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A thesis submitted in partial fulfilment of - Queen Margaret University

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severe spoken and / or written impairments. For <strong>in</strong>stance, due to severe<br />

expressive aphasia C2 was only able to name four <strong>of</strong> the new words <strong>in</strong> spoken<br />

form (see section 5.7.2.1). If this were the only measure <strong>of</strong> new learn<strong>in</strong>g it would<br />

have suggested that he was unable to learn much <strong>of</strong> the vocabulary. However,<br />

C2 demonstrated this learn<strong>in</strong>g by nam<strong>in</strong>g all 20 <strong>of</strong> the new words <strong>in</strong> written<br />

format. C7 was unable to communicate <strong>in</strong> spoken or written format (see section<br />

5.12.2) and was only able to demonstrate the spoken retrieval <strong>of</strong> three new<br />

words and none for written recall, suggest<strong>in</strong>g that she had only learned three<br />

words. However C7 could match 11 new words (listen<strong>in</strong>g and read<strong>in</strong>g) to their<br />

correct images and skills <strong>in</strong>dicat<strong>in</strong>g that these new words were learned despite<br />

her be<strong>in</strong>g unable to say or write them. Convergent evidence <strong>of</strong> new learn<strong>in</strong>g was<br />

provided from a variety <strong>of</strong> assessment tasks <strong>in</strong> particular for cases where it was<br />

suspected that successful responses to target tasks could be through chance<br />

alone, <strong>in</strong> particular for low scor<strong>in</strong>g participants. One such participant was C10<br />

who recalled only 16% <strong>of</strong> <strong>in</strong>formation (raw score <strong>of</strong> 50 from a maximum total <strong>of</strong><br />

320) however she demonstrated that this <strong>in</strong>formation was learned rather than as<br />

a result <strong>of</strong> chance through accurately match<strong>in</strong>g the new words with picture for<br />

five words (listen<strong>in</strong>g and read<strong>in</strong>g), for three <strong>of</strong> these words she identified their<br />

skills and two <strong>of</strong> them she also identified their habitat and food.<br />

6.5.4 Facilitate predictions for new learn<strong>in</strong>g by participants<br />

As discussed, the s<strong>in</strong>gle word process<strong>in</strong>g abilities and difficulties <strong>of</strong> participants<br />

were identified us<strong>in</strong>g the pre-tra<strong>in</strong><strong>in</strong>g language screen<strong>in</strong>g assessment tasks.<br />

Inferences were made regard<strong>in</strong>g each participant’s particular presentation <strong>of</strong><br />

aphasia <strong>in</strong> terms <strong>of</strong> alleged <strong>in</strong>tact and impaired modules and pathways <strong>of</strong> the<br />

cognitive neuropsychological model. These were then mapped onto <strong>in</strong>dividual<br />

cognitive neuropsychology models to give a visual representation <strong>of</strong> their<br />

language process<strong>in</strong>g abilities. This <strong>in</strong>formation was used to make predictions<br />

about anticipated difficulties that participants would encounter <strong>in</strong> learn<strong>in</strong>g the<br />

new word forms and / or word mean<strong>in</strong>gs as a result <strong>of</strong> their language impairment<br />

269

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