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Perspectives in Pragmatics, Philosophy & Psychology 11 Louise Cummings E ditor Research in Clinical Pragmatics Perspectives in Pragmatics, Philosophy & Psychology Volume 11 Editor-in-Chief Alessandro Capone, University of Messina, Italy Consulting Editors Keith Allan, Monash University, Melbourne, Australia Louise Cummings, Nottingham Trent University, UK Wayne A. Davis, Georgetown University, Washington, USA Igor Douven, Paris-Sorbonne University, France Yan Huang, University of Auckland, New Zealand Istvan Kecskes, State University of New York at Albany, USA Franco Lo Piparo, University of Palermo, Italy Antonino Pennisi, University of Messina, Italy Editorial Board Members Noel Burton-Roberts, University of Newcastle, UK Brian Butler, University of North Carolina, Asheville, USA Felice Cimatti, Università della Calabria, Cosenza, Italy Eros Corazza, Carleton University, Ottawa, Canada Marcelo Dascal, Tel Aviv University, Israel Michael Devitt, Graduate Center, City University of New York, USA Frans van Eemeren, University of Amsterdam, The Netherlands Alessandra Falzone, University of Messina, Italy Neil Feit, State University of New York, Fredonia, USA Alessandra Giorgi, Ca’ Foscari University of Venice, Italy Larry Horn, Yale University, New Haven, USA Klaus von Heusinger, University of Stuttgart, Germany Katarzyna Jaszczolt, University of Cambridge, UK Ferenc Kiefer, Hungarian Academy of Sciences, Budapest, Hungary Kepa Korta, ILCLI, Donostia, Spain Ernest Lepore, Rutgers University, New Brunswick, USA Stephen C. Levinson, Max Planck Institute for Psycholinguistics, Nijmegen, The Netherlands Fabrizio Macagno, New University of Lisbon, Portugal Tullio De Mauro, ‘La Sapienza’ University, Rome, Italy Jacob L. Mey, University of Southern Denmark, Odense, Denmark Pietro Perconti, University of Messina, Italy Francesca Piazza, University of Palermo, Italy Roland Posner, Berlin Institute of Technology, Germany Mark Richard, Harvard University, Cambridge, USA Nathan Salmon, University of California, Santa Barbara, USA Stephen R. Schiffer, New York University, USA Michel Seymour, University of Montreal, Canada Mandy Simons, Carnegie Mellon University, Pittsburgh, USA Timothy Williamson, University of Oxford, UK Anna Wierzbicka, Australian National University, Canberra, Australia Dorota Zielińska, Jagiellonian University, Kraków, Poland More information about this series at http://www.springer.com/series/11797 Louise Cummings Editor Research in Clinical Pragmatics Editor Louise Cummings School of Arts and Humanities Nottingham Trent University Nottingham, UK ISSN 2214-3807 ISSN 2214-3815 (electronic) Perspectives in Pragmatics, Philosophy & Psychology ISBN 978-3-319-47487-8 ISBN 978-3-319-47489-2 (eBook) DOI 10.1007/978-3-319-47489-2 Library of Congress Control Number: 2016963153 © Springer International Publishing AG 2017 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland Preface Clinical pragmatics is still a relative newcomer to the study of language and com- munication disorders and is a recent offshoot of linguistic pragmatics. Yet, this field has already produced an abundance of empirical findings. It has also contributed in significant ways to the clinical management of clients with pragmatic disorders and to theoretical developments in disciplines such as linguistics, psychology and cog- nitive science. So rapid has been the growth of this area of study that it is now the right time to take a step back and assess what has been achieved. An assessment of the state of the art in clinical pragmatics lies at the heart of this volume. But another equally important purpose has motivated the production of this book. That purpose is to chart the road ahead for clinical pragmatic researchers. With so many new find- ings and ideas to consider, it is easy to overlook what still needs to be achieved. It is important for the many children and adults who have pragmatic disorders that clini- cians and researchers also look forward to new areas of exploration. The five-part structure of this volume reflects the full scope of inquiry that has been conducted within clinical pragmatics. The first two sections on developmental pragmatic disorders and acquired pragmatic disorders include chapters on the pragmatic features of a range of clinical populations. Some of these populations (e.g. autism spectrum disorder and schizophrenia) have been extensively investi- gated to date, although there is still much work to be done. Other populations (e.g. cerebral palsy and non-Alzheimer dementias) are only beginning to receive the attention of investigators. The choice of the term ‘pragmatic features’ is intended to reflect the fact that alongside the often significant pragmatic impairments in these client populations, there are also considerable areas of preserved pragmatic skill. This is often overlooked in the search for deficits. Intact pragmatic abilities can often be harnessed during intervention and are given the prominence they deserve in the chapters in these sections. These chapters also include conversational and other data that illustrate the pragmatic skills and deficits of clients. In order to understand fully pragmatic behaviours, both skills and deficits, readers must ‘see’ how they manifest in conversation and other forms of discourse as well as read descriptions of these behaviours. v vi Preface The section on pragmatic disorders in other populations recognizes that there is a growing literature on, and awareness of, pragmatic disorders in clients who have not traditionally been in receipt of clinical language services for the remediation of pragmatics. This includes children and adults who have sensory deficits such as hearing loss and visual impairment. Evidence indicates that young children who are deaf or hard of hearing are significantly older than their hearing peers when they demonstrate many complex language skills. There is also a growing body of research that pragmatic language presents a greater challenge for children with visual impair- ment. Fluency disorders such as stuttering and cluttering create their own challenges for pragmatic language skills. Pragmatic deficits are a feature of several disorders (e.g. ADHD) that co-occur with fluency disorders. Fluency disorders may also have a negative impact on social interaction and pragmatics. Each of these disorders must move from a position of relative obscurity in clinical pragmatics to assume greater prominence in the discussions of clinicians and researchers. The section on management of pragmatic disorders examines the proliferation of techniques and approaches to assessment and intervention that has occurred in recent years. In terms of assessment, pragmatic language skills in children and adults may be evaluated by means of checklists, standardized tests, self-report mea- sures and approaches such as conversation analysis and discourse analysis. The choice of method of assessment must be guided by a range of considerations, only some of which are related to attributes of the client such as chronological age and developmental level. Interventions are equally wide-ranging in nature and may tar- get behaviours of communication partners as well as clients. The chapters in this section guide readers through the complex considerations which clinicians must address in order to manage clients with pragmatic disorders. The final section in the volume on recent developments in pragmatic disorders addresses aspects of pragmatic disorders which do not often appear centre stage. The psychosocial aspects of pragmatic disorders have been largely subordinated to a range of other concerns, even though the mitigation of the psychological distress and impairments of social functioning that are caused by these disorders should be at the forefront of everything clinicians and researchers do. The cognitive and neural aspects of pragmatic disorders are more often addressed in the cognitive and neuro- sciences even though they have central relevance to an explanation of these disor- ders. It is hoped that by featuring these aspects of pragmatic disorders in a dedicated section of the volume, some much needed emphasis will be achieved. Lastly, this volume has only been possible because of the combined efforts of a wide range of expert clinicians, researchers and scholars. Collectively, the authors of these chapters embody a wealth of clinical knowledge and experience in the area of clinical pragmatics. Each is motivated by a concern to better understand, and improve the lives of, children and adults with pragmatic disorders. Their enthusiasm in this quest, I believe, is evident in every page of this volume. I hope readers will agree. For my part, I know I have grown as a clinical pragmatist from the experience of working with these authors. Nottingham, UK Louise Cummings Acknowledgements I wish to acknowledge Jolanda Voogd (senior publishing editor, Language Education and Linguistics, Springer) and Alessandro Capone for their positive response to the proposal of a book in the area of clinical pragmatics. It was Alessandro who urged me to contribute this volume to his series Perspectives in Pragmatics, Philosophy & Psychology. I am grateful to him for encouraging me to bring this collection of papers together. I would also like to acknowledge Helen van der Stelt (assistant editor, Language Education and Linguistics, Springer) for her assistance at various steps throughout this project. Gratitude is extended to Judith Heaney who worked on the preparation of the final manuscript. Her attention to detail is truly valued. Finally, I have been supported in this endeavour by family members and friends who are too numerous to mention individually. I am grateful to them for their kind words of encouragement during my many months of editing. vii Contents Part I Developmental Pragmatic Disorders 1 Pragmatic Development ......................................................................... 3 Gabriella Airenti 2 Pragmatic Language Impairment ......................................................... 29 Mieke P. Ketelaars and Mariëtte T.J.A. Embrechts 3 Autism Spectrum Disorder..................................................................... 59 Joanne Volden 4 Attention Deficit Hyperactivity Disorder ............................................. 85 Soile Loukusa 5 Intellectual Disability .............................................................................. 109 Gary E. Martin, Michelle Lee, and Molly Losh 6 Childhood Brain Tumour ....................................................................... 131 Kimberley Docking, Philippe Paquier, and Angela Morgan 7 Cerebral Palsy ......................................................................................... 165 Stéphanie Caillies Part II Acquired Pragmatic Disorders 8 Disruption of Pragmatics in Adulthood ................................................ 181 Caroline Jagoe 9 Aphasias ................................................................................................... 211 Gloria Streit Olness and Hanna K. Ulatowska 10 Right-Hemisphere Pragmatic Disorders ............................................... 243 Margaret Lehman Blake ix x Contents 11 Schizophrenia .......................................................................................... 267 Francesca M. Bosco and Alberto Parola 12 Traumatic Brain Injury .......................................................................... 291 Lyn S. Turkstra and Adam M. Politis 13 Alzheimer’s Dementia ............................................................................. 323 Jacqueline Guendouzi and Meghan Savage 14 Non-Alzheimer Dementias ..................................................................... 347 Angela Roberts, Marie Savundranayagam, and J.B. Orange 15 Parkinson’s Disease Without Dementia ................................................ 379 Thomas Holtgraves and Magda Giordano Part III Pragmatic Disorders in Other Populations 16 Hearing Loss and Cochlear Implantation ............................................ 411 Louise Paatsch, Dianne Toe, and Amelia Church 17 Congenital Visual Impairment ............................................................... 441 Rebecca Greenaway and Naomi J. Dale 18 Stuttering and Cluttering ....................................................................... 471 Kathleen Scaler Scott Part IV Management of Pragmatic Disorders 19 Pragmatic Assessment and Intervention in Children .......................... 493 Yvette D. Hyter 20 Pragmatic Assessment and Intervention in Adults .............................. 527 Charlotta Saldert Part V Recent Developments in Pragmatic Disorders 21 Neural Aspects of Pragmatic Disorders ................................................ 561 Brigitte Stemmer 22 Cognitive Aspects of Pragmatic Disorders............................................ 587 Louise Cummings 23 Psychosocial Aspects of Pragmatic Disorders ...................................... 617 Pamela Snow and Jacinta Douglas

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