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Aphasia and its therapy.

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Imaging Cerebrovascular Disease
By V. Babikian, R. Wechsler, and R. Higashida
Philadelphia, PA, Butterworth/Heinmann, 2003
425 pp, illustrated, $149.00
Aphasia and Its Therapy
By Anna Basso, PhD
New York, NY, Oxford University Press, 2003
317 pp, illustrated, $45.00
For almost 40 years, Anna Basso has beavered away in the
clinical trench treating aphasic people and reporting what
they have taught her about the disorder and how it might be
mended. Certainly, she is one of the world’s leading
clinician-investigators in aphasiology. Her book, Aphasia and
Its Therapy, is divided into three parts. The first provides a
100-year plus history of inquiry into the aphasic condition
and the evidence to support or refute the efficacy of its treatment. The second covers cognitive neuropsychological assumptions about aphasia, models for understanding normal
language and how it might be disrupted in aphasia, and the
principles of theory driven cognitive rehabilitation. The third
begins with a thoughtful search for a theory of aphasia therapy and is followed by a comprehensive review and evaluation of a variety of treatments for the auditory comprehension, reading, oral-expressive language, and writing deficits
that aphasic patients may display. The last chapter in part
three devotes specific attention to the severely aphasic person
and how pragmatic treatment may establish communication
in the context of severely impaired phonology, semantics,
and syntax.
Historically, the study and treatment of aphasia have been
characterized by a variety of points of view. Dr Basso provides a fair and comprehensive consideration of this motley
mixture. Most importantly, she demonstrates how a nonbiased clinician-investigator can sample the potpourri of opinions and positions, combine the best empirical evidence with
his or her clinical expertise, and develop a coherent, effective
approach for managing aphasia. Throughout Aphasia and Its
Therapy, she asks the important clinical questions: What do
we mean? How do we know? What difference does it make?
And, consistently, she avoids saying more than the science
Aphasia and Its Therapy demonstrates why Anna Basso is
one of aphasiology’s internationally acclaimed clinicianscientists. Certainly, it is important reading for those who
provide clinical service to aphasic people—speech-language
pathologists, neuropsychologists, cognitive rehabilitation
therapists, and neurologists. For those who might investigate
the aphasic condition, neuroscientists, cognitive scientists,
neurolinguists, it links the science about aphasia to the clinical service designed to improve it. And, for students entering
the study of aphasia, Aphasia and Its Therapy provides a
model worth emulating.
Imaging Cerebrovascular Disease arrived on my desk about 6
hours before I took a flight to speak at a meeting on the
imaging of cerebrovascular disease. I had spent the previous
weeks gathering articles from PubMed to collect references
and pertinent information for the talks. Had Imaging Cerebrovascular Disease arrived for review earlier, I would not
have had to do any of that, as this is a remarkably concise,
well-put-together referenced text. I have already suggested to
many colleagues that they purchase it, and I spoke about it
at the meeting. The images are of excellent quality, the text
is concise, and the references are complete. Perhaps the CTA
images are not completely up to date, but there is a time lag
between manuscript preparation and publication that probably explains the fact that they lag behind current technology.
I heartily recommend Imaging Cerebrovascular Disease to its
intended audience. We have purchased several copies for our
Kieran Murphy, MD, FRCPC
Baltimore, MD
DOI: 10.1002/ana.20023
Clinical Neuropsychology, 4th Edition
Edited by Kenneth Heilman & Edward Valenstein
Oxford, UK, Oxford University Press, 2003
Illustrated, $75.00, cloth
EMG Secrets
By Faye Chiou Tan
Philadelphia, PA, Elsevier Science, 2003
268 pp, illustrated, $34.95, cloth
Spine Secrets
By Vincent J. Devlin
Philadelphia, PA, Elsevier Science, 2003
500 pp, illustrated, $44.95
Overcoming Dyslexia
By Sally Shaywitz
New York, NY, A. Knopf, 2003
420 pp, illustrated, $25.95
Robert T. Wertz, PhD
Nashville, TN
Growing up with Epilepsy: A Practical Guide for
By Lynn Bennett Blackburn
New York, NY, Demos Press, 2003
161 pp, $19.95
DOI: 10.1002/ana.20022
DOI: 10.1002/ana.20068
© 2004 American Neurological Association
Published by Wiley-Liss, Inc., through Wiley Subscription Services
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aphasia, therapy
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