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Overcoming communication difficulties in group activities for persons with aphasia Midori Kato 1 , Hiroyo Yoshihata 2 , Tsutomu Suzuki 3 , Takafumi Shimizu 4 1Research course of communication Disorders, Graduate School of Language and Linguistics, Sophia University 2Research Center of Communication Disorders, Sophia University 3Community Activity Support Center, Harueno 4Center for Language Education and Research, Sophia University Keyword: 失語症 , グループ , 会話 , コミュニケーション困難 , 非言語的手段 , aphasia , group , conversation , communication difficulties , non-verbal communication pp.301-310
Published Date 2023/12/15
DOI https://doi.org/10.11477/mf.6001200442
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 This study aims to find effective behaviors to solve communication difficulties that occurred in group conversations of persons with aphasia (PWA). The main author conducted group activity sessions five times and collected data from the fourth and fifth sessions. The participants in the fourth session included four PWA (two with mild aphasia, two with severe aphasia) and two students. The participants in the fifth session included three PWA (one with mild aphasia, two with severe aphasia) and two students. After dividing conversation data into topics, we analyzed proportions of topics in which each PWA had become a “main speaker,” the occurrence rate and resolution rate of communication difficulties, and effective behaviors to solve the difficulties. It was found that persons with severe aphasia became a “main speaker” in more topics compared to persons with mild aphasia. Regarding communication difficulties seen in overall topics, the occurrence rate was 63.8%, and the resolution rate was 85.5%. To solve the difficulties, it was effective to clarify information with language for the persons with mild aphasia. On the other hand, it was beneficial to deduce their intended meanings from contexts or their non-verbal communication behaviors for the persons with severe aphasia. Regardless of severity of aphasia, it was effective to adopt non-verbal communication and to rephrase speech with simpler expressions. Furthermore, the study showed that the persons with severe aphasia have the capability to actively participate in the process of solving communication difficulties by using non-verbal communication measures.


Copyright © 2023, 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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