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Communication Sciences & Disorders

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Psychology of Neurogenic Communication Disorders, The: A Primer for Health Care Professionals
Dennis C. Tanner, Northern Arizona University

ISBN-10: 0205370721
ISBN-13: 9780205370726

Publisher: Allyn & Bacon
Copyright: 2003
Format: Paper; 192 pp
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The Psychology of Neurogenic Communication Disorders: A Primer for Health Care Professionals addresses psychological adjustments in patients with neurogenic communication disorders.

This unique text covers the psychology of neurogenic communication disorders. It is written about patients who have aphasia, apraxia of speech, and/or the dysarthrias. It is intended as a guide to understanding the significant psychological adjustments many patients must undergo. Organic and biochemical factors related to brain injury and psychological reactions, coping strategies and defense mechanisms, and the responses to loss are addressed. Its non-traditional framework offers clinical vignettes and case studies to help the student understand the issues of working with clients afflicted with speech disorders resulting from neurological incidents.

  • Provides a comprehensive review of the scientific literature addressing the psychology of neurogenic communication disorders.
  • Clinical vignettes and case studies help the reader appreciate and understand the psychological transitions many patients experience.
  • Contains four original short stories that explore aphasia, apraxia of speech, and the dysarthrias in a unique way. All four stories help the reader understand the significant psychological and quality-of-life issues associated with neurogenic communication disorders.



About the Author.


Foreword by John Tetnowski, Ph.D.


Preface.


Acknowledgments.

I. AN ECLECTIC APPROACH TO THE PSYCHOLOGY OF NEUROGENIC COMMUNICATION DISORDERS.

1. Historical Perspectives on the Psychology of Neurogenic Communication

Disorders.

Introduction.

To Localize or Not to Localize.

Multiple Determinants.

2. The Big Three Neurogenic Communication Disorders and Quality of Life.

Aphasia.

Apraxia of Speech.

The Dysarthrias.

Neurogenic Communication Disorders and Traumatic Brain Injury.

Etiology of the Big Three Neurogenic Communication Disorders.

Psychological Cause and Effect.

Quality of Life Issues.

Stress and Neurogenic Communication Disorders.

3. Neurogenic Communication Disorders, Brain Injury, and Psychological

Adjustment.

Catastrophic Reactions.

Emotional Lability.

Perseveration.

Other Organically-Based Psychological Reactions.

Euphoria.

Organic Depression.

Behavioral Changes.

Anosognosia.

The Meaning of Jargon Aphasia.

Visual Neglect.

Psychological Reactions and Brain Localization.

4. Neurogenic Communication Disorders, Coping Styles, and Psychological Defenses.

Avoidance.

Escape.

Ego Restriction.

Fantasy.

Other Coping Styles and Psychological Defenses.

Suppression.

Sublimation, Substitution and Altruism.

Humor Rationalization and Intellectualization.

Repression.

Reaction Formation.

Displacement.

Dissociation.

Undoing.

Passive-Aggression.

Projection.

Regression.

5. Neurogenic Communication Disorders and the Grief Response.

Tangible and Symbolic Losses.

The Dimensions of Loss.

Loss of Person.

Loss of Self.

Loss of Object.

Developmental Loss.

Loss of Security.

The Road to Acceptance.

Grieving Denial.

Grieving Frustration.

Grieving Depression.

Acceptance and Resolution.

Helping the Patient Through the Grieving Process.

Avoid Rewarding Denial.

Avoid Contributing to Frustration.

Avoid Providing Secondary Gains.

Avoid Heavily Sedating Drugs.

Avoid Interruption of Private Grief.

Permit the Patient Control.

Provide the Patient with Perspective.

Acknowledge the Reality of the Loss.

II. ON COPING WITH NEUROGENIC COMMUNICATION DISORDERS: ORIGINAL SHORT STORIES.

Cautious Clyde's Descent into Darkness.

Murder Challenged.

Murphy's Inner World of Aphasia.

Alternatively Abled.

The Silent Tongue (Aphasia): A Poem

Glossary.

Suggested Readings.

References.

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