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Assessment and Treatment of Abstract Words in Aphasia

Assessment and Treatment of Abstract Words in Aphasia. Dallin Bailey, PhD, CCC-SLP Assistant Professor Department of Communication Disorders Auburn University Auburn, AL dallinbailey@auburn.edu. Scan code to download presentation. Or send me an email.

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Assessment and Treatment of Abstract Words in Aphasia

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  1. Assessment and Treatment of Abstract Words in Aphasia Dallin Bailey, PhD, CCC-SLP Assistant Professor Department of Communication Disorders Auburn University Auburn, AL dallinbailey@auburn.edu Scan code to download presentation. Or send me an email. I have no relevant financial or nonfinancial relationship(s) within the products or services described, reviewed, evaluated or compared in this presentation.

  2. Learning Outcomes • As a result of participation, the attendee will be able to describe methods for assessing and treating abstract word retrieval deficits in aphasia • As a result of participation, the attendee will be able to describe methods for assessing and treating abstract verb-based sentence production in aphasia • As a result of participation, the attendee will be able to discuss potential ways for maximizing generalization in abstract word retrieval and sentence production treatments for aphasia SHAA Convention 2019

  3. Assessing abstract word retrieval deficits in aphasia • Keep psycholinguistic variables in mind • Example psycholinguistic variables (word characteristics affecting word processing and retrieval from the mind): • age of acquisition: the age at which people think they learned a word • (early: ball, car, play, wash. Later: allegory, calculus, etiquette, audit) • word frequency: how often a word appears in a corpus (very large collection of words) compared to other words • high frequency: be, have, do, know, say, people, time, year. • low frequency: adage, abyss, abstain, airlift • word length: the length of a word, typically in phonemes or letters • history vs antidisestablishmentarianism • lexicality: the status of a word as being a real dictionary word, or a nonsense word • ferbvs rain SHAA Convention 2019

  4. Psycholinguistic variables • More psycholinguistic variables • imageability: the ease with which the referent of a word (the concept the word represents) can be imagined in the mind (how picturable it is) • high = house or apple • low = fact or hope • concreteness: closely related to imageability; the ease with which the referent of a word can be experienced with the physical senses; how tangible (touchable) it is • Usually the same, but emotions are an example that may vary (anger is low concreteness, but high imageability) • Either may be used as a proxy for “abstract” SHAA Convention 2019

  5. Compromise • http://websites.psychology.uwa.edu.au/school/MRCDatabase/uwa_mrc.htm • No word can be favorable to processing on all psycholinguistic variables, so we shouldn’t say that low concreteness words should just be avoided • Other presentation: frequency is a major variable we should consider, and high frequency words includes a large amount of low concreteness words, like remember, decide, and appreciate SHAA Convention 2019

  6. Beyond picture naming: methods for assessing naming • Generative naming • Constrained by contextual or other semantic category • Contexts as in Sandberg & Kiran • Levin’s verb categories • Naming to definitions or to synonymsor antonyms (McNeil et al., 1998) • Sentence completion/fill in the blank • Icons (https://thenounproject.com/) and pictures as stand ins, maybe combined with a phonemic cue (starts with…) or a definition cue • Any other ideas? SHAA Convention 2019

  7. Sentence Frame SHAA Convention 2019

  8. Help for clinician • Hard to come up with on the spot • Sheet developed using https://corpus.byu.edu/coca/ • Click “collocates” • Type a target verb (like decide) in the first box • Select the collocates you would like • The numbers refer to the location of words in relation to the target word (up to four words before the target, or four words after the target) • put in _n* in the collocates box • Click “Find collocates” SHAA Convention 2019

  9. SHAA Convention 2019

  10. References • Bailey, D. J. (2016). Development of an Aphasia Treatment Targeting Verbs with Low Concreteness. (PhD dissertation), The University of Utah, • Barsalou, L. W. (1999). Perceptions of perceptual symbols. Behavioral and Brain Sciences, 22(04), 637-660. doi:10.1017/s0140525x99532147 • Bunker, L. D., Wright, S., & Wambaugh, J. L. (2018). Language Changes Following Combined Aphasia and Apraxia of Speech Treatment. Am J Speech Lang Pathol, 27(1S), 323-335. doi:10.1044/2018_AJSLP-16-0193 • Edmonds, L. A. (2014). Tutorial for Verb Network Strengthening Treatment (VNeST): Detailed Description of the Treatment Protocol with Corresponding Theoretical Rationale. SIG 2 Perspectives on Neurophysiology and Neurogenic Speech and Language Disorders, 24, 78-88. doi:10.1044/nnsld24.3.78 • Edmonds, L. A., & Babb, M. (2011). Effect of Verb Network Strengthening Treatment in Moderate-to-Severe Aphasia. American Journal of Speech-Language Pathology, 20(2), 131-145. • Gierut, J. A. (2007). Phonological Complexity and Language Learnability. American Journal of Speech-Language Pathology, 16(1), 6. doi:10.1044/1058-0360(2007/003) • Kiran, S. (2007). Complexity in the Treatment of Naming Deficits. American Journal of Speech-Language Pathology, 16(1), 18-29. doi:10.1044/1058-0360(2007/004) • Kiran, S., Sandberg, C., & Abbott, K. (2009). Treatment for lexical retrieval using abstract and concrete words in persons with aphasia: Effect of complexity. Aphasiology, 23(7), 835-853. doi:10.1080/02687030802588866 • Mastropieri, M. A., Scruggs, T. E., & MushinskiFulk, B. J. (1990). Teaching Abstract Vocabulary with the Keyword Method:: Effects on Recall and Comprehension. Journal of Learning Disabilities, 23(2), 92-96. doi:10.1177/002221949002300203 • McNeil, M. R., Doyle, P. J., Spencer, K., Goda, A. J., Flores, D., & Small, S. L. (1998). Effects of training multiple form classes on acquisition, generalization and maintenance of word retrieval in a single subject. Aphasiology, 12(7-8), 575-585. doi:10.1080/02687039808249559 • McNeil, M. R., Doyle, P. J., Spencer, K. A., Goda, A. J., Flores, D., & Small, S. L. (1997). A double-blind, placebo-controlled study of pharmacological and behavioural treatment of lexical-semantic deficits in aphasia. Aphasiology, 11(4-5), 385-400. doi:10.1080/02687039708248479 • McNeil, M. R., Small, S. L., Masterson, R. J., & Fossett, T. R. D. (1995). Behavioral and Pharmacological Treatment of Lexical-Semantic Deficits in a Single Patient with Primary Progressive Aphasia. American Journal of Speech-Language Pathology, 4. • Mestres-Misse, A., Munte, T. F., & Rodriguez-Fornells, A. (2014). Mapping concrete and abstract meanings to new words using verbal contexts. Second Language Research, 30(2), 191-223. doi:10.1177/0267658313512668 • Newton, P. K., & Barry, C. (1997). Concreteness Effects in Word Production but Not Word Comprehension in Deep Dyslexia. Cognitive Neuropsychology, 14(4), 481-509. doi:10.1080/026432997381457 • Paivio, A., & Csapo, K. (1973). Picture superiority in free recall: Imagery or dual coding? CognPsychol, 5(2), 176-206. doi:10.1016/0010-0285(73)90032-7 • Sandberg, C. W., & Kiran, S. (2014a). Analysis of abstract and concrete word processing in persons with aphasia and age-matched neurologically healthy adults using fMRI. Neurocase, 20(4), 361-388. doi:10.1080/13554794.2013.770881 • Sandberg, C. W., & Kiran, S. (2014b). How justice can affect jury: Training abstract words promotes generalisation to concrete words in patients with aphasia. Neuropsychological Rehabilitation, 24(5), 738-769. doi:10.1080/09602011.2014.899504 • Thompson, C. K., Shapiro, L. P., Kiran, S., & Sobecks, J. (2003). The role of syntactic complexity in treatment of sentence deficits in agrammatic aphasia: the complexity account of treatment efficacy (CATE). Journal of Speech, Language & Hearing Research, 46(3), 591-607. doi:10.1044/1092-4388(2003/047) • Wambaugh, J. L., & Ferguson, M. (2007). Application of semantic feature analysis to retrieval of action names in aphasia. J Rehabil Res Dev, 44(3), 381-394. • Wambaugh, J. L., Mauszycki, S., & Wright, S. (2014). Semantic feature analysis: Application to confrontation naming of actions in aphasia. Aphasiology, 28(1), 1-24. doi:10.1080/02687038.2013.845739 • Wambaugh, J. L., Nessler, C., & Wright, S. (2013). Modified response elaboration training: application to procedural discourse and personal recounts. Am J Speech Lang Pathol, 22(2), S409-425. doi:10.1044/1058-0360(2013/12-0063) • Wambaugh, J. L., Wright, S., Mauszycki, S. C., Nessler, C., & Bailey, D. J. (2018). Combined aphasia and apraxia of speech treatment (CAAST): Systematic replications in the development of a novel treatment. International Journal of Speech-Language Pathology, 1-15. doi:10.1080/17549507.2016.1267262 • Wambaugh, J. L., Wright, S., Nessler, C., & Mauszycki, S. C. (2014). Combined Aphasia and Apraxia of Speech Treatment (CAAST): effects of a novel therapy. Journal of Speech, Language & Hearing Research, 57(6), 2191-2207. doi:10.1044/2014_JSLHR-L-14-0004 SHAA Convention 2019

  11. Questions? • Email: dallinbailey@auburn.edu SHAA Convention 2019

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