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about ten minutes. Verbs are assessed before nouns. There are three practice items. Each clip is shown in turn and the person with aphasia is asked to watch the clip, wait until the screen goes blank, then to tell the examiner in one word what is happening (for verbs), or what it is (for nouns). The theoretical basis of the test appears very sound. In practice the following can occur: 1. Nouns are produced on the verb section eg. tree for decorate, bubbles for blow, cards, a game or playing cards for win, getting an injection, got hiccups. This tended to happen before the screen had gone blank. The person adhered to the instructions for the practice items at the beginning, but repetition of the instructions was often required during the assessment. 2. Possible ambiguity or semantic errors Verb section: Carry walking Choose eat Mow cutting Arrest stop or mugging - this may be particularly ambiguous in Scotland as the police helmet is dierent to that in the video clip, so people may not necessarily recognise it as police Kiss sneezing Whisper smooching Nod speaking Noun section: bean pea pod castle church cap hat It was interesting to note that most of these occurred on earlier items in the verb section, but throughout on the noun section. 3. Scoring Appropriate nouns or verbs may be produced, but not the targets eg. scribble for colour, handing a parcel for deliver, and writing for sign. People with aphasia appeared to like this assessment. They suggested that the pictures could be made clearer - some too dark (eg. stairs). Overall, this is a very useful assessment to investigate and compare noun and verb production. I would certainly consider using this tool in clinical practice where appropriate. It would be even more benecial to clinicians if the test could be produced on DVD. Annette Cameron is a speech and language therapist working with the Mobile Stroke Team at Aberdeen Royal Inrmary. She is also membership secretary of the British Aphasiology Society.
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