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A thesis submitted in partial fulfilment of - Queen Margaret University

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5.11.1.1 Personal attributes<br />

C6 was aged 56.10 at the time <strong>of</strong> the <strong>in</strong>vestigation and was one <strong>of</strong> the older<br />

participants. Although C6 had spent only 13 years <strong>in</strong> formal education he had<br />

developed specialist skills and was a self-employed eng<strong>in</strong>eer. These skills<br />

required him to be able to analyse and critically evaluate complex problems,<br />

have excellent communication skills and be able to categorise and plan<br />

effectively (www.learndirect-advice.co.uk - pr<strong>of</strong>ile 357). It was predicted that C6<br />

would learn less vocabulary than younger participants although his highly<br />

developed employment skills may facilitate this learn<strong>in</strong>g. C6’s self-rat<strong>in</strong>g for<br />

anxiety was considered ‘abnormal’ while his score for depression was<br />

‘borderl<strong>in</strong>e abnormal’ and he was 13 months post-stroke. As the literature<br />

suggests that emotional difficulties impact upon cognitive and l<strong>in</strong>guistic<br />

performance (see section 2.6.3.2) it was predicted that C6’s emotional status<br />

might negatively impact upon his ability to learn the new vocabulary.<br />

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

The cognitive sub-tests <strong>of</strong> the CLQT <strong>in</strong>dicated that C6’s attention, executive<br />

function and visuospatial skills were with<strong>in</strong> normal limits but his memory was<br />

moderately impaired and clock draw<strong>in</strong>g skills severely impaired. It was felt that<br />

this was reflective <strong>of</strong> C6’s difficulties remember<strong>in</strong>g the details <strong>of</strong> the storyretell<strong>in</strong>g<br />

task and word-f<strong>in</strong>d<strong>in</strong>g difficulties <strong>in</strong> generation nam<strong>in</strong>g tasks. Memory<br />

impairment would predict some difficulty learn<strong>in</strong>g and recall<strong>in</strong>g the new<br />

vocabulary (see section 2.6.3.3) however, C6 demonstrated some capacity to<br />

learn and recall new <strong>in</strong>formation by recall<strong>in</strong>g 78% <strong>of</strong> the non-l<strong>in</strong>guistic task for<br />

both immediate and delayed recall.<br />

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

The language sub-test <strong>of</strong> the CLQT suggested that C6 had moderate language<br />

difficulties. His language screen<strong>in</strong>g scores are presented <strong>in</strong> Table 5.20 for each<br />

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

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