• Speech Sciences
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• v.8 no.1
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• pp.115-122
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• 2001

This paper explored the effectiveness of a hierarchical Treatment of Aphasic Perseveration (TAP) program on an aphasic in two regards: decrease in the frequency of perseveration and improvement in naming ability. The subject was a 54-year-old female with Transcortical Sensory (TCS) aphasia following a left ischemic Cerebrovascular Accident (CVA). It was concluded that the hierarchical TAP program was more effective and efficient in terms of decreasing perseveration and increasing correct naming performance. Within the data of the hierarchical TAP program, however, a substantial decrease in the frequency of occurrence of perseverative behaviors did not necessarily result in proportionate improvement of naming ability. The probable causes and reasons were discussed.

• Speech Sciences
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• v.8 no.4
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• pp.75-86
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• 2001

This study explored the effectiveness of a hierarchical treatment of aphasic perseveration (TAP) program in a Korean client with transcortical sensory aphasia. The subject with 52% perserveration score (Korean version of Boston Naming Test : K-BNT) was 44 year-old female with MCA (Middle cerebral artery) infarction. The experimental design used was an alternating treatment design with the hierarchical TAP and conventional audio-visual stimulation. The frequency of occurrence of perseverative behaviors and correct response in naming performance were analyzed and compared. It was claimed that the hierarchical TAP was more effective in naming performance than conventional audio-visual stimulation in terms of correct naming response. The frequency of occurrence of perseverative behaviors was lower in hierarchical TAP but the difference was relatively small. Unlike in English, sentence completion task was no longer stimulable while unison speech was very stimulable among the specific strategies of TAP program in Korean. Therefore, it could be said that TAP is language-dependent.