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Background: The background to this study is that aphasiologists have increasingly started
to pay attention not only to the speech that people with aphasia produce, but also to their
gestures. As there are a number of competing models about the production of gesture and
speech in healthy subjects, it is important to evaluate whether, and if so how, these models
could be used to guide the research into gesture and speech, and the relationship between
these, in speakers with aphasia.
Aims: The aims and objectives of this study are to see how existing models of gesture and
speech are able to accommodate the findings regarding the gesture and speech behaviour
of speakers with aphasia, in the hope that (1) these models could shed light on the use of
gesture in aphasic speakers, and potentially suggest new approaches to therapy for people
with aphasia and (2) the aphasia gesture data might help fundamental psycholinguistics
to evaluate the adequacy of existing gesture and speech models.
Methods & Procedures: The methodology here was theoretical. Four models of gesture
and speech interaction were critiqued and we reviewed their ability to explain some of the
central empirical findings in the area of gesture and speech in aphasia.
Outcomes & Results: The outcomes and results of this theoretical analysis were that, with
respect to the relationship between gesture and speech in aphasia, (1) the four models
under investigation could be reduced to two models, because three of the investigated
models were based on the same core assumptions and (2) both of these models adequately
explain these findings, but the Growth Point/Sketch/Interface Model is more satisfactory
than the Lexical Access Model, because of the better fit with the experimental results on
the use of gesture for facilitating word finding, and because it is more compatible with
the finding that gestures are also used to enhance communicative efficiency by replacing
speech.