Thematic Language Stimulation - USHA

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Assessment of Impairment begins.. ! Evaluates deficits on standardized measures. ! Derives information about patient process during testing – Less emphasis on the score – More emphasis on how he got it Morganstein & Certner-Smith, 2011 S.Morganstein & M.Certner-‐Smith Assessing the Impairment (Deficit) ! BDAE ! MTDDA ! WAB ! PICA Morganstein & Certner-Smith, 2011 S.Morganstein & M.Certner-‐Smith Assessment beyond language… ! The assessment process parameters beyond language include: – Cognition: attention, abstract thinking, – Behavior: initiation, flexibility, problem solving, etc – Visual Considerations: hemianopsia, scanning issues, acuity – Psychological considerations: sense of humor, affect Morganstein & Certner-Smith, 2011 S.Morganstein & M.Certner-‐Smith ! Probes strategies for task success ! Derive information about functional communication and its enhancement. More Assessment Morganstein & Certner-Smith, 2011 S.Morganstein & M.Certner-‐Smith Process Assessment ! Quality as well as quantity: – What is he doing? – How is he doing it? – Why is he doing it that way? – What is the time factor? – Is he using strategies that succeed? That fail? “Batteries are for cars, Not for people.” Edith Kaplan Morganstein & Certner-Smith, 2011 S.Morganstein & M.Certner-‐Smith Strategy probes for TLS ! Aphasia testing using a TLS mindset requires strategy probes – Naming/word retrieval (what type of cuing helps, phonemic or semantic?) – Repetition (does repetition increase linguistic accuracy?) – Oral reading (does oral reading increase awareness of errors & afford an opportunity for self correction?) – Etc…… Morganstein & Certner-Smith, 2011 S.Morganstein & M.Certner-‐Smith 6
Assessing conversational ability and style ! Assess conversational ability, any way you can – Formal tool: FCP, CADL – Interview, questionnaire ! Assess transactional process: – Circumlocution, self-correction, self-cueing ! Assess interaction: – Drive, social connection, problem-solving, flexibility ! Knowing ! Selecting ! Developing ! Delivering ! Extending ! Enhancing Morganstein & Certner-Smith, 2011 S.Morganstein & M.Certner-‐Smith Formulating a TLS Unit ! A TLS Recipe Summary of Assessment Morganstein & Certner-Smith, 2011 S.Morganstein & M.Certner-‐Smith Morganstein & Certner-Smith, 2011 Morganstein & Certner-Smith, 2011 The TLS Unit: It’s About… Morganstein & Certner-Smith, 2011 ! <strong>Language</strong> ! Patient process ! Non-language profile ! Task strategies ! Conversation TLS: Creating and Using The TLS Unit ! Following a culinary metaphor… TLS: Knowing ! “Who am I dining with?” – Education – Talents & Interests – Family background – Insight about the nature of aphasia – Life priorities – Style (emotionally open or closed) Morganstein & Certner-Smith, 2011 7
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Page 3 and 4: Changing processes for functional c
Page 5: TLS: Preliminary Research ! Definin
Page 9: TLS: Secrets of a Good Sandwich ! M

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