This study examines the effect of language use on the communication interaction patterns of ten children with cerebral palsy from Hindi speaking families, five children using AAC and five children using speech as their primary mode of communication. Children in both groups were within a chronological age band of six to eleven years with their receptive language levels ranging from three to four + word level. The study was conducted over a nineteen month period. Data was collected at four phases by video recording interactions between the children and their facilitators. Two intervention strategies were applied. The first intervention was the reformatting of individual display boards to include vocabulary that was within the receptive repertoire of each AAC user. The second intervention was a facilitator workshop to suggest strategies that speaking communication partners might use to support and/or augment AAC users communicative and linguistic skills. A three tier model of data analysis (Light, in press) was found to be an effective way of examining the data. The diversity of data gave empirical evidence on the relationship between use of language and communication competence, and the efficacy of the interventions used. The results confirmed existing evidence in literature that social intentions and the functional needs of speakers affect communicative functions. In addition, data provided evidence that communicative context and communicative partners have a direct impact on the communicative interaction patterns of AAC users. Children in the study showed developmental trends that were similar to those of typically developing children. This has important implications for language learning theories in AAC and for classroom practice. The major outcome of the study is the empirical evidence showing that communicative competence in AAC users' is enhanced by access to opportunities for developing and using linguistic skills. This research study has added to the existing knowledge base on the communicative competence of children who use AAC by providing evidence from a different cultural (Indian) and linguistic (Hindi) setting.

A severe aphasia following a cerebral vascular accident is characterised by generalised deficits in most speech-language domains. The clinical dilemma remains focused on the extensive verbal speech impairment and in most cases little possibility of regaining verbal speech production. Many individuals living with severe aphasia use augmentative and alternative communication strategies to assist them in getting their communication needs met in their everyday lives. The Blissymbol system is one of the graphic symbol systems that can be used to supplement existing communication and speech strategies of the individual with little or no speech. Although the use of AAC strategies is gaining momentum in its application to severe aphasia, however, there still remain questions on how best to help these individuals learn and retain such strategies. Not only are individuals with severe aphasia faced with a memory task when learning AAC strategies such as Blissymbols, additional complexity to AAC interventions is derived from clinical presentation of severe aphasia. The presence of extensive damage to the neural centers responsible for linguistic processing and semantic retrieval makes learning of new AAC strategies all the more complicated. Research studies have looked at whether individuals with severe aphasia can learn to recognise and retain Blissymbols. Although these studies have successfully shown that individuals with severe aphasia can learn Blissymbols, there is little information available regarding how these symbols can best be taught and retained over time individuals with severe aphasia. Recently the research that has looked at the application of symbol learning with persons presenting with severe aphasia using computer technology and sophisticated application software has highlighted the importance of therapeutic methods that may enhance the learning of such software. This study looks at the application of the self-generation effect as a viable method for enhancing the recognition of Blissymbols in persons presenting with severe aphasia. The self-generation effect is the finding of superior retention and recall for stimuli constructed or generated by an individual. Memory for stimuli such as words, numbers and pictures were found to be enhanced by the extent to which the individual was involved in its construction. Using a 2X2X3 factorial design, this study compared the recognition levels for Blissymbols taught using two treatment approaches which was the self-generation condition and the non self-generation condition. During three experimental sessions which included two withdrawal periods participants were taught using both treatments to recognise a set of Blissymbols. Recognition levels were tested during recognition probes and retention probes. The results from these probes were compared in order to identify which treatment produced superior recognition levels. The data analysis conducted showed that although there was no recognition advantage for the self-generation effect seen during the three recognition probes some advantage for the self-generation effect was seen during the retention probes conducted. The self-generation effect began to emerge by the final retention probe following a withdrawal period of seven days. The self-generation treatment showed better retention of symbol recognition over time. Previous studies have shown that the self-generation effect failed to emerge with stimuli that were new or unfamiliar. This trend was also seen in this study. The results provide support for a semantic-association theory for the self-generation effect. / Thesis (PhD)--University of Pretoria, 2010. / Centre for Augmentative and Alternative Communication (CAAC) / unrestricted

Cross-cultural differences in the perception of pictorial material has long been established and documented. In the Republic of South Africa, which is increasingly globalized, and where it is appealing from financial, economic and training perspectives, the temptation is to use Western-based AAC symbol systems and strategies in intervention with clients from other language and cultural orientations. The aim of this study was to determine the translucency ratings of specific Blissymbols as rated by six-to seven-year-old Setswana-speaking children. A secondary aim was to determine whether the ratings changed after second and third exposures in order to determine the learnability of these symbols. A brief comparison was made between the results of the current study and the results reported in the Quist et al., study (1998). Thirty-five Setswana learners were exposed to 93 selected Blissymbols, based on a study by Quist et al., (1998). A three-point semantic differential scale, consisting of three faces accompanied each Blissymbol. Participants marked the face that best described his/her perception of the specific symbol’s iconicity. This procedure was repeated over a period of three days. The results indicated that the translucency ratings of the majority of the Blissymbols ranged from moderate to high. The research further demonstrated significant differences in translucency ratings between the first and second exposures, suggesting learning of the symbols. A smaller difference was noted between Days 2 and 3. A correlation in findings was noted between the current study and the Dutch and US studies (Quist et al., 1998). / Dissertation (M (Augmentative and Alternative Communication))--University of Pretoria, 2007. / Centre for Augmentative and Alternative Communication (CAAC) / MA / unrestricted