Bosma_ThematicLanguageStimulation_Handout
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New York University *
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Apr 3, 2024
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Uploaded by csk304
Thematic Language Stimulation (TLS)
Focus Of the Intervention
Using a client's preferred topic and related vocabulary, we design multiple exercises that require multimodal language use (speak, understand, read, write) to target changes in language processing for functional communication (Morganstein & Certner Smith, 2012). Details of Treatment Protocol
1.)
Choose a topic relevant to the client, as this relevance allows for a more natural connection and increased chance of success due to the client’s knowledge of the topic. 2.)
Choose 8-10 words (preferably nouns and verbs) related semantically to the topic. 3.)
Based on findings of evaluation, plan out a hierarchy of 12 exercises (moving from simple to more complex) and designed to last 5-7 sessions. Visual and auditory cues are given in all tasks. The hierarchy of exercises will include repetition, speech stimulation/production, copying, categorization, sentence fill-ins and multiple choice, yes/no questions, answering questions and multiple choice, sentence arrangement, sentence construction, sentence corrections, paragraph reading with multiple choice questions, and conversational questions. Example to follow using the theme of fishing. a.)
Words: fish, pole, bait, boating, gas, weather, biting, water
b.)
Repetition/Read Aloud: fish, lots of fish, caught lots of fish c.)
Speech Stimulation/Production: The fish are biting, The fish are _____, What are the fish doing?
d.)
Copying: Fish, biting (copy 4x with/without model)
e.)
Categorization: Identify core vocabulary related to the fishing theme when given a group of relevant and non-relevant words. i.)
Fish, Bait, Apple, Boating, computer, rabbit, pencil, water
f.)
Sentence fill-ins with visual choices: I love to catch _______ (fish, water, apple)
g.)
Yes/No questions: Do you find fish in the water? ___ Yes ___ No
h.)
Answer questions w/ multiple choice: What tools
do I need to fish? (Pole, bait, water, fish)
i.)
Sentence arrangement: I like to fish ___________
i.)
My in boat
j.)
Sentence construction: give word pairs/phrases to stimulate sentence construction.
Fishing line, gas in the boat, out of the water, nice weather
k.)
Sentence correction: The fish if on the live. l.)
Read paragraphs w/ multiple choice comprehension questions: I went fishing on Saturday morning with my dad. I brought the poles and bait, and we used his boat.
The weather was warm and sunny. i.)
When did they fish? Saturday morning, tuesday, night, yesterday
m.) Conversational questions: Where do you like to fish? Tell me about your favorite fishing trip. Evaluation of the Treatment Approach
The hypothesis of the TLS treatment approach states, “you are changing the way the brain is working, by working the brain
” (Morganstein & Certner Smith, 2011). It can be noted there is very little research on the outcomes of this specific approach due to small group sizes. However, the model of this approach follows parts of Schuell’s stimulation approach, a widely used treatment method, where the focus of treatment is put on auditory comprehension, naming, and discourse. Outcomes of Schuell’s approach with intensive treatment in PWA have shown significant improvements in naming and auditory comprehension, as well as maintenance of the skills (Hughes, 2017). In the TLS approach, we use more variety of methods to give the client the space to maximize their response and bombard them with language styles/opportunities. The primary difference between the approaches is that in TLS, the clinician uses the A-FROM and takes into account the client’s preferences and uses a functional topic, rather than solely naming cards or a workbook, to increase participation in life and functional communication. Presented by Megan Bosma on April 20, 2022
References
Hughes, S. K. (2017). Schuell’s Stimulation Approach Administered Intensively for an Individual with Chronic, Severe Non-Fluent Aphasia
. Retrieved April 4, 2022, from https://opencommons.uconn.edu/cgi/viewcontent.cgi?
article=2156&context=gs_theses Morganstein, S., & Certner Smith, M. (2011). Speaking of Aphasia, LLC. In Thematic Language Stimulation
. Retrieved April 4, 2022, from https://www.slideshare.net/smorganstein/tls-for-oslha-unitvid-2-2111
Morganstein, S., & Certner Smith, M. (2012). Thematic Language Stimulation
. SpeechPathology.com
. Retrieved April 4, 2022, from https://www.speechpathology.com/articles/thematic-language-stimulation-
2018#:~:text=definition%20for%20you.-,Thematic%20language%20stimulation
%20is%20a%20systematic%20method%20of%20aphasia%20therapy,ones
%20that%20are%20most%20difficult.
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