Mild Aphasia: Is This the Place for an Argument?
Mild Aphasia: Is This the Place for an Argument?
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DOI：
10.1044/1058-0360(2012/12-0084
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发表时间：
2013-05-01
影响因子：
2.6
通讯作者：
Wilkinson, Ray
中科院分区：
文献类型：
--
作者：
Armstrong, Elizabeth;Fox, Sarah;Wilkinson, Ray
目的：患有轻度失语症的人经常报告他们的交流明显中断，尽管表面上是轻微的损伤。这项研究通过检查一个患有轻度失语症的人在辩论中的对话来探索这一现象——她认为在中风后，她的辩论技能明显恶化了。方法：一位轻度失语症患者与其丈夫录下4段话题性对话。使用系统功能语言学（Halliday & Matthiessen, 2004）和会话分析（Sacks, Schegloff, & Jefferson, 1974）框架分析了话语动态和词汇语法内容。结果：这对夫妇在对话动作类型上表现出相似之处，但失语症患者的语言更加不具体和简化，表现在难以形成逻辑论点和回应伴侣的论点。此外，非失语者反复重复失语者，以要求澄清特定点，突出了这种形式的高级语言活动中可能发生的行为类型。结论：复杂论证任务和多层次多方法分析是检查轻度失语症患者的有效工具，揭示了标准测试中经常被忽视的方面。治疗可以纳入更复杂的概念，如评估性语言和重叠在复杂对话中的作用。
Purpose: Individuals with mild aphasia often report significant disruption to their communication despite seemingly minor impairment. This study explored this phenomenon through examining conversations of a person with mild aphasia engaging in argumentation-a skill she felt had significantly deteriorated after her stroke.Method: A person with mild aphasia and her husband recorded 4 conversations involving topical issues. The discourse dynamics and lexical-grammatical content were analyzed using systemic functional linguistic (Halliday & Matthiessen, 2004) and conversation analysis (Sacks, Schegloff, & Jefferson, 1974) frameworks.Results: The couple demonstrated similarities in the types of conversational moves, but the language of the person with aphasia was more nonspecific and simplified, manifesting in difficulties developing a logical argument and responding to the partner's line of argument. In addition, the nonaphasic speaker recurrently overlapped the aphasic speaker in order to request clarification of particular points, highlighting the types of behaviors that can occur in this form of higher level language activity.Conclusion: The complex argument task and the multilevel and multi-approach analysis are useful tools for examining persons with mild aphasia, revealing aspects that are often overlooked in standard tests. Treatment could incorporate more complex notions such as evaluative language and the role of overlap in complex conversations.