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Studium trifft Praxis
(2016)
Exploring generalisation following treatment of language deficits in aphasia can provide insights into the functional relation of the cognitive processing systems involved. In the present study, we first review treatment outcomes of interventions targeting sentence processing deficits and, second report a treatment study examining the occurrence of practice effects and generalisation in sentence comprehension and production. In order to explore the potential linkage between processing systems involved in comprehending and producing sentences, we investigated whether improvements generalise within (i.e., uni-modal generalisation in comprehension or in production) and/or across modalities (i.e., cross-modal generalisation from comprehension to production or vice versa). Two individuals with aphasia displaying co-occurring deficits in sentence comprehension and production were trained on complex, non-canonical sentences in both modalities. Two evidence-based treatment protocols were applied in a crossover intervention study with sequence of treatment phases being randomly allocated. Both participants benefited significantly from treatment, leading to uni-modal generalisation in both comprehension and production. However, cross-modal generalisation did not occur. The magnitude of uni-modal generalisation in sentence production was related to participants’ sentence comprehension performance prior to treatment. These findings support the assumption of modality-specific sub-systems for sentence comprehension and production, being linked uni-directionally from comprehension to production.
The aim of the single case study was to evaluate two different treatment procedures to improve reading skills with a German-speaking deep dyslexic. Generally, in treatment studies for deep dyslexia, retraining of grapheme-phoneme correspondences is described, but hardly any treatment focuses on reactivating residual functions of the semantic- lexical route. This strategy was explored here with an experimentally presented priming paradigm, to implicitly strengthen residual skills of lexical access with semantically/phonologically related primes (lexically based treatment). In contrast, grapheme-phoneme associations and blending were explicitly relearned during a nonlexically based treatment. Stimuli were controlled for part of speech, word length, and frequency. A cross-over design to identify item- and treatment-specific effects for both procedures was applied. Results indicate positive outcomes with respect to treatment-specific effects for both procedures, generalization to untrained items, and a transfer task after the nonlexically based procedure. All effects remained stable in the follow-up assessment. Implications for theoretically/ empirically generated expectations about treatment outcomes are discussed