Date of Award


Degree Name

Communication Disorders


College of Health Professions

Type of Degree


Document Type


First Advisor

Karen McComas

Second Advisor

Susan Frank

Third Advisor

Mary E. Reynolds


Examinations of discourse are essential for documenting the linguistic variations of a particular culture. In turn, linguistic variations across cultures may suggest similar variations in global discourse measures. It is imperative for clinicians to first understand the framework and cultural norms of a particular dialect or language to properly identify deficits in disordered language. By first looking closely at specific aspects of discourse such as story grammar within a normative or non-brain injured population, clinicians can improve treatment protocols for working with aphasic or brain-injured clients. With Appalachia being the heart of the “stroke belt,” research in intervention strategies for discourse deficits is especially important for the future of quality rehabilitation and subsequent impact on the lives of Appalachian citizens in this region.


Speech therapy - Research

Audiology - Research

Appalachian Region -- Languages