Thematic Language Stimulation - USHA
Thematic Language Stimulation - USHA
Thematic Language Stimulation - USHA
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TLS: Selecting<br />
! Choosing the sandwich:<br />
– Topics that relate to the person’s<br />
interest are always preferred:<br />
– Provides a natural and personal<br />
connection for treatment.<br />
– Enhances the likelihood of linguistic success since<br />
he has better access to information and ideas on<br />
“his turf.”<br />
Here’s a TLS Sandwich!<br />
Morganstein & Certner-Smith, 2011<br />
TLS: Delivering<br />
Morganstein & Certner-Smith, 2011<br />
! Introductory topical<br />
conversation on the<br />
theme<br />
! Manipulation of language<br />
in a series of<br />
multimodality tasks<br />
! Return to functional<br />
conversation on the<br />
theme.<br />
TLS: Enhancing:<br />
Metalinguistic Process<br />
! What just happened here? (reflections on the meal)<br />
– SLP internally reflects upon what<br />
worked, and modifies what she<br />
does next time.<br />
– SLP offers observations to patient<br />
about performance in a general sense:<br />
• Gives positive feedback<br />
• Leads toward insight about aphasia (prerequisite<br />
for developing strategies)<br />
Morganstein & Certner-Smith, 2011<br />
TLS: Creating<br />
! Assembling the sandwich<br />
– Select content vocabulary: 8-10 words related semantically,<br />
preferably concrete nouns and verbs.<br />
– Select the exercises to be employed for a course of 5-7<br />
sessions based upon assessment findings.<br />
– Establish a treatment hierarchy for the<br />
exercises, progress easier to harder.<br />
– Create (or copy) those exercises<br />
to be used.<br />
Morganstein & Certner-Smith, 2011<br />
TLS: Extending<br />
! Serve more of the sandwich:<br />
– Extend the theme by adapting and adding exercises<br />
as you go.<br />
– Extend the theme in real, related conversation.<br />
– Extend the theme in supplementary materials<br />
(menus, ads, letters, internet articles)<br />
Morganstein & Certner-Smith, 2011<br />
TLS: Enhancing<br />
Metalinguistic Process<br />
! Critiquing the experience: continued<br />
– SLP offers more detailed observations about<br />
performance and asks the patient for his discoveries<br />
– Gives positive feedback; transaction & interaction<br />
– Establishes a collaborative relationship in problem<br />
solving the treatment outcome.<br />
– Encourages more responsibility and independence<br />
in symptom management<br />
Morganstein & Certner-Smith, 2011<br />
8
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