Confrontation Naming
Category
High
Low
frequency frequency
Dim sum
80% (4/5) 20% (1/5)
Electronic
appliances
Occupation
60% (3/5)
60% (3/5)
80% (4/5)
Total
accuracy
73%
(11/15)
100%
(5/5)
60%
(9/15)
Total
accuracy
50%
(5/10)
60%
(6/10)
90%
(9/10)
67%
(20/30)
Semantic
cue
60% (3/5)
0% (0/4)
100%
(1/1)
40%
(4/10)
Syllabic
cue
100%
(1/1)
100%
(2/2)
/
Orthographic
cue
100% (1/1)
100%
(3/3)
100% (3/3)
100% (2/2)
/
For confrontation naming, slight frequency effect was observed, as the client performed a little
bit better in high frequency nouns than low frequency nouns. Occupation had a salient
categorical effect, found with highest accuracy among nouns.
The client’s error pattern was semantic paraphasia, such as 廚師 for 侍應 and 電暖爐 for 抽
油煙機. Another error pattern was “no response”. For dim sum and occupation, she was
stimulable to semantic cues, as she would use contents inside the dim sum or job duties to selfcue. However, for electronic appliances, she wasn’t stimulable to semantic cues, but relied
heavily on syllabic cue and orthographic cue, which must lead to correct productions when
given. It was hypothesized that the client’s word retrieval difficulty is due to an access problem
to phonological output lexicon, with particular problems in semantic processing, as shown in
semantic errors made in naming.
history of hemorrhagic CVA at left side in 11/2015. Caregiver has concern on client’s
expressive abilities.
1st ax: 14/7/2018 (CAB result attached)
Follow-up ax: 18/8/2018
Sentence production
Structure
Spontaneity
SVO
100%(2/2)
SVOC
0% (0/3)
SVAC
67% (2/3)
Total accuracy
Indirect modelling
/
0% (0/1)
/
Rehearsal cue
/
100% (3/3)
100% (1/1)
For respiratory-phonatory function, her maximum phonation time (MPT) was 12 seconds,
which was within the norm for elderly females (i.e. 10.0-15.4 seconds) (Duffy, 2013).
The client was found with significant right-sided weakness, which was consistent with injury
to the left side of her brain.
Appendix: 2-min language sample
Y= YuKM, C=clinician
Y: 威爾斯啊
Y: 平時會
Y: 果間醫院我熟唔熟
C: 平時有無去醫院複診？
Y: 複診…有。
Y: eh 我唔病果陣時呢，會去觀塘。
Y: 觀塘.. 呀，死喇，而家唔記得。
C: 唔記得啲乜嘢啊?
Y: 果間醫院個名。
C: 係咪聯合醫院啊？
Y: 啊，係啊。
C: 果陣時去聯合醫院，你記唔記得搭乜嘢車去啊？
Y:搭……我搭……秀茂坪轉，咁我搭好多, 搭 3 號， 11 號，13， 11 ……
C: 呢啲係咩嚟㗎？
Y: 車，巴士。我果陣時識行。
C: 果陣時未中風，咁就可以搭巴士，咁而家搭唔搭得巴士？
Y: 而家都搭(gesture show 2) , 兩個人囉。
C: 要兩個人先搭到，有人幫你手，如果得你一個人呢，咁有乜嘢問題啊?
Y: 我唔識上車。
C: 上唔到，點解會唔識上車嘅？
Y: 唔識推架車。
C: 你唔夠力推架車上去，咁，如果你等巴士等好耐都等唔到，你會點樣做？
Y: 行路去，行路好近咋嘛。
C: 噢, 秀茂坪行去醫院好近。
Y: 兩個站。
C: 咁而家呢，如果你要行路去威爾斯覆診，得唔得？
Y: 唔得，中咗風吖嘛。
C: 中咗風行唔到……
Y: 一來中咗風，二來遠啲。
C: 咁點算好啊？如果妳等好耐地鐵都等唔到呢，或者地鐵故障，咁點算？
Y: 唔知搭咩車去喎。
C: 係啊，點算好啊？
Y: 唔知，哈哈。
C: 除左搭地鐵，巴士之外，有無其他交通工具啊？
Y: 搭的士去。
C: 搭的士去貴唔貴啊嗰邊？
Y: 唔貴啦。
C: 都可以接受，可以搭的士。
C: 咁如果都真係趕唔切，打電話比姑娘得唔得呢？
Y: 我諗……我諗唔得。
C: 唔得啊，點解啊？
Y: 搵唔到姑娘，搵到出面果啲接線。