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A thesis submitted in partial fulfilment of - Queen Margaret University

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5.14.1.1 Personal attributes<br />

C9 was aged 57;07 at the time <strong>of</strong> the <strong>in</strong>vestigation and was one <strong>of</strong> the oldest<br />

participant. She had experienced 11 years <strong>in</strong> education and was previously<br />

employed as a school d<strong>in</strong>ner lady and cleaner. These jobs <strong>in</strong>volve ma<strong>in</strong>ly light<br />

manual work and require basic literacy and numeracy skills related to read<strong>in</strong>g<br />

and <strong>in</strong>terpret<strong>in</strong>g clean<strong>in</strong>g-fluid <strong>in</strong>structions (www.learndirect-advice.co.uk -<br />

pr<strong>of</strong>ile 257 and 1282). C’s self-rat<strong>in</strong>g for anxiety was rated as ‘abnormal’ and<br />

depression as ‘borderl<strong>in</strong>e abnormal’ and she was 114 months post-stroke. It was<br />

predicted that C’s personal attributes would not contribute favourably to the<br />

learn<strong>in</strong>g <strong>of</strong> new vocabulary. Due to C9’s age, level <strong>of</strong> education and skills<br />

developed <strong>in</strong> her employment, coupled with her high levels <strong>of</strong> anxiety and<br />

depression it would be expected that she would not learn as many new words as<br />

other participants with more favourable pr<strong>of</strong>iles.<br />

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

The cognitive sub-tests <strong>of</strong> the CLQT <strong>in</strong>dicated that C9 had moderate attention,<br />

executive function and visuospatial skills impairment with severe memory<br />

process<strong>in</strong>g and clock draw<strong>in</strong>g abilities. Although C9’s visuospatial skills were<br />

moderately impaired she was able to draw detailed pictures <strong>of</strong> the creatures and<br />

copy their names accurately and legibly, therefore it was not expected to affect<br />

the tra<strong>in</strong><strong>in</strong>g or assessment tasks. The severity <strong>of</strong> C9’s cognitive abilities would<br />

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

However, she demonstrated the capacity to learn by achiev<strong>in</strong>g 100% on the<br />

non-l<strong>in</strong>guistic learn<strong>in</strong>g task for both immediate and delayed recall.<br />

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

The language sub-test <strong>of</strong> the CLQT suggested that C9 had severe language<br />

difficulties. C9’s language screen<strong>in</strong>g scores are displayed <strong>in</strong> Table 5.26 for each<br />

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

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