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The Effectiveness of Programmed Instruction with Operant Training in the Language Rehabilitation of Severely Aphasic Patients

Published online by Cambridge University Press:  16 June 2009

Nadina B. Lincoln  and
Mary J. Pickersgill
Nadina B. Lincoln
Affiliation:
Stroke Research Unit, General Hospital, Nottingham Department of Psychology, Bedford College, London
Mary J. Pickersgill
Affiliation:
Stroke Research Unit, General Hospital, Nottingham Department of Psychology, Bedford College, London
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Extract

The effectiveness of programmed instruction with operant training (P.I.O.T.) in the language rehabilitation of severe aphasics was evaluated by comparison with an attention-placebo control treatment (A.P.C.) in which non-verbal tasks were administered. Patients were divided into two groups and received first either 4 weeks of P.I.O.T. or of the A.P.C. condition. Both groups then received 4 weeks of the alternative treatment. Both groups also received some speech therapy throughout. Only two out of 24 assessments showed differences, both indicating that the A.P.C. with non-verbal practice improved abilities more than P.I.O.T. Over the total 8-week period, significant improvements in abilities occurred on more than one-half of the measures. It is concluded that rehabilitation therapy by means of programmed instruction with operant training failed to produce improvement in the course of recovery of language or related aspects of communication in severely aphasic patients.

Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 12 , Issue 3 , July 1984 , pp. 237 - 248
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1984

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References

Albert, M. L., Sparks, R. W. and Helm, N. A. (1973). Melodic intonation therapy for aphasia. Archives of Neurology 29, 130–131.CrossRefGoogle ScholarPubMed
Armitage, P. (1971). Statistical Methods in Medical Research. Oxford: Blackwell.Google Scholar
De Renzi, E. and Vignolo, L. A. (1962). The Token Test: a sensitive test to detect receptive disturbances in aphasics. Brain 85, 665–678.CrossRefGoogle Scholar
Edwards, A. E. (1965). Automated training for a “matching-to-sample” task in aphasia. Journal of Speech and Hearing Research 8, 39–42.CrossRefGoogle ScholarPubMed
Filby, Y. and Edwards, A. E. (1963). An application of automated teaching methods to test and teach form discrimination to aphasics. Journal of Programed Instruction 2, 25–33.Google Scholar
Gardner, H., Zurif, E. B., Berry, T. and Baker, E. (1976). Visual communication in aphasia. Neuropsychologia 14, 275–292.CrossRefGoogle ScholarPubMed
Glass, A. V., Gazzaniga, M. S. and Premack, D. (1973). Artificial language training in global aphasics. Neuropsychologia 11, 95–104.CrossRefGoogle ScholarPubMed
Holland, A. L. (1970). Case studies in aphasia rehabilitation using programmed instruction. Journal of Speech and Hearing Disorders 35, 377–390.CrossRefGoogle Scholar
Holland, A. L. and Harris, A. B. (1968). Aphasia rehabilitation using programmed instruction: an intensive case history. In Operant Procedures in Remedial Speech and Language Training. Sloane, H. N. and MacAulay, B. D. (Eds), Boston: Houghton Mifflin, pp. 197–216.Google Scholar
Holland, A. L. and Sonderman, J. C. (1974). Effects of a program based on the Token Test for teaching auditory comprehension skills to aphasics. Journal of Speech and Hearing Research 17, 589–598.CrossRefGoogle Scholar
Howes, D. (1966). A word count of spoken English. Journal of Verbal Learning and Verbal Behavior 5, 572–604.CrossRefGoogle Scholar
Keenan, J. S. (1966). A method for eliciting naming behavior from aphasic patients. Journal of Speech and Hearing Disorders 31, 261–266.CrossRefGoogle ScholarPubMed
Keith, R. L. and Darley, F. L. (1967). Use of a specific electric board in the rehabilitation of the aphasic patient. Journal of Speech and Hearing Disorders 32, 148–153.CrossRefGoogle ScholarPubMed
Lincoln, N. B. (1979). An investigation of the effectiveness of language retraining methods with aphasic stroke patients. Ph.D. Thesis, University of London.Google Scholar
Lincoln, N. B., Pickersgill, M. J., Hankey, A. I. and Hilton, C. R. (1982 a). An evaluation of operant training and speech therapy in the language rehabilitation of moderate aphasics. Behavioural Psychotherapy 10, 162–178.CrossRefGoogle Scholar
Lincoln, N. B., Pickersgill, M. J. and Valentine, J. D. (1982 b). Is the P.I.C.A. an equal interval scale? British Journal of Disorders of Communication 16, 185–192.CrossRefGoogle Scholar
Oldfield, R. C. and Wingfield, A. (1965). A Series of Pictures for Use in Object Naming, M.R.C. Psycholinguistics Research Unit, Special Report No. PLU/65/19, Oxford.Google Scholar
Pickersgill, M. J. and Lincoln, N. B. (1983). Prognostic indicators and the pattern of recovery of communication in aphasic stroke patients. Journal of Neurology, Neurosurgery and Psychiatry 46, 130–139.CrossRefGoogle ScholarPubMed
Porch, B. E. (1967). Porch Index of Communicative Ability. Palo Alto, California: Consulting Psychologists Press.Google Scholar
Raven, J. C. (1958). Standard Progressive Matrices. London: Lewis.Google Scholar
Rosenberg, B. (1965). The performance of aphasics on automated visuoperceptual discrimination, training and transfer tasks. Journal of Speech and Hearing Research 8, 165–184.CrossRefGoogle ScholarPubMed
Rosenberg, B. and Edwards, A. E. (1964). The performance of aphasics on three automated perceptual discrimination programs. Journal of Speech and Hearing Research 7, 295–298.CrossRefGoogle ScholarPubMed
Rosenberg, B. and Edwards, A. E. (1965). An automated multiple response alternative training program for use with aphasics. Journal of Speech and Hearing Research 8, 413–420.CrossRefGoogle ScholarPubMed
Sarno, M. T., Silverman, M. and Sands, E. (1970). Speech therapy and language recovery in severe aphasia. Journal of Speech and Hearing Research 13, 607–623.CrossRefGoogle ScholarPubMed
Ullman, L. (1968). Some implications of present research. In Operant Procedures in Remedial Speech and Language Training. Sloane, H. N. and MacAulay, B. D. (Eds). Boston: Houghton Mifflin, pp. 424–430.Google Scholar
Wechsler, D. (1955). Wechsler Adult Intelligence Scale. New York: Psychological Corporation.Google Scholar
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