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Treating naming impairments in aphasia: Findings from a phonological components analysis treatment
Abstract
Background: A new phonologically based treatment that we developed for addressing naming deficits in aphasia—the phonological components analysis (PCA) treatment—is presented. The PCA was modelled after the semantic feature analysis (SFA) approach (Boyle & Coelho, 1995 Boyle, M. and Coelho, C. A. 1995. Application of a semantic feature analysis as a treatment for aphasic dysnomia.. American Journal of Speech‐Language Pathology, 4: 135–138. [Crossref] , [Google Scholar]). The SFA approach was chosen as a model for two reasons. First, results from the semantic therapies that have used SFA have been encouraging (e.g., Boyle, 2004 Boyle, M. 2004. Semantic feature analysis treatment for anomia in two fluent aphasia syndromes.. American Journal of Speech‐Language Pathology, 13: 236–249. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar]; Boyle & Coelho, 1995 Boyle, M. and Coelho, C. A. 1995. Application of a semantic feature analysis as a treatment for aphasic dysnomia.. American Journal of Speech‐Language Pathology, 4: 135–138. [Crossref] , [Google Scholar]; Coelho, McHugh, & Boyle, 2000 Coelho, C. A., McHugh, R. E. and Boyle, M. 2000. Semantic feature analysis as a treatment for aphasic dysnomia: A replication.. Aphasiology, 14(2): 133–142. [Taylor & Francis Online], [Web of Science ®] , [Google Scholar]; Conley & Coelho, 2003 Conley, A. and Coelho, C. A. 2003. Treatment of word retrieval impairment in chronic Broca's aphasia.. Aphasiology, 17(3): 203–211. [Taylor & Francis Online], [Web of Science ®] , [Google Scholar]; Lowell, Beeson, & Holland, 1995 Lowell, S., Beeson, P. M. and Holland, A. L. 1995. The efficacy of a semantic cueing procedure on naming performance in adults with aphasia.. American Journal of Speech‐Language Pathology, 4: 109–114. [Crossref] , [Google Scholar]). Second, SFA incorporates the principle of choice, a factor that has been identified by some as being important in producing longer‐lasting effects of treatment (e.g., Hickin, Best, Herbert, Howard, & Osborne, 2002 Hickin, J., Best, W., Herbert, R., Howard, D. and Osborne, F. 2002. Phonological therapy for word‐finding difficulties: A re‐evaluation.. Aphasiology, 16(10/11): 981–999. [Taylor & Francis Online] , [Google Scholar]). The PCA was developed to serve as a comparable phonological comparison for the SFA approach with the future goal of comparing the relative effects of both types of therapies. Aims: The primary aim of this investigation was to document the effectiveness of PCA treatment for the remediation of naming deficits in aphasia. In addition, we wished to examine potential maintenance and generalisation effects associated with this treatment. Methods & Procedures: The PCA treatment followed the protocol of Coelho et al. (2000 Coelho, C. A., McHugh, R. E. and Boyle, M. 2000. Semantic feature analysis as a treatment for aphasic dysnomia: A replication.. Aphasiology, 14(2): 133–142. [Taylor & Francis Online], [Web of Science ®] , [Google Scholar]). The target picture was presented in the centre of a chart and the participant was asked to name it. Irrespective of his/her ability to name the picture, the participant was asked to identify five phonological components related to the target item (i.e., rhymes with, first sound, first sound associate, final sound, number of syllables). For each component targeted, if a participant could not spontaneously provide a response, he/she was asked to choose one from a list. A single‐subject multiple‐baseline across behaviours design was employed, with maintenance effects examined 4 weeks post‐treatment. Generalisation effects were examined by comparing pre‐ and post‐treatment scores on the Philadelphia Naming Test (Roach, Schwartz, Martin, Grewal, & Brecher, 1996 Roach, A., Schwartz, M. F., Martin, N., Grewal, R. S. and Brecher, A. 1996. The Philadelphia Naming Test: Scoring and rationale.. Clinical Aphasiology, 24: 121–133. [Google Scholar]). Ten individuals with aphasia participated. Outcomes & Results: Of the 10 individuals, 7 demonstrated notable treatment effects. Follow‐up testing indicated maintenance of treatment gains over a 4‐week period, with some generalisation to untreated items. Conclusions: This investigation was successful in demonstrating the effectiveness of a new phonological approach to the remediation of naming deficits in aphasia and in supporting the notion that a components analysis treatment protocol (similar to a semantic feature based treatment) is useful in strengthening activations within the lexical system with the potential result of longer‐lasting effects.
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“Using evidence-based lexical retrieval protocols, the VoiceAdapt app instantiates Phonological Components Analysis (PCA) [23] and Semantic Feature Analysis (SFA) [24] into an adaptive, voice-responsive therapy app that people with aphasia can use to improve their naming skills.”
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Dorry, J. F. (2010) · The Aphasiology Archive (University of Pittsburgh) · Cited by 5
Lai, W.-S. V., Tay, R., & Liow, S. R. R. (2021) · Aphasiology · doi:10.1080/02687038.2021.1931802 · Cited by 5
Early within therapy naming probes as a clinically-feasible predictor of anomia treatment response
Dignam, J. K., Rodriguez, A. D., O’Brien, K. M., Burfein, P., & Copland, D. A. (2023) · Neuropsychological Rehabilitation · doi:10.1080/09602011.2023.2177312 · Cited by 4
Repetition Priming Treatment for Anomia: Effects of Single- and Multiple-Exemplar Protocols
Silkes, J. P. (2023) · American Journal of Speech-Language Pathology · doi:10.1044/2023_ajslp-22-00310 · Cited by 4
A systematic review of Phonological Components Analysis therapy studies for aphasia.
Python, G., Durand, É., & Masson-Trottier, M. (2025) · Brain Research Bulletin · doi:10.1016/j.brainresbull.2025.111269 · Cited by 5
Harvey, S., Wilcox, C., Bunker, L. D., Dignam, J. K., Dipper, L. T., Hoover, E., Kirmess, M., Mohr, B., Monnelly, K., Visch-Brink, E. G., et al. (2025) · Aphasiology · doi:10.1080/02687038.2025.2499521 · Cited by 3
Griffin-Musick, J. R., Off, C. A., Scharp, V. L., Fahey, D., Slovarp, L. J., & Quindry, J. C. (2025) · Journal of Speech Language and Hearing Research · doi:10.1044/2025_jslhr-24-00806 · Cited by 4
Focusing on the locus of the breakdown for treatment of anomia: a pilot study
Shekari, E., Mehrpour, M., Joghataei, M. T., Zadeh, A. M., Valinejad, V., Adineh, H. A., Seyfi, M., & Goudarzi, S. (2023) · Clinical Linguistics & Phonetics · doi:10.1080/02699206.2023.2221374 · Cited by 3
Effectiveness of French Phonological Components Analysis in individuals with chronic aphasia
Masson‐Trottier, M., Marcotte, K., Rochon, E. A., Léonard, C., & Ansaldo, A. I. (2024) · International Journal of Language & Communication Disorders · doi:10.1111/1460-6984.13080 · Cited by 4
Self-citationSemantic Versus Orthographic Preferences in Aphasia: Behavioral Evidence
DeMetropolis, S. M., & Goldfarb, R. (2022) · Perceptual and Motor Skills · doi:10.1177/00315125221080922 · Cited by 3
An exploration of anomia rehabilitation in drug-resistant temporal lobe epilepsy
Sabadell, V., Trébuchon, A., & Alario, F. ‐. (2024) · Epilepsy & Behavior Reports · doi:10.1016/j.ebr.2024.100681 · Cited by 3
Current methods in treatment of aphasia ( Métodos actuales en el tratamiento de la afasia )
Vuković, M., Milovanović, T., & Jerkić, L. (2022) · Studies in Psychology Estudios de Psicología · doi:10.1080/02109395.2021.2015225 · Cited by 3
Kim, E. S., Laird, L., Wilson, C., Stewart, S., Mildner, P., Möller, S., Schatz, R., Spang, R. P., Voigt-Antons, J.-N., & Rochon, E. (2025) · JMIR mHealth and uHealth · doi:10.2196/67711 · Cited by 2
“VoiceAdapt instantiates two evidence-based lexical retrieval protocols, Phonological Components Analysis (PCA) [33,34] and Semantic Feature Analysis (SFA) [35,36], into an adaptive, voice-responsive therapy app that people with aphasia can use to improve their naming skills.”
Self-citationCharting the Course of Aphasia Recovery: Factors, Trajectories, and Outcomes
Marte, M. J., Russell-Meill, M., Carvalho, N., & Kiran, S. (2024) · Annual Review of Linguistics · doi:10.1146/annurev-linguistics-011724-121245 · Cited by 5
Blackett, D. S., Kristinsson, S., Walker, G. M., Sayers, S., Gibson, M., Wilmskoetter, J., den Ouden, D., Fridriksson, J., & Bonilha, L. (2025) · Journal of Speech Language and Hearing Research · doi:10.1044/2024_jslhr-24-00304 · Cited by 2
Phonological Treatment for Anomia: A Scoping Review
Braun, E. J., Castro, N. M., & Warner, L. C. (2025) · American Journal of Speech-Language Pathology · doi:10.1044/2025_ajslp-25-00012 · Cited by 2
Shekari, E., Seyfi, M., Zadeh, A. M., Batouli, S. A. H., Valinejad, V., Goudarzi, S., & Joghataei, M. T. (2022) · Applied Neuropsychology Adult · doi:10.1080/23279095.2022.2074849 · Cited by 2
Metadata
- Authors
- Leonard, C., Rochon, E., & Laird, L.
- Affiliations
- University of Toronto (CA)
- Venue
- Aphasiology
- Publisher
- Informa UK Limited
- Published
- 2008-09
- Volume
- 22
- Issue
- 9
- Pages
- 923-947
- ISSN
- 0268-7038 (ISSN-L)
- 1464-5041
- OpenAlex
- W2037903396
- Cited by
- 150
- References
- 57
- Citations by year
- 2026: 8 · 2025: 19 · 2024: 14 · 2023: 10 · 2022: 13 · 2021: 14 · 2020: 11 · 2019: 11 · 2018: 8 · 2017: 10 · 2016: 4 · 2015: 4 · 2014: 6 · 2013: 5 · 2012: 4
- FWCI
- 1.56
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Aphasiology (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neurobiology of Language and Bilingualism
- Social Sciences › Psychology › Developmental and Educational Psychology › Language Development and Disorders
- Social Sciences › Psychology › Developmental and Educational Psychology › Reading and Literacy Development
- Keywords
- aphasia, naming impairment, semantic feature analysis, word retrieval, anomia, phonological therapy, semantic cueing, Broca's aphasia
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