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 We briefly gave a definition of "participation" as used in the ICF framework and described the current state of research in this area.

 First, we reported on the development of a program to facilitate "participation" of people with aphasia by providing them with conversational support. In this program, ordinary citizens were educated about aphasia and trained how to communicate effectively with people who have aphasia. We also described our additional attempts to encourage their "participation", such as giving them the role of trainers in the above program and creating more occasions for them to enjoy conversation. Second, we reported on our comparative study of third-party disability, that is, the impact of aphasia on the immediate family of people with aphasia. The feeling of burden was compared between the family members of stroke survivors with and without aphasia, using a newly developed caregiver burden scale. It was clear that the family members of people with aphasia rated their feeling of burden in questions concerning communication more heavily than those of people without aphasia. It suggested that the effect of language impairment extends to the psychological state and lives of the whole family. Therefore, appropriate and sufficient support relating to these issues is necessary to facilitate "participation" of people with aphasia. We need to provide long-term support for people with aphasia, taking into account environmental and personal factors as well as recovery of their impairment in general.


Copyright © 2010, Japanese Association of Speech-Language-Hearing Therapists. All rights reserved.

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電子版ISSN 印刷版ISSN 1349-5828 日本言語聴覚士協会

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