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Updated: May 31, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Narrative language in traumatic brain injury.

Andrea Marini¹, Valentina Galetto, Elisa Zampieri

¹Dipartimento di Scienze Umane, University of Udine, Udine, Italy. andrea.marini@uniud.it

Neuropsychologia

|July 5, 2011

Summary

Adults with severe traumatic brain injury (TBI) exhibit narrative discourse impairments, specifically in cohesion and coherence, despite intact grammar and vocabulary. These deficits may stem from cognitive-linguistic processing interface issues.

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Area of Science:

Neuroscience
Linguistics
Psychology

Background:

Traumatic brain injury (TBI) frequently leads to linguistic and narrative deficits.
Understanding these impairments is crucial for effective rehabilitation.

Purpose of the Study:

To document the specific features of narrative discourse impairment in adults with severe TBI.
To investigate the underlying cognitive and linguistic mechanisms.

Main Methods:

Assessed cognitive, linguistic, and narrative skills in 14 non-aphasic severe TBI adults and 14 controls.
Utilized Principal Component Analysis to identify patterns in discourse errors.

Main Results:

TBI group showed normal lexical and grammatical skills but impaired narrative cohesion and coherence.
Discourse was characterized by interruptions, derailments, and ambiguity, with disorganized information.
Principal Component Analysis revealed a single factor linked to global coherence errors and reduced information density.

Conclusions:

Linguistic deficits in TBI may arise from a breakdown at the cognitive-linguistic processing interface.
This suggests that TBI affects higher-level discourse organization rather than fundamental language components.