{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T11:14:54Z","timestamp":1790162094098,"version":"4.1.0"},"reference-count":44,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T00:00:00Z","timestamp":1786924800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T00:00:00Z","timestamp":1786924800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Lang &amp;amp; Comm Disor"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The ability to converse with others enables us to participate in everyday life. People with neurogenic communication disorders (NCDs), such as aphasia or traumatic brain injury (TBI), often experience difficulties engaging in conversation. While Systemic Functional Linguistics (SFL) has been used to analyze conversations involving people with NCDs, its application to clinical assessment and intervention remains limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>The primary aim of this paper is to make the case for Systemic Functional Linguistics as a clinically useful framework for understanding, assessing, and supporting conversation in people with neurogenic communication disorders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>We provide an overview of SFL and introduce an SFL\u2010based framework, Discourse Structure Analysis. We review previous SFL\u2010based studies of adult communication disorders and also describe the USeFuL Project, a multinational collaboration focused on developing SFL\u2010based clinical tools. Finally, we present a worked clinical example illustrating how DSA can support detailed analysis of conversations involving people with and without aphasia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Contributions<\/jats:title>\n                    <jats:p>SFL\u2010based frameworks can be used systematically to guide clinical decision\u2010making when providing services to people with neurogenic communication disorders. By enabling detailed, coded analyzes of naturalistic conversations, these approaches reveal patterns of participation that are often missed in standard assessments. Moreover, SFL can inform the development of meaningful, measurable therapy goals and the development of individualized care plans.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>SFL offers a powerful, context\u2010sensitive framework for analyzing and supporting communication in people with NCDs. By applying SFL in clinical contexts, clinicians can build more precise, functional, and person\u2010centered interventions that enhance real\u2010world communication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>WHAT THIS PAPER ADDS<\/jats:title>\n                    <jats:p>\n                      <jats:italic>What is already known on this subject<\/jats:italic>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>Systemic Functional Linguistics (SFL) is a theory of communication which examines how language users make choices to convey meaning in specific contexts. Over the past 30 years, researchers have used systemic functional linguistics (SFL)\u2010 based frameworks to study real\u2010world conversations involving people with neurogenic communication disorders (NCDs). Researchers have investigated interactions that occur in a number of settings, focusing primarily on health care contexts. Two major themes are evident within this literature: control over how conversations play out tends to be exercised predominantly by people without communication disorders, and all participants in an interaction contribute to communicative success.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                      <jats:italic>What this study adds to existing knowledge<\/jats:italic>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>We are the first group to argue for SFL\u2010based studies that provide clinicians with conceptual frameworks and theory\u2010informed tools they can use during all stages of clinical care including assessment, goal setting and treatment. As a first step in meeting this need, we offer an overview of discourse structure analysis (DSA, a form of SFL) and provide a worked example of how clinicians could use DSA when providing services to people with neurogenic communication disorders. Finally, we introduce the Using Systemic Functional Linguistics to Understand Neurogenic Communication Disorders (USeFuL) Project, a collaboration founded to pursue a clinical, SFL\u2010based research agenda.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                      <jats:italic>What are the clinical implications of this study?<\/jats:italic>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>People with NCDs want therapies that will improve communication abilities in the real world. Because SFL\u2010based studies always focus on data gathered in everyday settings, this discipline could be used to develop highly functional and relevant assessments, goal setting procedures and treatments. The worked example provided in this paper illustrates some key ideas about how clinicians might go about applying DSA (a form of SFL) when working in conjunction with clients to develop and carrying out plans of care. Future studies by the USeFuL Project will build on current work and expand the SFL\u2010informed tools and approaches available to clinicians.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1460-6984.70310","type":"journal-article","created":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T07:32:57Z","timestamp":1786951977000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Using Systemic Functional Linguistics in the Clinical Management of Neurogenic Communication Disorders: An Introduction and Worked Example"],"prefix":"10.1111","volume":"61","author":[{"given":"Brent","family":"Archer","sequence":"first","affiliation":[{"name":"Bowling Green State University  Bowling Green Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marion C.","family":"Leaman","sequence":"additional","affiliation":[{"name":"University of Kansas Medical Center  Kansas City Kansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan S.","family":"Husak","sequence":"additional","affiliation":[{"name":"La Salle University  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christa","family":"Akers","sequence":"additional","affiliation":[{"name":"Kean University  Union New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rimke","family":"Groenewold","sequence":"additional","affiliation":[{"name":"University of Groningen, University Medical Center Groningen  Groningen Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7823-3419","authenticated-orcid":false,"given":"Louise","family":"Keegan","sequence":"additional","affiliation":[{"name":"Moravian University  Bethlehem Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zaneta","family":"Mok","sequence":"additional","affiliation":[{"name":"Alfred Health  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liz","family":"Spencer","sequence":"additional","affiliation":[{"name":"The University of Newcastle  Newcastle New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eleanor","family":"Gulick","sequence":"additional","affiliation":[{"name":"University of Wyoming  Laramie Wyoming USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,17]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"Akers C. 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