Metacognitive Intervention Approach: Figurative Language
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Diagnosis
Individuals with a cognitive-communication impairment
Right Hemisphere Brain Damage
Traumatic Brain Injury Survivors
Dementia Patients
Stroke Survivors
Primary Progressive Aphasia Patients
Other individuals who have a cognitive impairment
(Sohlberg & Mateer, 2001)
Session: An effective treatment approach is needed and implemented with the appropriate intensity, duration, and interval determined by the health professionals (MacLennan & MCD, 2012). For instance, a client may receive 45 minute sessions per day for three times a week.
Goal
By 1/4/ 2023, when using compensatory strategies, the client will describe the figurative language used in phrases, sentences, and short stories in 4 out of 5 opportunities across 2 out of 3 sessions, as measured by SLP data and observations.
Figurative Language.pdfImplementation and Research-Based Evidence
Metacognitive activities involve an individual's ability to understand and describe figurative language in phrases that may be used throughout a day (Arnold, 2009; Tompkins, 2012). Through implementing metacognitive strategies into a client's treatment plan, the client will be able to work on areas of need involving the cognitive domains used in daily life (Tompkins, 2012). Figurative language provides an individual's ability to think critically in order to understand what the person heard and describe how the phrase means something completely different. Compensatory strategies allows the individual to use contextual methods to improve cognitive skills (Tompkins, 2012). Overall, the main goal is to improve the client's quality of life by having the individual increase metacognitive abilities.
Steps
The clinician will read the targeted phrase.
The client will comprehend the figurative language within phrases and explain what it means (e.g., "goofing off").
It is recommended that breaks are scheduled into the session as this task requires a variety of social cognition skills.
Repeat steps 1-3.
(Arnold, 2009)
Compensatory Strategies
Repeat the figurative phrase
Provide context clues
Teach the client the figurative and literal meaning
(Arnold, 2009)
Additional Information Regarding Metacognitive Intervention Approach
The cognitive communication rehabilitation presents approaches potentially involving metalinguistic and metacognitive activities that focus on enhancing executive functions, pragmatics, and memory (Tompkins, 2012). Each individual may have different areas of need that are domain-specific impairments. For instance, an individual with right hemisphere brain damage may have difficulties processing figurative language, jokes, or emotions that involve semantic coding (Tompkins, 2012). Furthermore, social cognition may be impacted due to their impairment (Tompkins, 2012). It is vital that individuals with a cognitive-communication impairment may receive the cognitive rehabilitation approach for treatment that specifically targets the domain needed for the individual's functional needs (Tompkins, 2012).
Data Tracking System: SOAP notes regarding the clients progress or regression (Purdue University, n.d.). Through data collection, the professional will be able to document any information involving subjective, objective, assessment data, and resources related to planning for future sessions (Podder, Lew, & Ghassemzadeh, 2021).
SOAP Notes Template:
SOAP NotesArnold, L. A. (2009). Walc 5: Neuro rehab. LinguiSystems.
MacLennan, D. L., & MCD, L. M. P. (2012). Cognitive-communication rehabilitation for combat-related mild traumatic brain injury. Journal of rehabilitation research and development, 49(7), XI.
Podder, V., Lew, V., & Ghassemzadeh, S. (2021). SOAP notes. In StatPearls [Internet]. StatPearls Publishing.
Results for soap notes. TPT. (n.d.). Retrieved December 18, 2022, from https://www.teacherspayteachers.com/Browse/Search:soap%20notes
Sohlberg, M. K. M., & Mateer, C. A. (2001). Cognitive rehabilitation: An integrative neuropsychological approach. Guilford Press.
Tompkins, C. A. (2012). Rehabilitation for cognitive-communication disorders in right hemisphere brain damage. Archives of Physical Medicine and Rehabilitation, 93(1), S61-S69.
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