Managing Self-Talk in Clinical Sessions: Implications for Speech-Language Pathology

Virgilio, Allison M.

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https://hdl.handle.net/2142/90245 Copy

Description

Title

Managing Self-Talk in Clinical Sessions: Implications for Speech-Language Pathology

Author(s)

Virgilio, Allison M.

Contributor(s)

Hengst, Julie

Issue Date

2016

Keyword(s)

• Self-Talk
• Confidence
• Aphasia
• Speech
• Therapy

Abstract

Currently affecting over one million Americans (NINDS, 2015), aphasia is a communication disorder caused by brain damage that disrupts an individuals use of spoken and written language. It not only disrupts communication, but is isolating, and impacts overall quality of life. Studying the social impact of aphasia, Devanga (2015) employed a 15-session collaborative intervention called the barrier task (Hengst, Duff & Dettmer, 2010) on Mr. Lee, a 75-year-old man with chronic aphasia to foster a conversational therapy environment that involved taking turns naming picture cards. Mr. Lee showed successful collaboration and reported increased confidence in his overall communication. The current study examines the self- talk patterns of Mr. Lee and the clinician by conducting secondary analysis of Devanga's video data to better understand Mr. Lees reported increase in confidence across sessions. Video transcripts from five sessions were analyzed and coded for self-talk. Self-talk is defined as instances of personal reflection using first person pronouns (Neck & Manz, 1992). Each instance of self-talk was linguistically coded as positive or negative. The preliminary findings from the on-going interpretive analysis indicate the use of multiple episodes of self-talk throughout sessions, with Mr. Lee using more self-talk than the clinician. The findings will link a variety of fields, such as linguistics, psychology, education, and communication sciences and disorders, by contributing to broader understandings of the construction of confidence in moments of negative self-talk. As a clinical implication, this study provides a stronger understanding of patients communicative confidence throughout the progression of therapy. Devanga, S., Mosier, H., & Hengst, J. A. (2015). Thin Versus Thick Description: Analyzing Representations of People and Their Life Worlds in the Literature of Communication Sciences and Disorders. American Journal of Speech-Language Pathology. doi:10.1044/2015_AJSLP-14-0163 Hengst, J.A., Duff, M.C., & Dettmer, A. (2010). Rethinking repetition in therapy: Repeated engagement as the social ground of learning. Aphasiology, 24(6-8), 887-901. National Institute of Neurological Disorders and Stroke (NINDS) (2015). From http://ww.ninds.nih.gov/ Neck, C. P., & Manz, C. C.. (1992). Thought Self-Leadership: The Influence of Self-Talk and Mental Imagery on Performance. Journal of Organizational Behavior, 13(7), 681699. Retrieved from http://www.jstor.org/stable/2488389 Special Formatting: Additional Technology (for oral presentations)

Type of Resource

text

Language

en

Permalink

http://hdl.handle.net/2142/90245

Copyright and License Information

Copyright 2016 Allison M. Virgilio

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