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Master thesis

Ecologie de la communication des patients aphasiques : comparaison de deux situations d'évaluation

Abstract : Although it’s often assumed that « the aphasic communicates better than he speaks » (Holland), the language deficits caused by aphasia can bring out communicative disorders. Though they may not be immediately visible, they are nevertheless disabling. The Lille Communication Test (LCT) aims at assessing- in a speech therapist office- the communicative skills of people who have undergone a cerebro-vascular insult. As the situation in a speech therapist office seems to be different from a purely ecological one, we choose to compare an aphasic person’s communicative assessment in a real ecological situation to that of an aphasic patient being with a speech therapist. We assumed that the communicative effectiveness would be reduced in an ecological situation. To test our hypothesis, we gave the LCT together with an adapted Multiple Errands Test (MET) to five aphasic patients in order to observe the communicative differences between the two situations. For that purpose, we used an assessment grid from the LCT that was identical for the five patients. The comparison of the two communicative situations shows that for three patients out of five, the communicative effectiveness was reduced in the ecological situation. For four patients, some additional speech therapy objectives to those previously established, have been set up. The differences in communicative effectiveness between the two situations show that the ecological assessment is essential to a complete aphasiology diagnosis. As the results weren’t similar for all the patients, we can only partially confirm our hypothesis. However, these results were significant for the patients who have quite recently undergone a stroke. Therefore, we may plan another study in order to test our conclusions : we may consider a longer study with more patients who had undergone a recent stroke and would still be in rehabilitation centers.
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Master thesis
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Submitted on : Monday, July 9, 2018 - 4:22:36 PM
Last modification on : Monday, July 9, 2018 - 4:22:36 PM

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  • HAL Id : hal-01833421, version 1



Elise Michel. Ecologie de la communication des patients aphasiques : comparaison de deux situations d'évaluation. Médecine humaine et pathologie. 2015. ⟨hal-01833421⟩



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