Losing your sense of self: What aphasia can do

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Abstract
As the knowledge base in aphasiology continues to expand, it is increasingly obvious that information about specific language processes does not enhance our understanding of the aphasic's personal predicament. Although the aphasic literature is interspersed with occasional papers focusing on the personal impact of aphasia, the major emphasis continues to be on the linguistic and associated aspects. It has been argued that most treatments have two components (Brumfitt and Clarke 1983). I think this can be taken further, and would suggest that most clinical conditions have two components. One is the technical analysis (according to, say, the cognitive neuropsychological model) and the other is the personal impact of the condition. I would like to address the issue of the person's reaction to aphasia in an attempt to redress the balance between the predominant focus on technical aspects and the limited attention given to the person.

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