Scholarship on disabilities and the policies shaping university research

Recovery from Stroke: Learning to Talk Again

Part 2: What is speech-language therapy like?

by Joy Simpson

A speech-language pathologist will work individually with your father to develop a plan for improved communication. She may also encourage him to join a support group in the community that meets regularly. The first goal is to shore up his language skills. This could mean speaking more words in longer phrases, or the therapist might focus on understanding -- strengthening his ability to grasp complex statements.

Coming out of the stroke, he may have only one word to express himself. The key is to tap into his cognitive storehouse, and help him use his own resources to re-enter the world of communication. This happens during strategic practice with the therapist or the group. If his limitations can't be overcome with time, the therapist will help him use other ways to communicate, such as expressive gestures.

Jackson said she has witnessed some eloquent stories that were told in just a few words. "One gentleman made a powerful impact on me. He was a former prisoner of war and told his story to our group. He could only produce single words like 'skinny,' but his gestures got the point across. We understood how cold he was in the camp when he crossed his hands over his chest and shook."

The other task of therapy is to help the family make adjustments. A therapist can explain how hard it is to produce a word out of thin air, especially if there is memory loss. Instead of asking your father to name his favorite food, you could give him a short list to select from, saying for example -- "Dad, which do you want, a hamburger or fried chicken?"

"What I teach my student clinicians is to downplay weaknesses and allow the participants to do what they can do. We make them look good," said Jackson.

This the second in a three-part online series featuring interviews with Susan Jackson and Susan Kemper - scientists at the Schiefelbusch Institute for Life Span Studies at the University of Kansas. 



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