Journal of Interactional Research in Communication Disorders, Vol 3, No 2 (2012)

Combining methods in the assessment and analysis of communication in aphasia: Benefits and shortcomings of different approaches

Charlotta Saldert, Malin Bergman, Josefin Holstensson, Sara Jönsson, Klara Nygren, Frida Vennman, Ulrika Ferm
Issued Date: 31 Dec 2012


In this case study the benefit of using analysis of conversational interaction in clinical assessment of communication is explored. A diagnostic test revealed a severe global aphasia in a man. However, according to a questionnaire filled out by the wife, her husband had some functional communication. The description of the consequences of aphasia in this man was further modified and enriched by analyses of conversational interaction between the man and his spouse. The Measure of Participation in Conversation and the Measure of Skill in Supported Conversation show that the couple has strategies that facilitate communication. Activity-based Communication Analysis provides information about how the strategies are used and about the influence of different factors brought into the interaction by the situation and the individuals involved. Thus, although time consuming, analysis of natural conversations provide valid information that is of importance in assessment of communication and implementation of intervention that can have an impact on everyday life in persons with aphasia and their conversation partners.

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DOI: 10.1558/jircd.v3i2.141


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