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A thesis submitted in partial fulfilment of - Queen Margaret University

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et al. (2001) evaluated the ability <strong>of</strong> two participants with aphasia to re-acquire<br />

vocabulary us<strong>in</strong>g techniques employed with healthy adults (see section 2.8.5.1).<br />

Results <strong>in</strong>dicated that participants did not learn all the target words but were<br />

able to demonstrate some learn<strong>in</strong>g. As with healthy adults the orthographic<br />

cue<strong>in</strong>g method promoted significantly higher recall and learn<strong>in</strong>g. They advise<br />

that although additional time for recall <strong>of</strong> the learned items did not help healthy<br />

adults recall more <strong>in</strong>formation it may be an important factor for people with<br />

aphasia. Marshall, Freed and Karow (2001) evaluated two cue<strong>in</strong>g techniques to<br />

facilitate learn<strong>in</strong>g – personalised cue<strong>in</strong>g and phonological cue<strong>in</strong>g – us<strong>in</strong>g the<br />

names <strong>of</strong> unfamiliar breeds <strong>of</strong> dogs matched with photographs <strong>of</strong> the dogs.<br />

Results <strong>in</strong>dicated that participants who learned the associations us<strong>in</strong>g<br />

personalised cue<strong>in</strong>g had significantly higher levels <strong>of</strong> nam<strong>in</strong>g accuracy and<br />

recall than phonological cue<strong>in</strong>g.<br />

Other studies evaluated learn<strong>in</strong>g us<strong>in</strong>g familiar words matched with novel<br />

abstract symbols, which reduced bias from previous learn<strong>in</strong>g. Marshall,<br />

Neuburger and Phillips (1992) evaluated the facilitation technique (non-verbal<br />

word-to-symbol match<strong>in</strong>g tasks) and cue<strong>in</strong>g technique (repetition and sentence<br />

completion tasks) with people with mild-moderate aphasia. Results <strong>in</strong>dicated<br />

that participants were able to learn new paired associations us<strong>in</strong>g both<br />

techniques. The authors assert that learn<strong>in</strong>g us<strong>in</strong>g the word-symbol match<strong>in</strong>g<br />

technique required a deeper level <strong>of</strong> process<strong>in</strong>g than repetition as it <strong>in</strong>volved<br />

deeper semantic process<strong>in</strong>g. They also advise that provision <strong>of</strong> the opportunity<br />

for rehearsal is important <strong>in</strong> assist<strong>in</strong>g the transfer <strong>of</strong> newly learned items from<br />

short-term to long-term memory. Freed, Marshall and Nippold (1995) also used<br />

the match<strong>in</strong>g <strong>of</strong> familiar words with abstract symbols and evaluated the effects<br />

<strong>of</strong> personalised cue<strong>in</strong>g (where participants created their own unique cue for the<br />

symbol) versus cues provided by the researchers. Unlike Marshall et al.’s (2001)<br />

f<strong>in</strong>d<strong>in</strong>gs their study concluded that both methods <strong>of</strong> cue<strong>in</strong>g were comparable <strong>in</strong><br />

facilitat<strong>in</strong>g correct responses for up to 30 days follow<strong>in</strong>g tra<strong>in</strong><strong>in</strong>g.<br />

62

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