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Brain, Vol. 108, No. 4, 817-829, 1985
© 1985 Guarantors of Brain

research-article

TREATMENT OF WORD RETRIEVAL DEFICITS IN APHASIA

A COMPARISON OF TWO THERAPY METHODS

DAVID HOWARD1,, KARALYN PATTERSON2, SUE FRANKLIN3, VIRGINIA ORCHARD-LISLE1 and JOHN MORTON4

1Speech Therapy Department, Regional Neurological Unit, Eastern Hospital London 1Psychology Department, University College London 2MRC Applied Psychology Unit Cambridge 3Speech Therapy Department, St Mary Abbott's Hospital London 4MRC Cognitive Development Unit London

Correspondence to: Address for Correspondence: Dr David Howard, Psychology Department, University College, Gower Street, London WCIE 6BT.

The effects of two therapy methods in the treatment of picture naming problems are compared, using a within-patient design with 12 adult patients with chronic acquired aphasia. We contrast techniques that require the patient to process the meaning corresponding to the picture name (semantic treatment) with those that provide the patients with information about the phonological form of the name (phonological treatment). With each method, patients either had 4 sessions of treatment over one week, or 8 sessions over two weeks. Both methods cafsed day-by-day improvement that was specific to the actual items treated. Both methods resulted in significant improvement in naming when this was measured one week after the end of treatment, with a small, but significant advantage for the semantic treatment; this is mainly due to improvement that generalizes to untreated items. We conclude that specific and theoretically motivated treatment methods can cafse significant improvement in the word retrieval ability of patients with chronic aphasia.

Received September 18, 1984. Revised February 19, 1985. Accepted February 26, 1985.


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