Exposed and embedded corrections in aphasia therapy: issues of voice and identity

International Journal of Language & Communication Disorders
Nina Simmons-Mackie, Jack S Damico

Abstract

Because communication after the onset of aphasia can be fraught with errors, therapist corrections are pervasive in therapy for aphasia. Although corrections are designed to improve the accuracy of communication, some corrections can have social and emotional consequences during interactions. That is, exposure of errors can potentially silence the 'voice' of a speaker by orienting to an utterance as unacceptable. Although corrections can marginalize speakers with aphasia, the practice has not been widely investigated. A qualitative study of corrections during aphasia therapy was undertaken to describe corrections in therapy, identify patterns of occurrence, and develop hypotheses regarding the potential effects of corrections. Videotapes of six individual and five group aphasia therapy sessions were analysed. Sequences consistent with a definition of a therapist 'correction' were identified. Corrections were defined as instances when the therapist offered a 'fix' for a perceived error in the client's talk even though the intent was apparent. Two categories of correction were identified and were consistent with Jefferson's (1987) descriptions of exposed and embedded corrections. Exposed corrections involved explicit correcting b...Continue Reading

Citations

May 9, 2012·Journal of Intellectual & Developmental Disability·Carolus van Nijnatten, Marianne Heestermans
Jan 1, 2014·International Journal of Language & Communication Disorders·Gail Teachman, Barbara E Gibson
Dec 7, 2010·Disability and Rehabilitation·Wendy BestDavid Howard
Jan 18, 2011·Topics in Stroke Rehabilitation·Gloriajean L Wallace
Feb 20, 2019·International Journal of Language & Communication Disorders·Brent ArcherSamantha Moody
Aug 17, 2019·American Journal of Speech-language Pathology·Jaime B Lee, Jamie H Azios
Jun 20, 2020·American Journal of Speech-language Pathology·Jennifer Thompson TetnowskiJack S Damico
Oct 12, 2021·Disability and Rehabilitation·Kathryn PettigroveMiranda L Rose

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