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PL
Speech disorders, presented in terms of theoretical models in speech-therapy literature, may manifest themselves in clinical practice as diverse spectra of symptoms, far removed from model descriptions. In many cases, the speech therapist detects coupled difficulties resulting from overlapping pathomechanisms. The high degree of complicacy of symptoms usually stems from disorders in the course of complicated illness complexes of the developmental age. To draw conclusions on the neurobiological mechanisms of speaking difficulties in the context of the still developing brain and other organic systems is a very difficult task. The article presents the specificity of childhood disintegrative disorders, which are classified as part of the spectrum of autistic disorders. With regard to the clinical picture and dynamism of symptoms, disintegrative disorders are distinguished from other comprehensive developmental disorders and require separate speech-therapy procedures. Using the case study of a 21-year-old patient, the diagnostic-therapeutic management of this disorder has been presented.Key words: comprehensive developmental disorders, autistic spectrum, Heller’s syndrome, disintegrative psychosis, developmental dementia, frontotemporal dementia, akinetic mutism
PL
Psychoorganic syndrome is a condition in which, due to the organic damage to brain structures, disorders of the patient’s behaviour occur, manifesting themselves in the socio-emotional, cognitive, and linguistic spheres. The symptoms of psychoorganic syndrome have different types of neuropathogenesis: they may be caused by toxic, infectious, vascular and traumatic factors. The existing descriptions of speech disorders concentrate upon the damage to different brain areas, usually focusing first of all on dysfunctions of the communication process, i.e. the programming of verbal utterances. In the case of psychoorganic syndrome, interaction disorders do not arise from strictly linguistic difficulties, but are caused by disorders of the controlling function of the word. Psychoorganic syndrome is usually diagnosed in adults, while brain injuries in the developmental age usually lead to mental development disorders. Psychiatric literature therefore makes a distinction into three forms of psychoorganic syndrome: in adults 1) characteropathy and 2) dementia, and in children 3) oligophrenia. In speech therapy there are developed standards of diagnostic and therapeutic management in the case of oligophrenia and some forms of dementia, but there are still no procedures for diagnosis and therapy of interactions in other forms of dementia and characteropathic disorders.
3
100%
Poradnik Językowy
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2018
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vol. 754
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issue 5
22-37
EN
The object of this paper is a description of interaction with ill people – ones experiencing speech disorders, called aphasia in the relevant literature, as a result of damage to the central nervous system. The characteristics of the interaction in which people with aphasia take part involves a specifi c use of three elements: a) a verbalised (text, pathological text) or non-verbal message; b) an utterance about a message (a metatext in two functions: organising the message and defi ning the meaning of the verbal and non-verbal signs used); c) the sender’s and the recipient’s knowledge of textual and extratextual considerations of interaction (textual, linguistic and situational contexts). The adoption of an interactive approach in research on aphasia permitted the dynamic approach to three categories: text, metatext and context. Cognitive and communicative abilities of people with aphasia were proved through the discovery of the rules of transformation of these categories in the course of interaction.
4
100%
EN
The view that a person is born with specific biological potential determining his/her cognitive abilities that s/he can lose but cannot develop was challenged long time ago. Contemporary studies clearly and indisputably show that the brain changes and is formed throughout life; synaptic connections of neural networks are functionally and structurally reorganized until advanced old age, being determined both by genetic and environmental factors, which enables acquisition of new skills. The plasticity of the brain is universal, which means that even in cases of damage to the brain tissue, repair processes are activated naturally, involving all levels in the structure and function of the central nervous system (molecular, synaptic, metabolic, morphological, physiological, functional, and macrostructural), thereby affecting human cognitive abilities and behaviors. The formation of right circuits by means of axons, dendrites, synapses and chemical transmitters is an extremely complex process determined – like neurodegeneration – by information encoded in the DNA. Genetic matrices may, however, be characteristically modified in connection with a person’s individual activity.
PL
Pogląd o tym, że człowiek rodzi się z określonym potencjałem biologicznym determinującym jego zdolności poznawcze, który może utracić, lecz nie może go rozwinąć, dawno już został zakwestionowany. Współczesne badania jednoznacznie wykazują, że mózg tworzy się i zmienia w ciągu życia, do późnej starości trwa reorganizacja funkcjonalna i strukturalna synaptycznych połączeń sieci neuronowych warunkowana zarówno czynnikami genetycznymi, jak i środowiskowymi, umożliwiająca nabywanie nowych umiejętności. Plastyczność mózgu ma charakter uniwersalny, co oznacza, że również w przypadku uszkodzenia tkanki mózgowej spontanicznie aktywizują się procesy naprawcze, obejmujące wszystkie poziomy w strukturze i funkcji centralnego układu nerwowego (molekularny, synaptyczny, metaboliczny, morfologiczny, fizjologiczny, funkcjonalny, makrostrukturalny), wpływając tym samym na możliwości poznawcze i zachowania człowieka. Tworzenie właściwych połączeń za pośrednictwem aksonów, wypustek, synaps i przekaźników chemicznych jest procesem niezwykle złożonym, uwarunkowanym – podobnie jak neurodegeneracja – informacjami zapisanymi w DNA. Genetyczne matryce mogą jednak ulegać swoistej modyfikacji w związku z indywidualną aktywnością człowieka.
PL
Dissociation or Neurodegeneration. Problems of Diagnosis, Treatment and Therapy Differentiation of the symptoms of dissociation and neurodegeneration in adolescent patients causes many problems. Diagnostic criteria unequivocally show that dissociative disorders should be diagnosed only after excluding general‑medical and neurological causes and the results of the effect of psychoactive substances. The diagnosis of dissociation is indicated by the occurrence of conversion symptoms or recurrent somatic complaints temporally connected with a stressogenic factor in the dynamism of their clinical picture. The aim of the paper is to determine the psychopathological picture of neurodegeneration in an 18‑year‑old female student who was erroneously diagnosed as having dissociative disorders. The results of extended genetic tests conducted after eight years of ineffective treatment and therapy showed a hereditary form of neurodegeneration. The disease, although with different intensity, also manifested itself in the patient’s grandmother, mother and in sister at different periods of their lives.Key words: mild cognitive disorders, dementia, dysarthria, conversion, tetraplegia, extrapyramidal syndrome
PL
Epilepsy in children leads to disorders in their psychomotor development or the loss of their acquired skills. Successful pharmacological treatment of epilepsy provides grounds for effective therapeutic measures. The goal of this article is to present the dynamics of neurodevelopmental disorders in the course of the severe symptomatic epilepsy with status epileptici which affected a 10-year-old girl. As a result of longitudinal studies, four stages were distinguished which determined the dynamics of development of the disease: 1) up to the age of 10, when the child’s psychomotor development proceeded correctly, 2) between the ages of 10 and 15, when, because of epilepsy, the disorders in the cognitive, linguistic, emotional, behavioural, motor, and vegetative spheres occurred, which assumed the form of profound dementia, 3) between the ages of 16 and 17, when the balance of the bioelectric activity of the brain was achieved owing to the optimisation of pharmacological treatment, 4) between the ages of 17 and 25, when, after the multi-specialist therapy, there was a significant improvement in the functioning of all the disordered spheres, which enabled the patient to finish junior and senior high school, apply to a university, obtain very good results in learning, and to achieve spectacular successes in sport.
8
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44%
Logopedia
|
2021
|
vol. 50
|
issue 1
7-8
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