Discourse and Social Cognition Disorders Affecting Communication Abilities

Author(s):  
Maximiliano A. Wilson ◽  
Bernadette Ska ◽  
Yves Joanette

This chapter offers an overview of the pragmatic and social communication disorders that can occur after an alteration of the brain, as best exemplified by individuals with right hemisphere damage. It also discusses the theoretical approaches developed to explain indirect speech act comprehension and inference impairments affecting conversational and narrative comprehension. Similar deficits have been described in other brain-damaged populations such as individuals with traumatic brain injuries, early dementia, and some forms of aphasia. Taken together, deficits of discourse and social aspects of communication abilities show they depend upon the integrity of brain networks that are widely distributed over the brain. These deficits need to be better recognized and described with reference to the underlying cognitive processes involved in order to move toward a more efficient way of helping these individuals participate in society again.

2006 ◽  
Vol 7 (3) ◽  
pp. 169-174 ◽  
Author(s):  
Skye McDonald ◽  
Leanne Togher

AbstractResearch into communication disorders has been undergoing a slow revolution over the past few decades with some fascinating advances and some exciting new directions ahead. The major change in emphasis that has emerged is an interest in assessing communication as this relates to real-life everyday type situations. In particular, three major thrusts can be identified. The first is the application of socially relevant linguistic theory to communication disorders. Thus, theorists such as Halliday have provided useful frameworks for identifying patterns in discourse. In turn, these have revealed the strengths and weakness of speakers with aphasia or other communication disorders (e.g., traumatic brain injuries) and also what their conversational partners do to help or hinder this process. The second is an examination of how cognitive processes, including memory, inferential reasoning and social cognition, contribute to communicative competence in people who have communication disorders but not aphasia, such as those with Alzheimer's disease, with traumatic brain injuries and with right hemisphere lesions. The third is the adoption of a more integrated approach, whereby verbal and nonverbal behaviours are examined in detail for their communicative meaning, for both the purposes of characterising communication breakdown and for developing an integrated treatment approach.


2015 ◽  
Vol 16 (3) ◽  
pp. 79-86 ◽  
Author(s):  
Tatyana Elleseff

This article explains the importance of assessing social communication abilities of school-age children. It summarizes the effect of social communication on academic abilities, reviews terminology and definitions relevant to social communication disorders, lists areas of the brain involved in social communication, provides examples of social communication skill development, offers relevant pre-assessment considerations, as well as describes standardized instruments and informal procedures used to determine the presence of social communication deficits in school-age children.


2021 ◽  
pp. 170-174
Author(s):  
Amy M. Belfi ◽  
Agathe Pralus ◽  
Catherine Hirel ◽  
Daniel Tranel ◽  
Barbara Tillmann ◽  
...  

The study under discussion sought to investigate the hemispheric laterality of musical emotions: Is one hemisphere of the brain preferentially involved in recognizing emotions in music? The authors took a neuropsychological approach to answer this question by studying emotional judgments of music in people with brain damage to either hemisphere. Their results indicated that individuals with left hemisphere damage were significantly impaired in recognizing musical emotions as compared to healthy comparison participants. In contrast, individuals with right hemisphere damage were not impaired at identifying emotions in music, but rated the perceived intensity of the emotions lower for sadness and fear (as compared to joy and serenity). Their work suggests that the identification of emotions in music and the perceived intensity of the emotions expressed may rely on different hemispheres of the brain.


Author(s):  
O A Shevelev ◽  
M V Petrova ◽  
Sh Kh Saidov ◽  
M A Chubarova ◽  
E Sh Usmanov ◽  
...  

Temperature monitoring of the brain using radiothermometric technology allows you to assess the imbalance of the thermal balance of the brain, and the technique has shown the possibility and information content of its use in the diagnosis of cerebral lesions. In healthy individuals, at rest, the average temperature of the left (36.74 ± 0.37 ° C) and the right hemisphere (36.64 ± 0.32 ° C). In boxing athletes who received "planned" minor traumatic brain injuries after training sparring, the average temperature of the left (38.4 ± 0.28 ° C) and right temperature (38.2 ± 0.45 ° C), which is significantly elevated. Patients in chronic critical conditions showed a monotonous temperature distribution in the left (36.98 ± 0.18 ° C) and right hemispheres (36.88 ± 0.21 ° C). The temperature heterogeneity of the brain in this category of patients was less pronounced compared with healthy individuals, athletes after sports head injury.


2016 ◽  
Vol 1 (2) ◽  
pp. 106-115 ◽  
Author(s):  
Perrine Ferré ◽  
Yves Joanette

It is now consensually accepted that the contribution of both hemispheres is required to reach a functional level of communication. The unilateralized view of language function, introduced more than a century ago, has since been complemented by clinical experience as well as neuro-imaging observations. Studies based on healthy and right-brain-damaged individuals assert the necessity to better describe, assess, and care for this broad population. Indeed, various neurological conditions, including stroke, traumatic brain injury (TBI), or neurodegenerative disease, can affect the right hemisphere (RH) and lead to distinct communication disorders. In the past 30 years, knowledge about communication assessment and, more recently, therapy designed for right-brain-damaged adults has drastically evolved. This manuscript aims at presenting the theoretical and clinical background that established the current expertise to support accurate assessment of communication following right brain damage. It is believed that a better understanding of the various profiles of impairments following a RH infract will allow speech-language pathologists (SLPs) to develop the clinical awareness necessary for appropriately taking care of these individuals.


Author(s):  
Susan A. Leon ◽  
Amy D. Rodriguez ◽  
John C. Rosenbek

Communication requires interdependent functioning of large portions of the brain, and damage to any of these systems can disrupt effective and appropriate communication. Damage to the right hemisphere or basal ganglia can result in difficulty using or understanding prosodic contours in speech. Prosody includes pitch, loudness, rate, and voice quality, and is used to convey emotional connotation or linguistic intent. A disorder in the comprehension or production of prosody is known as aprosodia; affective aprosodia is a specific deficit affecting emotional or affective prosodic contours. The right hemisphere has been shown to play a critical role in processing emotional prosody and aprosodia syndromes resulting from damage to right hemisphere areas have been proposed. These include an expressive aprosodia resulting from anterior damage and a receptive aprosodia resulting from more posterior damage. Assessment and diagnosis of aprosodia in clinical settings are often perceptually based; however, acoustic analyses of means and ranges of frequency, intensity, and rate provide an instrumented analysis of prosody production. The treatment of aprosodia following stroke has received scant attention in comparison to other disorders of communication, although a few studies investigating cognitive–linguistic and imitative treatments have reported some positive results.


Author(s):  
Kristen Izaryk ◽  
Robin Edge ◽  
Dawn Lechwar

Purpose The purpose of this article is to explore and describe the approaches and specific assessment tools that speech-language pathologists are currently using to assess social communication disorders (SCDs) in children, in relation to current best practices. Method Ninety-four speech-language pathologists completed an online survey asking them to identify which of the following approaches they use to assess children with SCD: parent/teacher report, naturalistic observation, formal assessment, language sample analysis, interviews, semistructured tasks, and peer/self-report. Participants were also asked to identify specific assessment tools they use within each approach. Results Participants most commonly assess SCDs by combining interviews, naturalistic observation, language sampling, parent/teacher report, and formal assessment. Semistructured tasks and peer/self-report tools were less frequently utilized. Several established parent/teacher report and formal assessment tools were commonly identified for assessing SCDs. Most participants use an informal approach for interviews, language sampling, and naturalistic observations in their SCD assessment process. Conclusions Generally, participants follow best practices for assessing SCDs by combining several different approaches. Some considerations for future assessment are identified, including the use of established protocols in the place of informal approaches in order to make the assessment of SCDs more systematic. Future directions for research are discussed.


Sign in / Sign up

Export Citation Format

Share Document