Longitudinal dichotic listening patterns for aphasic patients : II. Relationship with lesion variables

Dichotic listening scores and information on lesion size and location were obtained for aphasic patients. All patients had a reduction in dichotic scores at 1 month postonset of symptoms, but some patients returned to normal levels of performance by 6 months postonset. Lesion location was the main determinant of patterns of performance. Right ear scores from the dichotic digit test closely reflected the presence or absence of lesions involving Heschl's gyrus. What appeared to be an effect of lesion volume was confounded by the relationship between increasing lesion volume and a greater likelihood of damage to Heschl's gyrus.     

Longitudinal dichotic listening patterns for aphasic patients : I. Description of recovery curves

Aphasic patients were given digit and noun dichotic listening tests at monthly intervals during the first 6 months postonset of left hemisphere ischemic infarctions. Significant changes in performance were observed that consisted of parallel increases in scores for the two ears, and thus did not support the hypothesis that language recovery is mediated by transfer of language dominance from the left to the right hemisphere. Reliable differences also were noted between performance on the two tests. RE scores accounted for most of the variance among patients in performance on dichotic tests and, as such, appeared to be the best measure for characterizing individual differences.     

Relationship between specific disfluency variables and dichotic listening in stutterers

86 stutterers' disfluency patterns were examined in relation to their laterality preferences. Results suggest that young stutterers are a heterogeneous group and that specific disfluency variables were not related to ear preferences on a dichotic consonant-vowel listening task.     

Smoking reduces language lateralization: a dichotic listening study with control participants and schizophrenia patients

Schizophrenia has been associated with deficits in functional brain lateralization. According to some authors, the reduction of asymmetry could even promote this psychosis. At the same time, schizophrenia is accompanied by a high prevalence of nicotine dependency compared to any other population. This association is very interesting, because sex-dependent effects of smoking in auditory language asymmetries have been reported recently, and the verbal domain is also one major focus in cognitive deficit studies of schizophrenia. Thus, the altered laterality pattern in schizophrenia could, at least in part, result from secondary artefacts due to smoking rather than being a pure cause of the disease itself. To test this hypothesis, the present study examined auditory language lateralization in 67 schizophrenia patients and in 72 healthy controls in a phonemic and an emotional dichotic listening task. Our findings replicate previous research, in that smoking reduces language lateralization in men in phonemic dichotic listening. In addition, we show that smoking also reduces laterality in women in the emotional dichotic listening task. Thus, smoking alters phonemic and emotional language asymmetries differentially for men and women, with a stronger effect for men in the left hemisphere phonemic task, and a stronger effect for women in the right hemisphere emotional task. Together, these findings point towards an effect of smoking which is possibly independent of sex and hemisphere. Importantly, by testing equal numbers of smoking and non-smoking patients and controls, we found no schizophrenia-associated asymmetry effect. Possible neurobiological mechanisms with which smoking may alter auditory microcircuits and thereby diminish left-right differences are discussed.     

Lateralisation of language and emotion in schizotypal personality: Evidence from dichotic listening

Striking disturbances have been reported in language and emotional prosody processing by patients diagnosed with schizophrenia. In view of this and of research suggesting that schizotypal personality traits can also be expressed sub-clinically, the present study aimed to discover whether similar disturbances would be reflected in cognitive laterality patterns when symptoms of schizotypy are present yet at a non-clinical level. A dichotic listening task was used to examine the sensitivity and speed with which 132 right-handed participants (85 females and 47 males, mean age = 32.44, SD = 12.29) detected both words and emotional prosody, all of whom also completed the Schizotypal Personality Questionnaire. Findings indicated that both high (n = 64) and low (n = 68) schizotypy groups demonstrated the typical right ear advantage for the detection of words and left ear advantage for the detection of emotional prosody. Individuals with higher schizotypal personality scores also demonstrated poorer sensitivity in detecting emotional prosody. These results reveal that within the healthy population, higher levels of schizotypy are not associated with the atypical lateralisation of language and emotion. Nevertheless, the existence of these symptoms does signal the presence of shared characteristics with the clinical sphere, namely poorer emotion recognition performance.     

Individual differences in working memory capacity and divided attention in dichotic listening

The controlled attention theory of working memory suggests that individuals with greater working memory capacity (WMC) are better able to control or focus their attention than individuals with lesser WMC. This relationship has been observed in a number of selective attention paradigms including a dichotic listening task (Conway, Cowan, & Bunting, 2001) in which participants were required to shadow words presented to one ear and ignore words presented to the other ear. Conway et al. found that when the participant’s name was presented to the ignored ear, 65% of participants with low WMC reported hearing their name, compared to only 20% of participants with high WMC, suggesting greater selective attention on the part of high WMC participants. In the present study, individual differences in divided attention were examined in a dichotic listening task, in which participants shadowed one message and listened for their own name in the other message. Here we find that 66.7% of high WMC and 34.5% of low WMC participants detected their name. These results suggest that as WMC capacity increases, so does the ability to control the focus of attention, with high WMC participants being able to flexibly “zoom in” or “zoom out” depending on task demands.     

The role of the left and right thalamus in language asymmetry: dichotic listening in Parkinson patients undergoing stereotactic thalamotomy

Fourteen patients with Parkinson's disease (rigidity and unilateral tremor as main symptoms) were treated with stereotactic thalamotomy. The operation was performed in either the left or right ventrolateral thalamus, depending on which hand (or foot) was most affected with tremor. Nine patients were operated on the left side and four on the right side. All patients were tested for asymmetry of language functioning with dichotic presentations of consonant-vowel (CV) syllables. The patients had to indicate which of the two syllables he/she heard on each trial. Dichotic listening was performed before and after the operation, as well as during electrical stimulation of the VL nucleus just before the lesion was carried out. The results revealed essentially three things: an overall reduced right ear advantage (REA) in the patient group compared to what is known from studies of healthy individuals; an increase in REA during left-sided stimulations; and a marked reduction in REA after left-sided lesions. It is concluded that the present data support the notion put forward by Ojemann (e.g., 1975) of a lateralized activating gating mechanism in the left VL nucleus that gates access for language information to the appropriate cortical areas. The gating mechanism seems to be activated by stimulation, and deactivated after lesions. Dichotic listening may thus be a heuristic instrument in assessment of language functions in Parkinson patients.     

Hemispheric specialization for voice recognition: evidence from dichotic listening

To measure lateralization of voice recognition abilities in normal subjects, listeners identified both the speaker (a famous male) and the word spoken on each trial in a dichotic listening paradigm. The voice identification task resulted in a zero ear advantage, which differed significantly from the significant right ear advantage found for word identification. This suggests that voice and word information, although carried in the same auditory signal, engage different cerebral mechanisms.     

Attention and cognitive control: unfolding the dichotic listening story

In this article we present a theoretical approach to cognitive control and attention modulation, as well as review studies related to such a view, using an auditory task based on dichotic presentations of simple consonant-vowel syllables. The reviewed work comes out of joint research efforts by the 'Attention-node' at the 'Nordic Center of Excellence in Cognitive Control'. We suggest a new way of defining degrees of cognitive control based on systematically varying the stimulus intensity of the right or left ear dichotic stimulus, thus parametrically varying the degree of stimulus interference and conflict when assessing the amount of cognitive control necessary to resolve the interference. We first present an overview and review of previous studies using the so-called "forced-attention" dichotic listening paradigm. We then present behavioral and neuroimaging data to explore the suggested cognitive control model, with examples from normal adults, clinical and special ability groups.     

Electrodermal responses to attended and nonattended significant stimuli during dichotic listening

Some investigators have found that words previously associated with shock elicit electrodermal responses (EDRs) when presented in the nonattended channel of a dichotic listening task. The present experiment tested for this phenomenon while closely monitoring for shifts in attention to the nonattended channel. College student volunteers verbally shadowed a series of unrelated words presented to the attended channel while words made significant by previous association with shock (and semantically related words) were occasionally presented to the nonattended channel. Three principal findings were obtained. Fist, when EDRs were averaged across all trials and across all subjects, it was found that EDRs were elicited by the significant words presented in the nonattended channel. Second, for the subgroup of subjects that had the significant words presented to the right ear (activating the left cerebral hemisphere), it was found that EDRs were elicited by the significant words presented to the left ear (activating the right cerebral hemisphere), it was found that EDRs were elicited by the significant word seven on trials on which there were no apparent shifts in attention. The results of this study indicate the importance of closely controlling and monitoring for shifts in attention and suggest the potential importance of cerebral laterality in mediating EDRs to stimuli presented in a nonatttended channel.     

Selective attention to emotional prosody in social anxiety: a dichotic listening study

The majority of evidence on social anxiety (SA)-linked attentional biases to threat comes from research using facial expressions. Emotions are, however, communicated through other channels, such as voice. Despite its importance in the interpretation of social cues, emotional prosody processing in SA has been barely explored. This study investigated whether SA is associated with enhanced processing of task-irrelevant angry prosody. Fifty-three participants with high and low SA performed a dichotic listening task in which pairs of male/female voices were presented, one to each ear, with either the same or different prosody (neutral or angry). Participants were instructed to focus on either the left or right ear and to identify the speaker’s gender in the attended side. Our main results show that, once attended, task-irrelevant angry prosody elicits greater interference than does neutral prosody. Surprisingly, high socially anxious participants were less prone to distraction from attended-angry (compared to attended-neutral) prosody than were low socially anxious individuals. These findings emphasise the importance of examining SA-related biases across modalities.     

Semantic feature representations for normal and aphasic language

Aphasic and non-neurological patients grouped nouns on the basis of similarity of meaning. These word groupings served as input matrices for hierarchical clustering and multidimensional scaling analyses. The emergent structures suggest that, while the normal adult has a number of levels upon which to organize his lexicon, the adult aphasic's lexicon can be characterized as a set of partial entries that are tied to affective and situational data. The results also suggest that semantic feature representations derived from similarity-of-meaning judgments are of relevance in the study of factors which influence actual language performance.     

Predictors of therapeutic response to treatments for depression: a review of electrophysiologic and dichotic listening studies

There are few clinical or biologic predictors of response to treatments for depression. This article reviews growing evidence that electrophysiologic and neurocognitive measures of brain function may be of value as predictors of therapeutic response to antidepressants. Initial studies using dichotic listening, quantitative electroencephalography, or event-related brain potential measures have found differences between treatment responsive and nonresponsive subgroups of depressed patients. The neurophysiologic basis for these differences and the potential clinical utility of electrophysiologic and dichotic predictors of treatment outcome remain to be determined in future studies.     

Use of a statistical significance criterion in drawing inferences about hemispheric dominance for language function from dichotic listening data

A dichotic listening test (composed of VCV nonsense syllables) was administered to 31 right-handed subjects. A χ² statistical significance criterion was then applied to the resulting ear differences in subjects. Fifteen subjects had ear differences significant at the p < .10 levels. Of these, 14 had right-ear advantages, an incidence consistent with the incidence of left-hemisphere language dominance derived from neurological data. Incidence for the total group of 31 subjects, however, showed the overabundance of left-ear-superior protocols typical of studies that report ear-dominance scores with no statistical criterion.