Dichotic listening performance in subtypes of developmental dyslexia and a left temporal lobe brain tumor contrast group.

This study examined dichotic listening performance in three subtypes of developmental dyslexia and in children with left temporal lobe brain tumors (clinical contrast group). Each child was administered a free-recall CV syllable dichotic paradigm (30 pairs). Analysis of variance and Tukey-HSD pairwise follow-up comparison indicated that the dichotic listening performance of the left temporal lobe brain tumor contrast group (strong LEA/right ear suppression) was significantly different from those of the visual-spatial/dyseidetic (strong REA/left ear depression) and mixed (moderate REA/bilateral ear suppression) dyslexic subtypes. The language disorder/dysphonetic dyslexic subtype demonstrated a REA with right ear depression. Closer inspection of the individual performances of the language disorder/dysphonetic dyslexic subtype revealed a bimodal distribution with 12 subjects demonstrating a strong LEA/right ear suppression and 8 subjects exhibiting a strong REA/left ear depression. These results lend support for the contention that the dyslexic population is heterogeneous in nature with each subgroup exhibiting (1) a distinct neuropsychological test profile and reading pattern and (2) a pattern of performance on the dichotic listening task which is consistent with what would be expected based upon the pattern of dysfunction exhibited on neuropsychological evaluation.     

Information processing and speech lateralization in learning-disabled children

The relationship between information processing and speech lateralization was investigated in learning-disabled children. The Kaufman Assessment Battery for Children (K-ABC) assessed simultaneous and successive processing while a dichotic listening paradigm with free recall and directed attention conditions assessed speech lateralization. A three-factor ANOVA design conducted on the dichotic data revealed that normal children demonstrated stronger right ear advantage (REA); whereas learning-disabled showed weaker right ear advantage. Further, lambda analyses conducted on individual subjects revealed that the learning-disabled did not demonstrate the REA, were not biased attenders, and did not get more right ear than left ear items when attention was directed to one ear. Multiple-regression analysis was used to predict sequential processing from the dichotic data for both groups. Learning-disabled children demonstrated a substantial deficit in sequential processing as compared to normal children. These results indicate that learning-disabled children may not have adequate cerebral lateralization of receptive speech processes, shift their attention more readily, and are more inadequate in sequential processing that presumably subserves language functioning. Perhaps learning-disabled children have deficiencies of processor capacity of salient areas of the left (language) hemisphere.     

The development of handedness and dichotic ear listening asymmetries in relation to school achievement: A longitudinal study

To assess the development of dichotic ear asymmetries and handedness, 208 male school children were evaluated in kindergarten and at Grades 2 and 5 (ages 66, 92, and 130 months of age, respectively) with a dichotic listening task and a hand preference test. The Wide Range Achievement Test (WRAT) also was administered at each of the three grade levels. There was significant variability in handedness scores over time only for those subjects whose scores at initial testing, that is, in kindergarten, identified them as non-right-handers. Both right and left handers had a significant increase in dichotic listening scores over time; however, only right handers had a significant right ear advantage at each evaluation. Regression analyses showed that combined hand preference scores and ear recall scores at each probe when combined accounted for almost 44% of the variance in WRAT achievement scores at Grade 5. Ear asymmetry scores, however, were not predictive of school achievement.     

Neuropsychological Deficits in Relation to Symptoms of ADHD: Independent Contributions and Interactions

Twelve children with and without Down syndrome (DS) performed eight subtests of an apraxia battery to determine under what conditions children with DS had difficulty performing representational and nonrepresentational gestures. Participants with DS also completed a dichotic listening test. Participants with DS performed just as well as control participants on all aspects of the apraxia battery except a subtest in which they were required to pantomime tool use from verbal instruction. This suggests that children with DS have difficulty generating an action from memory following verbal instruction. Given the sufficient context or visual demonstration, children with DS performed similar to the other participants. As well, there was a great deal of within-group variability for dichotic listening ear advantage. Participants with a greater left ear advantage on the dichotic listening test committed more errors on an imitation test that also included a verbal component than participants with a greater right ear advantage.     

Speech perception and motor control in children with Down syndrome.

Twelve children with and without Down syndrome (DS) performed eight subtests of an apraxia battery to determine under what conditions children with DS had difficulty performing representational and nonrepresentational gestures. Participants with DS also completed a dichotic listening test. Participants with DS performed just as well as control participants on all aspects of the apraxia battery except a subtest in which they were required to pantomime tool use from verbal instruction. This suggests that children with DS have difficulty generating an action from memory following verbal instruction. Given the sufficient context or visual demonstration, children with DS performed similar to the other participants. As well, there was a great deal of within-group variability for dichotic listening ear advantage. Participants with a greater left ear advantage on the dichotic listening test committed more errors on an imitation test that also included a verbal component than participants with a greater right ear advantage.     

Fifty years of dichotic listening research - still going and going and…

This year celebrates 50 years of research in auditory laterality and hemispheric asymmetry, using a dichotic listening approach. The discovery of the "right ear advantage" in 1961 by Doreen Kimura to dichotic presentations of phonetic stimuli paved the way for new studies of how speech perception and related language processes are lateralized in the human brain. The articles in this special issue, celebrating the first 50 years of dichotic listening research, reveal both the breadth and depth of current research, with contributions spanning from basic research to clinical applications, from behavioral studies to studies using advanced neuroimaging techniques, and with contributions from all over the world. It is my hope as Guest Editor that the next 50 years will be as productive as the first 50 years.     

Dichotic listening in children: age-related changes in direction and magnitude of ear advantage

Children between the ages of 5 and 12 years were tested with dichotic listening tests utilizing single syllable words and random presentations of digits. They produced a higher prevalence of left ear dominance than expected, especially among right-handed children when tested with words. Whether more children demonstrate the LEA because of right hemisphere dominance for language or because there is less stability in ear advantage direction at younger ages cannot be fully resolved by this study. When ear advantages were measured by subtracting each child's lower score from the higher score without regard to right or left direction, an age-related trend toward lower measures of ear advantage was evident. This trend was greater for dichotic words than for dichotic digits. Structural factors that may be related to these results and possible influences of attention and verbal workload on the two kinds of dichotic stimuli are discussed.     

Consonant-vowel lateralization in dyslexic children: deficit or compensatory development?

Two studies with the same subjects examined dyslexic children's puzzling superiority in forced left ear (LE) dichotic recall with consonant-vowel (CV) combinations. Thirty dysphonemic dyslexics were compared to 30 age-matched and 30 younger reading-matched normal readers. The children were tested in directed attention dichotic listening and in pseudoword decoding, word recognition, reading comprehension, spelling, arithmetic, and general intelligence (IQ). Failure to replicate the LE effect in the first experiment or in free-recall trials suggests its probable origin in aberrant attention/arousal rather than in deviant verbal lateralization. Experiment two replicated the superior LE effect in comparison to both control groups but also found the dyslexics poorer at the right ear (RE). Laterality coefficients confirmed that the dyslexics were more weakly lateralized. Corrections for stimulus dominance revealed that the uncorrected scores (1) concealed the extreme difficulty of the task and (2) obscured floor effects in the LE performance of the normals. Correlations suggest cautiously that CV lateralization may be associated inversely with reading comprehension and word decoding in the dyslexics and normal readers. The results provide mild support for the hypothesis that weak attentional lateralization for CVs in dyslexia may result from the precocious development of posterior right hemisphere attentional systems in compensation for presumed posterior left hemisphere lesions. No support was found for the competing hypothesis that such weak lateralization may be a component of the dyslexics' primary, correlated, or secondary deficit symptomatology.     

Reliability and magnitude of auditory laterality effects: the influence of attention

Three experiments investigated the effect of attention on the reliability and magnitude of laterality effects in a dichotic listening task. In Experiment 1, 40 undergraduate students were randomly assigned to either a free-recall or focused-attention condition. In Experiment 2, 40 undergraduate students completed a dichotic listening task with exogenous cueing. They were randomly assigned to either a 150-ms stimulus onset asynchrony (SOA) or a 450-ms SOA condition. In Experiment 3, 20 participants completed a task where the SOA for the exogenous cue was randomized on a trial to trial basis. Results indicated that focused attention increased the magnitude of the laterality effect. Contrary to predictions, this finding was not due to reduced variability in the focused-attention task compared to the free-recall task. In addition, a cueing tone was only effective at directing attention in Experiment 3. Specifically, a significant right ear advantage observed at the 150-ms SOA was reduced at the 450-ms SOA. It appears that, in Experiment 3, the tone was effective at controlling attention because it reduced the systematic bias that has been suggested to account for the laterality effects observed in dichotic tasks.     

A right-ear advantage for dichotic listening in bilingual children

A dichotic listening task was administered to two groups of right-handed Hispanic children enrolled in bilingual education classes. The younger group's mean age was 9:6, the older group's was 13:6. Two dichotic tapes were used, one in English, one in Spanish, consisting of 60 pairs of words per tape. The words were comparable across languages in terms of frequency, grammatical function, and phonetic composition. The results showed clear and equal right-ear advantages for both groups of subjects and for both languages. As expected, older children scored higher than younger ones, and performance on Spanish was better than on English. Neither of these effects interacted with the ear advantage, however. Ear difference scores did not correlate with proficiency in the second language (as measured by performance on the English tape), but there was a significant correlation (r = .58) between the degree of asymmetry in the two languages. These findings indicate that the left hemisphere is primarily (and equally) involved in processing both languages of bilinguals, and that this pattern appears to remain stable in development.     

Right hemisphere comprehension of verbs in patients with complete forebrain commissurotomy: Use of the dichotic method and manual performance

The paradigm of dichotic listening was used to investigate verbal comprehension in the right, so-called “nonverbal,” hemisphere. Verbal commands were presented to the right and left ears in the simultaneous (dichotic) paradigm. There were striking instances, especially when the left hemisphere was occupied with some extraneous task, in which the right hemisphere understood the verbal command and executed the appropriate motor responses. In those instances the left hemisphere gave no overt response. Although the left hemisphere was usually dominant, it can be nevertheless concluded that not only can the right hemisphere understand verbal commands but can also express itself manually by executing actions more complex than object retrieval or pointing. As has been known for some time, the blockage of the ipsilateral pathway seems so complete during dichotic listening in the commissurotomy patient that there is no report of the words in the left ear—only of those presented to the right. At the same time there is normal report when words are presented to the left ear alone. It was found in the present study, however, that this model is too simple and only applies to the verbal response paradigm of dichotic listening. Under circumstances of dichotic presentation where the stimulus in the left ear (ipsilateral pathway) is necessary or important to the left hemisphere for completing a task, words from both pathways are reported. One may conclude that there exists a gating mechanism in each hemisphere that controls the monitoring of each auditory pathway and the degree of ipsilateral suppression.     

The Role of Dichotic Listening Performance and Tasks of Executive Functions in Reading Impairment: A Discriminant Function Analysis

This study focused on the role of dichotic listening performance for the identification of reading impaired subtypes. Dichotic listening (DL), using verbal stimuli, has shown to be a valid measure of language lateralization. Usually, lateralization is estimated from the proportion of right ear over left ear accuracy during a free recall test procedure. However, it has been suggested that a more accurate estimate of laterality can be obtained by using a directed attention procedure. A sample of 43 reading disabled children of whom 18 showed signs of impaired language comprehension skills and 25 without language comprehension impairments, were compared to 20 age, and gender, matched controls on dichotic listening performance in both an unbiased free recall task and in a directed attention task using consonant-vowel syllables as dichotic stimuli. A laterality index was calculated for left and right ear stimuli reported during both the free recall condition and the attended ear-scores for the two directed attention conditions. Although both DL procedures yielded significant group differences, with a lower laterality score for the reading disabled compared to the controls, there was no main effect of DL-procedure or group × procedure interaction. Taken alone, DL performance could correctly classify 42% of the reading impaired samples, but together with other measures of executive functions, discriminant function analyses yielded 90.74% accuracy in classifying reading impaired children. The result indicates that DL together with tests of executive functions are valuable tools for assessment of reading impaired subjects.     

Neuropsychological assessment of learning disabilities: a discriminant analysis

The neuropsychological test scores of 23 learning disabled children were compared with those of a matched population of normal children in the 9-1 to 13-1 age range. All children were administered the Wechsler Intelligence Scale for Children-Revised (WISC-R), a dichotic listening task involving both free and directed recall conditions, a handedness inventory, the Tactile Performance Test and the Category Test from the Halstead-Reitan Neuropsychological Test Battery. A multivariate analysis of variance resulted in a significant separation between groups (p less than .001) using these procedures. A stepwise discriminant function analysis revealed that both of the directed dichotic tasks contributed the most of all 13 measures to the significant group separation. In addition, other cognitive tasks found to discriminate normal from learning disabled children include general verbal processes, concept formation, and tactile memory. These findings suggest that the directed dichotic listening procedure and the WISC-R Verbal IQ measure are reasonably valuable clinical tools in the classification of learning disabilities.     

The role of dichotic listening performance and tasks of executive functions in reading impairment: a discriminant function analysis.

This study focused on the role of dichotic listening performance for the identification of reading impaired subtypes. Dichotic listening (DL), using verbal stimuli, has shown to be a valid measure of language lateralization. Usually, lateralization is estimated from the proportion of right ear over left ear accuracy during a free recall test procedure. However, it has been suggested that a more accurate estimate of laterality can be obtained by using a directed attention procedure. A sample of 43 reading disabled children of whom 18 showed signs of impaired language comprehension skills and 25 without language comprehension impairments, were compared to 20 age, and gender, matched controls on dichotic listening performance in both an unbiased free recall task and in a directed attention task using consonant-vowel syllables as dichotic stimuli. A laterality index was calculated for left and right ear stimuli reported during both the free recall condition and the attended ear-scores for the two directed attention conditions. Although both DL procedures yielded significant group differences, with a lower laterality score for the reading disabled compared to the controls, there was no main effect of DL-procedure or group x procedure interaction. Taken alone, DL performance could correctly classify 42% of the reading impaired samples, but together with other measures of executive functions, discriminant function analyses yielded 90.74% accuracy in classifying reading impaired children. The result indicates that DL together with tests of executive functions are valuable tools for assessment of reading impaired subjects.     

"Binaural rivalry": dichotic listening as a tool for the investigation of the neural correlate of consciousness

Since about two decades neuroscientists have systematically faced the problem of consciousness: the aim is to discover the neural activity specifically related to conscious perceptions, i.e. the biological properties of what philosophers call qualia. In this view, a neural correlate of consciousness (NCC) is a precise pattern of brain activity that specifically accompanies a particular conscious experience. Almost all studies aimed at investigating the NCC have been carried out in the visual system. One of the most promising paradigms is based on sensory stimuli which elicit bistable percepts, as they allow to decouple subjective perception from the characteristics of the physical stimulation. Such kind of perception can be produced in the visual modality by using particular images (e.g. Rubin's vase/face figure) or by presenting two dissimilar stimuli separately to the two eyes (binocular rivalry). The stimuli compete for perceptual dominance and each image is visible in turn for a few seconds, while the other is suppressed. The use of this methodology has led to important findings concerning visual consciousness, which are briefly discussed. For the investigation of auditory consciousness, a similar stimulation paradigm can be achieved by using dichotic listening, consisting in two different stimuli presented each to one ear, which compete for perception (binaural rivalry). The principal aim of the present mini-review is to discuss the few contributes facing the issue of auditory consciousness and to advance the use of dichotic listening and binaural rivalry as valid tools for its investigation.     

Within-modal and cross-modal reliabilities of two laterality tests

Sixteen right handers were given four tests of a dichotic listening recall task (concrete words) and a visual half-field recall task (letters). There was a significant right ear and right visual half-field superiority for the four test sessions, with improvement in recall scores over sessions. Pearson correlations for each ear on the four dichotic tests ranged from .74 to .90. Correlations on the visual half-field scores, however, were significant only after the first session. Analysis of stability in lateral preferences across modalities revealed stable and reliable performance, particularly in the last two testings, where 81.3% of the subjects had a right-sided asymmetry. Cross-modal correlations, however, were not significant. Implications regarding predictions of speech laterality are discussed in the light of these findings.     

Attentional Effects in Dichotic Listening

This study addresses attentional effects in dichotic listening (DL) to consonant-vowel syllables. Previous research has shown that ear advantages in DL are modulated by biased attention to either the left or the right ear. Attentional effects in DL can be the result of two processes: facilitation of reports from the attended ear, or suppression of intrusions from the nonattended ear. Sixty-two students were tested with DL under three different task instructions: nonforced (divided) attention, attention forced to the right ear, and attention forced to the left ear. The main finding was inhibition of intrusions from the nonattended ear, combined with the facilitation of the correct reports from the attended ear during the two forced-attention conditions, compared with the nonforced condition. The results are discussed in relation to right hemisphere processing of dichotic input, and that attention may activate subcortically biased asymmetries which suppress input from the nonattended channel.     

Left ear dichotic listening performance on consonant-vowel combinations and digits in subtypes of reading-disabled children

Twenty reading comprehension-disabled (CD) and 20 reading comprehension and word recognition-disabled (CWRD), right-handed male children were matched with 20 normal-achieving age-matched controls and 20 normal-achieving reading level-matched controls and tested for left ear report on dichotic listening tasks using digits and consonant-vowel combinations (CVs). Left ear report for CVs and digits did not correlate for any of the groups. Both reading-disabled groups showed lower left ear report on digits. On CVs the CD group showed a high left ear report but only when there were no priming precursors, such as directions to attend right first and to process digits first. Priming effects interfered with the processing of both digits and CVs. Theoretically, the CWRD group seems to be characterized by a depressed right hemisphere, whereas the CD group may have a more labile right hemisphere, perhaps tending to overengagement for CV tasks but vulnerable to situational precursors in the form of priming effects. Implications extend to (1) subtyping practices in research with the learning-disabled, (2) inferences drawn from studies using different dichotic stimuli, and (3) the neuropsychology of reading disorders.     

Manipulation of voice onset time during dichotic listening

The manipulation of voice onset time (VOT) during dichotic listening has provided novel insights regarding brain function. To date, the most common design is the utilisation of four VOT conditions: short-long pairs (SL), where a CV syllable with a short VOT is presented to the left ear and a CV syllable with a long VOT is presented to the right ear as well as long-short (LS), short-short (SS) and long-long (LL) pairs. Rimol, Eichele, and Hugdahl (2006) first reported that in healthy adults SL pairs elicit the largest REA while, in fact, LS pairs elicit a significant left ear advantage (LEA). This VOT effect was replicated by Sandmann et al. (2007). A study of children aged 5-8years of age has shown a developmental trajectory whereby long VOTs gradually start to dominate over short VOTs when LS pairs are being presented under dichotic conditions (Westerhausen, Helland, Ofte, & Hugdahl, 2010). Two studies have investigated attentional modulation of the VOT effect in children and adults. The converging evidence from these studies shows that at around 9years of age children lack the adult-like cognitive flexibility required to exert top-down control over stimulus-driven bottom-up processes (Andersson, Llera, Rimol, & Hugdahl, 2008; Arciuli, Rankine, & Monaghan, 2010). Arciuli et al. further demonstrated that this kind of cognitive flexibility is a predictor of proficiency with complex tasks such as reading. A review of each of these studies, the possible mechanisms underlying the VOT effect and directions for future research are discussed.     

Ear differences in simple reaction time: The influence of attentional factors

Simple motor reaction times (right-handed) to tape-recorded consonant-vowel syllables were obtained from 12 subjects under two conditions of monotic stimulation: “expected” presentation (subject informed as to ear of presentation) and “random” presentation (ear of presentation varied randomly). Significantly faster left ear reaction times were obtained in the “expected” condition. The rank order of subjects' standard dichotic listening task scores correlated negatively with reaction time ear differences in the “expected” presentation condition. Results are discussed in terms of existing theories of response lateralization in simple reaction time tasks, and an expanded hypothesis is offered. Specifically, it is suggested that two or more distinct but potentially overlapping mechanisms may be responsible for observed asymmetries in monotic auditory perception. Both an attentional or lateralized motor response bias and an inherent lateralization of function may operate side by side, differentially activated by task demands, mode of stimulus presentation, and nature of stimuli.