旋律語調治療華語修正法介紹

旋律語調治療法(Melodic Intonation Therapy, MIT)應用於成人非流暢失語症患者的治療近四十年，要點是藉由旋律、節奏與重音改善患者說話的不流暢。過去文獻多以英語失語症患者為對象，華語對象文獻不多。由於MIT傳統上僅以高低兩音（如Do與Fa）表示語調變化，因此不完全適用在屬於聲調語言的華語患者。有鑑於此，本文針對華語非流暢型失語症患者的需要，適度修正MIT，以解決MIT應用在華語聲調語言所面臨的兩個問題：(1)使用多少音符數量才適合代表華語聲調旋律，(2)幾度音程來決定各音符之間的距離。文中就修正理由、原則與施行步驟，並以個案為例，將修正後的MIT應用在華語失語症患者的適用情形加以討論。

關鍵字

旋律語調治療法；失語症；語言治療；音樂治療

並列摘要

Melodic Intonation Therapy (MIT) has been applied in adult with non-fluent aphasia for nearly four decades. The main characteristic of the MIT is to design a musical melody, rhythm and stress based on client's spoken intonation. The positive effect of applying MIT to treating aphasic clients, mainly for English speaking clients, has been demonstrated. However, its application to Chinese (Mandarin) speaking clients is relatively rare. This could be attributed to the facts that Chinese is a tonal language for which MIT was not designed and for the other two notes employed in Western MIT are insufficient to represent tonality in Chinese. In this study, the investigator proposes a modified MIT method for Chinese aphasic clients, abbreviated as MIT-C. It remedies the problems of applying the original MIT to clients with non-fluent aphasia by deciding on the amount of notes and the intervals between the notes. The reasons, principle, and procedure for modifying the MIT-C are described, and its application in a Chinese speaking client with non-fluent aphasia could be also discussed.