Treatment of Metaphor Interpretation Deficits Subsequent to Traumatic Brain Injury
| Autor: | Kristine Lundgren, Douglas I. Katz, Kevin P. Kearns, Carol Cayer-Meade, Janet Milione, Hiram Brownell |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Metaphor Traumatic brain injury media_common.quotation_subject Physical Therapy Sports Therapy and Rehabilitation Single-subject design Physical medicine and rehabilitation Orientation (mental) Intervention (counseling) medicine Humans media_common Adult patients Interpretation (philosophy) Rehabilitation Oral interpretation Middle Aged medicine.disease humanities Semantics Brain Injuries Communication Disorders Female Neurology (clinical) Cognition Disorders Psychology Clinical psychology |
| Zdroj: | Journal of Head Trauma Rehabilitation. 28:446-452 |
| ISSN: | 0885-9701 |
| DOI: | 10.1097/htr.0b013e31825b5e85 |
| Popis: | Objective: To improve oral interpretation of metaphors by patients with traumatic brain injury (TBI).Design: Both single subject experimental design and group analysis.Setting: Patients’ homes.Participants: Eight adult patients with moderate to severe traumatic brain injury sustained 3 to 20 years before testing.Intervention: The Metaphor Training Program consisted typically of 10 baseline sessions, 3 to 9 1-hour sessions of structured intervention, and 10 posttraining baseline sessions. Training used extensive practice with simple graphic displays to illustrate semantic associations.Main Outcome Measures: Quality of orally produced metaphor interpretation and accuracy of line orientation judgments served as dependent measures obtained during baseline, training, posttraining, and at a 3- to 4-month follow-up. Untrained line orientation judgments provided a control measure.Results: Group data showed significant improvement in metaphor interpretation but not in line orientation. Six of 8 patients individually demonstrated significant improvement in metaphor interpretation. Gains persisted for 3 of the 6 patients at the 3- to 4-month follow-up.Conclusion: The Metaphor Training Program can improve cognitive-communication performance for individuals with moderate to severe traumatic brain injury. Results support the potential for treating patients’ residual cognitive-linguistic deficits. |
| Databáze: | OpenAIRE |
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