Surface dyslexia: A case report and some theoretical implications to reading models

This paper reports on the psycholinguistic investigation of a surface dyslexic aphasic patient's abilities to handle written material. The analysis of paralexic errors produced in reading aloud single words and nonwords classically suggested that the patient was using an analytical strategy parsing the letter string stimulus, from left to right, into graphemes, and assigning phonemic values to graphemes. The patient's results were found to be sensitive to irregularities in correspondence between graphemes and phonemes not only in reading aloud but in lexical decisions, writing on dictation, rhyming, and written-word comprehension. Moreover, the patient's linguistic behavior brought out the reverse pattern observed in deep-dyslexic performances within word/nonword and content/function word dimensions. It was found that some semantic information about written words could be retrieved from both phonological and nonphonological processes presumably operating concurrently and both providing converging or conflicting pieces of meaning to the understanding of written words. Some considerations derived from the observation of this pathological reading behavior are discussed, contributing to a psycholinguistic model of normal reading.