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12 Cards in this Set

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What is the candidacy for Sentence Production Program for Aphasia (SPPA)?
-Client who is agrammatic
-Speech is characterized by substantivew words and lack of functor words such as articles, prepositions, personal pronouns and verb inflections
-Good single word Aud Comp
-Fair to good comprehension for sentences and paragraphs
-Works within the modality of speech
What is the difference between paragrammatism vs agrammatism?
-Paragrammatism occrs in fluent aphasia and is characteriszed by grammatical errors such as incorrect tens markers or misuse of pronouns
-Agrammatism occurs in nonfluent aphasia and is characterized by the production of mostly substantive words or short phrases in which the functor words are omitted.
What is the rationale for SPPA?
-Broca's Aphasics have an impaired and inconsistent access to syntactic knowledge.
-Clients who are agrammatic can improve their ability to produce a wide variety of syntactically correct utterance.
-SPPA is based on an earlier version known as Helm Elicited Program for Syntax Stimulation or HELPSS
What is SPPA?
-I hierarchically structured program
->If A is 90% correct, then move on to B
-Level A provides a model for clients to repeat
-Level B requires clients to complete a story without the benefit of a model (SLP gives stimulus, you give response)
-8 sentence types
-Story format
What are the 8 types of SPPA sentence structures?
1. Imperative Intransitive: "Wake Up"
2. Imperitive Transitive: "drink your milk"
3. Wh-Interrogative: "What are you watching?" (What and Who)
4. Wh-Interrogative: "Where is the hospital?" (Where and When)
5. Declaritive Transitive: "I teach school"
6. Declarative Intransitive: "He swims"
7. Comparative: "She's taller"
8. Yes/No Questions: "Is it sad?"
*** What does a Mapping Theory address? ***
-Addresses deficits associated with constructional rather than morphological components of agrammatism
-Construction of predicate argument structure, selection of verb and noun phrase arguments; assignment of thematic roles which specify "who's doing what to whom"
-This ability occurs early in the sentence planning
What does mapping theory do?
Attempts to link sentence meaning and sentence structure by using pictures with written sentence stimuli. Sentence complexity is determined by the number of arguments, sentence reversibility, and passives vs. active structures.
->Try to conceptualize meaning associated with the structure of sentence
What does the therapist do in MT Tx?
In therapy, you want to make client aware of verb argument and thematic roles such as agent (the doer) or theme (the done-to) are assigned to the correct surface syntax. Clinicians ask questions such as "which on is the verb" "which on is doing the action". Clients respond by underlining words in the sentences. Some showed improvement in the comprehenseion and production of syntactic constructions
What is verb retrieval?
Focus tx on the semantic representations of verbs and learning the thematic role assignments associated with verbs.
->Context-driven approach (sentence related rather than single-word)
In Mapping Theory, what is Wh-Questions?
-Literally pick up and move written elements from one sentence position to another in order to mirror internal linguistic rules.
-Linguistic theory suggests that "what" and "who" have more in common than others such as "where" and "when"
-So one would expect to see generalization with a related question rather than one not as related
What is Communicative Effectiveness Profile for Measuring Discourse Skills? (CEP)
->ILE
-Guide to counting correct info units
-Guide for computing index of lexical efficiency (ILE) which measures the ratio of informative words to total words produced
-Aphasics may produce many words that are useless or may not be part of any content unit yielding a high ILE (too many words for content). Broca's may produce only content wordss giving a telegraphic quality.
-Avg ILE = 3.7 (range 2.5-5
What is CEP (IGS)?
-Guide for computing index of grammatical support (IGS) which measures the grammaticality of the phrases that contain info words
-ID # of correct grammatical endings on correct words in content units (verb tenses, plurals, possessive, negative or other verb forms contracted)
-Total # of words in content units + total # of correct grammatical endings and divide by # of content units
-Lowest possible IGS would be 1.0 for producing \mostly content words with no grammatical morphemes.
-Normal IGS = 3.6 (range 2.3-5.5)