Abstract:Conventional automatic word-naming recognition systems struggle to recognize words from post-stroke patients with aphasia because of disfluencies and mispronunciations, limiting reliable automated assessment in this population. In this paper, we propose a Contrastive Language-Audio Pretraining (CLAP) based approach for automatic word-naming recognition to address this challenge by leveraging text-audio alignment. Our approach treats word-naming recognition as an audio-text matching problem, projecting speech signals and textual prompts into a shared embedding space to identify intended words even in challenging recordings. Evaluated on two speech datasets of French post-stroke patients with aphasia, our approach achieves up to 90% accuracy, outperforming existing classification-based and automatic speech recognition-based baselines.