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Variables and Mechanisms Affecting Response to Language Treatment in Multilingual People with Aphasia
Mira Goral1,2, Aviva Lerman3
1Speech-Language-Hearing Sciences, Graduate Center & Lehman College, City University of New York, New York, NY 10016, USA.
Background:
Despite substantial literature exploring language treatment effects in multilingual people with aphasia (PWA), inconsistent results reported across studies make it difficult to draw firm conclusions.
Methods:
We highlight and illustrate variables that have been implicated in affecting cross-language treatment effects in multilingual PWA.
Main Contribution:
We argue that opposing effects of activation and inhibition across languages, influenced by pertinent variables, such as age of language acquisition, patterns of language use, and treatment-related factors, contribute to the complex picture that has emerged from current studies of treatment in multilingual PWA. We propose a new integrated model-Treatment Effects in Aphasia in Multilingual people (the TEAM model)-to capture this complexity.
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