Aphasia rehabilitation: Psychosocial and ethical considerations

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Abstract
Few aphasiologists deny that the presence of aphasia, except in its mildest forms, has a profound negative impact on the individual. Yet the literature reflects little research and sporadic, generally unsustained interest in the psychosocial sequelae of aphasia. In clinical practice, this aspect of aphasia is often acknowledged but not addressed or managed. Some historical realities relating to models and systems of healthcare, the emergence of a high-tech society, functional communication as a frame of reference, aphasia as a disability, aphasia and the family, and contemporary ethical-moral dilemmas in aphasia rehabilitation are discussed.