Analyzing the Social Communication of People with Traumatic Brain Injury: The Benefits of Hindsight, Technology Advances, and Professor Audrey Holland's Wisdom

Abstract

Professor Audrey Holland is best known for her extraordinary contributions to the field of aphasia rehabilitation; however, for those working in the field of cognitive-communication disorders (CCDs) following traumatic brain injury (TBI), Audrey made seminal contributions to the conceptualization of language disturbances following TBI, setting the scene for a new era of investigation and discovery. This article describes Audrey's contributions which redefined communication disorders following TBI as being different from aphasia, leading to discourse and everyday communication being the gold standard for CCD assessment. Incorporating Professor Holland's influences, this article describes the advances made during the past two decades including the theoretical development of frameworks to inform clinical assessment; expert consensus guidelines that support the assessment of the individual in activities relating to their family life, their friends, their work, and their relationships; the policy from an International Classification of Functioning, Disability and Health (ICF) perspective; advances in technology including the use of automated discourse measures; TBIBank; and main concept analysis. Professor Holland's profound impacts include the recognition that communication skills play a central role in maximizing all aspects of one's life.

Keywords

traumatic brain injury - cognitive-communication disorder - social communication - quality of life

Publikationsverlauf

Artikel online veröffentlicht:
28. Oktober 2024

• References

• Avramović, P., Kenny, B., Power, E., McDonald, S., Tate, R., Hunt, L., MacDonald, S., Heard, R., & Togher, L. (2017). Exploring the relationship between cognition and functional verbal reasoning in adults with severe traumatic brain injury at six months post injury. Brain Injury, 31(4), 502–516
• Avramović, P., Rietdijk, R., Kenny, B., Power, E., & Togher, L. (2023). Developing a digital health intervention for conversation skills after brain injury (convers-ABI-lity) using a collaborative approach: mixed methods study. Journal of Medical Internet Research, 25, e45240–e45240
• Bayley, M. T., Janzen, S., Harnett, A., Teasell, R., Patsakos, E., Marshall, S., Bragge, P., Velikonja, D., Kua, A., Douglas, J., Togher, L., Ponsford, J., & McIntyre, A. (2023). INCOG 2.0 guidelines for cognitive rehabilitation following traumatic brain injury: methods, overview, and principles. The Journal of Head Trauma Rehabilitation, 38(1), 7–23
• Behn, N., Marshall, J., Togher, L., & Cruice, M. (2019a). Feasibility and initial efficacy of project-based treatment for people with ABI. International Journal of Language & Communication Disorders, 54(3), 465–478
• Behn, N., Marshall, J., Togher, L., & Cruice, M. (2019b). Setting and achieving individualized social communication goals for people with acquired brain injury (ABI) within a group treatment. International Journal of Language & Communication Disorders, 54(5), 828–840
• Bengfort, B., Bilbro, R., & Ojeda, T. (2018). Applied Text Analysis with Python Enabling Language-Aware Data Products with Machine Learning (1st ed.). O'Reilly
• Berry, M. (1981). Systemic linguistics and discourse analysis: A multilayered approach to exchange structure. In: M. Coulthard & M. Montgomery (Eds.), Studies in Discourse Analysis. (pp. 120–145). Routledge & Kegan Paul
• Bogart, E., Togher, L., Power, E., & Docking, K. (2012). Casual conversations between individuals with traumatic brain injury and their friends. Brain Injury : [BI], 26(3), 221–233
• Brassel, S., Kenny, B., Power, E., Elbourn, E., McDonald, S., Tate, R., MacWhinney, B., Turkstra, L., Holland, A., & Togher, L. (2016). Conversational topics discussed by individuals with severe traumatic brain injury and their communication partners during sub-acute recovery. Brain Injury, 30(11), 1329–1342
• Brassel, S., Power, E., Campbell, A., Brunner, M., & Togher, L. (2021). Recommendations for the design and implementation of virtual reality for acquired brain injury rehabilitation: systematic review. Journal of Medical Internet Research, 23(7), e26344–e26344
• Brunner, M., Palmer, S., Togher, L., & Hemsley, B. (2019). 'I kind of figured it out': The views and experiences of people with traumatic brain injury (TBI) in using social media-self-determination for participation and inclusion online. International Journal of Language & Communication Disorders, 54(2), 221–233
• Brunner, M., Rietdijk, R., Avramovic, P., Power, E., Miao, M., Rushworth, N., MacLean, L., Brookes, A.M., & Togher, L. (2023). Developing social-ABI-lity: an online course to support safe use of social media for connection after acquired brain injury. American Journal of Speech-Language Pathology, 32(2S), 924–940
• Carminati, J. J., Holth, K., Ponsford, J. L., & Gould, K. R. (2024a). Co-designing positive behaviour support (PBS+PLUS) training resources: A qualitative study of people with ABI, close-others, and clinicians' experiences. Brain Impairment, 25, IB23060
• Carminati, J. J., Ponsford, J. L., & Gould, K. R. (2024b). Co-developing 'The CyberABIlity Scale' to assess vulnerability to cyberscams for people with acquired brain injury: Delphi and cognitive interviews with clinicians and people with acquired brain injury. Brain Impairment, 25(1), IB23065
• Carragher, M., Mok, Z., Steel, G., Conroy, P., Pettigrove, K., Rose, M. L., & Togher, L. (2024). Towards efficient, ecological assessment of interaction: a scoping review of co-constructed communication. International Journal of Language & Communication Disorders, 59(3), 831–875
• Cavanaugh, R., Richardson, J., & Dalton, S. G. (2021). MainConcept: an open-source web-app for scoring main concept analysis. R package version 0.0.1.0000. Accessed September 9, 2024 at: https://github.com/aphasia-apps /mainConcept
• Christensen, I., Power, E., Togher, L., & Norup, A. (2023). “Communication is not exactly my field, but it is still my area of work”: staff and managers' experiences of communication with people with traumatic brain injury. American Journal of Speech-Language Pathology, 32(2S), 827–847
• Dalton, S. G., Stark, B. C., Fromm, D., Apple, K., MacWhinney, B., Rensch, A., & Rowedder, M. (2022). Validation of an automated procedure for calculating core lexicon from transcripts. Journal of Speech, Language, and Hearing Research: JSLHR, 65(8), 2996–3003
• Elbourn, E., Brassel, S., Steel, J., & Togher, L. (2022). Perceptions of communication recovery following traumatic brain injury: a qualitative investigation across 2 years. International Journal of Language & Communication Disorders, 59(2),463–482
• Elbourn, E., Kenny, B., Power, E., Honan, C., McDonald, S., Tate, R., Holland, A., MacWhinney, B., & Togher, L. (2019a). Discourse recovery after severe traumatic brain injury: exploring the first year. Brain Injury : [BI], 33(2), 143–159
• Elbourn, E., Kenny, B., Power, E., & Togher, L. (2019b). Psychosocial outcomes of severe traumatic brain injury in relation to discourse recovery: a longitudinal study up to 1 year post-injury. American Journal of Speech-Language Pathology, 28(4), 1463–1478
• Elbourn, E., MacWhinney, B., Fromm, D., Power, E., Steel, J., & Togher, L. (2023). TBIBank: an international shared database to enhance research, teaching and automated language analysis for traumatic brain injury populations. Archives of Physical Medicine and Rehabilitation, 104(5), 824–829
• Greenslade, K. J., Bogart, E., Gyory, J., Jaskolka, S., & Ramage, A. E. (2024). Story grammar analyses capture discourse improvement in the first 2 years following a severe traumatic brain injury. American Journal of Speech-Language Pathology, 33, 1004–1020
• Hall, Z., Elbourn, E., Togher, L., & Carragher, M. (2024). Co-constructed communication therapy for individuals with acquired brain injury: a systematic review. International Journal of Language & Communication Disorders, 59(2), 496–518
• Halliday, M. A. K. (1994). An Introduction to Functional Grammar. (2nd ed.). Edward Arnold
• Hoepner, J. K., & Townsend, A. K. (2024). Counseling practices of speech-language pathologists working with aphasia: “I did not have adequate training in actual counseling strategies.” Aphasiology, 38(6), 1118–1137
• Hoepner, J. K., Yingst, H., Harder, B., & Zehm, C. (2022). “I never thought I would be an international speaker … but I am”: an interpretive qualitative analysis of experiences of a project-based advocacy intervention. Neuropsychological Rehabilitation, 32(8), 2077–2101
• Holland, A. L. (1982a). Observing functional communication of aphasic adults. The Journal of Speech and Hearing Disorders, 47, 50–56
• Holland. (1982b). When is aphasia aphasia? The problem of closed head injury. Clinical Aphasiology Conference, Oshkosh, Wisconsin
• Holland. (1998). Functional outcome assessment of aphasia following left hemisphere stroke. Semin Speech Lang, 19(3), 249–259
• Holland, A. (2007). Counseling/Coaching in chronic aphasia: getting on with life. Topics in Language Disorders, 27(4), 339–350
• Holland, A. L., Halper, A. S., & Cherney, L. R. (2010). Tell me your story: analysis of script topics selected by persons with aphasia. American Journal of Speech-Language Pathology, 19(3), 198–203
• Jarsch, M., Bartsch, K., Berres, M., Ryf, I., Jurisic, K., Sluka, C., Kressig, R. W., Monsch, A. U., McDonald, S., Piguet, O., & Sollberger, M. (2022). The Basel Version of the Awareness of Social Inference Test-Emotion Recognition (BASIT-ER): preliminary validation analyses in healthy adults. Neuropsychology, 36(2), 175–184
• Jeffay, E., Ponsford, J., Harnett, A., Janzen, S., Patsakos, E., Douglas, J., Kennedy, M., Kua, A., Teasell, R., Welch-West, P., Bayley, M., & Green, R. (2023). INCOG 2.0 guidelines for cognitive rehabilitation following traumatic brain injury, Part III: Executive functions. The Journal of Head Trauma Rehabilitation, 38(1), 52–64
• Jorgensen, M., & Togher, L. (2009). Narrative after traumatic brain injury: a comparison of monologic and jointly-produced discourse. Brain Injury, 23(9), 727–740
• Jurafsky, D., & Martin, J. H. (2009). Speech and Language Processing: An Introduction to Natural Language Processing, Computational Linguistics, and Speech Recognition (2nd ed.). Pearson Prentice Hall
• Keegan, L. C., Hoepner, J. K., Togher, L., & Kennedy, M. (2023). Clinically applicable sociolinguistic assessment for cognitive-communication disorders. American Journal of Speech-Language Pathology, 32(2S), 966–976.
• Keegan, L. C., Müller, N., Ball, M. J., & Togher, L. (2022). Anger and aspirations: linguistic analysis of identity after traumatic brain injury. Neuropsychological Rehabilitation, 32(8), 2029–2053
• Keegan, L. C., Murdock, M., Suger, C., & Togher, L. (2019). Improving natural social interaction: group rehabilitation after traumatic brain injury. Neuropsychological Rehabilitation, 30(8),1497–1522
• Keegan, L. C., Reilley, K., Stover, M., & Togher, L. (2024). Virtual INSIGHT: improving natural social interaction: group reHabilitation after traumatic brain injury. International Journal of Language & Communication Disorders, 59(2), 532–542
• Keegan, L. C., Suger, C., & Togher, L. (2021). Discourse analysis of humor after traumatic brain injury. American Journal of Speech-Language Pathology, 30(2S), 949–961
• Keegan, L. C., Togher, L., Murdock, M., & Hendry, E. (2017). Expression of masculine identity in individuals with a traumatic brain injury. Brain Injury : [BI], 31(12), 1632–1641
• Kilov, A., Togher, L., & Grant, S. (2009). Problem solving with friends: discourse participation and performance of individuals with and without traumatic brain injury. Aphasiology, 23(5), 584–605
• Kong, A. P., Lau, D. K., & Lai, D. H. (2023). Measuring pragmatic competence of discourse output among Chinese-speaking individuals with traumatic brain injury. Brain Impairment, 24(3), 660–678
• Kurland, J., Liu, A., & Stokes, P. (2023). Phase I test development for a brief assessment of transactional success in aphasia: methods and preliminary findings of main concepts in non-aphasic participants. Aphasiology, 37(1), 39–68
• Maas, A. I. R., Menon, D. K., Adelson, P. D., Andelic, N., Bell, M. J., Belli, A., Bragge, P., Brazinova, A., Büki, A., Chesnut, R. M., Citerio, G., Coburn, M., Cooper, D. J., Crowder, A. T., Czeiter, E., Czosnyka, M., Diaz-Arrastia, R., Dreier, J. P., Duhaime, A. C., . . . Yaffe, K., & The InTBIR Participants and Investigators. (2017). Traumatic brain injury: Integrated approaches to improve prevention, clinical care, and research. Lancet Neurology, 16(12), 987–1048
• MacDonald, S. (2017). Introducing the model of cognitive-communication competence: a model to guide evidence-based communication interventions after brain injury. Brain Injury : [BI], 31(13-14), 1760–1780
• MacDonald, S., & Johnson, C. J. (2005). Assessment of subtle cognitive-communication deficits following acquired brain injury: a normative study of the Functional Assessment of Verbal Reasoning and Executive Strategies (FAVRES). Brain Injury [BI], 19(11), 895–902
• MacDonald, S., & Shumway, E. (2024). Optimizing our evidence map for cognitive-communication interventions: how it can guide us to better outcomes for adults living with acquired brain injury. International Journal of Language & Communication Disorders, 59(2), 623–647
• MacWhinney, B. (2000). The CHILDES Project: Tools for Analyzing Talk. 3rd Edition. Mahwah, NJ: Lawrence Erlbaum Associate
• Malec, J. F. (1999). Goal attainment scaling in rehabilitation. Neuropsychological Rehabilitation, 9(3–4), 253–275.
• Marshall, S., Welch-West, P., Ferri, C., Faltynek, P., Janzen, S., Togher, L., & Teasell, R. (2019). Interventions for Cognition and Cognitive Communication Post Acquired Brain Injury (Vol. 13). Accessed September 5, 2024 at: https://erabi.ca/modules/module-6/
• Martin, J. R. (1992) English Text. System and Structure. Amsterdam, The Netherlands: Benjamins
• McDonald, S. (2012). New frontiers in neuropsychological assessment: assessing social perception using a standardised instrument, the awareness of social inference test. Australian Psychologist, 47(1), 39–48
• Meulenbroek, P., & Cherney, L. R. (2019). The voicemail elicitation task: functional workplace language assessment for persons with traumatic brain injury. Journal of Speech, Language, and Hearing Research: JSLHR, 62(9), 3367–3380
• Meulenbroek, P., & Keegan, L. (2021). The life participation approach and social reintegration after traumatic brain injury. In: A. Holland & R. Elman (Eds.), Neurogenic Communication Disorders and the Life Participation Approach: The Social Imperative in Supporting Individuals and Families. Plural Publishing
• Meulenbroek, P., & Turkstra, L. S. (2016). Job stability in skilled work and communication ability after moderate-severe traumatic brain injury. Disability and Rehabilitation, 38(5), 452–461
• Ponsford, J., Trevena-Peters, J., Janzen, S., Harnett, A., Marshall, S., Patsakos, E., Kua, A., McIntyre, A., Teasell, R., Wiseman-Hakes, C., Velikonja, D., Bayley, M. T., McKay, A., & the INCOG Expert Panel. (2023a). INCOG 2.0 guidelines for cognitive rehabilitation following traumatic brain injury, part I: Posttraumatic amnesia. The Journal of Head Trauma Rehabilitation, 38(1), 24–37
• Ponsford, J., Velikonja, D., Janzen, S., Harnett, A., McIntyre, A., Wiseman-Hakes, C., Togher, L., Teasell, R., Kua, A., Patsakos, E., Welch-West, P., & Bayley, M. T. (2023b). INCOG 2.0 guidelines for cognitive rehabilitation following traumatic brain injury, Part II: Attention and information processing speed. The Journal of Head Trauma Rehabilitation, 38(1), 38–51
• Power, E., Weir, S., Richardson, J., Fromm, D., Forbes, M., MacWhinney, B., & Togher, L. (2020). Patterns of narrative discourse in early recovery following severe traumatic brain injury. Brain Injury : [BI], 34(1), 98–109
• Quinting, J., Stenneken, P., Mahlke, A., de Beer, C., Hogrefe, K., Hussmann, K., Baumgaertner, A., MacDonald, S., & Jonas, K. (2023). Measuring verbal reasoning and executive strategies in German speaking people with cognitive-communication disorders: cross-cultural adaptation and pilot testing of the FAVRES-DE. Aphasiology, 37(10), 1533–1555
• Richardson, J. D., & Dalton, S. G. (2016). Main concepts for three different discourse tasks in a large non-clinical sample. Aphasiology, 30(1), 45–73
• Rietdijk, R., Power, E., Attard, M., & Togher, L. (2020). Acceptability of telehealth-delivered rehabilitation: experiences and perspectives of people with traumatic brain injury and their carers. Journal of Telemedicine and Telecare, 1357633 × 20923824
• Rietdijk, R., Power, E., Brunner, M., & Togher, L. (2018). The reliability of evaluating conversations between people with traumatic brain injury and their communication partners via videoconferencing. Neuropsychological Rehabilitation
• Sim, P., Power, E., & Togher, L. (2013). Describing conversations between individuals with traumatic brain injury (TBI) and communication partners following communication partner training: Using exchange structure analysis. Brain Injury : [BI], 27(6), 717–742
• Steel, J., Elbourn, E., & Togher, L. (2021). Narrative discourse intervention after traumatic brain injury: a systematic review of the literature. Topics in Language Disorders, 41(1), 47–72
• Steel, J., Ferguson, A., Spencer, E., & Togher, L. (2017). Social communication assessment during post-traumatic amnesia and the post-acute period after traumatic brain injury. Brain Injury [BI], 31(10), 1320–1330
• Stubbs, E., Togher, L., Kenny, B., Fromm, D., Forbes, M., MacWhinney, B., McDonald, S., Tate, R., Turkstra, L., & Power, E. (2018). Procedural discourse performance in adults with severe traumatic brain injury at 3 and 6 months post injury. Brain Injury : [BI], 32(2), 167–181
• Thompson, C. K., Shapiro, L. P., Kiran, S., & Sobecks, J. (2003). The role of syntactic complexity in treatment of sentence deficits in agrammatic aphasia: The complexity account of treatment efficacy (CATE). Journal of Speech, Language, and Hearing Research: JSLHR, 46(3), 591–607
• Togher, L. (2001). Discourse sampling in the 21st century. Journal of Communication Disorders, 34(1-2), 131–150
• Togher, L. (2003). Do I have green hair? “Conversations” in the clinic. In: S. Parr, J. Duchan, & C. Pound (Eds.), Aphasia Inside Out: Reflections on communication disability (pp. 65–79). Open University Press
• Togher, L., Douglas, J., Turkstra, L. S., Welch-West, P., Janzen, S., Harnett, A., Kennedy, M., Kua, A., Patsakos, E., Ponsford, J., Teasell, R., Bayley, M. T., & Wiseman-Hakes, C. (2023a). INCOG 2.0 guidelines for cognitive rehabilitation following traumatic brain injury, Part IV: Cognitive-communication and social cognition disorders. The Journal of Head Trauma Rehabilitation, 38(1), 65–82
• Togher, L., Elbourn, E., Kenny, B., Honan, C., Power, E., Tate, R., McDonald, S., & MacWhinney, B. (2023b). Communication and psychosocial outcomes 2-years after severe traumatic brain injury: development of a prognostic model. Archives of Physical Medicine and Rehabilitation, 104(11), 1840–1849
• Togher, L., & Hand, L. (1998). Use of politeness markers with different communication partners: an investigation of five subjects with traumatic brain injury. Aphasiology, 12(7), 755–770
• Togher, L., Hand, L., & Code, C. (1997a). Analysing discourse in the traumatic brain injury population: telephone interactions with different communication partners. Brain Injury : [BI], 11(3), 169–189
• Togher, L., Hand, L., & Code, C. (1997b). Measuring service encounters with the traumatic brain injury population. Aphasiology, 11(4), 491–504
• Togher, L., Taylor, C., Aird, V., & Grant, S. (2006). The impact of varied speaker role and communication partner on the communicative interactions of a person with traumatic brain injury: a single case study using systemic functional linguistics. Brain Impairment, 7(3), 190–201
• Togher, L., McDonald, S., Tate, R., Power, E., & Rietdijk, R. (2013). Training communication partners of people with severe traumatic brain injury improves everyday conversations: a multicenter single blind clinical trial. Journal of Rehabilitation Medicine, 45, 637–645
• Turner-Stokes, L., Williams, H., & Johnson, J. (2009). Goal attainment scaling: Does it provide added value as a person-centred measure for evaluation of outcome in neurorehabilitation following acquired brain injury? Journal of Rehabilitation Medicine, 41(7), 528–535
• Velikonja, D., Ponsford, J., Janzen, S., Harnett, A., Patsakos, E., Kennedy, M., Togher, L., Teasell, R., McIntyre, A., Welch-West, P., Kua, A., & Bayley, M. T. (2023). INCOG 2.0 guidelines for cognitive rehabilitation following traumatic brain injury, part V: memory. The Journal of Head Trauma Rehabilitation, 38(1), 83–102
• Westerhof-Evers, H. J., Visser-Keizer, A. C., McDonald, S., & Spikman, J. M. (2014). Performance of healthy subjects on an ecologically valid test for social cognition: the short, Dutch Version of The Awareness of Social Inference Test (TASIT). Journal of Clinical and Experimental Neuropsychology, 36(10), 1031–1041
• Zhang, E., Steel, J., Togher, L., Fromm, D., MacWhinney, B., & Bogart, E. (2024). Insights from important event recounts told by people with traumatic brain injury. Journal of Speech, Language, and Hearing Research: JSLHR, 1–17