The interaction of multiple routes in oral reading: evidence from dissociations in naming and oral reading in phonological dyslexia

During oral reading we hypothesized that lexical representations are activated and selected for output by the simultaneous activation of the semantic, the direct lexical orthography to phonology, and the sublexical grapheme-to-phoneme conversion (GPC) routes (Southwood & Chatterjee, 1999). Serial models of reading argue that the semantic route governs oral reading with minimal influence from the nonlexical direct route and the sublexical GPC route. These models predict that semantic errors should occur in reading when the semantic route and GPC are both impaired. The Simultaneous Activation Hypothesis predicts few semantic errors in oral reading but many during picture naming. Semantic errors are infrequent in reading because information from all three reading routes constrains activation of a phonological entry. By contrast phonological selection in picture naming is constrained primarily by the semantic route and if damaged additional information is unavailable to select the appropriate phonological code. In agreement with the Simultaneous Activation Hypothesis five phonological dyslexics produced semantic errors during picture naming but not when reading aloud. Phonological errors were present during oral reading and minimal during picture naming.     

Simultaneous activation of reading mechanisms: evidence from a case of deep dyslexia

We report the performance of LC, a deep dyslexic. We investigated extensively her errors according to serial cognitive neuropsychological models of oral reading. Initial evaluation of her reading suggested impaired access to the phonological output lexicon (POL). Impaired grapheme-to-phoneme conversion (GPC) and semantic errors in reading suggested that LC read via an impoverished semantic route. However, a serial model of oral reading could not explain error differences in reading, picture naming, spontaneous speech, and repetition. Neologisms occurred in oral reading but not in spontaneous speech and repetition. Semantic errors in naming exceeded those in oral reading. To account for these different error patterns we propose that the semantic route, the direct route from the orthographic input lexicon to the POL, and GPC activate simultaneously during reading, converging at the POL to constrain phonological selection. These routes are modular but not functionally encapsulated. For LC, the POL receives ambiguous information due to degradation of all routes, causing reading errors.     

Word associations in deep dyslexia

Deep dyslexia is an acquired reading disorder resulting in the production of semantic errors during oral reading and an inability to read aloud nonwords. Several researchers have postulated that patients with deep dyslexia have both phonological and semantic access impairments but the data supporting these claims are not convincing. In fact, the hallmark feature of deep dyslexia--the semantic errors--strongly implies that these patients can access semantic information from printed words. We test the integrity of the semantic system in two such patients through auditory and visual word association tasks. The data support the notion that semantics remains intact and that the disorder and associated errors arise through a selection impairment related to failure of inhibitory connections in the phonological lexicon.     

When does a deep dyslexic make a semantic error? The roles of age-of-acquisition, concreteness, and frequency

Semantic reading errors are the central and defining feature of deep dyslexia. This study compared the words the deep dyslexic patient LW read correctly with those she omitted and those to which she produced semantic errors in terms of their concreteness, age-of-acquisition, frequency, and length. Semantic errors were made to less concrete, later-acquired, and shorter words than were read correctly; there was no reliable effect of word frequency. More importantly, the actual semantic errors produced were later-acquired than the stimulus words, but they were not more concrete or reliably more frequent. These results implicate age-of-acquisition in the process that produces semantic errors. It is proposed that concreteness determines the specificity of the semantic system to activate a set of candidate responses and that age-of-acquisition biases the ease with which certain words can be selected from this set to be produced as reading responses.     

Deep dyslexia in childhood?

Deep dyslexia is an acquired reading disorder in which semantic substitutions (e.g., city read as town) are made in reading single isolated words. In this paper, evidence for deep dyslexic-type errors is presented from the word-recognition responses of six children, aged 7 years and 0 month to 8 years and 9 months, with severe reading disorders. These semantic substitutions occur in the absence of phonological skills. Therefore, it appears that there exists a small subset of developmental dyslexics who at the beginning of acquisition of reading skills are able to engage in semantic processing, but who show severe impairment of phonological processing. The existence of these reading errors indicate that the use of a phonological code is not necessary to extract meaning from the printed word.     

Deep dyslexia and semantic errors: a test of the failure of inhibition hypothesis using a semantic blocking paradigm

Deep dyslexia is an acquired reading disorder that involves the production of semantic errors and the inability to read aloud nonwords successfully. Several explanations for this reading impairment posit multiple loci of damage to account for the various error types produced in deep dyslexia. In contrast, the failure of inhibition hypothesis suggests that damage in the phonological output lexicon alone can explain these errors. Specifically, this hypothesis proposes normal processing via orthographic and phonological reading routes, as well as an intact semantic system. However, slowed or reduced inhibitory connections result in the failure to suppress spuriously activated neighbours in the phonological output lexicon, where neighbourhood can be defined in terms of phonology, orthography, or semantics. Given a failure to inhibit semantically related candidates, semantic reading errors occur. Important to the test of this hypothesis is that it evolves several predictions that are contrary to performance observed in the normal population. In particular, semantic errors are predicted to be greater in conditions where words are blocked according to semantic category than in random presentations. In addition, a semantic interference effect is expected. The results of semantic blocking were consistent with these predictions and lend support to the failure of inhibition hypothesis.     

Naming difficulties in adolescents with dyslexia: application of the tip-of-the-tongue paradigm

The present study used the "tip-of-the-tongue" (TOT) experimental paradigm in a picture-naming task to explore the naming deficits of adolescents with dyslexia. As compared with a control group of typically developing readers, the adolescents with dyslexia had fewer correct responses and more TOT responses. When they failed to retrieve a target word, the adolescents with dyslexia had more phonological substitutions and benefited less from a phonological cue. However, both groups did not differ in the amount of semantic substitutions and supplied the same amount and kind of partial semantic information on the missing target word. These findings suggest that adolescents with dyslexia have significant naming difficulties that seem to arise because of difficulty in accessing the phonological word forms after the corresponding abstract lexical representation has been successfully accessed.     

Speculation about behavior, brain damage, and self-organization: the other way to herd a cat

This article contrasts aphasic patients' performance of word naming and lexical decision with that of intact college-aged readers. We discuss this contrast within a framework of self-organization; word recognition by aphasic patients is destabilized relative to intact performance. Less stable performance shows itself as an increase in the dispersion of patients' response times compared to college students'. Dispersion is also more pronounced for low-frequency words than for high frequency words. We speculate, that increased dispersion originates in a reduction of constraints that support naming and lexical decision performances. A sufficient reduction of constraints yields qualitative changes in performance such as the production of semantic errors in deep dyslexia. These hypotheses are offered as alternatives to postulating distinct modules.     

Constraints upon word substitution speech errors

We explore the features of a corpus of naturally occurring word substitution speech errors. Words are replaced by more imageable competitors in semantic substitution errors but not in phonological substitution errors. Frequency effects in these errors are complex and the details prove difficult for any model of speech production. We argue that word frequency mainly affects phonological errors. Both semantic and phonological substitutions are constrained by phonological and syntactic similarity between the target and intrusion. We distinguish between associative and shared-feature semantic substitutions. Associative errors originate from outside the lexicon, while shared-feature errors arise within the lexicon and occur when particular properties of the targets make them less accessible than the intrusion. Semantic errors arise early while accessing lemmas from a semantic-conceptual input, while phonological errors arise late when accessing phonological forms from lemmas. Semantic errors are primarily sensitive to the properties of the semantic field involved, whereas phonological errors are sensitive to phonological properties of the targets and intrusions.     

Phonological and semantic information in word and nonword reading in a deep dyslexic patient

Deep dyslexia is diagnosed when brain-injured, previously literate adults make reading errors that include hallmark semantic paralexias (e.g., reading HEART as BLOOD) and are also impaired at reading nonwords (e.g., FRIP). The diversity of these symptoms have led most researchers to conclude that there are multiple sources of impairment in this syndrome and that one of the most critical is a failure to process phonological information at a sublexical level. The patient (SD) reported in this study fits the deep dyslexia profile to the extent that she makes several semantically related reading errors. She also shows the classic frequency and image ability effects of the syndrome. However, as we report, she does read some nonwords correctly and she shows a strong advantage for naming when phonemic cues are presented. We discuss the performance of SD, on these preliminary tasks, in terms of a phonological selection impairment.     

汉语发展性阅读障碍亚类型的初步探讨

以阅读水平匹配组为参照对29名汉语发展性阅读障碍儿童的认知缺陷模式进行了分析,并考察了不同亚类型阅读障碍儿童的汉字识别模式。结果表明汉语发展性阅读障碍存在不同的亚类型,以语音缺陷型、快速命名缺陷型及两者结合的双重缺陷型为主,与英语国家研究中的双重缺陷假设一致。语音缺陷型儿童汉字识别时有更多的语义错误,对声旁中的部分语音线索不敏感;快速命名缺陷型儿童汉字识别时依赖声旁语音线索,表现出阅读发展的一般延迟;双重或多重认知缺陷型是阅读损伤最严重的亚类型     

Deep dysphasia: analysis of a rare form of repetition disorder

"Deep dysphasia" is the parallel in repetition to the reading impairment deep dyslexia. Our patient, S.M., showed part of speech, word/nonword, and concreteness effects in repetition, and he made semantic errors, but his oral reading was relatively spared. Further testing indicated that S.M. did not have difficulty perceiving spoken stimuli or deciding their lexical status, but he was deficient at semantically processing spoken words. Moreover, his phonemic memory was severely impaired. We argue that the routes for repetition (lexical and nonlexical) that function without semantic mediation were defective and that deficits in phonemic memory further diminished their effectiveness, since initial phonological encoding of spoken words was not available to guide the output stages of phonological processing. In addition, the semantically mediated route for repetition was unreliable because semantic processing was faulty and S.M. could not accurately label concepts.     

Stimulus-specific neglect in a deep dyslexic patient

We report a patient (B.V.) who appears to suffer from two dyslexic disorders. First, B.V. showed a severe impairment in reading aloud nonwords (e.g., reading TREST as TREE), in addition to making several semantic errors when reading aloud words (e.g., reading ILL as SICK) and in picture naming (e.g., responding KNIFE to a picture of a FORK). These results suggest that B.V. suffers from deep dyslexia. Second, B.V. showed an impairment in reading the final letters of both words and nonwords (e.g., reading SHOWN as SHORT and reading PROGE as PROOF). Thus, it appears that B.V. also suffers from neglect dyslexia. We discuss how these two forms of dyslexia could be interacting to account for B.V.'s pattern of errors in reading aloud words and nonwords and in picture naming.     

SD-squared: on the association between semantic dementia and surface dyslexia

Within the connectionist triangle model of reading aloud, interaction between semantic and phonological representations occurs for all words but is particularly important for correct pronunciation of lower frequency exception words. This framework therefore predicts that (a) semantic dementia, which compromises semantic knowledge, should be accompanied by surface dyslexia, a frequency-modulated deficit in exception word reading, and (b) there should be a significant relationship between the severity of semantic degradation and the severity of surface dyslexia. The authors evaluated these claims with reference to 100 observations of reading data from 51 cases of semantic dementia. Surface dyslexia was rampant, and a simple composite semantic measure accounted for half of the variance in low-frequency exception word reading. Although in 3 cases initial testing revealed a moderate semantic impairment but normal exception word reading, all of these became surface dyslexic as their semantic knowledge deteriorated further. The connectionist account attributes such cases to premorbid individual variation in semantic reliance for accurate exception word reading. These results provide a striking demonstration of the association between semantic dementia and surface dyslexia, a phenomenon that the authors have dubbed SD-squared.     

Red is read but eye is blue: a case study of developmental dyslexia and follow-up report

Recently, analogies have been drawn between the developmental and acquired dyslexias, but there has been no unequivocal report of developmental deep dyslexia. The case is reported here of a 9-year-old child whose reading performance resembles deep dyslexia in several ways. The incidence of errors with a semantic component is shown to be significantly above chance. The pattern of errors is discussed in relation to recent data on error patterns in normal beginning readers. Text reading, spelling, naming, and repetition are described. In contrast to previous case reports, follow-up data are presented which chart the qualitative changes in performance over time despite relatively little quantitative change. The child described has several specific handicaps. Developmental deep dyslexia may not be a prevalent subtype because the multiple impairments necessary to produce the disorder seldom co-occur and may tend to preclude reading development altogether.     

Semantic errors in a deep dyslexic

A case of a Swedish-speaking deep dyslexic is reported whose semantic paralexias appeared to result mainly from a lexical retrieval failure in oral reading. He was able to draw correct pictures of the written words for which he had simultaneously produced a semantically erroneous oral reading response. Repeated attempts to correct paralexic responses were common, indicating that the patient was often aware of the errors. His lexical retrieval problems and semantic errors extended to naming as well, and the results support Nolan and Caramazza's (1982, Brain and Language, 16, 237-264), dual-deficit model of deep dyslexia.     

聋大学生的词汇习得年龄效应

通过3个实验, 考察了聋大学生的词汇习得年龄效应。实验1采用汉字命名任务和图片命名任务, 被试使用手语命名, 发现在图片命名中存在着词汇习得年龄效应, 在汉字命名中未出现此效应。实验2和实验3分别采用汉字词语义分类任务和图片语义分类任务, 要求被试做生命物和非生命物的判断, 发现在两个语义分类任务中均出现了词汇习得年龄效应。整个研究表明, 在控制了语音因素之后, 语义因素在聋生的词汇习得年龄效应产生中具有重要的作用, 从而支持了语义假设。     

The /O/ in OVER is different from the /O/ in OTTER: phonological effects in children with and without dyslexia

First-letter naming was used to investigate the role of phonology in printed word perception in children with and without dyslexia. In 2 experiments, all children showed faster first-letter-naming times in a congruent condition than in an incongruent condition, which suggests that phonology is a fundamental constraint in the printed word perception of readers of all levels and all skills. An explanation in terms of a recurrent network put forward by G. C. Van Orden and S. D. Goldinger (1996) is discussed to account for the apparent paradox in the reading behavior of readers with dyslexia, that is, that in first-letter naming, dyslexic readers appear to show phonological congruity effects, whereas in pseudoword reading, their phonological knowledge appears to be deficient or absent.     

Deep dyslexia in the two languages of an Arabic/French bilingual patient.

We present a single case study of an Arabic/French bilingual patient, ZT, who, at the age of 32, suffered a cerebral vascular accident that resulted in a massive infarct in the left peri-sylvian region. ZT's reading displays the characteristics of the deep dyslexia syndrome in both languages, that is, production of semantic, visual, and morphological errors, and concreteness effect in reading aloud and impossibility of reading nonwords. In the first part of this paper, using a three-route model of reading, we account for the patient's performance by positing functional lesions, which affect the non-lexical, the semantic lexical and the non-semantic lexical routes of reading. Phonological priming observed in a cross-language visual lexical decision task indicates that implicit assembled phonological recoding is possible. The above lesions and implicit nonword reading characterize the output form of deep dyslexia. However, error distribution reveals dissociations across languages (e.g. the semantic error rate is higher in French whereas translations are more frequent in the Arabic testing) that cannot be accounted for within a three-route model. In the second part, extensions to Plaut and Shallice's connectionist model (Cognitive Neuropsychology, 10 (5) (1993) 377) are proposed to account for the translinguistic errors observed. ZT's error distribution is compared to that obtained by Plaut and Shallice after lesions had been applied at different locations through the 40-60 network. The overall syndrome of deep dyslexia found in both languages is explained as resulting from lesions along the direct (O-->I) and output (S-->Ip, Ip-->P) pathways of reading. Lesions along the output pathway mostly affecting S-->Ip connections in French and Ip-->P connections in Arabic account for discrepancies in ZT's error pattern across tasks and languages. This case study demonstrates the superiority of a connectionist approach for predicting the error pattern in deep dyslexia.