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Aphasia Article by: Aphasia has been defined in many ways. The field of speech-language pathology is constantly changing. Many studies have been conducted, and thus many different conclusions have been made. I will use the definition of two prominent researchers, Luria and Hutton (1977) in this discussion of aphasia. This definition is well accepted in the field, although in examining the links that will be cited below, you may find differences in definitions. Aphasia is a complex disorder, and only in spending time with an aphasic person will one discover the nature of his/her particular difficulties. Aphasia is a speech and language
impairment that results from a stroke or brain injury, e.g., traumatic
head injury.
It is more common in elderly persons, and young persons who become aphasic
are more likely to make a more full recovery dependent on the nature
and extent of the injury to the brain. Aphasia may also occur as a component
of a disease that attacks brain tissue (e.g., tumors, dementia, such
as Alzheimer’s disease, etc.). There are several types of aphasia,
which will be discussed in the next paragraph. In Wernicke’s aphasia (also called
sensory aphasia, fluent aphasia), a person has difficulty understanding
language because he/she does not hear words correctly. For example, you
may ask such a patient to give you a knife, but he/she will not understand
you unless you make the gesture of cutting with your hand. The speech
of this patient may be understandable, but the utterances would be meaningless;
the words would be strung together seemingly at random. Also, the speech
may be fluent (produced without excess effort or tension), but the words
may not be real; this type of speech is called jargon. Another type is
motor aphasia (also called Broca’s aphasia, non-fluent aphasia).
A person with this type has difficulty speaking; his/her words are stuttered
and halting. Finding the Emotional difficulties often accompany aphasia. The person may be socially withdrawn, grieving, or frustrated by his/her difficulties in doing tasks that were once simple. The patient may need time and family support to deal with these emotions before beginning, as well as during, speech-language rehabilitation. Speech-language therapy for aphasia varies based on the severity of the aphasia. The patient may need years of rehabilitation, or he/she may need augmentative and alternative communication (AAC—methods of communication used in place of or in addition to speech). Examples include sign language, picture books, or computerized speech. Aphasia
can best be appropriately assessed and treated by a speech-language
pathologist. Families of persons with
aphasia are in an important position to help in rehabilitation. Several
informative links are worth reading: Helpful links |
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appropriate positions of the articulators (lips,
tongue, jaw) or changing positions of the articulators to speak is difficult.
Anomic aphasia (also called amnesic aphasia, nominative
aphasia) involves
word-finding problems (i.e. problems naming objects). Transcortical
motor aphasia preserves the ability to repeat words, name objects, and understand
speech, but the person cannot speak spontaneously. The person with conduction
aphasia is able to speak spontaneously and name objects, but he/she cannot
repeat words. The occurrence of one, “pure” type of aphasia
is rare; usually, a person shows signs of multiple types, or in the case
of gradually debilitating diseases (e.g,. Alzheimer’s disease—brain
damage worsens over time), other problems may be evident (i.e. memory
loss, emotional problems).