Guidelines for Treatment of Chronic Depression in the Aphasic Patient

Colleen S. Keller, Dean L. Gerstenberger

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


This article defines the language disorder of aphasia and the motor speech disorders of apraxia of speech and the dysarthrias. Discussion includes depression and the five definable sets of behaviors related to the phenomenon: motor‐expressive behaviors, affective, cognitive, motivational, and somatic, and the relationship of self‐concept to both depression and visual and verbal thought. Detailed discussion of treatment of chronic depression inpatients with nonorganic reactive factors is presented. These include positive reinforcement of desirable behaviors, avoidance of verbal punishment, labeling the disorder for the client and family, and time structuring or scheduling to assist in motivation. In addition, implementation of support from family, friends, and social relationships, tolerance of expressions of frustration and anger by the client, and environmental manipulation are considered therapeutic interventions. 1989 Association of Rehabilitation Nurses

Original languageEnglish (US)
Pages (from-to)77-87
Number of pages11
JournalRehabilitation Nursing
Issue number2
StatePublished - Jan 1 1989

ASJC Scopus subject areas

  • Nursing(all)
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation


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