While it is recognised that the burden on the caregiver of a person who has suffered a neurological event is great, research into the experience of caregiving and the effects of cognitive-communicative difficulties on intergenerational families is lacking. Studies examining these experiences within a multicultural and multilingual setting such as South Africa are few. The effects of neurogenic communication disorders in family systems also require further investigation. This study explores parent caregivers’ experiences of caring for their once-independent adult child, who are now faced with the reality of parenting for the second time. A qualitative research design was employed. Eighteen parents of adult children who have suffered TBIs, strokes or brain tumours were interviewed. The data obtained were analysed by means of thematic analysis. Themes associated with caring for an adult child, specifically in the South African context, are identified and discussed. These themes related to the parent caregiver’s experience of loss – loss of their child due to physical and cognitivecommunicative difficulties as well as the loss of their own dreams and plans for the future. Multiple roles within intergenerational family systems, support and information are identified as significant factors in either minimising or exacerbating their experience of loss. These themes are explained within a Family Systems Theory framework and assist in identifying both positive and negative factors that impact on experiences of caring for an adult child. It stresses the importance of the implementation of sustainable programmes and support services specifically catering for parents of adult children with neurological communication disorders.

Background: Word retrieval deficits are a common, pervasive feature of aphasia. Semantic feature analysis (SFA) is a popular treatment technique for word retrieval impairment. Preliminary evidence of its use in small aphasia-group settings suggests improved word retrieval in discourse-based tasks with improvements in communicative informativeness (Antonucci, 2009; Falconer & Antonucci, 2012). Objective: The aim of this study was to investigate the training of SFA within discourse during a small (two-member) aphasia group treatment to ascertain if gains would be made in word retrieval abilities and communicative informativeness. Method: Two female participants with chronic aphasia, aged seventy seven and sixty eight, participated weekly in group treatment for five consecutive weeks where stimuli were used to elicit increasingly naturalistic discourse. A multiple-baseline design was used and a case series analysis conducted. Baseline measures, treatment data and data from the six week follow-up (SWFU) session were analysed using the protocols developed by Nicholas and Brookshire (1993) and Mayer and Murray (2003). Results: Both participants demonstrated certain modest gains in overall communicative informativeness but these were not maintained at the SWFU session. Gains in informativeness ranged from 12% to 13.4% for participants, which agree with improvements in other studies (Antonucci, 2009; Boyle & Coelho, 1995; Falconer & Antonucci, 2012). P2 (presented with anomic aphasia) performed better than P1 (presented with Broca’s aphasia and a component of apraxia of speech [AOS]) with regards to communicative informativeness (%CIUs) and had greater access to semantic knowledge (i.e. could access lexical forms at an improved rate). Conclusion: The small group setting may offer advantages to facilitate communication skills and increase participation in everyday conversation. Further research is needed to identify benefits for individuals with differing aphasia types and severity, optimal intensity and frequency of group treatment and the role of peer support during group interaction. Key Words Aphasia, stroke rehabilitation, word retrieval, semantic feature analysis, connected speech, discourse, group therapy, communicative informativeness, functional communication. / Dissertation (MA)--University of Pretoria, 2016. / Speech-Language Pathology and Audiology / MA / Unrestricted