Motor neuron disease: The impact of decreased speech intelligibility on marital communication

Background: The onset of motor neuron disease (MND), a neurodegenerative disease, results in physical and communication disabilities that impinge on an individual’s ability to remain functionally independent. Multiple aspects of the marital relationship are affected by the continuously changing role...

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Main Authors: K. Joubert, J. Bornman
Format: Article
Language:English
Published: AOSIS 2012-08-01
Series:South African Family Practice
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Online Access:https://safpj.co.za/index.php/safpj/article/view/2018
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author K. Joubert
J. Bornman
author_facet K. Joubert
J. Bornman
author_sort K. Joubert
collection DOAJ
description Background: The onset of motor neuron disease (MND), a neurodegenerative disease, results in physical and communication disabilities that impinge on an individual’s ability to remain functionally independent. Multiple aspects of the marital relationship are affected by the continuously changing roles and responsibilities. Communication is one of the most constructive ways of dealing with emotions that are elicited by these changes. Method: This study explored the association between the deteriorating speech of persons with MND and couples’ perception of marital communication. Fourteen couples participated in this non-experimental correlational research study. Data were collected over a 12-month period through the administration of objective and subjective measures. Results: Results showed that despite decreased speech intelligibility, the relationship between the deteriorating speech and the couples’ perception of marital communication was not statistically significant. Conclusion: Overall, the results proved that the supposition that communication between couples will invariably deteriorate as a result of progressively reduced speech intelligibility is not necessarily valid. The fundamental importance of effective communication in marriage is highlighted. It is well established that augmentative and alternative communication strategies can preserve the ability to develop and maintain intimate rewarding relationships, even in the face of profound physical disabilities.
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spelling doaj-art-6f4e2f8403b3498e9a09c1c1b34578912025-08-20T04:03:13ZengAOSISSouth African Family Practice2078-61902078-62042012-08-0154410.1080/20786204.2012.108742454742Motor neuron disease: The impact of decreased speech intelligibility on marital communicationK. Joubert0J. Bornman1Department of Speech Pathology and Audiology, University of the WitwatersrandCentre for Augmentative and Alternative Communication, University of PretoriaBackground: The onset of motor neuron disease (MND), a neurodegenerative disease, results in physical and communication disabilities that impinge on an individual’s ability to remain functionally independent. Multiple aspects of the marital relationship are affected by the continuously changing roles and responsibilities. Communication is one of the most constructive ways of dealing with emotions that are elicited by these changes. Method: This study explored the association between the deteriorating speech of persons with MND and couples’ perception of marital communication. Fourteen couples participated in this non-experimental correlational research study. Data were collected over a 12-month period through the administration of objective and subjective measures. Results: Results showed that despite decreased speech intelligibility, the relationship between the deteriorating speech and the couples’ perception of marital communication was not statistically significant. Conclusion: Overall, the results proved that the supposition that communication between couples will invariably deteriorate as a result of progressively reduced speech intelligibility is not necessarily valid. The fundamental importance of effective communication in marriage is highlighted. It is well established that augmentative and alternative communication strategies can preserve the ability to develop and maintain intimate rewarding relationships, even in the face of profound physical disabilities.https://safpj.co.za/index.php/safpj/article/view/2018motor neuron diseasespeech intelligibilitymarital communicationaugmentative and alternative communicationdysarthriaspouses
spellingShingle K. Joubert
J. Bornman
Motor neuron disease: The impact of decreased speech intelligibility on marital communication
South African Family Practice
motor neuron disease
speech intelligibility
marital communication
augmentative and alternative communication
dysarthria
spouses
title Motor neuron disease: The impact of decreased speech intelligibility on marital communication
title_full Motor neuron disease: The impact of decreased speech intelligibility on marital communication
title_fullStr Motor neuron disease: The impact of decreased speech intelligibility on marital communication
title_full_unstemmed Motor neuron disease: The impact of decreased speech intelligibility on marital communication
title_short Motor neuron disease: The impact of decreased speech intelligibility on marital communication
title_sort motor neuron disease the impact of decreased speech intelligibility on marital communication
topic motor neuron disease
speech intelligibility
marital communication
augmentative and alternative communication
dysarthria
spouses
url https://safpj.co.za/index.php/safpj/article/view/2018
work_keys_str_mv AT kjoubert motorneurondiseasetheimpactofdecreasedspeechintelligibilityonmaritalcommunication
AT jbornman motorneurondiseasetheimpactofdecreasedspeechintelligibilityonmaritalcommunication