Production of discourse in high-functioning individuals with aphasia----with reference to performance on the Japanese CADL

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Abstract:

The discourse performance was examined of 13 high-level individuals with aphasia and 13 matched controlsusing a television programmewhich illustrated helpful hints for daily life. The discourse task was recounting the TV programme. The participants with aphasia also took the Japanese CADL (Communicative Abilities of Daily Living: JCADL) test, and its relationship with the discourse performance was investigated. The analysis of the discourse focused on organizational structure, including reference to the title, proportion of functional components, organizational pattern of functional components and organization ratings, in addition to the amount of information. The results indicated that both the amount of information and organizational structure were still limited in individuals with aphasia. The results of the JCADL were examined in terms of total score and observation of organizational skills on two complex behavioural tasks selected from the 34 subtest items. The discourse organization ratings correlated with the JCADL total score, and the participants who produced organized discourse demonstrated preserved organizational skills on the two selected behavioural tasks. It was found that higher levels of discourse abilities, such as organization, were limited even in high-level individuals with aphasia, and this study suggested that there is a relationship between discourse organization and behavioural organization.

Document Type: Research Article

DOI: http://dx.doi.org/10.1080/026870399402037

Publication date: June 1, 1999

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