aphasic is then considered, in which intervention is particularly difficult due to the lack of some important aspects of interpersonal…

Compares language patterns in two moderately aphasic adults over age 60 with left hemisphere damage, using measures of lexical richness (word frequency). Argues for the usefulness of evaluating patients on conversational speech and the role of extensive linguistic analysis in prognosis and therapy. The discussion considers both qualitative and…

Child-adult dialogues are important in an interactionist approach to acquisition of language behaviors because of the scaffolding provided by adults. Different forms of scaffolding used with children with and without language impairments are reviewed, and research on scaffolding with children aged 4-6 years is reported. Discourse strategies used…

These articles on scaffolding in language and speech pathology/therapy are included in this issue: "Strategies d'etayage avec des enfants disphasiques: sont-elles specifiques?" ("Scaffolding Strategies for Dysphasic Children: Are They Specific?") (Genevieve de Weck); "Comparaison des strategies discursives d'etayage dans un conte et un recit…