Chapter 11 - Functional and Pragmatic Directions in Aphasia Therapy

Abstract

This chapter focuses on the functional and pragmatic directions in aphasia therapy. In the science of aphasia a shift is evident as well. The emphasis on the characterization of language solely in terms of semantics and syntax began to lean toward language use and language in context. Models of aphasia that incorporate social elements as vital signs of a living, growing scientific and clinical discipline are increasingly apparent. The medical model of the assessment, diagnosis, and treatment of the acute phase of aphasia is no longer as appropriate as earlier translated. Certainly aphasia is associated with certain unalienable medical conditions and constructs, and these should neither be ignored nor abandoned. But aphasia is also social. It is based on communicating, interacting with others, and living in a societal context. Traditionally, language analysis, particularly in aphasia, had been largely word and sentence based. Increasingly, glimmers of interest began emerging on such seemingly “unique” language uses as conversation, discourse styles, social interaction, and even participation in language events in the real word context. Fitting well into social models of aphasia is the recently articulated Life Participation Approach to Aphasia (LPAA). The statement issued by the LPAA Project group is intended to have an impact on assessment, intervention, policy making, advocacy, and research in aphasia. The life participation approach to aphasia is conceived foremost as a consumer-driven movement that has intended to broaden and focus the goals of aphasia treatment. Pragmatic and life participation approaches to aphasia research and intervention are closely tied to the concepts of chronicity and quality of life.