This article shows the author’s 40 years’ clinical practice for patients with aphasia.
Poststroke aphasics were tested with the standard language test of aphasia (SLTA), and following results were obtained
1) The word repetition was disturbed more frequently in the aphasia due to cerebral infarction than in that due to cerebral hemorrhage.
2) The word repetition was disturbed by cortical lesions involving the left perisylvian region, but not by deep lesions or atrophic cortical sulci.
3) The overall severity of aphasia was estimated with the principal component analysis. Aphasic symptoms were severer in the aphasics with word repetition disturbance than in those without word repetition disturbance.
The repetition test, containing three components( nonword, word, sentence) was applied in poststroke aphasics. The maximal number of repeated syllables were compared among these three components.
Word repetition was easier than nonword repetition in all 23 aphasics. Furthermore, sentence repetition was easier in 9 of 23 aphasics. These 9 had better word repetition ability.
From the above mentioned results, the author proposed a schema of repetition, which postulates a parallel language processing-phonological, lexicosemantic, and syntactic processings.
Furthermore, the author proposed “10 maxims” regarding clinical characteristics of aphasia in stroke briefly, and the subjective report by an aphasic patient was presented.
Finally, the author commented on some controversies in aphasiology.
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