文法失用症是布洛克失語症病患言語中最主要的問題,患者常出現類似電報式的話語,很難有效地表達己意,與他人順利溝通。有關文法失用症之探討理論頗多,但迄今對臨床治療之報告仍少,本文主要即為探討國語的文法失用病患其言語特徵和治療策略。 研究個案為一車禍受傷已二年多的三十歲男性,其言語特徵為句子結構不完整、句型缺乏變化、不合乎文法規則,常出現語詞次序倒置、省略動詞和虛詞的現象。應用HELPSS(Helm-Esfabrooksl981)之理論配合國語的句法結構特徵為治療導向,經80次治療後由波士頓失語症測驗及言語樣本分析結果,顯示個案的語詞長度、句法結構與口語溝通能力皆有進步。
A syntax stimulation program, based upon the syntactic hierarchy of difficulty, was used to treat a thirty year old brain injury patient with severe agrammatism. This program is designed to elicit the basic Mandarin sentence constructions using a story completion technique. With 80 sessions of treatment, the patient's spontaneous speech and picture description showed increased phrase length, use of grammatical onstructions and communication skills. From the preliminary study, this program appears to have therapeutic merit in training syntactic skills of agrammatic Chinese patients.