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Évaluation des habiletés pragmatiques chez l’adolescent atteint de lésion cérébrale acquise : élaboration d’une grille d’observation à destination de l’entourage
Mémoire de Master / Thèse d'exercice   Open Access

Évaluation des habiletés pragmatiques chez l’adolescent atteint de lésion cérébrale acquise : élaboration d’une grille d’observation à destination de l’entourage

Charlène Couturier
Masters , Université de Montpellier
10/06/2022

Résumé

Pragmatics Evaluation Acquired brain injury Pragmatique Évaluation Lésion cérébrale acquise Orthophonie Pédiatrie Speech therapy Pediatrics
Pragmatics is defined as the social use of language. It appears as a domain of language that is frequently deficient following acquired brain injury, whatever the etiology, because of the several cognitive and neuro-anatomical networks involved in language. However, there are few tools to assess pragmatic skills in an ecological way and representative of the natural spontaneity of communication, and none are specific to adolescent brain injury. Then, our study aims to develop an observation grid of pragmatic components in adolescent brain damaged subjects, intended for the patient’s entourage. To get it, we developed the grid in comparison to the theoretical models, in particular Coquet’s (2005), and we checked that the typical difficulties of patients match with our questions. The one hundred items’ grid tends to be as exhaustive as possible. Then, twelve teenagers with acquired brain injury were assessed by their parents with the grid, in the same time twelve healthy teenagers were assessed by their parents. The results show that this tool can’t be used quantitatively yet because it has not been standardized. On the other hand, it can be relevant for speech-language pathologists, for qualitative data as: collection of parental complaints, diagnostic assistance and guidance for speech-therapist’s work depending on the grid’s results. Often abandoned in favor of formal language and often considered as an invisible handicap, pragmatics must be an integral part of the assessment and speech-language rehabilitation as part of the teenager’s reintegration.

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