摘要：Background. Aphasia is defined as a language disorder resulting from brain damage.The establishment of the relationship between the assessment and the procedures forrehabilitation is one of fundamental aspects of clinical neuropsychology.Objective. The objective of this study is to describe the case of a Spanish-speakingpatient with semantic aphasia, along with the strategies used in her neuropsychologicalassessment, and the procedures and results of her rehabilitation.Design. The study method consisted of a clinical “Case Study” through qualitativeneuropsychological syndrome analysis during pre- and post-assessment. The programfor rehabilitation was designed especially for this case, and applied in individual therapeuticsessions with the patient. The inclusion of different kinds of material, perceptual,and verbal tasks permitted the patient to follow the levels of formation of actions withspatial orientation, starting from the most concrete level, and passing on to a more general,abstract level. The process of rehabilitation was carried out as a joint activity, takinginto account the patient’s motivation and personality.Results. Important positive changes were obtained by the time of the final assessment.The patient became able to understand complex grammatical structures in sentencesand texts, in order to fulfill construction tasks and to express herself correctly bothorally and in writing.Conclusion. The authors conclude that an effective assessment leads directly to theeffectiveness of the whole process of elaborating and realizing rehabilitation. Semanticaphasia can be studied in Spanish-speaking patients by using the qualitative methodologyof neuropsychological assessment proposed in the works of A.R. Luria.
关键词：Aphasia; Semantic aphasia; diagnosis of aphasia; neuropsychological rehabilitation;brain injury.
