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A thesis submitted in partial fulfilment of - Queen Margaret University

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5.16.1.1 Personal attributes<br />

C11 was aged 45;03 at the time <strong>of</strong> the <strong>in</strong>vestigation and was one <strong>of</strong> the younger<br />

participants. She had spent 15 years <strong>in</strong> education and was previously employed<br />

as a bookb<strong>in</strong>der, which required the ability to be quick to learn new skills and be<br />

able to measure and count accurately (www.learndirect-advice.co.uk - pr<strong>of</strong>ile<br />

576). C11’s HADs scored ‘abnormal’ for anxiety and ‘normal’ for depression and<br />

she was 23 months post-stroke. C11’s husband had advised that she had<br />

recently been treated for cl<strong>in</strong>ical depression but was no longer on medication.<br />

Due to C11’s age, level <strong>of</strong> education and developed skills it was predicted that<br />

her personal pr<strong>of</strong>ile would have a positive impact on her ability to learn new<br />

words, however, there may be negative <strong>in</strong>fluence from her high anxiety status.<br />

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

The cognitive sub-tests <strong>of</strong> the CLQT <strong>in</strong>dicated that C11 had moderate attention<br />

impairment and her memory, executive function, visuospatial skills and clock<br />

draw<strong>in</strong>g skills were severely impaired. C11 demonstrated adequate visuospatial<br />

skills to engage <strong>in</strong> the tra<strong>in</strong><strong>in</strong>g and assessment tasks by draw<strong>in</strong>g detailed<br />

pictures <strong>of</strong> the creatures and copy<strong>in</strong>g the new words accurately. The severity <strong>of</strong><br />

C11’s cognitive impairments would predict difficulty <strong>in</strong> learn<strong>in</strong>g and recall<strong>in</strong>g the<br />

new vocabulary (see section 2.6.3.3) and although attempted she did not<br />

achieve any score on the non-l<strong>in</strong>guistic learn<strong>in</strong>g task despite numerous<br />

<strong>in</strong>structions and demonstrations, <strong>in</strong>dicat<strong>in</strong>g a poor general capacity to learn.<br />

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

The language sub-test <strong>of</strong> the CLQT suggested that C11 had severe language<br />

difficulties. Her language screen<strong>in</strong>g scores are displayed <strong>in</strong> Table 5.28 for each<br />

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

The CLQT language subtest <strong>in</strong>dicated that C11 had severe language<br />

impairment. C11’s data (see Table 5.30 and Figure 5xiii below) <strong>in</strong>dicated that<br />

she had many language difficulties at s<strong>in</strong>gle word level.<br />

213

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