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Language-Cognitive Disorganization Following Closed Head Injury: A Conceptualization

  • Chris Hagen

Abstract

Closed head injury (CHI), defined here as a blow to the head which may or may not produce a skull fracture, does not cause tearing of the dura but does alter the individual’s level of consciousness, frequently causes profound language and cognitive impairments that present the Speech-Language Pathologist with a diagnostic, prognostic and treatment challenge that is at once unique and complex. If the traditional language assessment instruments are applied one will obtain a diagnosis, prognosis and embark on a course of treatment only to find that all three aspects of patient management are inapropriate later that day, the following day or week. However, if one waits until the patient “stabilizes” they will find that not only have two to three months of valuable treatment time been lost but also that they are now confronted with a patient who has developed coping strategies that interfere with the effectiveness of treatment. Clearly, such patients cannot be successfully understood, diagnosed and treated within the framework of our traditional approach to language disorders.

Keywords

Head Injury Specific Language Impairment Close Head Injury Psychological Corporation Treatment Task 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Plenum Press, New York 1982

Authors and Affiliations

  • Chris Hagen
    • 1
  1. 1.Speech, Hearing and Neurosensory CenterSan DiegoUSA

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