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Forewords and Preface i Foreword Paradigm Shift Martha Taylor Sarno, M.A., M.D. honoris causa Research Professor, Department of Rehabilitation Medicine NYU School of Medicine, New York City, September 2012 Until quite recently, little thought has been given to the subjective experience of living with aphasia. Yet, from the perspective of the person with aphasia its emergence is not just an acute, traumatic event but is felt in all of life’s dimensions in unique and unpredictable ways rather than in a sequence of stages. Living with aphasia is a process of transition and transformation. Aphasia not only disconnects the person from the community but invariably alters the person’s identity and sense of self. Living effectively with aphasia requires an evolving ‘self’’ and a transition from one ‘self’ to another as the self is reconstructed. Many of the issues faced by those who manage the rehabilitation of persons with aphasia stem from its dependence on a medical model which predictably focuses on pathology. This model has abandoned long-term quality of life issues and served to further “medicalize” the management of persons with aphasia beyond the acute stage. The long term consequences of aphasia cannot be solved in today’s medical environment. Ruth Resch’s rich description of her life with aphasia over three decades is a testament to the necessity of our understanding the ‘insider’ perspective. Her earlier career as a psychoanalyst and researcher of babies and mothers endowed her with a deep understanding of the development of the inner self and the capacity of the sensory systems to bring balance and fulfillment across the life span. After suffering a stroke and the onset of aphasia she engaged successfully in the difficult process of separating the ‘verbal mind’ from the visual mind, thereby providing a platform for arousing previously enjoyed pleasures in painting, drawing, and music .
ii Ruth Codier Resch Without Utterance: These evolved as places of rest and avenues of healing fulfillment. As a person with aphasia she found no comparable equivalent in the world of words. Her expression through art translated into a feeling of balance, an adaptation through the creation of pleasure, which she views as central to the life of recovery. Dr. Resch describes her quest for meaningfulness in all aspects of daily life and how she has learned to use the environment as a source of fulfillment and well being. Her ability to connect with the ever-changing natural environment has provided easy access to a stimulating non-verbal world. Readers at all levels, patients, students, and clinicians, will gain a deeper understanding of the inner life of someone with aphasia. We are grateful to Dr. Resch for sharing her innermost feelings in describing her long journey in the quest for a new life. Her courage, integrity, and passion for the human spirit are an inspiration to us all.
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Page 8: LIST OF ILLUSTRATIONS Weeds, ink dr
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Page 24 and 25: PART ONE: THE PRECIPITOUS ABYSS
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Tales from the Other Side of Langua
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house as sentient. Tales from the O
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is now. Tales from the Other Side o
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lives around him in deep and import
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“Without Utterance is a testimoni
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