The paper presents the results of the self-assessment study in patients with aphasia and dysarthria after stroke or traumatic brain injury. All the patients were neurorehabilitation course. Self-esteem is considered as important parameter in the study of the psychological status of patients. This article describes the differences in the quantitative and qualitative parameters of self-esteem in patients with various speech defect (motor aphasia, temporal aphasia, dysarthria). The actual self-esteem is evaluated in the retrospective (before disease) and is compared with the ideal indicators. Self-esteem is studied using three methods that allow to reveal both quantitative and qualitative characteristics of self-esteem.

To obtain a complete picture of self-esteem changing in the disease situation, the actual self-confidence state in the retrospective (to disease) and an ideal self-evaluation are studied. Patients with logaphasia are characterized by low self-esteem in the present and in the ideal plane on a background of retrospective self-esteem. Patients with temporal aphasia showed the opposite picture of self-evaluation at present and in the ideal plane. Violation of the speech expressive aspect is the most debilitating factor which places significant restrictions on such social sectors as career, friendships, physical attractiveness. Restrictions on communicative possibilities in patients with compensated logaphasia first choice of moral and ethical qualities to characterize themselves at the time of illness are observed. Comparing the results of different methods revealed the declared self-esteem (for others) and self-esteem for oneself. The results indicate that the quality of the speech defect is a significant factor in the study of self-esteem.