ניתוח אינטגרטיבי של נארטיבים באפזיה רב-לשונית

Amid robust evidence for the efficacy of language treatment in aphasia, equivocal results have been
reported for the generalization of treatment effects to items and tasks not practiced during therapy.
Moreover, measuring generalization using functional language production has proven challenging. In
this paper we analyzed four domains – discourse structure, sentence structure, instances of dysfluency,
and lexical choice – in narratives produced following treatment to assess aphasia treatment
generalization within and across languages. Two treatment phases were administered to a trilingual
speaker with mild, chronic non-fluent aphasia, targeting language production. Testing was
administered prior to and following each treatment phase and included elicited narrative production.
The results demonstrated treatment-related changes in the treated language as well as in the nontreated languages. Positive change was found in narrative structure and in sentence grammaticality. A
trade-off pattern between grammaticality and fluency was evident, with higher proportions of
grammatical sentences associated with increased dysfluency. Within-language and between-language
generalization was observed, especially following the first treatment phase, which targeted
morphosyntactic structures. We argue for the importance of an integrated analysis of connected
language production in the assessment of aphasia treatment efficacy