Abstract
Twenty-six chronic aphasics with dementia were introduced to group language therapy based on the approach for dementia patients. A number of distinct features characterized the therapy. 1) The main programs were drama, field activities and cooking, which together offered opportunities for playing, laughter and enjoyment. Secondarily, naming, reading and writing were combined with the main programs. 2) We primarily sought to deal with the patients' emotions. 3) Orientation training was provided. 4) Various types of co-medical staff were also engaged. After about six months, in the Overall Assessment of SLTA Results the patients' scores improved in general. In particular, two patients thought to be short-term from onset of aphasia with mild dementia showed a tendency toward greater improvement. In the communication behavior test, 14 of the 18 patients improved, especially in the items of orientation, judgement of circumstances and attention span, which are the basis of improved communication. As chronic aphasics with dementia are increasing, it is important that we make the most of group language therapy treatments.
