Aphasia, a language disability, can profoundly affect a person’s mood and identity. The experiences of participants who received Solution-Focused Brief Therapy, a psychological intervention, were explored in the Solution-Focused brief therapy In poststroke Aphasia (SOFIA) Trial. Thirty participants with chronic aphasia, 14 with severe aphasia, participated in in-depth interviews that were analyzed using framework analysis. Two overarching themes emerged: valued therapy components (exploring hopes, noticing achievements, companionship, sharing feelings, and relationship with therapist) and perceptions of progress (mood, identity, communication, relationships, and independence). Participants were categorized into four groups: (a) “changed,” where therapy had a meaningful impact on a person’s life; (b) “connected,” where therapy was valued primarily for companionship; (c) “complemental,” where therapy complemented a participant’s upward trajectory; and (d) “discordant,” where therapy misaligned with participants’ preference for impairment-based language work. This study suggests that it is feasible to adapt a psychological therapy for people with aphasia, who perceive it as valuable.

失语症是一种语言障碍，会严重影响一个人的情绪和身份。在中风后失语症 (SOFIA) 试验中，以解决方案为中心的简短疗法对接受以解决方案为中心的简短疗法（一种心理干预）的参与者的体验进行了探索。30 名患有慢性失语症的参与者，14 名患有严重失语症的参与者参加了使用框架分析进行分析的深度访谈。出现了两个首要主题：有价值的治疗成分（探索希望、注意到成就、陪伴、分享感受以及与治疗师的关系）和对进步的看法（情绪、身份、沟通、关系和独立性）。参与者被分为四组：（a）“改变”，即治疗对一个人的生活产生了有意义的影响；(b) “连接，”治疗主要是为了陪伴；(c) “互补”，即治疗补充了参与者的上升轨迹；(d) “不一致”，即治疗与参与者对基于障碍的语言工作的偏好不一致。这项研究表明，为失语症患者调整心理疗法是可行的，因为他们认为心理疗法很有价值。