Stretching the Truth: Identifying, Defining, and Measuring Confabulation for Speech-Language Pathologists Working With the Traumatic Brain Injury Population.
Saved in:
| Title: | Stretching the Truth: Identifying, Defining, and Measuring Confabulation for Speech-Language Pathologists Working With the Traumatic Brain Injury Population. |
|---|---|
| Authors: | Cruse, Nicole1 crusen2@sacredheart.edu, Bogart, Elise2, Snapper, Jonah1, Sabo, Helena1, Diorio, Meghan1, Steel, Joanne3 |
| Source: | American Journal of Speech-Language Pathology. May2026, Vol. 35 Issue 3, p867-883. 17p. |
| Subject Terms: | *Communicative competence, *Speech-language pathology, *Discourse analysis, *Communicative disorders, *Quality of life, *Memory disorders, *Cognition, Rehabilitation for brain injury patients, Medical protocols, Delusions, Independent living, Rehabilitation, Hallucinations, Patient-professional relations, Cognition disorders, Brain injuries, Figures of speech, Disease complications |
| Abstract: | Purpose: Confabulation is a complex phenomenon that presents unique challenges for speech-language pathologists (SLPs) providing cognitive-communication rehabilitation for individuals with traumatic brain injury (TBI). However, confabulation is conceptually poorly defined, and no clear descriptions or guidelines exist for the assessment or management of confabulation for SLPs. This tutorial provides a condensed background regarding underlying theories, differing etiologies, and previously used assessments and interventions in order to provide current recommendations for SLPs working with individuals with T BI who c onfabula te. Method: We conducted a literature review examining the history and clinical background of confabulation, methods of assessment, and intervention. This was used to identify gaps in knowledge, key theories, and traditionally used assessment and intervention strategies. Results: Various definitions of confabulation exist and differ by clinical diagnosis. Limited information is available within current best practice guidelines for cognitive-communication disorders. Current literature suggests use of metacognitive strategies, dynamic assessment, and tools such as patient interviews, journaling, and video feedback to address executive function deficits. However, the lack of specific clinical guidelines for confabulation often leads clinicians to rely on informal or ad hoc strategies that may not fully address the complexity of the behavior. Although some SLPs report confidence in identifying confabulation, this may not reflect a consistent or evidence-based approach in clinical practice. Conclusion: By increasing clinical awareness and providing direction for evidence-informed practice, SLPs can work with the multidisciplinary team to better identify and address confabulation, supporting clients' functional communication, social reintegration, and quality of life following TBI. [ABSTRACT FROM AUTHOR] |
| Copyright of American Journal of Speech-Language Pathology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Education Research Complete |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
|---|---|
| Header | DbId: ehh DbLabel: Education Research Complete An: 193560199 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
| IllustrationInfo | |
| Items | – Name: Title Label: Title Group: Ti Data: Stretching the Truth: Identifying, Defining, and Measuring Confabulation for Speech-Language Pathologists Working With the Traumatic Brain Injury Population. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Cruse%2C+Nicole%22">Cruse, Nicole</searchLink><relatesTo>1</relatesTo><i> crusen2@sacredheart.edu</i><br /><searchLink fieldCode="AR" term="%22Bogart%2C+Elise%22">Bogart, Elise</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Snapper%2C+Jonah%22">Snapper, Jonah</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Sabo%2C+Helena%22">Sabo, Helena</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Diorio%2C+Meghan%22">Diorio, Meghan</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Steel%2C+Joanne%22">Steel, Joanne</searchLink><relatesTo>3</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Speech-Language+Pathology%22">American Journal of Speech-Language Pathology</searchLink>. May2026, Vol. 35 Issue 3, p867-883. 17p. – Name: Subject Label: Subject Terms Group: Su Data: *<searchLink fieldCode="DE" term="%22Communicative+competence%22">Communicative competence</searchLink><br />*<searchLink fieldCode="DE" term="%22Speech-language+pathology%22">Speech-language pathology</searchLink><br />*<searchLink fieldCode="DE" term="%22Discourse+analysis%22">Discourse analysis</searchLink><br />*<searchLink fieldCode="DE" term="%22Communicative+disorders%22">Communicative disorders</searchLink><br />*<searchLink fieldCode="DE" term="%22Quality+of+life%22">Quality of life</searchLink><br />*<searchLink fieldCode="DE" term="%22Memory+disorders%22">Memory disorders</searchLink><br />*<searchLink fieldCode="DE" term="%22Cognition%22">Cognition</searchLink><br /><searchLink fieldCode="DE" term="%22Rehabilitation+for+brain+injury+patients%22">Rehabilitation for brain injury patients</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+protocols%22">Medical protocols</searchLink><br /><searchLink fieldCode="DE" term="%22Delusions%22">Delusions</searchLink><br /><searchLink fieldCode="DE" term="%22Independent+living%22">Independent living</searchLink><br /><searchLink fieldCode="DE" term="%22Rehabilitation%22">Rehabilitation</searchLink><br /><searchLink fieldCode="DE" term="%22Hallucinations%22">Hallucinations</searchLink><br /><searchLink fieldCode="DE" term="%22Patient-professional+relations%22">Patient-professional relations</searchLink><br /><searchLink fieldCode="DE" term="%22Cognition+disorders%22">Cognition disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Brain+injuries%22">Brain injuries</searchLink><br /><searchLink fieldCode="DE" term="%22Figures+of+speech%22">Figures of speech</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+complications%22">Disease complications</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Purpose: Confabulation is a complex phenomenon that presents unique challenges for speech-language pathologists (SLPs) providing cognitive-communication rehabilitation for individuals with traumatic brain injury (TBI). However, confabulation is conceptually poorly defined, and no clear descriptions or guidelines exist for the assessment or management of confabulation for SLPs. This tutorial provides a condensed background regarding underlying theories, differing etiologies, and previously used assessments and interventions in order to provide current recommendations for SLPs working with individuals with T BI who c onfabula te. Method: We conducted a literature review examining the history and clinical background of confabulation, methods of assessment, and intervention. This was used to identify gaps in knowledge, key theories, and traditionally used assessment and intervention strategies. Results: Various definitions of confabulation exist and differ by clinical diagnosis. Limited information is available within current best practice guidelines for cognitive-communication disorders. Current literature suggests use of metacognitive strategies, dynamic assessment, and tools such as patient interviews, journaling, and video feedback to address executive function deficits. However, the lack of specific clinical guidelines for confabulation often leads clinicians to rely on informal or ad hoc strategies that may not fully address the complexity of the behavior. Although some SLPs report confidence in identifying confabulation, this may not reflect a consistent or evidence-based approach in clinical practice. Conclusion: By increasing clinical awareness and providing direction for evidence-informed practice, SLPs can work with the multidisciplinary team to better identify and address confabulation, supporting clients' functional communication, social reintegration, and quality of life following TBI. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of American Journal of Speech-Language Pathology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=193560199 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1044/2026_AJSLP-25-00331 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 17 StartPage: 867 Subjects: – SubjectFull: Communicative competence Type: general – SubjectFull: Speech-language pathology Type: general – SubjectFull: Discourse analysis Type: general – SubjectFull: Communicative disorders Type: general – SubjectFull: Quality of life Type: general – SubjectFull: Memory disorders Type: general – SubjectFull: Cognition Type: general – SubjectFull: Rehabilitation for brain injury patients Type: general – SubjectFull: Medical protocols Type: general – SubjectFull: Delusions Type: general – SubjectFull: Independent living Type: general – SubjectFull: Rehabilitation Type: general – SubjectFull: Hallucinations Type: general – SubjectFull: Patient-professional relations Type: general – SubjectFull: Cognition disorders Type: general – SubjectFull: Brain injuries Type: general – SubjectFull: Figures of speech Type: general – SubjectFull: Disease complications Type: general Titles: – TitleFull: Stretching the Truth: Identifying, Defining, and Measuring Confabulation for Speech-Language Pathologists Working With the Traumatic Brain Injury Population. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Cruse, Nicole – PersonEntity: Name: NameFull: Bogart, Elise – PersonEntity: Name: NameFull: Snapper, Jonah – PersonEntity: Name: NameFull: Sabo, Helena – PersonEntity: Name: NameFull: Diorio, Meghan – PersonEntity: Name: NameFull: Steel, Joanne IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 05 Text: May2026 Type: published Y: 2026 Identifiers: – Type: issn-print Value: 10580360 Numbering: – Type: volume Value: 35 – Type: issue Value: 3 Titles: – TitleFull: American Journal of Speech-Language Pathology Type: main |
| ResultId | 1 |
