Paralinguistic aspects of auditory comprehension in aphasia.

Eight severe aphasics were given sentences with either emotional or neutral content, presented once directly by the examiner and once via a tape recorder. Sentences with emotional content produced a greater number of responses than their neutral counterparts. Sentences spoken by the examiner also produced a significantly greater number of responses than the same items originating from a tape recorder. These results confirm the view that elements not related to the linguistic aspects of a message (and therefore referred to as paralinguistic) play a significant role in auditory comprehension.     

Semantic field,naming, and auditory comprehension in aphasia

The status of semantic fields for 16 target nouns was compared in high and low comprehension aphasics, brain damaged, and normal controls, by measuring latency and miss rate for recognition of six classes of associates, which were presented orally on tape. The ability to name each target was also examined as a function of the integrity of the subject's semantic field for that word. Low comprehension aphasics showed both quantitative and qualitative changes in semantic fields, while milder aphasics showed only mild quantitative impairment, as compared to controls. Both latency and miss rate measures indicated that failure to name a word is associated with reduced semantic field for that word. This result is interpreted as supporting the view that nameing is, in part, determined by the convergence of associations.     

The effects of slowed speech on auditory comprehension in aphasia

The present study investigates the effects of slowed speech on auditory comprehension in aphasia. Specifically, an attempt was made to isolate the effects of added time on comprehension at the language processing stages of auditory perception, by increasing the duration of the vowel segments in each word; word recognition and semantic analysis, by adding silences between words; and syntactic analysis, by adding silences at constituent phrase boundaries. Sentences were also read at a slow rate to see the effects of naturally slowed speech on sentence comprehension. Test sentences consisted of simple active and passive declarative sentences, and complex sentences with embedded medial and final relative clauses. Sentences were either semantically reversible or nonreversible. Thirty-four aphasic patients who varied in both severity and type of aphasia were tested on a picture verification task. Results indicated that slowing facilitated language comprehension significantly only in the syntactic condition. Neither syntactic complexity nor semantic reversibility interacted with slowed speech to facilitate auditory language comprehension. Further, it was only the Wernicke's aphasics who showed significant improvement with time added at constituent boundaries. These results suggest that time alone does not facilitate language comprehension in aphasia, but that rather it is the interaction of time with syntactic processing which improves comprehension.     

Text comprehension in aphasia

The semantic and pragmatic strategies in the comprehension of spoken texts are investigated in four subgroups of aphasic patients and in normal and brain-damaged controls. Short texts of similar linguistic structure were read to the subjects, who were required to choose the picture, from a multiple choice set of five, that was appropriate to the story. Besides a picture showing the main event of the story, one picture depicted the literal sense of a metaphorical comment, and the others misrepresented semantic functions expressed in the text. With respect to these types of responses, both aphasics and controls exhibited the same pattern of reaction. It is concluded that the redundancy of texts makes up for the difficulties aphasics have in comprehending isolated words and sentences.     

Contextual influences in reading comprehension in aphasia.

Aphasic subjects' auditory comprehension of reversible passive sentences is facilitated by preceding predictive and nonpredictive narratives (Hough, Pierce, & Cannito, 1989, Brain and Language, 36, 325-334). The present study found that aphasic subjects also comprehended written reversible passive sentences significantly more accurately when they were preceded by either predictive or nonpredictive five-sentence narratives than when they were presented in isolation. Also tested was the contention that predictive narratives do not improve aphasic subjects' ability to process target sentences but simply allow these sentences to be ignored. This contention was not supported. The aphasic subjects did not comprehend predictive narratives presented without the subsequent target sentences more accurately than they comprehended the target sentences presented in isolation. For comprehension to be enhanced, both the contextual narratives and the target sentences must be present.     

The existence of comprehension patterns in Broca's aphasia.

Berndt and Caramazza (1999) claim that Grodzinsky, Pi?ango, Zurif, and Drai (1999) were able to show a canonical-noncanonical difference (e.g., actives vs. passives) in the comprehension of Broca's aphasic patients only because of a patient selection bias. We show that the canonical-noncanonical comprehension pattern exists apart from any such bias, and that this pattern bears importantly on our understanding of the neuroanatomical organization of comprehension capacity at the sentence level.     

Verb processing during sentence comprehension in aphasia

This study examines verb processing during on-line sentence comprehension in aphasia. We describe two experiments that explore whether a group of Broca's aphasics, who were agrammatic in comprehension as well as speech, a group of fluent aphasics, and a group of normal controls are sensitive to the argument structure arrangements of verbs. Subjects had to perform a complex secondary task both in the immediate vicinity of the verb and also at a point well past the verb while listening to sentences for meaning. Reaction times to this secondary task show that both normal controls and agrammatic Broca's aphasic subjects activate multiple argument structure possibilities for a verb in the vicinity of the verb, yet at a point downstream from the verb such effects disappear. These data suggest that the problems agrammatic subjects show with verbs in sentence comprehension, and the general lexical access deficit also recently claimed to be part of the agrammatics' problem, may not extend to the real-time processing of verbs and their arguments. Fluent aphasic subjects, on the other hand, do not show sensitivity to the argument structure properties of verbs, suggesting that these patients may have a semantic-like sentence processing deficit.     

Nonlinguistic auditory capabilities in aphasia

Nonlinguistic auditory capabilities were assessed through psychophysical tests in 11 left-CVA aphasic, four right-CVA nonaphasic, and eight normal male subjects selected from the same age group. The tests included frequency discrimination, gap detection, gap discrimination, frequency sweep discrimination, assessment of the magnitude of the frequency uncertainty effect in the detectability of tones in noise, and assessment of frequency selectivity through simultaneous masked thresholds. Results of these tests were compared to measures of auditory comprehension obtained from the Boston Diagnostic Aphasia Examination, the Porch Index of Communicative Ability, and the Token Test. Nonlinguistic auditory performance of the three subject groups differed significantly from each other. For the left-CVA subjects, frequency sweep discrimination, frequency discrimination, and the frequency uncertainty effect in tone-in-noise detection were the best predictors of verbal auditory comprehension. The right-CVA subjects displayed marked deficits with regard to all pitch-related tests. The findings stress the importance of considering the presence of nonlinguistic auditory dysfunctions when evaluating linguistic auditory capabilities in aphasia.     

Brain network interactions in auditory, visual and linguistic processing

In the paper, we discuss the importance of network interactions between brain regions in mediating performance of sensorimotor and cognitive tasks, including those associated with language processing. Functional neuroimaging, especially PET and fMRI, provide data that are obtained essentially simultaneously from much of the brain, and thus are ideal for enabling one to assess interregional functional interactions. Two ways to use these types of data to assess network interactions are presented. First, using PET, we demonstrate that anterior and posterior perisylvian language areas have stronger functional connectivity during spontaneous narrative production than during other less linguistically demanding production tasks. Second, we show how one can use large-scale neural network modeling to relate neural activity to the hemodynamically-based data generated by fMRI and PET. We review two versions of a model of object processing - one for visual and one for auditory objects. The regions comprising the models include primary and secondary sensory cortex, association cortex in the temporal lobe, and prefrontal cortex. Each model incorporates specific assumptions about how neurons in each of these areas function, and how neurons in the different areas are interconnected with each other. Each model is able to perform a delayed match-to-sample task for simple objects (simple shapes for the visual model; tonal contours for the auditory model). We find that the simulated electrical activities in each region are similar to those observed in nonhuman primates performing analogous tasks, and the absolute values of the simulated integrated synaptic activity in each brain region match human fMRI/PET data. Thus, this type of modeling provides a way to understand the neural bases for the sensorimotor and cognitive tasks of interest.     

Thematic analysis in agrammatic comprehension: syntactic structures and task demands.

Aphasics' ability to assign thematic roles during sentence comprehension was investigated. The study was motivated by the hypothesis that capacity limitations, e.g., due to slowed processing operations, interact systematically with certain aspects of structural analysis more than with others. Experiments using a sentence-picture matching paradigm were conducted with several agrammatic Broca's and paragrammatic Wernicke's patients. Experiment 1 tested comprehension of various syntatic structures. The astoundingly good performance in Experiment 1 for both patient groups was attributed to the low task demands of the experiment. Raising the task demands, by delaying presentation of the relevant picture set in Experiment 2, resulted in a significant decrement of comprehension performance for agrammatic Broca's aphasics, but not for Wernicke's aphasics. Putting the main verb in the sentence-final position, as in Experiment 3, affected Wernicke's aphasics', but not Broca's aphasics' performance. In principle, one explanation for the performance differences between Experiments 1 and 2 for Broca's patient might be a deficit in these patients' verbal memory capacity. Therefore, verbal memory span on different word categories was tested in an additional experiment. No difference, however, was found between the Broca's patients' and the Wernicke's patients' capacity for verbal memory despite their different sentence comprehension profiles. The present data are taken to support the view that Broca's aphasics' comprehension behavior is due to the processing demands imposed by structural inference chains and not to a general reduction in verbal memory.     

The effect of syntactic encoding on sentence comprehension in aphasia.

This study compared two levels of syntactic encoding with respect to their effect on aphasics' auditory comprehension. The same informational content was presented either as an embedded sentence or as two contiguous simplé propositions. A similar contrast was utilized to compare sentences containing relational terms of time, comparison, instrumentality, as well as sentences involving conjunction reduction, with parallel messages expressed in expanded, simplified form. A picture-verification paradigm was used. Comprehension was significantly enhanced only in the case of embedded sentences, with a tendency for Broca's aphasics to show the maximum effects.     

Some aspects of language comprehension in anterior aphasia

The competency of language comprehension was evaluated in three groups: anterior aphasics, posterior aphasics, and normal control subjects. Test material was divided into two sentence groups (Fill in the Blank and True/False) emphasizing either (1) semantic, “real world,” identity words or (2) syntactic, relational words, and one paragraph interpretation task. Matching auditory and visual (written) presentations were given. The control subjects performed almost flawlessly but many errors were made by each aphasia group. Qualitative study revealed a marked difference in the comprehension problem of the two groups. The anterior aphasic group performed well on semantically weighted sentences but made errors on syntactically weighted material, regardless of mode of presentation. In contrast, the posterior aphasics made almost the same number of errors on both types of material, regardless of mode of presentation. These findings support the concept of defective language comprehension in anterior aphasia and further suggest that the defect centers on the syntactical structures which are also poorly handled in expressive output.     

Spatial and linguistic aspects of visual imagery in sentence comprehension

There is mounting evidence that language comprehension involves the activation of mental imagery of the content of utterances ( Barsalou, 1999 ; Bergen, Chang, & Narayan, 2004 ; Bergen, Narayan, & Feldman, 2003 ; Narayan, Bergen, & Weinberg, 2004 ; Richardson, Spivey, McRae, & Barsalou, 2003 ; Stanfield & Zwaan, 2001 ; Zwaan, Stanfield, & Yaxley, 2002 ). This imagery can have motor or perceptual content. Three main questions about the process remain under‐explored, however. First, are lexical associations with perception or motion sufficient to yield mental simulation, or is the integration of lexical semantics into larger structures, like sentences, necessary? Second, what linguistic elements (e.g., verbs, nouns, etc.) trigger mental simulations? Third, how detailed are the visual simulations that are performed? A series of behavioral experiments address these questions, using a visual object categorization task to investigate whether up‐ or down‐related language selectively interferes with visual processing in the same part of the visual field (following Richardson et al., 2003 ). The results demonstrate that either subject nouns or main verbs can trigger visual imagery, but only when used in literal sentences about real space—metaphorical language does not yield significant effects—which implies that it is the comprehension of the sentence as a whole and not simply lexical associations that yields imagery effects. These studies also show that the evoked imagery contains detail as to the part of the visual field where the described scene would take place.     

Sentence comprehension in aphasia in two clear case-marking languages

Studies of aphasia in Indo-European languages point to a selective vulnerability of morphological case marking in sentence comprehension. However, in case-marking languages such as German and Serbo-Croatian, the use of case marking to express formal grammatical gender diminishes the clarity of grammatical role marking. In Hungarian and Turkish, there are simple and reliable markings for the direct object. These markings are not linked to grammatical gender. Compared to Hungarian, the Turkish accusative marking is somewhat lower in availability, but somewhat higher in detectability. The processing of these cues by aphasics was tested using the design of MacWhinney, Pléh, and Bates (1985. Cognitive Psychology, 17, 178-209). Simple sentences with two nouns and one transitive verb were read to Broca's and Wernicke's aphasics, anomics, and control subjects in both Turkey and Hungary. The main effect of case marking was extremely strong. However, this was not true for all groups. The aphasics used the case cue far less than the normals, with the Hungarian Wernicke's group showing the greatest loss. Word order variations were largely ignored in all groups whenever the case-marking cue was present. When case marking was absent, Turkish subjects had a clear SOV interpretation for NNV sentences and Hungarians had a clear SVO interpretation for NVN sentences, in accord with basic patterns in their languages. When there was a contrast between the animacy of the two nouns, subjects choose the animate nouns significantly more often. The effect of animacy was particularly strong in Turkish, in accord with basic facts of Turkish grammar. In Hungarian, VNN sentences without case marking were interpreted as VOS when the first noun was inanimate. In Turkish, VNN sentences without case marking were often interpreted as VSO. In general, the aphasic subjects showed a clear preservation of virtually all aspects of their native languages, albeit in a much noisier form. Despite the high reliability of the case-marking cue, it was damaged more than the word order cue in English subjects. The near-chance processing of the case cue by the Wernicke's aphasics in Hungarian can probably be attributed to the relatively greater difficulty involved in detecting the Hungarian accusative suffix.     

Effects of thematic structure on syntactic comprehension in aphasia

This study assessed aphasic subjects' sensitivity to the given-new structure within simple paragraphs and the extent to which narrative discourse is facilitative of syntactic processing in the absence of semantic constraints. Subjects were divided into four groups along the dimensions of comprehension level and fluency. Stimulus items consisted of reversible active and passive sentences that were presented in the following three conditions: isolation, at the end of paragraphs such that the given-new structure was respected, and at the end of paragraphs such that the given-new structure was violated. Fluency did not significantly influence performance but comprehension level did. The high-comprehension group presented no significant differences between contextual conditions. The low-comprehension group, however, favored both paragraph contexts over isolation with no difference occurring between contextual conditions. These results suggest that lower level aphasic subjects are able to utilize thematic, antecedent verbal information for comprehending sentences in connected discourse even when the discourse is not semantically predictive of the underlying meaning of these sentences. Whether the narrative respects or violates the given-new relationship may not be an important factor. The reasons for these findings are explored.     

Bilingualism influences inhibitory control in auditory comprehension

Bilinguals have been shown to outperform monolinguals at suppressing task-irrelevant information. The present study aimed to identify how processing linguistic ambiguity during auditory comprehension may be associated with inhibitory control. Monolinguals and bilinguals listened to words in their native language (English) and identified them among four pictures while their eye-movements were tracked. Each target picture (e.g., hamper) appeared together with a similar-sounding within-language competitor picture (e.g., hammer) and two neutral pictures. Following each eye-tracking trial, priming probe trials indexed residual activation of target words, and residual inhibition of competitor words. Eye-tracking showed similar within-language competition across groups; priming showed stronger competitor inhibition in monolinguals than in bilinguals, suggesting differences in how inhibitory control was used to resolve within-language competition. Notably, correlation analyses revealed that inhibition performance on a nonlinguistic Stroop task was related to linguistic competition resolution in bilinguals but not in monolinguals. Together, monolingual-bilingual comparisons suggest that cognitive control mechanisms can be shaped by linguistic experience.     

Impairment of auditory perception and language comprehension in dysphasia

Men with chronic focal brain wounds were examined for their ability to discriminate complex tones, synthesized steady-state vowels, and synthesized consonant—vowel syllables. Subjects with left hemisphere damage, but not right hemisphere damage, were impaired in their ability to respond correctly to rapidly changing acoustic stimuli, regardless of whether stimuli were verbal or nonverbal. The degree of impairment in auditory processing correlated highly with the degree of language comprehension impairment. The pattern of impairment of the group with left hemisphere damage on these perceptual tests was similar to that found in children with developmental language disorders.     

The effect of semantic plausibility on sentence comprehension in aphasia

Tested were 50 aphasic patients (16 Broca's, 15 Wernicke's, 10 global, and 9 amnesic), 13 nonaphasic brain damaged patients, and 13 normal adults to evaluate the effect of semantic plausibility on sentence comprehension in active affirmative declarative sentences with a sentence-picture matching task. A plate of two pictures was provided for each stimulus sentence, and the subject was required to choose the picture corresponding to the sentence presented auditorily. Two types of sentences in terms of plausibility were prepared, i.e., probable sentences (P) describing common events in our daily life and improbable sentences (I) describing rare events. There were four kinds of combinations of a picture with the other to make a correct/(distractor) set, i.e., P/(P), P/(I), I/(P), and I/(I) constructions. The results indicated that probable sentences were more comprehensible than improbable sentences, and that the effect of semantic plausibility did not differ among aphasic types.