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29 Cards in this Set
- Front
- Back
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Front
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Back
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What is the purpose of the lexical-semantic treatment?
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to strengthen lexical-senantic and orthographic representations for specific words
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What is the goal of the lexical-semantic treatment?
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1) to retrain single word written vocabulary for use in connumicative interactions; 2) to establish written "key words" for use in later stages of treatment
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What is the approach of the lexical-semantic treatment?
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train 24 functional written words using CART (Copy And Recall Treatment) in 4 groups if 6 words
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Who is a candidate for the treatment sequence? (Lexical-Semantic tx, then Phonological tx, then Interactive tx, then Lexical Retrieval tx)
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Broca's Aphasia, Global Alexia, Global Agraphia
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What is the protocol in CART?
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listen, repeat word, copy written word
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Under what conditions would we start with Lexical Spelling tx?
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Spelling fewer than 30% of words correctly, lexical-semantic & phonological impairment, Global or Deep Agraphia
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Under what conditions would we use Phonological tx?
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between 30-90% of real words spelled correctly, +lexicality effect, predominantly phonological impairment, Phonological Agraphia
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Under what conditions would we use Interactive Tx?
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between 30-90% of real words spelled correctly, +lexicality effect, predominantly phonological impairment, Phonological Agraphia
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Under what conditions would we use Text Reading tx?
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Spelling preserved, letter-by-letter reading, Alexia without agraphia
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What is the advantage of using the interactive spelling treatment for surface Alexia/Agraphia?
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to take advantage of residual orthographid and phonological information in an interactive manner, interactive spelling tx should benefit both spelling and reading
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What is the purpose of Interactive Spelling Treatment?
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to strengthen the interactive use of orthography and phonology
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What is the goal of Interactive Spelling tx?
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to improve spelling acccuracy by increasing self-detection and correction of errors
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What is the approach of the Interactive Spelling Treatment?
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Use residual or re-trained phonology to sound-out plausible spellings, identify and correct errors, use of electronic spell-checkers for correction
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What is the protocol in the Interactive Spelling Tx?
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1) Listen to the word; 2) Repeat it; 3) Try to spell it; 4) Look at it carefully. Is this spelling as close as you can get? If not, try again; 5) When you get as close as you can, enter it into the spell checker; 6) Look through the list and choose the correct spelling; 7) Remember to press "say" to double check; 8) Copy the correct spelling; 9) Circle the words that you get by using the spell checker.
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What is pure Alexia?
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Pure Alexia refers to isolated impairment of reading. A disconnection of visual input to cortical regions involved in orthographic processing.
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What kind of reading does Pure Alexia often result in?
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letter-by-letter readng
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What is a characteristic effect of Pure Alexia?
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word-length effect (shorter words are read more accurately and faster than long words
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Why would we say that Pure Alexia is not always so pure?
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May: see surface errors in reading (regularity effect, phonologically plausible errors); be letter identification errors; also demonstrate surface agraphia profile (reliance on phonology for spelling)
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How might we assess letter-by-letter reading through reading?
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single word level (word length effects, recognition of oral spelling); text level passages (measures of reading rate in words per minute, error rate per 100 words, comprehension questions)
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How might we assess letter-by-letter reading through visual orthography?
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letter identification; visual lexical decision tasks
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What is MOR (Multiple Oral Re-reading) treatment protocol (in brief)?
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read and reread text aloud to increase reading rate for practiced text
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What is MOR (Multiple Oral Re-reading) treatment meant to achieve?
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increased reading rate for new text, improved access to orthography so that reliance on letter-by-letter reading decreases and whole-word recognition improves
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Why treat at text-level rather than single words?
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Word recognitoin is assisted by: syntactic constraints of sentences, semantic content, memory from repeated reading. Text reading is the ultimate goal.
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What is the purpose of MOR?
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Use semantic and syntactic context to facilitate whol-word recognition
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What is the goal of MOR?
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increase reading rate and accuracy for novel text
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What is the approach of MOR?
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repeated oral reading of the same texts, daily homework
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What are attributes of candidates for MOR?
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word length effect for single words, slow reading rate for text, relatively preserved visual perception of orthography (single word reading accuracy, letter identification)
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What is a way we can consider aphasia rehabilitation as?
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as a sequence of treatments that can build upon one another
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