Psychology of Neurogenic Communication Disorders, The: A Primer for Health Care Professionals

by Tanner, Dennis C.

• ISBN13: 9780205370726
• ISBN10: 0205370721
• Format: Paperback
• Copyright: 2003-01-01
• Publisher: Allyn & Bacon

Summary

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.

Table of Contents

Foreword	ix
John A. Tetnowski
Preface	xiii
Acknowledgments	xiv
About the Author	xv
PART ONE An Eclectic Approach to the Psychology of Neurogenic Communication Disorders	1	(88)
Historical Perspectives on the Psychology of Neurogenic Communication Disorders	3	(8)
Introduction	3	(2)
To Localize or Not to Localize	5	(5)
Multiple Determinants	10	(1)
The Big Three Neurogenic Communication Disorders and Quality of Life	11	(17)
Aphasia	12	(3)
Apraxia of Speech	15	(1)
The Dysarthrias	16	(2)
Neurogenic Communication Disorders and Traumatic Brain Injury	18	(3)
Etiology of the Big Three Neurogenic Communication Disorders	21	(1)
Psychological Cause and Effect	21	(1)
Quality of Life Issues	22	(3)
Stress and Neurogenic Communication Disorders	25	(3)
Neurogenic Communication Disorders, Brain Injury, and Psychological Adjustment	28	(16)
Catastrophic Reactions	28	(2)
Emotional Lability	30	(2)
Perseveration	32	(2)
Other Organically Based Psychological Reactions	34	(1)
Euphoria	34	(1)
Organic Depression	35	(1)
Behavioral Changes	36	(1)
Anosognosia	37	(2)
The Meaning of Jargon Aphasia	39	(1)
Visual Neglect	40	(1)
Psychological Reactions and Brain Localization	41	(3)
Neurogenic Communication Disorders, Coping Styles, and Psychological Defenses	44	(17)
Avoidance	45	(1)
Escape	46	(1)
Ego Restriction	47	(2)
Fantasy	49	(1)
Other Coping Styles and Psychological Defenses	50	(1)
Suppression	51	(1)
Sublimation, Substitution, and Altruism	51	(1)
Humor	52	(1)
Rationalization and Intellectualization	52	(2)
Repression	54	(1)
Reaction Formation	55	(1)
Displacement	55	(1)
Dissociation	56	(1)
Undoing	57	(1)
Passive-Aggression	58	(1)
Projection	58	(1)
Regression	59	(2)
Neurogenic Communication Disorders and the Grief Response	61	(28)
Tangible and Symbolic Losses	62	(1)
The Dimensions of Loss	63	(1)
Loss of Person	63	(2)
Loss of Self	65	(1)
Loss of Object	66	(1)
Developmental Loss	67	(1)
Loss of Security	68	(1)
The Road to Acceptance	68	(1)
Grieving Denial	69	(2)
Grieving Frustration	71	(1)
Grieving Depression	72	(2)
Acceptance and Resolution	74	(2)
Helping the Patient Through the Grieving Process	76	(1)
Avoid Rewarding Denial	76	(1)
Avoid Contributing to Frustration	77	(2)
Avoid Providing Secondary Gains	79	(1)
Avoid Drugs that Are Heavily Sedating	80	(1)
Avoid Interruption of Private Grief	80	(1)
Permit the Patient Control	81	(1)
Provide the Patient with Perspective	82	(1)
Acknowledge the Reality of the Loss	82	(7)
PART TWO On Coping with Neurogenic Communication Disorders: Original Short Stories	89	(82)
``Cautious Clyde's Descent into Darkness''	91	(6)
``Murder Challenged''	97	(21)
``Murphy's Inner World of Aphasia''	118	(16)
``Alternately Abled''	134	(36)
``The Silent Tongue (aphasia)'': A Poem	170	(1)
Suggested Reading	171	(2)
Glossary	173	(8)
References	181	(5)
Index	186