An assessment of natural conversation with broca's aphasics

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Abstract
It has been accepted for some time by those who work with aphasic subjects that clinical performance and functional performance are not readily comparable (Davis 1983). Green (1984) proposed that methods of treatment based on data from traditional tests of cognitive-linguistic deficits relate poorly to pragmatic language functions, and heavily reinforce the patient as a passive responder, with the therapist in the dominant role. There are difficulties in developing a comprehensive framework to test the effectiveness of aphasic communication within the scheme of natural conversation. Measures currently available, such as the Functional Communication Profile (Sarno 1969), the Communication Abilities in Daily Living (Holland 1980) and the Edinburgh Functional Communication Profile (Skinner, Wirz and Thompson 1984), tend to be primarily interview-based and introduce stimuli to stimulate language. Hence, the range of speech functions examined are to some extent limited.

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