Jargon Aphasia Flashcards
What is jargon aphasia?
A severe form of wernicke’s aphasia.
Verbal expression
Speech is verbose Littered with paraphasia and neologisms Perseveration is common Fast rate Pentiful output- speech output is an excessive "press of speech" often in response to minimal or no stimulus. Speech makes little sense to listener Normal/hypermelodic intonation
Auditory Comprehension
Significantly impaired
Reading Comprehension
Significantly impaired
Self awareness
Poor self-awareness
Poor awareness of listener- clasically talks confidently making little effort to ensure the listener understands
Show no communication frustrations
Any breakdown is fault of listener or attributed to something else e.g. noise, hearing etc.
Pragmatics
Insensitive to normal turn taking rules, assuming the speaker role and not attending to cues generated by the listener.
Interruption and talking over other person is common.
What difficulties are common?
Word-retrieval difficulties.
Name some characteristics of their responses
excessively long, tangential or unrelated to stimulus.
Use of low frequency words rather than high frequency ones.
Types of jargon
Semantic- real words, wrong context
Neologistic- phonological transformations and non words
Undifferentiated- strings of phonemes but few distinguishable words- sounds like foreign language
As aphasia recovery takes place, what tends to reduce?
Non-word errors.
What is there speculation about?
This could be “the jargon syndrome” as many additional behaviours are present.
Name additional behaviours.
Anosognosia is common- not aware of deficit :)
Disorientation in place and time
Euphoria - intense hapiness and self-confidence
Suspician
Social Disinhibition
Delusions
Confabulations- lies without conscious intention.
Assessment of jargon aphasia
Press of speech and poor attention hinder formal assessment and results are likely to be inconsistent & unreliable.
Formal tests are unlikely to be appropriate, especially in acute phase
Intervention aims
To increases wareness of themselves and others when communication
Attention Control
Turn-taking (non verbal e.g. card game)
Self-monitoring
Restrict output (gesture, intonation, touch or say “tell me one thing”)
Aim to maximise comprehension
How can comprehension be maximised?
Use slow rate Pause Stress important words Gesture Visuals Written output too.
