Pragmatic skills in people with HIV/AIDS.

Abstract:

PURPOSE:Carers and health professionals who work with people with the human immunodeficiency virus (HIV) are reported to think that the communication skills of people with HIV are "odd" and a range of difficulties with communication have been identified. However, little research has examined the "pragmatic" skills of people with HIV. METHOD:Five men living with AIDS were assessed on a battery of measures of componential language to exclude aphasia. Their pragmatic appropriateness as judged using the the Pragmatic Protocol was then rated by ten experienced raters from representative portions of a semi-structured interview. RESULTS:All cases were rated by some raters as inappropriate on: Lexical selection specificity/accuracy. 4/5 cases had problems with: fluency, turn taking quantity, turn taking interruption/overlap and vocal quality. 3/5 were scored by some raters as having problems with: intelligibility, lexical selection: cohesion, prosody, turn taking pauses, turn taking repair/revision and vocal intensity. CONCLUSIONS:Several pragmatic behaviours consistent with what might be expected in people with mild diffuse or subcortical brain impairment were clearly observed. Whilst the cause of their perceived pragmatic inappropriateness cannot be established, the results suggest that cognitive-communication problems might be a feature of language use in people with HIV-AIDS even when AIDS-related dementia has not been diagnosed.

journal_name

Disabil Rehabil

authors

McCabe P,Sheard C,Code C

doi

10.1080/09638280600963069

subject

Has Abstract

pub_date

2007-08-30 00:00:00

pages

1251-60

issue

16

eissn

0963-8288

issn

1464-5165

pii

780755778

journal_volume

29

pub_type

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