ABSTRACT
The holistic nature of aphasia therapy is non-contentious and therapy motivated by a cognitive neuropsychological approach forms an important component of such a view. Cognitive neuropsychological therapy can take place both alongside other therapy approaches and be integrated with other approaches. It would agree with Pound and colleagues that 'the multi-faceted nature of aphasia demands a flexible, integrated approach to therapy and support'. The ultimate goal of all therapy motivated by a cognitive neuropsychological approach is the use of communication skills within everyday settings and treatment should, like any other approach, employ materials and themes that are relevant and appropriate for the client. It has been documented extensively in the literature that significant improvement in performance does not by itself show that a specific therapy technique is effective. Improvement that is a direct and specific result of therapy must be distinguished from spontaneous recovery and non-specific effects of treatment due to such influences as support, social participation and encouragement.
