DOI: 10.23641/asha.29287505.v1
title: Discourse analysis in aphasia: A clinical tutorial (Dutta et al., 2025)

description: <b>Purpose: </b>Spoken discourse is integral to everyday communication; improving discourse outcomes is a primary goal for individuals with aphasia and their families. Consequently, the application of discourse analysis in aphasia assessment and treatment has gained increasing attention in both research and clinical settings. Despite its recognized value among researchers and clinicians, several barriers—such as limited time, inadequate training, and lack of resources—continue to impede the widespread use of discourse analysis into clinical practice. To facilitate its broader adoption, speech-language pathologists require access to comprehensive resources that include information on discourse tasks, outcome measures, psychometric properties, and practical examples of how to implement spoken discourse assessments effectively. The purpose of this tutorial is to equip clinicians with this knowledge, promoting the consistent and effective application of discourse analysis in clinical settings.<b>Method: </b>This tutorial, developed by members of the FOQUSAphasia Writing Group—comprising both researchers and clinical practitioners—offers an overview of recommended spoken discourse collection and analysis procedures, outcome measures, and their psychometric properties, as well as factors to consider when planning to conduct discourse assessments. It includes a series of case studies (severe aphasia, latent or very mild aphasia, bilingual aphasia, and primary progressive aphasia) that illustrate the utility of discourse analysis for varied clinical contexts and shows how the choice of tasks and measures can reveal meaningful insights tailored to the individual being assessed. In addition, the tutorial provides practical recommendations and considerations for incorporating discourse analysis into clinical aphasia services, along with suggestions for future research.<b>Conclusions: </b>Spoken discourse production can be an important indicator of communication ability in individuals with aphasia. This tutorial is intended to support clinicians by providing evidence-based, practical ways for integrating discourse analysis into aphasia assessment and treatment. Our collation of information and case studies should encourage clinicians to apply spoken discourse-based approaches, ultimately improving outcomes for individuals with aphasia.<b>Supplemental Material S1.</b> Reliability and validity evidence supporting the use of spoken discourse variables at different cognitive-linguistic levels.<b>Supplemental Material S2.</b> Discourse sample excerpts from Cases 3 (Zulfekar) and 4 (James).<b>Supplemental Material S3.</b> Supplementary references.Dutta, M., Murray, L. L., Park, H., Burklow, E., Bose, A., Kim, H., Greenslade, K., Ramage, A. E., Combs, C., Balasubramanian, A., & Casilio, M. (2025). Let’s chat about spoken discourse: A tutorial to support use of spoken discourse analysis when providing aphasia clinical services. <i>American Journal of Speech-Language Pathology</i>, <i>34</i>(4), 1931–1966. https://doi.org/10.1044/2025_AJSLP-24-00534