Abstract

This study explored patterns in the communication strategies reported by people with aphasia with high versus low basic psychological need satisfaction. Participants with aphasia (12 females and 11 males) completed an initial experimental session during which the Basic Psychological Need Satisfaction and Frustration Scale (BPNS/F) was administered. Following this session, participants completed a semi-structured interview in which they described strategies used during daily communication. Each interview was transcribed and analyzed through reflexive codebook analysis, with emphasis placed on the communication strategies they reported using. Participants were grouped according to whether their reported autonomy, competence, or relatedness on the BPNS/F were in the first or fourth quartile of the group of interviewed participants. Patterns and themes were identified within these groups and further analysis revealed two themes: (a) participants with high basic psychological need satisfaction report using more communication strategies and (b) participants with high basic psychological need satisfaction are more likely to use strategies that move them toward communicative engagement. Results suggest a relationship between the number and variety of strategies that people with aphasia have at their disposal and their basic psychological need satisfaction. Furthermore, findings suggest that specific strategies may be connected to satisfaction of basic psychological needs. Findings also suggest a link between people with aphasia using strategies to increase life participation and their basic psychological need satisfaction. Clinicians should consider the variety of strategies they train clients to use, their counseling role in increasing satisfaction of basic psychological needs in their clients, and the emphasis they place on training clients to use strategies with the intent to achieve their personal life participation goals.

Degree

MS

College and Department

David O. McKay School of Education; Communication Disorders

Rights

https://lib.byu.edu/about/copyright/

Date Submitted

2025-07-21

Document Type

Thesis

Keywords

aphasia, self-determination theory, communication strategies, qualitative

Language

english

Included in

Education Commons

Share

COinS