Abstract
Children and adults with traumatic brain injury (TBI) are at high risk for impairments in pragmatic language and social communication more broadly. In this chapter, we provide an overview of epidemiology and outcomes after traumatic brain injury as a context for the study of pragmatics in this group. We then consider models of pragmatics in TBI, and their use in theory and clinical practice, and review findings from illustrative studies in children and adults. Finally, we discuss new approaches to the study of pragmatics in children and adults with TBI, and consider how these approaches can inform research and clinical practice.
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Notes
- 1.
Perkins describes these adaptations as attempts “to resolve competing demands on compromised communicative resources when faced with the task of designing one’s conversational turn to meet the particular contingencies of the situation at hand” (Perkins 2014: 145). For example, an individual with TBI may consistently introduce new topics of conversation prematurely, in order to compensate for deficits in attention, memory, and executive functioning that make it difficult to recall the current topic of a conversation. Note that individuals are generally not aware that they are employing these adaptations.
- 2.
An example of first-order theory of mind would be, “Rosie thinks Joe is going to the party.” An example of second-order theory of mind would be, “Rosie thinks Joe thinks Kim is going to the party.”
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Turkstra, L.S., Politis, A.M. (2017). Traumatic Brain Injury. In: Cummings, L. (eds) Research in Clinical Pragmatics. Perspectives in Pragmatics, Philosophy & Psychology, vol 11. Springer, Cham. https://doi.org/10.1007/978-3-319-47489-2_12
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DOI: https://doi.org/10.1007/978-3-319-47489-2_12
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