How  influences therapy mindset

Map Branches

• acquired dysarthria
  • contrast c. congenital:
    • impairment
      • neural
        • development
        • Recovery
          • retrieval:
            • previous speech motor programmes
        • Plasticity
    • personal factors
      • memory:
        • fluent speech
      • perception:
        • intelligible speaker
    • Environment
      • facilitator
      • Current
        • facilitators
        • barriers
        • sudden
    • activity/participation
      • normal communication development
      • activities
        • experience range
        • opportunities/motivation for
• congenital dysarthria
  • impairment
    • motor programmes for fluent 
  • personal factors
    • memories of non-dysarthric
    • self perception
      • views self as intelligible speaker
  • environmental factors
    • barriers to:
      • communication experiences
        • range of experiences?
    • structural
    • man-made
  • Activity/participation
    • severe speech/motor impairments
      • from infancy
        • unusual communication
        • take mainly responsive role in
        • develop full range of conversational skills
          • Pennington 1999

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