Thematic Language Stimulation - USHA

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TLS: Selecting ! Choosing the sandwich: – Topics that relate to the person’s interest are always preferred: – Provides a natural and personal connection for treatment. – Enhances the likelihood of linguistic success since he has better access to information and ideas on “his turf.” Here’s a TLS Sandwich! Morganstein & Certner-Smith, 2011 TLS: Delivering Morganstein & Certner-Smith, 2011 ! Introductory topical conversation on the theme ! Manipulation of language in a series of multimodality tasks ! Return to functional conversation on the theme. TLS: Enhancing: Metalinguistic Process ! What just happened here? (reflections on the meal) – SLP internally reflects upon what worked, and modifies what she does next time. – SLP offers observations to patient about performance in a general sense: • Gives positive feedback • Leads toward insight about aphasia (prerequisite for developing strategies) Morganstein & Certner-Smith, 2011 TLS: Creating ! Assembling the sandwich – Select content vocabulary: 8-10 words related semantically, preferably concrete nouns and verbs. – Select the exercises to be employed for a course of 5-7 sessions based upon assessment findings. – Establish a treatment hierarchy for the exercises, progress easier to harder. – Create (or copy) those exercises to be used. Morganstein & Certner-Smith, 2011 TLS: Extending ! Serve more of the sandwich: – Extend the theme by adapting and adding exercises as you go. – Extend the theme in real, related conversation. – Extend the theme in supplementary materials (menus, ads, letters, internet articles) Morganstein & Certner-Smith, 2011 TLS: Enhancing Metalinguistic Process ! Critiquing the experience: continued – SLP offers more detailed observations about performance and asks the patient for his discoveries – Gives positive feedback; transaction & interaction – Establishes a collaborative relationship in problem solving the treatment outcome. – Encourages more responsibility and independence in symptom management Morganstein & Certner-Smith, 2011 8
TLS: Secrets of a Good Sandwich ! Maintain a success rate of approximately 80-90% for each selected task. ! Present flexibly, shift and roll as needed. ! Recognize task order, decrease choices, change modes. ! Keep patient in the loop: ask for feedback, comments and insights. ! Use humor and emotion whenever feasible; the limbic system is a good stimulator. Morganstein & Certner-Smith, 2011 TLS: Formatting the Unit Morganstein & Certner-Smith, 2011 ! The ABC’s of Exercises ! What to Include ! Creative Composition ! Building Layers of <strong>Language</strong> ! Having Fun with Words TLS: The Exercises Morganstein & Certner-Smith, 2011 TLS: Secrets of a Good Sandwich ! Make small changes in some aspect of the task each time you repeat it (and do repeat it!) ! “Milk” the linguistic contexts in which the words appear. ! There are no “wrong” responses—merely more opportunities to stimulate ! Include multi-modalities to reap the stimulation benefit. Morganstein & Certner-Smith, 2011 Your Turn Morganstein & Certner-Smith, 2011 Thank you ! Morganstein & Certner-Smith, 2011 9
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Thematic Language Stimulation - USHA

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