Challenging Aphasia Therapies: Broadening the Discourse and Extending the Boundaries

Challenging Aphasia Therapies: Broadening the Discourse and Extending the Boundaries

Challenging Aphasia Therapies: Broadening the Discourse and Extending the Boundaries

Challenging Aphasia Therapies: Broadening the Discourse and Extending the Boundaries


Challenging Aphasia Therapies presents an entirely new approach to thinking on the subject of aphasia therapy by liberating it from traditional models. This is achieved through a process of reflection in which many assumptions previously taken for granted are challenged and reassessed. Internationally renowned experts successfully demonstrate the benefits of learning about aphasia therapy through the process of engaging in it. Topics covered include: * the role of context, culture and conversation in shaping and directing aphasia therapy * the ethical issues that arise from the current tensions between market driven health care industries and the moral commitment to their client welfare * the value of therapy. Contributors challenge the common notion of successful therapy as solely performance related. * the potential and competent use of humour in aphasia therapy. The identification of the strengths and limitations of clinical models and the focus on relevant directions for therapy will be of interest to practising clinicians as well as anyone involved in study or research in speech and language therapy.


This is a book of challenging musings by speech-language therapists/ pathologists who work with individuals who are living with aphasia. the authors, international authorities in the field of aphasia therapies, explore their thoughts about how people with aphasia live with their communication disabilities and how they learn new ways of communicating. the authors also explore how they, themselves, have learned about doing therapy through the process of engaging in it.

While those writing these chapters have published widely, here they are departing from what they are accustomed to. the usual mode in journals and books in the field of speech-language therapy/pathology is to write objectively about impairments, tasks, and client progress. in this book, the authors become introspective, and focus on their own experiences as clinicians and on their relationships with their clients. They ruminate about learning processes-both their own and their clients. and in doing so they reveal some of the conundrums arising from working in the field of aphasia therapy.

The book is intended for speech-language therapists/pathologists and students in English-speaking countries who work with people living with aphasia. It may also be of interest to researchers and practitioners in therapy-based professions, e.g., psychology, psychotherapy, and occupational therapy. the writing is reflective and personal, and includes particular examples and issues that have given the authors pause.

Our authors have challenged their ways of doing “business as usual” in different ways. Some have taken a long hard look at their own identity as therapists and examined some of the principles and ethics underpinning their perspectives on therapy (Martha Taylor Sarno, Carole Pound, Jon Lyon, and Claire Penn). Others have reflected on the nature and process of therapy, sometimes using different media (music and humour) to provide a fresh perspective on interaction in therapy (Nina Simmons-Mackie, Roberta Elman, Julie Morris, David Howard, and Sinead Kennedy). and still others have offered some examples of practices in providing therapy or getting feedback on outcomes, which reflect their views of the relationship between the therapist and the person with aphasia (Carole Pound, Audrey Holland, Amy Ramage, Aura Kagan, and Judy Duchan).

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