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NTIS 바로가기한국콘텐츠학회논문지 = The Journal of the Korea Contents Association, v.16 no.5, 2016년, pp.58 - 67
이미숙 (공주대학교 특수교육대학원 언어재활(치료) 전공)
Pragmatic language impairment is closely related to the executive function difficulties in patients with acquired brain injury(ABI). This study was designed to explore the correlation between two domains following ABI. Thirty-five participants with ABI were grouped into 21 aphasics due to stroke and...
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핵심어 | 질문 | 논문에서 추출한 답변 |
---|---|---|
화용언어는 무엇인가? | 화용언어는 언어적, 인지적, 운동감각적 과정의 상호작용에 의한 기능적 및 맥락적 언어 사용을 의미한다[7]. 여기에는 속담, 은유, 모순 등의 비유언어나 일상생활의 기능적이고 상징적인 언어를 이해하고 표현하는 능력이 포함된다[8]. | |
TBI 환자에게 맥락을 벗어난 질문, 자기중심적 대화, 부적절한 비유나 유머의 사용, 표현의 양적 또는 질적 문제 등이 빈번하게 나타나는 이유는 무엇인가? | TBI 환자는 화용언어를 표현하는 데 있어 결함을 보이는데, 맥락을 벗어난 질문, 자기중심적 대화, 부적절한 비유나 유머의 사용, 표현의 양적 또는 질적 문제 등이 빈번하게 나타난다[46]. 이는 단지 언어 능력의 저하 때문이 아니라 인지적 요소의 영향이 크다. 특히, 목표나 맥락에 부합하는 언어의 사용을 통제하는 집행기능의 결함에 기인한다[47]. 예컨대, TBI 이후에는 충동적이거나 유연하지 못한 사고를 하는 경향이 있고 반응과 행동을 계획하고 조절하는 데에 어려움을 겪기 때문에, 은유, 모순, 반어, 관용어구 등을 산출하는 능력이 현저히 떨어진다[8][47]. | |
ABI의 원인 질환은 무엇인가? | 천성 뇌손상(Acquired Brain Injury, 이하 ABI)이란 유전적 또는 선천적 장애가 아닌 후천적 원인에 의해 뇌가 손상된 경우를 의미한다[1]. ABI의 원인 질환에는 외부의 물리적 충격에 의한 외상성 뇌손상(Traumatic Brain Injury, 이하 TBI)과 뇌졸중, 뇌종양, 감염, 중독 등으로 인한 비외상성 뇌손상이 포함된다[1]. 파킨슨병, 알쯔하이머병, 헌팅턴병 등 신경퇴행성(neurodegenerative) 질환에 기인한 손상은 ABI의 범주에서 제외된다[1][2] |
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