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Constructing (in)competence by Judith F. Duchan, Madeline Maxwell, Dana Kovarsky

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Chapter 14

Social Role Negotiation in Aphasia Therapy: Competence, Incompetence, and Conflict

Nina Simmons-Mackie

Southeastern Louisiana University

Jack S. Damico

University of Southwestern Louisiana

Speech-language therapy is a complex, goal-directed activity undertaken to improve an individual’s communication. Interestingly, by traditional design speech-language therapy harbors an inherent paradox. The goal of therapy is to build communicative competence, yet the assumptions required for treatment demand that the client be incompetent. That is, the therapist expects the client to demonstrate problems with communication. Thus, both parties act in accordance with a presupposition of deficit in the individual targeted for therapy (Damico & Simmons-Mackie, ...

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