Other Factors

Aphasia test results can be affected by many nonlan-guage factors that need to be considered in the interpretation of test findings. These include acute confusion, agitation, drowsiness, depression, distract-ibility, lack of cooperation, and attention deficits.

Given the complexity and broad scope of human communication that encompasses both verbal and nonverbal domains (i.e., facial expression and body language), aphasia tests cannot be sufficiently comprehensive or sensitive to the full impact of aphasia on communication behavior. The interpretation of aphasia test results requires an interpretation of the findings in the context of the individual's premorbid communication functioning, his or her perceived impairment, compensatory skills, educational and vocational history, and overall psychosocial status. Most important, the unique, personal nature of communication behavior makes it difficult to make decisions regarding diagnosis, classification, and rehabilitation management based on test findings alone.

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