The BNVR Test is a unique non-linguistic approach for identifying whether a cognitive (problem-solving) deficit as well as a linguistic deficit exists in individuals with acquired aphasia.

Recognising cognitive deficits in terms of problem-solving may be a key factor in understanding why some individuals overcome their communication difficulties better than others. Failure to recognise problem-solving difficulties may lead to unrealistic expectations of therapeutic intervention and thus inappropriate management and goal setting.

The BNVR requires the client to solve 10 everyday problems, presented in full-colour photographic format. It is short, requires minimal linguistic input, contains real-life situations and is likely to be suitable for non-English speaking individuals.

It will be useful to speech language therapists, occupational therapists and psychologists who need to ascertain whether problem-solving skills are affected and to assist in multi-disciplinary team decision-making in acute and rehabilitation settings.