Summary and Conclusions
Neurobehavioral models for aphasia rehabilitation appear to have their roots in Mills’ (1904) ideas about processes responsible for improvement of language with treatment. The more recent theories of Luria (1970) and Albert’s (1989) application of the Laurence and Stein model, as well as Rothi’s (1995) application of Finger and Stein’s model, show a great deal of overlap with one another and with Mills’ much earlier hypotheses. Because of this overlap, Luria’s model for recovery seemed as useful a framework as any for discussing some of the aphasia treatment methods in current use and was adopted in the chapter.
The choice of therapy methods depends to a great extent on identification of spared and impaired functional systems and skills. Careful patient evaluation using a process approach as advocated by Kaplan (1988) is required before specific treatments can be selected and applied.
Treatment examples were discussed within the framework of Luria’s concepts of disinhibition, intrasystemic, and intersystemic reorganization. Only a few methods were chosen to illustrate the three rehabilitation processes. Many other effective aphasia therapy methods exist (see, for example, Helm-Estabrooks & Holland, 1998). As to the future of aphasia rehabilitation, a quote from Martin Albert seems to point the way.
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Helm-Estabrooks, N. (2002). Neurobehavioral Models for Aphasia Rehabilitation. In: Connor, L.T., Obler, L.K. (eds) Neurobehavior of Language and Cognition. Springer, Boston, MA. https://doi.org/10.1007/0-306-46898-0_6
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