Program in Communication Disorders
University of Arkansas
|Type of Study:||Conversations with client during speech-language therapy sessions|
In accordance with TalkBank rules, any use of data from this corpus must be accompanied by at least one corpus reference. If none is given, please use the primary AphasiaBank reference:
MacWhinney, B., Fromm, D., Forbes, M. & Holland, A. (2011). AphasiaBank: Methods for studying discourse. Aphasiology, 25,1286-1307.
Client C.S. was 63 years old at the time of these recordings, which took place during speech-language therapy sessions at the University of Arkansas Speech and Hearing Clinic. C.S. had experienced a hemorrhagic stroke shortly before Christmas of the preceding year, and the recordings date from January through April. The 1/18 recording was approximately 3 weeks post stroke and the 4/8 recording was approximately 3 months and 2 weeks post stroke.
The primary hemorrhage was in the region of the left temporal/parietal lobe juncture. A second small hemorrhage was identified immediately posteriorly.
Initially, C.S.'s speech was fluent and paraphasic, with mild anomia. Her expressive language was Wernicke-like, although her impairment was milder than is typically found with Wernicke aphasia. She experienced severe delirium after the stroke and was hospitalized in a geriatric psychiatric unit for a number of days before being released to return home. Her auditory comprehension was only mildly impaired and comprehension problems resolved over the course of the therapy sessions recorded here. Reading comprehension was mildly-to-moderately impaired at the outset, but improved considerably, although her rate of reading (accurately) remained slower than pre-stroke.
Therapy targeted naming in spontaneous discourse and the reduction of empty words and fillers. The client was concerned that her family was treating her as less than competent because of these aspects of her speech. Work was also done with narrative structure, but conversation was the primary discourse target. Reading comprehension was the final area of focus for treatment.
These samples are from the beginning of her therapy sessions, when the conversation was informal and not elicited for a specific therapy activity. We completed discourse analysis of some of these conversational segments to observe progress over time.