The influence of cultural-linguistic background on family and SLP perceptions of pragmatic communication skills following right-hemisphere stroke

Barron, Christine and Beatty, Phillip and Richman, Melissa and Huang, Jim (2007) The influence of cultural-linguistic background on family and SLP perceptions of pragmatic communication skills following right-hemisphere stroke. [Clinical Aphasiology Paper]

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Abstract

Pragmatic communication abilities are frequently impaired in persons who have had a right-hemisphere stroke. Speech-language pathologists (SLPs) often supplement their own pragmatic communication assessment ratings with ratings from the patients’ family members. These ratings, by both SLPs and family members, are likely to be biased by their respective cultural-linguistic backgrounds. The pragmatic communication ratings of Caucasian SLPs were compared with Caucasian and African-American families’ ratings for patients following right-hemisphere stroke. SLPs’ ratings agreed more closely with Caucasian families, but not to a degree that reached statistical significance. The nature of this agreement regarding specific pragmatic communication behaviors, as well as clinical implications, are discussed.

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