"If You Just Stay With Me and Wait…You'll Get an Idea of What I'm Saying": The Communicative Benefits of Time for Conversational Self-Repair for People With Aphasia.
"If You Just Stay With Me and Wait…You'll Get an Idea of What I'm Saying": The Communicative Benefits of Time for Conversational Self-Repair for People With Aphasia.
复制标题
“如果你留在我身边等待……你就会明白我在说什么”：时间对于失语症患者对话自我修复的沟通益处。
DOI：
10.1044/2022_ajslp-21-00199
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发表时间：
2022
影响因子：
2.6
通讯作者：
Archer,Brent
中科院分区：
文献类型：
--
作者：
Leaman,MarionC;Archer,Brent
目的本研究旨在探讨失语症患者会话中自我修正的交际效果。故障源的自我修复是一个强调自主性和能力的优先事项。同样重要的是，谈话者希望尽量减少沉默，并共同努力，以确保向前移动（渐进性）的谈话。同时实现渐进性和自我修复是具有挑战性的失语症，PWA和他们的合作伙伴经常在这两种活动之间做出权衡决定。会话水平的失语症干预通常侧重于支持性技术，促进参与，同时保持渐进性，有效地支持渐进性自我修复。本研究评估的好处，一种替代方法，重点转移到自我修复，从而突出了潜在的权衡成本，经常放弃自我修复，以实现progressivity.Methodten人与轻度至中度失语症，每个举行了两次对话，两个不同的合作伙伴。当麻烦源的特点是沉默和/或填补停顿发生，合作伙伴保持支持和参与的立场，让PWAs的时间自我修复。我们分析了这些“编辑的转折”使用三种范式考虑形式，内容和use.ResultsThe数据产生了311编辑的转折。就形式而言，平均而言，每个编辑过的话轮产生3.72个单词;就内容而言，大多数编辑过的话轮包含自传信息;就使用而言，大约40%的编辑过的话轮引入了新信息，40%的编辑过的话轮添加了正在进行的主题。其余的要么模棱两可，要么说“我想不起来”。结论：当给予参与支持和自我修复的时间时，PWA为大约80%的编辑回合的对话提供了有意义的个人信息。重要的是，自我修复往往导致引导对话的自我表达，这是一个对赋予代理和身份至关重要的沟通角色。这项研究开启了一场对话，讨论优先考虑渐进性或自我修复的方法的益处和局限性，以及如何平衡两者以优化每个人的治疗益处。补充材料https：doi.org/10.23641/asha.19379738
PurposeThis study investigated the communicative benefits of self-repair during conversation for persons with aphasia (PWAs). Self-repair of trouble sources is an interactional priority that emphasizes autonomy and competence. Of equal importance, conversationalists desire to minimize silences and work together to ensure forward movement (progressivity) of conversation. Simultaneously achieving progressivity and self-repair is challenging in aphasia, and PWAs and their partners often make trade-off decisions between these two activities. Conversation-level aphasia interventions usually focus on supportive techniques that promote participation while maintaining progressivity, effectively favoring progressivity over self-repair. This study evaluates the benefits of an alternative approach that shifts the emphasis to self-repair, thereby highlighting potential trade-off costs of routinely forgoing self-repair to achieve progressivity.MethodTen people with mild-to-moderate aphasia each held two conversations with two different partners. When trouble sources characterized by silent and/or filled pauses occurred, partners maintained a supportive and engaged stance, allowing PWAs time to self-repair. We analyzed language produced during these “edited turns” using three paradigms considering form, content, and use.ResultsThe data yielded 311 edited turns. For form, on average, each edited turn resulted in 3.72 words; for content, most edited turns contained autobiographical information; for use, approximately 40% of edited turns introduced new information, and 40% added to the ongoing topic. The remainder were either ambiguous or comments such as, “I can't think of it.”ConclusionsWhen given engaged support and time to self-repair, PWAs contributed meaningful personal information to conversations for approximately 80% of edited turns. Importantly, self-repair often resulted in self-expression that directed the conversation, which is a communicative role critical for empowering agency and identity. This research opens a dialogue about benefits and limitations of approaches that prioritize either progressivity or self-repair and how to balance the two to optimize therapeutic benefits for each individual.Supplemental Materialhttps://doi.org/10.23641/asha.19379738