2017, Number 5
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Rev Mex Neuroci 2017; 18 (5)
Neuropsychological evaluation of pragmatics in a patient with acquired brain injury
Galparsoro- Izagirre N, Sánchez- Cubillo I, Migueles M, Adrover-Roig D
Language: Spanish
References: 16
Page: 88-95
PDF size: 294.74 Kb.
ABSTRACT
Studies in patients with brain injury have provided to clinical practice
a wide range of valuable language assessment tools and rehabilitation
strategies. In contrast, the ability to make a proper use of language
adapted to a specific social and cultural context has been scarcely
explored in brain-damaged patients. Therefore, clinicians still lack
specific assessment batteries to diagnose pragmatic difficulties in
these patients. Given the importance of such disorders on their social
and professional reinsertion, we aimed at studying the usefulness of
the Montréal Protocol for the Evaluation of Communication (MEC) in
order to detect abnormal pragmatic capacities in a patient with a brain
injury, as compared to a control participant. In addition, we explored
the role of other cognitive processes, such as executive functions
and social cognition on pragmatics. Results revealed that the MEC
is a useful protocol to structure and guide the evaluation process
of pragmatics, and it is sensitive to most of the symptoms observed
at baseline. A partial dissociation between executive control and
pragmatics was evident in the presented case, along with an impaired
ability to recognize facial emotions, a difficulty that might explain
some of the symptoms observed at the pragmatic level.
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