Psychosocial changes and psychosocial adjustment with chronic and severe nonfluent aphasia

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Abstract
Data concerning type and degree of psychological changes resulting from communicative impairment were obtained from close relatives of 20 chronic non-fluent aphasics by means of a structured and standardized interview. Expectations concerning further psychosocial adaptation were assessed with a modified translation of the ‘Code-Muller Scale of Psychosocial Adjustment’ in patients, relatives, and the speech therapists concerned. The data demonstrate that patients and relatives suffer from considerable psychosocial strain. Patients and relatives estimated the probability of an improvement of psychosocial adjustment as being significantly higher than the speech therapists did, a finding which replicated the results obtained by Müller and his colleagues.

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