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Lindsay Miller

on 5 November 2014

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Transcript of BDAE & BNT

Boston Diagnostic Aphasia Examination
Harold Goodglass, PhD; Edith Kaplan, PhD; Barbara Barresi, PhD
Test Administration
Reliability and Validity
5 Language Domains
Conversational and Expository speech
Simple Social Responses, Free Conversation & Picture Description
Extended Testing: Narrative Discourse - Aesop's Fables
Auditory Comprehension
Word Comprehension, Commands, Complex Ideational Material
Extended Version: Word Comprehension by Categories, Semantic Probe, Syntactic Processing
Oral Expression
Oral Agility, Automatized Sequences, Recitation, Melody and Rhythm, Repetition, Naming
Boston Naming Test
Extended Testing: Repetition of Nonsense Words, Naming in Categories
Basic Symbol Recognition, Word Identification, Phonics, Derivational and Grammatical Morphology, Oral Reading of Sentences with Comprehension, Reading Comprehension - Sentences and Paragraphs
Extended Testing: Advanced Phonic Analysis - Pseudo Homophone Matching, Bound Grammatical Morphemes, Derivational Morphemes, Oral Reading of Special Words Lists
Mechanics of Writing, Basic Encoding Skills - Dictated Words, Written Picture Naming, Narrative Writing
Extended Testing: Uncommon Irregularities, Nonsense Words, Oral Spelling, Cognitive/Grammatical Influences on Written Word-Retrieval
Broca's Aphasia Example
Severity and Speech Output Characteristics Profile
Based on free conversation, picture description, and Aesop's Fables
Aphasia Severity Rating Scale
0-5, 5 being normal, 0 being no speech output or auditory comprehension
Rating Scale Profile of Speech Characteristics

Subtest Scoring and Summary Profile
Computation of Language Competency Index
Overall measure of aphasia severity
Based on fluency, auditory comprehension and naming subtest scores
"Cookie Theft" Picture Description
Recent Revision
Third Edition - 2001
Added short and extended version (timing)
Incorporated Boston Naming Test as subtest in 1983
Addition of Language Competence Index
Integrated recent advances in neurolinguistic research
Standard form is more closely related to earlier version
Short form is "no frills"
Extended offers full neurolinguistic assessment
Test-Retest Reliability
BDAE - No Data
BNT - High over short intervals and mixed results over long intervals
Inter-Rater Reliability
BDAE - Satisfactory Results; variable based on study
Internal Consistency
BDAE - generally acceptable to high; variability among subtests
BNT - Very High
Deemed valid, one of the most widely used Aphasia tests
No sensitivity or specificity data provided
Provide language assessment for aphasia and related disorders
To enable a diagnosis of aphasia syndromes
Provide measure of strengths and weaknesses in both receptive and expressive language and communication abilities
Provide guidance for prognosis and treatment
BNT - assess vocab skills and visual object naming in children and adults
Extended Test Only
natural gestures, conventional gestures, use of pretended objects and bucco-facial respiratory movements
Age 16 and up
Patients with aphasia or suspected aphasia
Other language disturbance caused by stroke, TBI, Alzheimer's disease or other dementing disorder
Age 5-13, 18 and up
Includes expressive language in children
Wernicke's Aphasia
Praxis Example
Boston Naming Test
Separate Record Form
Show patient picture for up to 20 seconds
If no response, provide given stimulus cue - in parenthesis on record from
If still no response, provide phonemic cue - the beginning sound of the target word
Start at item 1 for kids and aphasic patients
Start at item 30 for older children or non-aphasic adults
Ceiling - 8 consecutive failures
Boston Naming Test
Edith Kaplan, PhD; Harold Goodglass, PhD; Sandra Weintraub, PhD
Full transcript