Speech disorders, especially the lexical and semantic efficiencies, are the inseparable component of dementia clinical view. The test of lexical and semantic efficiency constitutes then the crucial aspect of speech therapy diagnosis in case of dementia. The reliable assessment of language efficiencies enables to obtain the information concerning the mental condition of elderly people, which conditions significantly the effective programming of speech therapy of patient suffering from the disorder of cognition in dementia. The diagnosis of lexical resource is included in the scope of interests of specialists in many branches, i.a. educationalists, psychologists and speech therapists, therefore this problem is considered from the different perspectives. The article aims at the brief characteristics of selected methods of lexical testing as well as the assessment of usefulness in speech therapy diagnosis of lexicographical tests in dementia, being widely applied in Poland and in the world. The principal part of the dissertation is dedicated to the description of authorial test structure to measure the lexical and semantic efficiency in people suffering from dementia which enables the speech therapy assessment of language behaviours in people with dementia.
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