THE REEDUCATION OF APHASICS: THE PROBLEM OF THE REEDUCATION STRATEGIES

Authors:
Xavier Seron
Published Online:
27 Sep 2007
DOI:
10.1080/00207598208247446
Pages:
299-317
Volume/Issue No:
Volume 17 Issue 1-4

Additional Options

Aside from the different schools of therapy in reeducational neuropsychology, an overview of the main strategies used by therapists allows us to distinguish three principal techniques: reestablishing strategies, reorganisation strategies, and the use of mental prothèses. It seems to us less a question of choosing the correct strategy than of carefully considering the different pathological contexts in which they will be applied. The concern with strategies indicates, of course, that there is a certain contradiction in wishing to combine their use in the treatment of the same problem. Reestablishing strategies are undoubtedly adequate in pathological contexts with rapidly evolving semiology and where the qualitative analysis of the recovery seems to indicate that there is in fact a progressive renewal of conditions prior to the cerebral attack. The reorganisation strategies are indicated where it seems possible to circumvent the defective processes in the midst of a functional network with clearly defined contours. Their effectiveness is, it seems, subordinate to the selective nature of the problems. Finally, the strategies involving the use of prothèses should not be attempted except as a last resort where no progress can be expected by direct intervention.

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