THE USE OF DISCOURSE ANALYSES FOR THE EVALUATION OF HIGHER LEVEL TRAUMATICALLY BRAIN-INJURED ADULTS
THE USE OF DISCOURSE ANALYSES FOR THE EVALUATION OF HIGHER LEVEL TRAUMATICALLY BRAIN-INJURED ADULTS
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DOI：
10.3109/02699059109008111
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发表时间：
1991-01-01
期刊：
影响因子：
1.9
通讯作者：
DUFFY R J
中科院分区：
文献类型：
--
作者：
COELHO C A;LILES B Z;DUFFY R J
高水平的创伤性脑损伤（TBI）成人在评估和测量恢复方面经常提出挑战。传统的临床语言能力测量已经不足以准确地识别和描述他们的交流中哪些是异常的。评估通常包括失语测试和一般认知能力的测量。虽然这些措施可能对低水平TBI患者或处于恢复早期阶段的患者的缺陷很敏感，但它们对功能较高的患者的有用性是值得怀疑的，因为它们遗留的沟通问题往往是微妙的。本文概述了语篇分析，并回顾了这些方法在TBI患者中的最新应用。
Higher level traumatically brain-injured (TBI) adults often present a challenge in assessment as well as in the measurement of recovery. Traditional clinical measures of language abilities have not been adequate to identify and describe precisely what is deviant about their communication. Assessment has generally consisted of aphasia tests and measures of general cognitive abilities. Although such measures may be sensitive to deficits in lower level TBI patients or those in the early stages of recovery, their usefulness with higher functioning patients is questionable due to the often subtle nature of their residual communication problems. An overview of discourse analyses is presented and recent applications of these procedures with TBI patients reviewed.