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Evaluation and Rehabilitation. Virginia Univ., Charlo DOCUMENT RESUME ED 040 388 AL 002 440 AUTHOR Burr, Helen G., Ed. TITLE The Aphasic Adult; Evaluation and Rehabilitation. INSTITUTION Virginia Univ., Charlottesville. Dept, of Speech Pathology and Audiology Research Lab, SPONS AGENCY Rehabilitation Services Administration (DREW), Washington, D.C. PUB DATE 64 NOTE 196p.; Proceedings of a short course, University of Virginia, Charlottesville, Va., December 3-6, 1963 EDRS PRICE EDRS Price MF-$1.00 HC Not Available from EDRS. DESCRIPTORS *Adults, *Aphasia, Language Learning Levels, Language Skills, Linguistic Theory, *Rehabilitation, Speech Evaluation, Speech Handicapped, *Speech Therapy ABSTRACT The purpose of the course on aphasia in adults, from which these proceedings resulted, was to increase the knowledge and skill of professional persons who are actively engaged in the areas of aphasia: in research, rehabilitation, or teaching. The course was jointly sponsored by the University of Virginia and the Vocational Rehabilitation Administration, and was presented at the University of Virginia and the Woodrow Wilson Rehabilitation Center on December 3-6, 1963. The first section of this compilation, "The Nature of Aphasia," contains papers by J. Eisenson, W.G. Hardy, H. Goodglass, W.E. Castle, and W, Heise. The second section, "The Evaluation of the. Aphasic Adult," contains papers by F. Dreifuss, J. Eisenson, J. Lore, and H. Goodglass. "The Treatment of the Aphasic Adult," the third section, contains papers by C. Reedy, J.H. Allan, R.N. HooVer, H. Goodglass, J. Eisenson, P. Breeding, M. Taylor, and R. Stoudt, and a joint evaluation of progress by J. Eisenson, W.G. Hardy, and M. Taylor. "Directions in Research on Aphasia," the final section, contains commentaries by F. Dreifuss, H. Goodglass, MA Taylor, W4 G. Hardy, and J. Eisenson. A roster of participants concludes the proceedings. [Not available in hard copy due to marginal legibility of original document,] (AMM) A THE APHASIC ADULT U.S. DEPARTMENT OF HEALTH,EDUCATION & WELFARE OffICE OF EDUCATION Evaluation THIS DOCUMENT HAS BEEN REPRODUCED EXACTLY AS RECEIVEDFROM THE PERSON OR ORGANIZATION ORIGINATING and IT.POINTS OF VIEW OR OPINIONS STATED DO NOT NECESSARILY REPRESENT OFFICIAL OFFICE OF EDUCATION POSITION OR POLICY. Rehabilitation Edited by Helen G. Burr Proceedings of a Short Course December 3 - 6, 1963 University of Virginia Charlottesville, Virginia Jointly Sponsored By The Department of Speech Pathology and Audiology, University of Virginia and The Vocational Rehabilitation Administration, Washington, D. C. The "Academic Village" of Mr. Jefferson's University ,intoi,tonn ;41,1,0fitir1 .ozo. 110.4 1111110.44 1,771-J. 4.4" CO Core C.) LLJ THE APHASIC ADULT EVALUATION AND REHABILITATION -. .'- .. THE APHASIC ADULT Evaluation and Rehabilitation Edited by Helen G. Burr Proceedings of a Short Course December 3-6, 1963 University of Virginia Charlottesville, Virginia Jointly Sponsored By The Department of Speech Pathology and Audiology, University of Virginia and The Vocational Rehabilitation Administration, Washington, D. C. This training program. and publicationof the proceedings were supported inpart by training grant No.VRA 63-113\V from the Vocational RehabilitationAdministration, U. S. Department of Health, Education,and Welfare, Washington, D. C. Reprinted by U. S. DEPARDIENT OF HEALTH, E]XJCATION,AND WELFARE Vocational Rehabilitation Administration Washington, D. C. 20201 April 1965 The Wayside Press Charlottesville, Virginia 1964 "1.4114.61 PREFACE The purpose of thecourse on aphasia in adults, from which these pro- ceedings result, was to increase the knowledge and skill of professional persons who are actively engaged in the area of aphasia:in research, rehabil- itation, or teaching.The course was jointly sponsored by the University of Virginia and the Vocational Rehabilitation Administration, andwas presented at the University of Virginia and the Woodrow Wilson Rehabilitation Center on December 3 through 6, 1963. The unedited proceedings--consisting of 426 pages--were reduced by more than one half, to conform with provisions of the publication grant.The abridgement process involved elimination of such portions of the record as introductions of speakers and topics, demonstrations of visual materials, and discussions following prepared speeches.Pertinent points from informal discussion were incorporated into the formal presentation, wherever possible, to avoid loss of substantive content.Loss of the form and flavor of extempo- raneous comment was unavoidable. A great many people cooperated in making the course and this publica- tion possible.Particular mention must be made of the following: Mrs. Betty Lawrence, who transcribed the tape recordings.; Dr. Ralph Bralley, who served as Coordinator of the course; Mr, James Bryden, Jr., who read proof; Mr. and Mrs. Julio Suarez-Galban, Mr. and Mrs, Lewis Marran, and Mr. and Mrs. James McCahill, who opened their hearts and homes -ts, the participants for special events; the Vocational Rehabilitation Administra- tion, who supported the course and publication of the proceedings; the visitors and members of the short course faculty, whose knowledge and whose thought- ful, thorough preparation made the course a success, H, G, B. CONTENTS Opening Remarks-- Helen G. Burr ix Welcoming Address Edmund Baxter xi THE NATURE OF APHASIA Characteristics of Aphasia in Adults-- Jon Eisenson 3 Differences in Language Disorders of Children and Adults-- William G. Hardy. 19 Linguistic Changes in Aphasic Speech-- Harold Goodglass . 35 Information Theory Models and Aphasia-- William E. Castle 43 Historical Perspective: Pioneers in Aphasia Walther Reise 59 THE EVALUATION OF THE APHASIC ADULT Neurological Examination-- Fritz Dreifuss 81 Language Examination Jon Eisenson 87 Psychological Examination James Lore 95 Examination of Purposeful Movement-- Harold Goodglass . 103 THE TREATMENT OF THE APHASIC ADULT Comprehensive Rehabilitation Corbett Reedy . 113 Role of the Physician: Primary Phase of Recovery J. Hamilton Allan . 115 Secondary Phase of Recovery Roy M. Hoover. 123 Role of the Clinical Psychologist Harold Goodglass 126 Role of the Speech Pathologist-- Jon Eisenson 130 Role of the Rehabilitation Counselor Paul Breeding . 134 Language Therapy Martha Taylor 139 Linguistic Considerations in Language Therapy Ralph Stoudt 161 Evaluation of Progress Jon Eisenson, William G. Hardy, Martha Taylor. 173 DIRECTIONS IN RESEARCH ON APHASIA Fritz Dreifuss, Harold Goodglass, Martha Taylor, William G. Hardy, Jon Eisenson 187 Roster of Participants 201 toWitnowitimekdish 410041 ' 'a.:411.)1.! OPENING REMARKS AND WELCOMING ADDRESS OPENING REMARKS Helen G, Burr One of the most serious problems confronting the field of speech and hearing today is the need for provision of concentrated postgraduate educa- tional opportunities to practicing speech pathologists and audiologists.In our field, as in other scientific fields, there is an increasing gap between avail- able knowledge and the application of that knowledge in clinical practice and teaching. A great deal has been said, and is being done, about relieving the acute shortage of personnel in speech and hearing,Until recently, however, little national emphasis was given to improving the quality of present programs. With the realization that continuing education is synonymous with good teach- ing and good clinical practice, several governmental agencies are sponsoring a number of short, postgraduate courses for speech pathologists and audiol- ogists.The University of Virginia is very pleased to co-sponsor this course on aphasia with the Vocational Rehabilitation Administration of the Department of Health, Education, and Welfare. Planning began in March, 1963, when the Vocational Rehabilitation Administration invited this University to conduct a postgraduate course in some professional aspect of our field.In that month, we sent out a question- naire for the purpose of determining the area of greatest professional concern to 175 of our colleagues in Virginia.The majority of respondents expressed a primary interest in aphasia.It soon became evident that this concern in Virginia, with the adequacy of our present programs for aphasics, also pre- vailed throughout the nation. Announcement of the course on aphasia brought requests for further information from individuals in 35 states, Canada, Puerto Rico, and the District of Columbia--and for every five applications for Traineeships that were received, only one could be awarded: We are, there- fore, particularly pleased that the Vocational Rehabilitation Administration is supporting publication of the proceedings, so that the substance of our deliberations together, during these four days, can be shared with all who wished to be here, I should like to invite all of you to visit the Speech and Hearing Center while you are at the University of Virginia, and I urge you to walk through the grounds of the Universityparticularly the central and historic portion known as the Lawn, We hope your memoriesof the University and your associations here will be as valuable to you personally as the ideas here generated will be to aphasia rehabilitation in your respective centers and institutions. Charlottesville, besides being the home of the University of Virginia, is the headquarters of Region III of the Department of Health, Education, and Welfare.Region III includes Virginia, West Virginia, Maryland, North Carolina, Kentucky, Puerto Rico, the Virgin Islands, and the District of Columbia. We are most fortunate in having with
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