Using SFL in clinical settings

There are a number of published SFL-based resources that clinicians might find helpful when providing services to clients with neurogenic communication disorders. Here are some that we have found to be useful:

Groenewold & Armstrong (2018). The effects of enactment on communicative competence in aphasic casual conversation: A functional linguistic perspective. International Journal of Language & Communication Disorders, 53, 836-851. doi:10.1111/4160-6984.12392

In this paper, the SFL framework was applied to capture how people with aphasia can rely on interactional devices (in this case, the use of ‘enactment’) to increase their level of conversational assertiveness. This competence is important for people with aphasia because it contributes to their floor time, chances to be heard seriously, and degree of control over the conversation topic.

Leaman, M. C., & Archer, B. (2022). “If You Just Stay With Me and Wait… You’ll Get an Idea of What I’m Saying”: The Communicative Benefits of Time for Conversational Self-Repair for People With Aphasia. American Journal of Speech-Language Pathology31(3), 1264-1283.

In this study the authors investigated the benefits of communication partners supporting people with aphasia to fix their own speech errors and resolve their own word finding difficulties in conversation. In this study, the authors analyzed 20 different casual conversations between 10 people with mild-moderate aphasia and communication partners. The interlocutors essentially allowed people with aphasia to carry out their own repairs. Once the conversation had been transcribed, a simplified form of DSA was used to code all the turns in which people with aphasia displayed difficulty. They found that approximately 40% of these edited turns introduced carried out opening moves, and 40% carried out reacting moves. Given that opening moves enable participants to offer material for co-participants to engage with, Leaman and Archer found that edited turns enabled people with aphasia to make a meaningful contribution to the conversation and to exercise some control over events in the interaction.