{"product_id":"hard-talk-isbn-9780262049566","title":"Hard Talk","description":"\u003cb\u003eA moving, patient-centered portrait of the social importance of speech, from a medical expert known for his humanizing explorations of health.\u003c\/b\u003e\u003cbr\u003e\u003cbr\u003eLanguage comes to us through culture, environment, and family. Words embed over time, as we use our minds to comprehend them and then our mouths to say, mean, and own them. Without the ability to speak, or when talking becomes difficult, we face a challenge like few others, forced to reconnect with a world that assumes its communicators are eloquent vocally. In \u003ci\u003eHard Talk\u003c\/i\u003e, Jonathan Cole takes a necessary look at the privilege of speech so we can better accommodate those for whom it presents problems. \u003cbr\u003e\u003cbr\u003eCole creates space for people with a variety of conditions, including cerebral palsy, vocal cord palsy, cleft palate, Parkinson’s, and post-stroke aphasia, to describe in their own words what the experience of difficult speech is like. No struggle is the same. Each develops along its own axis of factors—cognitive, social, and physical—that lead to unique vulnerabilities as well as extraordinary moments of adaptation and resilience. One person finds social chatter becoming more problematic than work speech. Another grows alarmed as changes in speech begin to constrain inner thoughts. Some lose the ability to find or make words though they retain awareness, while others lose self-awareness but maintain fluent speech bereft of meaning. One even loses the ability to speak with family while continuing to interact at work.\u003cbr\u003e\u003cbr\u003e\u003ci\u003eHard Talk \u003c\/i\u003ereacquaints us with the social power of speech while affirming the humane value of listening. Cole also reflects on the neuroscientific advances we’ve made in understanding barriers to speech and how we might reduce them.Introduction\u003cbr\u003e1 No Zzzs: Acquired Vocal Cord Palsy\u003cbr\u003e2 Words Unsaid: Congenital Vocal Cord Palsy\u003cbr\u003e3 I Found Myself Boring: Vocal Cord Palsy\u003cbr\u003e4 We Eat Eels Everyday: Spasmodic Dysphonia\u003cbr\u003e5 Conversing with Myself: Spasmodic Dysphonia\u003cbr\u003e6 Stuff Happens: Cleft\u003cbr\u003e7 Full On: Mὄbius\u003cbr\u003e8 Just Like My Elbows: Parkinson’s\u003cbr\u003e8 In My Head, I Talk Slowly: Cerebral Palsy\u003cbr\u003e10 How We Live: Cerebral Palsy\u003cbr\u003e11 Acquiesce with Silence: Cerebral Palsy\u003cbr\u003e12 Walks on the Wild Side: Non-fluent Aphasia\u003cbr\u003e13 Uncontrollable Dog: Non-fluent Aphasia\u003cbr\u003e14 Absence and Presence: Non-fluent Aphasia\u003cbr\u003e15 Eloquent Rhymes of Nothing: Fluent Aphasia\u003cbr\u003e16 Nothing in Mind: Abulia\u003cbr\u003e17 Conclusions: Residing in Voice\u003cbr\u003ePostscript: Inner Voices in Aphasia.\u003cbr\u003eNotes\u003cbr\u003eIndex“Cole helps us see the importance of something most of us take for granted—the ability to vocalize. He introduces us to the variety of conditions that disrupt this ability, not only explaining the physiological details but also, and brilliantly, giving voice to the people who live with such conditions.”\u003cbr\u003e\u003cb\u003e—Shaun Gallagher, Lillian and Morrie Moss Chair of Excellence in Philosophy, University of Memphis; author of \u003ci\u003eThe Self and Its Disorders\u003c\/i\u003e\u003c\/b\u003e\u003cbr\u003e\u003cbr\u003e“Cole’s heartfelt way that he details the true impact of the disability is a fantastic demonstration of interest, patience, and empathy. He shows us a perspective that often eludes clinicians, family, and friends alike.\u003cbr\u003e\u003cb\u003e—Kate Heathcote, ENT Consultant, Centre for Airway, Voice and Swallow, University Hospitals Dorset; contributor to \u003ci\u003eAtlas of Endoscopic Airway Surgery\u003c\/i\u003e\u003c\/b\u003e\u003cbr\u003e\u003cbr\u003e“Cole’s \u003ci\u003eHard Talk\u003c\/i\u003e gives a clear voice to so many who have significant communication difficulties. A must-read for anyone working in this field and a powerful reminder that communication is integral to humankind.”\u003cbr\u003e\u003cb\u003e—Tori Burnay, Clinical Lead Voice Specialist and Language Therapist, Guy’s and St. Thomas’ NHS Foundation Trust\u003c\/b\u003e\u003cbr\u003e\u003ci\u003e \u003c\/i\u003e\u003cbr\u003e“These are powerfully moving and insightful accounts of speakers and the surprisingly diverse impairments that shape their lives. I will never again take for granted my casual chitchat.”\u003cbr\u003e\u003cb\u003e—Michael Erard, author of \u003ci\u003eBye Bye I Love You\u003c\/i\u003e\u003c\/b\u003eJonathan Cole is a consultant in Clinical Neurophysiology at University Hospitals, Dorset, and Professor at Bournemouth University. He has written six narrative books, most recently \u003ci\u003eChekhov’s Sakhalin Journey: Doctor, Humanitarian, Writer\u003c\/i\u003e.","brand":"The MIT Press","offers":[{"title":"Default Title","offer_id":46301674406117,"sku":"NP9780262049566","price":32.95,"currency_code":"USD","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/1842\/7735\/files\/9780262049566.jpg?v=1767728707","url":"https:\/\/k12savings.com\/products\/hard-talk-isbn-9780262049566","provider":"K12savings","version":"1.0","type":"link"}