Alternative Forms of Communication among Persons with Aphasia

Article excerpt

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Faculty of Philosophy,

Institute of Special Education and Rehabilitation Skopje

Elena Tashkova defended her master thesis on the 4th of October 2011 at the Institute of Special Education and Rehabilitation, Faculty of Philosophy, "Ss Cyril and Methodius" University - Skopje in the presence of the commission members; Prof. Zora Jachova, Prof. Dr. Mile Vukovic and Prof. Dr. Vladimir Trajkovski

Received: 23.11.2011

Accepted: 01.12.2011

Abstract from defended thesis

Address for correspondence:


PMS "Goce Delchev'' - Shtip

Ivo Lola Ribar no. 179

2000 Shtip, R. Macedonia



The aphasia is the most complicated and the most difficult form of disorder of speaking and language. Most often it appears as a consequence of a brain stroke. The occurrence of aphasias is in about one third of the patients suffering from a brain stroke in an acute phase, or from 21% to 24%, and there are data for even bigger frequency. In a certain number of patients the aphasia withdraws spontaneously, but in a bigger number of patients it takes over all four models of language activity; phoneme pronunciation, carrying out a discussion, writing a letter of a full text. It spreads from the automatic to the creative expression. The process of rehabilitation of the spoken communication at the persons with aphasia is complicated, multidisciplinary and long lasting.

Around the World, a big accent is placed on the use of methods and strategies of alternative communication methods (AAK) for the persons with aphasia. Although the augmentative and the AAK methods for the persons with aphasia are relatively novel in the speech therapy, their applicability deserves an attention as well as the fact that they are promising new paths for researching.

The master thesis is written on 104 pages, which include 35 tables and 48 graphics, as well as a glossary with 114 biographical units. The content is divided into introduction, grounding theory and methodology of research. The introduction shows the meaning and the necessity for research of alternative methods in the therapy and the treatment of persons with aphasia. The section with the theoretical grounds contains several mutually connected chapters (parts). In methodology of research section are described the subject of the research, the aim and the character of the research. Further the text contains the tasks, hypothesis, research variables, methods and techniques of the research, as well as the sample and the organization of the research. The end of the section consist the analysis and interpretation of the collected data, results of the research, discussion, verification of the hypothesis and conclusions. After the methodology section follows the section with future recommendations. The subject of the research is the analysis of the forms of AAK that the patients with Brokin's and Vernike's aphasia use in their everyday communication. The necessity of the forms of AAK can be used for developing and improving of the communicative abilities at the persons with aphasia. The aim of this research is to find the forms and strategies of AAK that will support and help in the communication of the persons with aphasia in the Municipality of Shtip. In the process of gathering quantitative data to follow the attitude of the respondents, there were constructed two sets of questionnaires for the needs of the research. The first instrument used in the research which was designed for the respondents suffering from aphasia had a goal to confirm the forms of AAK that they use in their everyday communication. The second instrument, designed for the medical personnel and the family members of the patients as respondents, had a goal to confirm the necessity of information and preparation for using the different forms and strategies of AAK at the persons with aphasia. …


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