Family therapy in families with an aphasic member

Abstract
A positive relationship between family support and stroke outcome has been suggested by Strand, Asplund, Eriksson, Hagg, Lithner and Wester (1985), whercas the opposite view, that a nonsupportive family may even interfere with a stroke recovery, has been suggested by Brockelhurst, Morris, Andrews, Richards and Laycock (1981). More specifically Williams and Freer (1986) reported that stroke patients without family support undergo physical and emotional deterioration and have a poorer rehabilitation outcome. This has also been shown to be crucial to the ultimate outcome of rehabilitation in aphasic stroke patients (Wepman 1951, Buxbaum 1967, Buck 1968, Malone, Ptacek and Malone 1970, Chapey 1981, Rollin 1984, Wahrborg 1986). In order to emphasize the role of the family, some attempts have been made to apply counselling or psychotherapeutic treatment to aphasic patients and their families (Turnblom and Myers 1952, Artes 1967, Malone 1969, Malone eta/. 1970, Haese 1970, Overs and Healy 1971, D'Afflitti and Weitz 1974, Helmick, Watamori and Palmer 1976, Artes and Hoops 1976, Kinsella and Uuffy 1978; Borenstein, Line11 and Wahrborg 1987). The techniques used have not been described in any detail in these studies. This present report, based on 10 years experience of family therapy in families with an aphasic member, describes the family therapy technique we have developed, its presuppositions and the outcome when applied in families with an aphasic member.

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