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Aphasia Therapy: More Than Just Hand-holding

Aphasia Therapy: More Than Just Hand-holding Abstract To the Editor. —Hartman and Landau,1 in the June 1987 issue of the Archives, concluded that "conventional" speech therapy provides no more benefit than supportive counseling. What is conventional speech therapy and how was it evaluated by the authors? Hartman and Landau define it as the therapeutic techniques stressing language "drills" that were published by Schuell et al over 30 years ago.2While conventional therapy can provide a structural basis for treatment, it does not meet specific patient needs. Fortunately in the past 30 years, significant gains have been made in both theory and practice in the area of speech therapy. Given the sophistication now available for differential diagnosis of language disorders associated with cerebrovascular accident, speech pathologists need not rely only on conventional therapy but have available to them techniques related to specific language deficits.3-6 These advancements in therapeutic technique were not acknowledged in their study. References 1. Hartman J, Landau WM: Comparison of formal language therapy with supportive counseling for aphasia due to acute vascular accident . Arch Neurol 1987;44:646-649.Crossref 2. Schuell H, Carroll V, Street BS: Clinical treatment of aphasia . J Speech Hear Disord 1955;20:43-53. 3. Wilcox MJ, Davis GA: Procedures for promoting communicative effectiveness in an aphasic adult. Miniseminar presented before the fall meeting of the American Speech and Hearing Association, San Francisco, 1978. 4. Aten JL, Caliguiri, MP, Holland, AL: The efficacy of functional communication therapy for chronic aphasic patients . J Speech Hear Disord 1982;47:93-96. 5. Sparks R, Holland A: Method: Melodic intonation therapy . J Speech Hear Disord 1976;41:287-297. 6. Helm-Estabrooks N, Fitzpatrick PM, Barresi B: Visual action therapy for global aphasia . J Speech Hear Disord 1982;47:385-389. 7. Horner J, Rothi LJ: Aphasia: Recovery, theory, and treatment. Short course presented before the fall meeting of the American Speech and Hearing Association, Atlanta, 1979. 8. Darley FL: The efficacy of language rehabilitation in aphasia . J Speech Hear Disord 1972;37:3-21. 9. Holland AL: Communicative Abilities in Daily Living . Baltimore, University Park Press, 1980. 10. Warren RL: Research Design: Consideration for the Clinician: Language Intervention Strategies in Adult Aphasia , ed 2. Baltimore, Williams & Wilkins, 1986. 11. Porch BE: Porch Index of Communicative Abilities . Palo Alto, Calif, Consulting Psychologists Press, 1967. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology American Medical Association

Aphasia Therapy: More Than Just Hand-holding

Abstract

Abstract To the Editor. —Hartman and Landau,1 in the June 1987 issue of the Archives, concluded that "conventional" speech therapy provides no more benefit than supportive counseling. What is conventional speech therapy and how was it evaluated by the authors? Hartman and Landau define it as the therapeutic techniques stressing language "drills" that were published by Schuell et al over 30 years ago.2While conventional therapy can provide a structural basis for...
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Publisher
American Medical Association
Copyright
Copyright © 1989 American Medical Association. All Rights Reserved.
ISSN
0003-9942
eISSN
1538-3687
DOI
10.1001/archneur.1989.00520390015003
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor. —Hartman and Landau,1 in the June 1987 issue of the Archives, concluded that "conventional" speech therapy provides no more benefit than supportive counseling. What is conventional speech therapy and how was it evaluated by the authors? Hartman and Landau define it as the therapeutic techniques stressing language "drills" that were published by Schuell et al over 30 years ago.2While conventional therapy can provide a structural basis for treatment, it does not meet specific patient needs. Fortunately in the past 30 years, significant gains have been made in both theory and practice in the area of speech therapy. Given the sophistication now available for differential diagnosis of language disorders associated with cerebrovascular accident, speech pathologists need not rely only on conventional therapy but have available to them techniques related to specific language deficits.3-6 These advancements in therapeutic technique were not acknowledged in their study. References 1. Hartman J, Landau WM: Comparison of formal language therapy with supportive counseling for aphasia due to acute vascular accident . Arch Neurol 1987;44:646-649.Crossref 2. Schuell H, Carroll V, Street BS: Clinical treatment of aphasia . J Speech Hear Disord 1955;20:43-53. 3. Wilcox MJ, Davis GA: Procedures for promoting communicative effectiveness in an aphasic adult. Miniseminar presented before the fall meeting of the American Speech and Hearing Association, San Francisco, 1978. 4. Aten JL, Caliguiri, MP, Holland, AL: The efficacy of functional communication therapy for chronic aphasic patients . J Speech Hear Disord 1982;47:93-96. 5. Sparks R, Holland A: Method: Melodic intonation therapy . J Speech Hear Disord 1976;41:287-297. 6. Helm-Estabrooks N, Fitzpatrick PM, Barresi B: Visual action therapy for global aphasia . J Speech Hear Disord 1982;47:385-389. 7. Horner J, Rothi LJ: Aphasia: Recovery, theory, and treatment. Short course presented before the fall meeting of the American Speech and Hearing Association, Atlanta, 1979. 8. Darley FL: The efficacy of language rehabilitation in aphasia . J Speech Hear Disord 1972;37:3-21. 9. Holland AL: Communicative Abilities in Daily Living . Baltimore, University Park Press, 1980. 10. Warren RL: Research Design: Consideration for the Clinician: Language Intervention Strategies in Adult Aphasia , ed 2. Baltimore, Williams & Wilkins, 1986. 11. Porch BE: Porch Index of Communicative Abilities . Palo Alto, Calif, Consulting Psychologists Press, 1967.

Journal

Archives of NeurologyAmerican Medical Association

Published: Mar 1, 1989

References