This is an interesting speech disturbance that is seen as a result of many different types of events. I saw a gentleman this week who had a Stroke that weakened the extremities, but no paralysis.
Upon evaluation I noticed that it would often take him what seemed to be a long time (30-60 seconds) to answer a question. He did not respond to any kind of questions from a formal screening or evaluative instrument.
I found that to be strange, since there are few if any people I have evaluated who were so mute, so silent! I then asked him questions about himself. His name, age, marital status, and he started answering some of them in single words. I then asked him about his interests. He then conveyed "travel." I then ascertained he had a 36' travel trailer and a Ford 250 towing vehicle. His 5th wheel travel trailer has been at his brothers residence in Louisiana.
Interestingly, getting more sociable or conversational with a client or patient, esp. about topics of interest may get verbal responses, when impersonal, formal measurements may leave a person who is being evaluated or screened, rather cold and non-responsive. It's always good to break the ice with small talk. Think about what you like to talk about. Think about what others are interested in and ask away! You'll be surprised at the potential for more speaking! Find out more about helping others speak with clarity, whether you are a therapist, parent, or caregiver and please visit and like us at teachingoftalking (facebook) and our website at teachingoftalking.com.
E-mail from Mark A. Ittleman
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