The goal of all speech rehabilitation methods is the restoration of speech as a unitary higher function. One approach views speech as a complex but coherent system where all levels and components are interconnected. This view takes into consideration the use of verbal communication, which takes place at a higher speech level and includes activity,…

Changes in frequency of occurrence of the following linguistic variables in recovery from aphasia due to left temporal lobe lesions are analyzed in text and graphs: (1) quantity of verbalization, (2) syntactic structure: subject-verb-object vs. topic-comment, (3) syntactic complexity, (4) nouns and verbs, (5) morphology, (6) anaphora, and (7)…

The use of a traditional syndrome-classification system for aphasics is examined critically from the different perspectives of medicine and psychometrics. Medicine views syndromes as dichotomous (present or not present) and necessarily indicative of an underlying pathognomic state or process, and psychometrics sees performances as varying along a…

Vertical and lateral integration are two important nervous system integrations that affect the development of oral behaviors. There are three progressions in the vertical integration process for speech nervous system development: R-complex speech (ritualistic, memorized expressions), limbic speech (emotional expressions), and cortical speech…

The nature of research on speech communication in asymmetrical interactions, such as those between a speech therapist and patient, is discussed and some general approaches to therapy are noted. The situation of the aphasic is then considered, in which intervention is particularly difficult due to the lack of some important aspects of interpersonal…

Child-adult dialogues are important in an interactionist approach to acquisition of language behaviors because of the scaffolding provided by adults. Different forms of scaffolding used with children with and without language impairments are reviewed, and research on scaffolding with children aged 4-6 years is reported. Discourse strategies used…