A longitudinal study of an adult with aphasia: Considerations for research and therapy

This paper described investigation and therapy carried out over a one year period with an adult aphasic patient characterized by severe impairment of auditory comprehension. A deblocking technique was used to reintegrate the mechanisms for correlating sound and meaning. The visual mode of presentation of linguistic material was used both to provide a stable representation of speech units and to allow reinforcement of auditory representations. The patient was given tasks of repetition, reading aloud, and sequencing, using progressively more complex material. The behavior of the patient gives support to the viability of the theoretical constructs of linguistics: this can be seen in the differential processing of function words vs. content words, and in the orderly progression of improvement through stages explicable as the recovery of well-defined and hierarchically dependent subcomponents of linguistic organization.     

Stimulus selection and the number of stimulus components

The number of word components in the compound stimuli of paired-associate lists were varied, and the words within a compound were presented either in a constant or in a variable order from trial to trial. The number of components, above one, had no appreciable effect on the difficulty of learning, and the variable order lists were more difficult than the constant order. Recall with the word components as cues showed that the amount of selection decreased with the variable order lists as the number of components increased. With the constant order lists, selection tended to remain constant as number of components increased. This was interpreted as the result of the availability of a rule for selection in the constant order conditions.