Abstract
Währborg's main reason for advising family therapy with aphasic patients is that aphasia and its underlying diseases result not only in neurological and neuropsychological handicaps but also in psychosocial alterations and encumbrances. Not only communicative skills but the whole structure of social and familial relations are impaired on multiple levels (Buck 1968). In comparison to linguistic and neurobehavioural symptoms, psychological changes and problems have received only little scientific interest. The scanty literature seems to indicate that disease resulting in aphasia leads to much more severe psychological damage than brain lesions without language impairment (Artes and Hoops 1976, Kinsella and Duffy 1978). Consequently, aphasics and their families should require psychotherapeutic help more frequently and in greater intensity than other patients suffering from brain damage. Because of the impairment of communication and interrelation, family therapy should be, and in fact is, of special importance.

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