Communication Difficulties and the Use of Communication Strategies: From the Perspective of Individuals with Aphasia

Autor/inn/en	Johansson, Monica Blom; Carlsson, Marianne; Sonnander, Karin
Titel	Communication Difficulties and the Use of Communication Strategies: From the Perspective of Individuals with Aphasia
Quelle	In: International Journal of Language & Communication Disorders, 47 (2012) 2, S.144-155 (12 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1368-2822
DOI	10.1111/j.1460-6984.2011.00089.x
Schlagwörter	Language Aptitude; Aphasia; Physical Environment; Interpersonal Communication; Content Analysis; Speech Communication; Communication Strategies; Semi Structured Interviews; Language Impairments; Communication Disorders; Speech Language Pathology; Allied Health Personnel; Foreign Countries; Augmentative and Alternative Communication; Sweden + Suchen Sie Ihr Suchwort? Sprachbegabung; Spracheignung; Expressive Aphasie; Aphasie; Natürliche Umwelt; Interpersonale Kommunikation; Inhaltsanalyse; Kommunikationsstrategie; Speech disorder; Speech disorders; Speech disabilities; Speech disability; Speech handicap; Speech handicaps; Speech impairment; Speech impairments; Language handicaps; Sprachbehinderung; Kommunikationsstörung; Ausland; Schweden
Abstract	Background: To enhance communicative ability and thereby the possibility of increased participation of persons with aphasia, the use of communication strategies has been proposed. However, little is known about how persons with aphasia experience having conversations and how they perceive their own and their conversation partner's use of communication strategies. Aims: To explore how people with aphasia experience having conversations, how they handle communication difficulties, and how they perceive their own and their communication partners' use of communication strategies. Methods & Procedures: Semi-structured interviews were conducted with four women and seven men with chronic aphasia (n = 11). Interviews were video-recorded, transcribed verbatim and analysed by qualitative content analysis. Outcomes & Results: Informants appreciated having conversations despite the fact that they perceived their aphasia as a serious hindrance. Different factors related to the informants, the conversation partners, the conversation itself and the physical environment were perceived to impact on conversations. The importance of the communication partners' knowledge and understanding of aphasia and their use of supporting conversation strategies were acknowledged by the informants. The informants' views on using communication aid devices or strategies varied considerably. Four themes that characterized the informants' narratives were: loss and frustration, fear and uncertainty, shared responsibility based on knowledge, and longing for the past or moving forward. Conclusions & Implications: The informants longed to regain their former language ability and role as an active participant in society. To enhance participation of persons with aphasia, it is suggested that communication partner training should be an important and integral part of aphasia rehabilitation. Important elements of such training are reflecting on communication behaviours, training in real-life situations, and acknowledging each individual's special needs and preferences. To deal with the consequences of aphasia, counselling and psychological support may be needed. (Contains 4 tables.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10