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A thesis submitted in partial fulfilment of - Queen Margaret University

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5.9.1.1 Personal attributes<br />

C4 was aged 42;11 at the time <strong>of</strong> the <strong>in</strong>vestigation and was one <strong>of</strong> the younger<br />

participants. Although C4 had spent only 14 years <strong>in</strong> formal education he had<br />

developed specialist skills and was manager <strong>of</strong> a manufactur<strong>in</strong>g plant. His<br />

employment required him to be a strong communicator and developed skills<br />

such as, decision mak<strong>in</strong>g and problem solv<strong>in</strong>g abilities and organisational and<br />

management skills (www.learndirect-advice.co.uk - pr<strong>of</strong>ile 1061). It was<br />

predicted that C4 would learn more vocabulary than older and less educated/<br />

skilled participants. C4’s HADs self-rat<strong>in</strong>g for anxiety and depression were with<strong>in</strong><br />

normal limits and he was 13 months post-stroke.<br />

5.9.1.2 Cognitive abilities and the capacity to learn<br />

The cognitive sub-tests <strong>of</strong> the CLQT <strong>in</strong>dicated that C4 had moderate attention<br />

and memory difficulties, mild clock draw<strong>in</strong>g skills and executive function<strong>in</strong>g, and<br />

visuospatial skills were with<strong>in</strong> normal limits. It was felt that this was reflective <strong>of</strong><br />

C4’s word-f<strong>in</strong>d<strong>in</strong>g difficulties <strong>in</strong> the story-retell<strong>in</strong>g task and word-f<strong>in</strong>d<strong>in</strong>g<br />

difficulties <strong>in</strong> generation nam<strong>in</strong>g tasks. Memory impairment would predict some<br />

difficulty learn<strong>in</strong>g and recall<strong>in</strong>g the new vocabulary (see section 2.6.3.3)<br />

however, C4 demonstrated the capacity to learn and recall new <strong>in</strong>formation by<br />

recall<strong>in</strong>g 100% <strong>of</strong> the non-l<strong>in</strong>guistic task for both immediate and delayed recall.<br />

5.9.1.3 Severity <strong>of</strong> aphasia<br />

The language sub-test <strong>of</strong> the CLQT suggested that C4 had moderate language<br />

difficulties. His language screen<strong>in</strong>g scores are presented <strong>in</strong> Table 5.16 for each<br />

task and mapped on to a cognitive neuropsychology model <strong>in</strong> Figure 5vi below.<br />

C4’s data (see Table 5.16 and Figure 5vi below) <strong>in</strong>dicated that he had wordf<strong>in</strong>d<strong>in</strong>g<br />

difficulties, which is revealed <strong>in</strong> qualitative data where C4 made semantic<br />

errors when nam<strong>in</strong>g (although he self-corrected accurately). He also had<br />

difficulties <strong>in</strong> read<strong>in</strong>g aloud and spell<strong>in</strong>g non-words and also made some spell<strong>in</strong>g<br />

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