LinguiSystems home
Just for Adults Word Relationships
Ages: 16-Adult   Grades: 11-Adult

Target word relationships and improve the language processes associated with flexible expression.  These lessons for adults with neurocognitive disorders use carefully-chosen stimuli and a steady progression in difficulty.  


  • Improve language processing
  • Increase expressive vocabulary/word retrieval
  • Add flexibility to expression
Add to Cart
** This is a Cloud E-Book that is accessible from any device with Internet access. .

The one-page, easy-to-use activities help clients expand expression and manipulate words by associating words and concepts in the areas of:

  • opposites
  • synonyms
  • multiple-meaning words
  • analogies

The content and format of the lessons are carefully controlled to accommodate the language abilities of clients with neurological impairments.  The task formats include multiple choice, selecting from a word list, giving one-word verbal and written answers, and sentence completion.  A screening tool helps you identify the client's use of strategies and reasoning patterns prior to designing therapy sessions.          

You may purchase Just for Adults Word Relationships individually or as part of the 6-book Just for Adults set.  The 6-book set consists of:

Just for Adults Abstract Categories

Just for Adults Concrete Categories

Just for Adults Deductions

Just for Adults Following Directions

Just for Adults Word Relationships

Just for Adults Yes/No Questions


Copyright © 2007

40-page book, screening tool, answer key
  • Communication, both verbal and nonverbal, is a fundamental human need.  Meeting this need by facilitating and enhancing communication in any form can be vital to a patient's well-being (NSA, 2005).
  • Rehabilitation is an important part of recovering from a stroke, and the goal is to regain as much independence as possible (NSA, 2005).
  • In an extensive review of the literature, Holland, Fromm, DeRuyter, and Stein (1996) found aphasia treatment to be efficacious and benefited the majority of individuals with aphasia in comparison to no treatment groups.
  • Therapy should include tasks that focus on semantic processing, including semantic cueing of spoken output, semantic judgments, categorization, and word-to-picture matching (Taylor-Goh, 2005).
  • Therapy may target the comprehension and production of complex, as well as simple, sentence forms (Taylor-Goh, 2005).

Just for Adults Word Relationships incorporates these principles and is also based on expert professional practice.


Holland, A.L., Fromm, D.S., DeRuyter, F., & Stein, M. (1996). Treatment efficacy: Aphasia. Journal of Speech and Hearing Research, 39, S27-S36.

National Stroke Association (NSA). (2005). Clinical guidelines for stroke rehabilitation and recovery. Retrieved August 13, 2009, from

Taylor-Goh, S. (2005). Royal college of speech & language therapists: Clinical guidelines. United Kingdom: Speechmark.


Kathryn J. Tomlin


Kathryn J. Tomlin, M.S., CCC-SLP, has been a speech-language clinician in hospitals, rehabilitation centers, and in long-term care facilities for over 25 years.  She has authored many materials with LinguiSystems over the last 20 years.  Some of her works include:

  • WALC 1 (Workbook of Activities for Language and Cognition) Aphasia Rehab
  • WALC 2 Cognitive Rehab
  • WALC 8 Word Finding
  • WALC 9 Verbal and Visual Reasoning
  • WALC 10 Memory
  • WALC 11 Language for Home Activities
  • The Source for Apraxia Therapy

Zanmi, Kathy's Samoyed, goes to work with her to encourage the clients.  Her clients enjoy feeding and spending time with Zanmi, and Zanmi enjoys their company.  Everybody wins!


Word relationships are an integral part of our daily communication.  We compare and contrast words in multiple ways every day.  Being able to use words flexibly adds "color" to our communication and makes word finding and description easier.  But the ability to understand and/or use words in different relationships is frequently impaired in someone who has language or thinking difficulties.  It can become very confusing or overwhelming if these skills are impaired.

Many factors can hinder one's ability to understand and use words in different relationship patterns, such as:

  • word-finding difficulties (i.e., anomia)
  • difficulty understanding and using language or concepts due to aphasia
  • difficulty utilizing convergent and divergent language skills
  • difficulty with mentally manipulating information and coming to a conclusion
  • impulsivity causing action before receiving and analyzing all pertinent information
  • becoming overwhelmed with mentally-held information and new input

The exercises in Just for Adults Word Relationships have been developed to address four different kinds of word relationships: opposites, synonyms, words with multiple meanings, and analogies.  Being able to understand and use words in different relationships is foundational for many language and thought processes; and for activities of daily functioning.

The exercises can be done in multiple ways.

  • Have clients read items silently and complete them independently.
  • Have clients read task items aloud and write the response.  In general, performance improves when a person has multi-modality input (i.e., hearing it while reading it).
  • Read the items to the client and have the client give responses verbally.

The screening tool is not to be used as a test but rather as a way to observe a client's use of strategies and reasoning patterns.  Some questions to think about while observing how the client completes the screening include:

  1. Does the client need to use verbal rehearsal to aid comprehension?
  2. Is the client impulsive, and does his impulsivity lead to errors?
  3. Does the client read too much into the task and become confused?
  4. Is the client aware of his error responses?
  5. Does the client ask for clarification when having difficulty or does he just keep going, whether the item is understood or not?
  6. Does the client miss salient information?
  7. Is the client able to think convergently and divergently?
  8. Does the client have trouble shifting from one task to the next?

These guidelines will help you present the activities in this book.

  • It is recommended that you do not have your clients work on opposites and on synonyms at the same session.  The focus of therapy is to teach processes so it can be detrimental to present items that focus on one process and then switch to the opposite processing strategy.  It becomes cognitively confusing if a radical opposite change is presented in the same session and it may negate the learning that occurred with the first set of items presented.
  • The exercises are not for testing purposes.  Try to make them as enjoyable as possible.  Talking about the specific task items, particularly when correcting error responses, will help to improve the client's ability for achieving the goals.  Do not get into debates if the client is unable to see another viewpoint for a response.  Just move on to the next item.
  • Be flexible with presentation and accept answers that differ from your viewpoint if the client can give a logical explanation.  The answers in the Answer Key are provided for a reference and are not intended to be all inclusive.

I hope you and your clients find these exercises enjoyable and beneficial.