Treating Metaphor Interpretation Deficits Subsequent to Right Hemisphere Brain Damage: Preliminary Results.
Treating Metaphor Interpretation Deficits Subsequent to Right Hemisphere Brain Damage: Preliminary Results.
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DOI：
10.1080/02687038.2010.500809
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发表时间：
2011
期刊：
影响因子：
2
通讯作者：
Kearns K
中科院分区：
文献类型：
--
作者：
Lundgren K;Brownell H;Cayer-Meade C;Milione J;Kearns K
本研究旨在确定是否结构化的干预，重点是提高使用语义协会可以提高患者的能力，提供口头解释的隐喻后，右半球损伤（RHD）。单受试者实验设计原则为研究提供了基础。五名患者接受了10或20个口头隐喻解释的基线评估，作为对照，行定向技能的评估。然后，他们接受了大约10个一小时的结构化干预，以提高口头隐喻的解释，然后进行培训后评估和3个月的随访。患者的表现显示出良好的培训反应的证据表明，患者的能力，达到标准的所有干预任务，并通过他们的口头隐喻解释的显着改善。有相对较小的改善线定向任务。这项研究的结果支持了这种新方法治疗与RHD相关的沟通障碍的临床实用性，即使是在发病后数年。然而，仍有一些问题没有得到解答。例如，将需要额外的数据来衡量患者损伤的严重程度如何与改善的潜力相关，绘制与训练相关的耐久性和改善范围，并确定使用这种类型的图片材料所需的视觉空间能力类型。
This investigation sought to determine whether a structured intervention focused on improving use of semantic associations could improve patients’ ability to provide oral interpretations of metaphors following Right Hemisphere Damage (RHD). Principles of single subject experimental design provided the basis for the study. Five patients received either 10 or 20 baseline assessments of oral metaphor interpretation and, as a control, assessments of line orientation skill. They then received approximately 10 one-hour sessions of structured intervention to improve oral metaphor interpretation followed by post-training assessments and a 3 month follow up. Patients’ performances revealed evidence of good response to training as shown by patients' ability to reach criterion on all intervention tasks and by their significant improvement on oral metaphor interpretation. There was relatively little improvement on the line orientation task. The results of this study support the clinical usefulness of this new approach to treating communication deficits associated with RHD due to stroke, even years post-onset. There are, however, questions that remain unanswered. For example, additional data will be needed to gauge how a patient’s severity of impairment relates to the potential for improvement, to chart the durability and scope of improvement associated with the training, and to determine the type of visuospatial ability needed for using this type of pictorial material.
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DOI：
10.1016/s0022-5371(82)90467-4
发表时间：
1982-01-01
期刊：
JOURNAL OF VERBAL LEARNING AND VERBAL BEHAVIOR
影响因子：
--
作者：
GLUCKSBERG, S;GILDEA, P;BOOKIN, HB
通讯作者：
BOOKIN, HB
影响因子：
16.4
作者：
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通讯作者：
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影响因子：
2.5
作者：
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通讯作者：
Dwivedi, VD
影响因子：
2.5
作者：
Brownell, H;Stringfellow, A
通讯作者：
Stringfellow, A
影响因子：
14.5
作者：
Fletcher, PC;Shallice, T;Dolan, RJ
通讯作者：
Dolan, RJ