I have been blessed with a desire to practice Speech Therapy for Adults with Aphasia for over 44 years, and have worked with some amazing colleagues, clients-patients ad administrative people. I would like to thank all of you who have been friends through the years.
The SENTENCE is basic to Speech Therapy for Adults with Aphasia. It is one of the most challenging aspects of rehabilitation/speech therapy for those who do not speak, either children or adults who have a diagnosis of head injury, aphasia, and other neurological insults. Simply defined it is a collection of words which when placed together in the correct order form a complete thought or sentence. It can vary from 2 words to more than 10!
It’s one of the most critical aspects of the Speech Therapy for Adults with Aphasia process for those of us who are helping children and adults speak. I learned that when first starting out as a speech language pathologist and doing articulation therapy with children. I would work on a sound in isolation, and when mastered would stimulate the correct production of the sound into single words until it could be readily said accurately, and then begin stimulating phrases and while assuring the new sound was correctly produced in each word.
Speech Therapy for Adults with Aphasia Uses Multiples Methods
Then I learned voice therapy and mastered the art of identifying a dysphonia, producing the dysphonia myself so as to know what would be necessary to improve it. Once the habitual pitch, tone focus, breathing and intonational contours were identified it was a simple matter to find the optimum pitch, style of breathing, tone focus, resonance adjustments and intonational contours to correct. Once the client/patient could produce the specific aspects of voice that were in need of correction, we would then stimulate (yes you’ve got it!) them into vowels, syllables, multi-syllable words, word pairs, phrases and then conversation.
The methods referenced above came about out of years of practicing Speech Therapy for Adults with Aphasia. I know that is a rather outmoded word in the speech pathologists’ lexicon today. I always have referred to myself as an oralist, always doing the very best that I could to help people talk rather than having them sign, hold up placards, or use AAC devices. I think the profession has gotten away from that in the last few years, as we have dealt with other kinds of problems such as those of the geriatric population with cognitive deficits, swallowing difficulties, reasoning, etc.
Speech Therapy for Adults with Aphasia Using the Teaching of Talking Method
These speaking difficulties are all very responsive to The Teaching of Talking Method, if you understand the basic principles of speech correction and language stimulation which I write about in The Teaching of Talking. It is a way to engage people in speaking or talking, which addresses the specific speaking difficulty once it has been diagnosed and an approach to correct that difficulty is addressed with positive modification of speaking at the single word level.