Immediate memory span, recognition memory for subspan series of words, and serial position effects in recognition memory for supraspan series of verbal and nonverbal items in Broca's and Wernicke's aphasia

Four Broca's aphasics, four Wernicke's aphasics, and four matched controls were investigated on three verbal and one visual short-term memory tasks. Experiment 1 considered memory span and subspan recognition memory for verbal items and Experiment 2 assessed serial position effects in supraspan verbal recognition memory. The Broca's aphasics demonstrated verbal memory deficits, which could not be attributed to linguistic disturbances, while the verbal memory deficiencies seen with the Wernicke's aphasics could be regarded as secondary to linguistic defects. In Experiment 3, where visual recognition memory was investigated, only the Broca's aphasics showed deficient performance. The wider context of deficient mnemonic performance in aphasia is discussed.     

The noun-verb problem in Chinese aphasia.

Previous studies have shown that Broca's aphasics experience a selective difficulty with action naming inside or outside of a sentence context. Conversely, it has been suggested that Wernicke's aphasics are particularly impaired in object naming. A number of explanations have been offered to account for this double dissociation, including grammatical accounts according to which the main verb problem in agrammatic Broca's aphasics is viewed as a by-product of their syntactic and/or morphological impairment, due perhaps to the greater morphological load carried by verbs (compared with nouns). In the Chinese language, there are no verb conjugations and no declensions. Hence there is no reason to expect a relationship between morphological impairment and deficits in action naming. We examined comprehension and production of object and action names, outside of a sentence context, in a sample of Chinese-speaking Broca's and Wernicke's aphasics. There was an interaction between patient group and object/action naming, but no corresponding interaction on the comprehension task. We conclude that action-naming deficits in Broca's aphasia (and/or the corresponding sparing of action names in Wernicke's aphasia) cannot be attributed to morphological differences between nouns and verbs. We also found a sublexical variant of the noun/verb dissociation applied to the internal structure of compound words made up of a verbal and a nominal element: Broca's aphasics tended to lexicalize the verbal portion of these words more often than the nominal compound, while Wernicke's showed the opposite pattern. These sublexical effects are difficult to explain in syntactic terms nor do they fit the standard lexical view. A modified lexical account is proposed, emphasizing semantic/conceptual effects in a distributed lexicon.     

Pronoun comprehension in aphasia: a comparison of three languages

The research reported here investigated the effect of phonological and syntactic factors on the processing of pronouns by aphasics. The comprehension of these "closed-class" elements was studied in three different languages: French, Dutch, and German. The cross-linguistic design made it possible to vary phonological status (clitic/nonclitic) and phrasal category (noun phrase/prepositional phrase) as well as grammatical relation (direct/indirect object) while keeping class membership (closed class) and meaning constant. A sentence-picture matching task was given to 20 German-speaking, 16 Dutch-speaking, and 14 French-speaking aphasics, half of each language group being classified as agrammatic Broca's and half as paragrammatic Wernicke's aphasics. The results suggest that Broca's aphasics' limitations in retrieving pronouns, and therefore other closed-class elements, are not a function of either phonological status, phrasal category, or grammatical relation. These subjects' observed high level of performance on pronouns in language comprehension appears due to the kind of semantic and syntactic information they encode. Our findings indicate that a more refined distinction than closed class vs. open class is necessary.     

The effect of pictorial context on sentence memory in Broca's and Wernicke's aphasia

Eighteen aphasic patients (8 Broca's and 10 Wernicke's aphasics), 11 right hemisphere damaged patients and 12 normal subjects were tested to assess the effect of pictorial context on verbal memory with a sentence recognition task. The subjects were read aloud a stimulus sentence describing a simple event and simultaneously shown a picture congruent or incongruent with the sentence. Immediately following or after an interval of 30 sec, the subjects were read aloud a second sentence and asked to judge whether this sentence was the same or different from the stimulus sentence. The results indicated that verbal memory was better retained in supportive situations than in distracting situations, and that this contextual effect was greater in aphasic patients than in any of the other groups. Verbal memory declined rapidly after an interval in aphasic patients, but not in normal subjects. The Broca's and the Wernicke's aphasics demonstrated different performance patterns when semantic analysis of sentences was critical.     

Aphasics' sensitivity to contextual appropriateness conditions for pragmatic indicators

Twenty normal and twenty aphasic subjects were tested for their understanding of implicit meanings of the French adverbs même (even), aussi (also), and surtout (mainly). Their sensitivity to the contextual appropriateness conditions of such items was analyzed in a multiple-choice paradigm requiring them to select from three figures the one which was best described by a sentence like "Show me the figure that is même (aussi, surtout) red." A global quantitative comparison indicates that aphasics' performance was inferior to that of the normal controls. Yet, the analysis of individual responses allowed the identification of three different subgroups of aphasics: the first produced responses identical to the normals' responses; the second seemed to ignore the adverb and systematically selected the figure with the highest amount of the asserted color; and the third produced responses identical to the normals' responses for surtout but had difficulties with même or aussi. As concerns the relationship between aphasics' performance and their scores on literal language comprehension tests, the data favor the dissociation between literal and pragmatic factors in comprehension. Finally, no clear relationship was observed between aphasia type and aphasics' performance, although three points are noted in the discussion: (1) all the conduction aphasics performed like normals, (2) among the Broca's aphasics, the one with the clearest agrammatic verbal output produced responses similar to those of the normals, and (3) there was no anomic patient in the second subgroup.     

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.     

Processing passive sentences in aphasia: deficits and strategies

Broca's and Wernicke's aphasics' ability to process passive sentences in the absence of semantic cues was investigated in an experiment which varies syntactic complexity and word order. The results indicate that Broca and Wernicke patients use different strategies for sentence comprehension. Wernicke patients use rather general strategies for interpretation, which assign syntactic function according to sequential arrangements of words. Broca's aphasics, by contrast, base their interpretation on specific structural elements of the sentence's surface form, without, however, being able to exploit the full syntactic information of these elements. The different strategies are interpreted to reflect differential underlying deficits.     

Proper and common nouns: form class judgments in Broca's aphasia

Studies of agrammatic Broca's aphasics' comprehension of sentences containing articles have demonstrated profound deficits. It has not been clear whether the impairments are due to an inability to isolate the article in the stream of speech, or to difficulty in the construction and/or interpretation of various syntactic, semantic, or pragmatic levels of representation. This paper reports three experiments on Broca's aphasics' ability to distinguish between common nouns (e.g., "a rose") and proper nouns (e.g., "Rose"). This grammatical form class decision is signaled by the presence or absence of an article, and is represented at the lexical node level of linguistic analysis. The three experiments demonstrated that Broca's aphasics point to pictures representing classes of objects when asked to point to "the X" and point to pictures representing unique individuals when asked to point to "X". Thus, they were shown to be able to use the presence or absence of an article to determine lexical category. Their performance was especially accurate in an oral language context which was highly redundant and in a written language context where patients themselves could control the rate of information flow. They were quantitatively impaired, relative to controls, in a third study, which made higher information processing demands. Moreover, in this third study nonsense syllables preceding the noun which are phonologically similar to a known article were much more likely to evoke the misclassification of its noun as common than were phonologically distinct nonsense syllables. These data indicate that Broca's aphasics indeed have some difficulty isolating the article in the stream of speech. Nevertheless, detailed analyses of aphasics' performance revealed their ability to distinguish between common nouns and proper nouns even under these demanding conditions. Taken together, the three studies show that insofar as agrammatic patients are able to keep track of the presence or absence of articles, they can make a grammatical decision at the lexical node level of linguistic analysis. We conclude, then, that agrammatic Broca's aphasics are particularly impaired in the use of articles to construct and/or interpret phrasal constituents.     

Agrammatic production of subject-verb agreement: the effect of conceptual number.

Three experiments tested the hypothesis that the deficit underlying agrammatic sentence production difficulties can be characterized as a limitation of computational resources and that these resources are not restricted to syntactic processing. This hypothesis was tested by eliciting subject-verb agreement errors in a sentence fragment completion paradigm. Sentence fragments were complex noun phrases, containing a subject (head) noun and a modifying prepositional phrase, containing a "local" noun. We varied the number of "tokens" a singular head noun referred to. Therefore, in one condition, grammatical and conceptual number of the head noun mismatched, whereas these numbers were the same in another condition. In Experiments 1 and 2, we observed an effect of this variable (i.e., more agreement errors when conceptual number was plural and grammatical number singular) in normal controls. Broca's aphasics, on the other hand, showed no effect. Experiment 3 consisted of a sentence/picture matching test. This test showed that the lack of effect with Broca's aphasics cannot be attributed to a comprehension deficit. We argue that these results are incompatible with the notion of a limitation in resources specific for syntactic processing. Instead, we interpret this as the result of a trade-off: Broca's aphasics lack computational resources to take into account both grammatical and conceptual information in morphosyntactic processing and rely on grammatical information only.     

Comprehension in aphasia: a cross-linguistic study

Broca's aphasics and normal controls were tested to determine relative sparing and impairment of word order, grammatical morphology, and semantic information in a sentence interpretation task. Patients were native speakers of English, German, or Italian, languages that vary drastically in the "cue validity" or information value of these three sources of information. Word order was selectively spared while grammatical morphology was selectively impaired in all three languages. Nevertheless, language-specific patterns of sentence interpretation remained in Broca's aphasics, even within the impaired morphological component, supporting an interpretation in terms of "accessing" rather than a "loss." Testing with Wernicke's aphasics, anomics, and some additional age-matched controls suggested that the selective vulnerability of morphology is not specific to agrammatic patients, at least in this paradigm.     

Sensitivity to grammatical structure in so-called agrammatic aphasics

Comprehension failures in agrammatic aphasics, as well as their difficulties in sentence construction, have been attributed to an underlying deficit involving the retrieval of syntactic structure. In this study we show that four agrammatic patients display a remarkable sensitivity to structural information, as indicated by their performance on a grammaticality judgment task. These results indicate significant sparing of syntactic knowledge in agrammatism, and suggest that the sentence comprehension disturbances in these patients do not reflect loss of the capacity to recover syntactic structure. In particular, accounts of the comprehension deficit in agrammatism that implicate a failure to exploit information carried by the closed class (function word) vocabulary are called seriously into question. Alternative explanations of the comprehension problem in agrammatism are explored.     

Interpretation of pronouns in VP-ellipsis constructions in Dutch Broca's and Wernicke's aphasia

In this paper, we investigate the ability of Dutch agrammatic Broca's and Wernicke's aphasics to assign reference to possessive pronouns in elided VP constructions. The assumption is that the comprehension problems in these two populations have different sources that are revealed in distinct patterns of responses. The focus is primarily on the performance of the agrammatic group whose errors in comprehension are not viewed as a consequence of a breakdown of grammatical knowledge but as a result of limited processing resources (for an overview see Grodzinsky, 2000). The results of the present study provide evidence for the psycholinguistic reality of the economy hierarchy as proposed in the Primitives of Binding (Reuland, 2001). According to the economy hierarchy proposed for the non-brain-damaged, the more economical semantic dependencies are preferred over the costlier discourse dependencies. This hierarchy is reflected in agrammatic aphasia where the semantic dependencies are available on time and preferred over the discourse dependences that are not available on time as a result of the lack of processing resources with consequences for comprehension.     

The role of intonation cues in aphasic patients' performance of the grammaticality judgment task

This study investigated the possibility that the reported success of agrammatic aphasic patients in performing auditory grammaticality judgments results from their use of intonational cues to sentence well-formedness. Two agrammatic aphasics, two anomic aphasics, and two nonagrammatic patients with comprehension deficits for semantically reversible sentences were asked to judge grammatical well-formedness in three conditions. Results in a "natural" listening condition replicated the finding of M.C. Linebarger, M.F. Schwartz, and E. M. Saffran (1983, Cognition, 13, 361-392) that agrammatic patients are sensitive to grammaticality despite poor ability to use syntatic cues in comprehension tasks. Two additional listening conditions employed signal-processed auditory stimuli in which the fundamental frequency was normal or was set at a constant level. Right-hemisphere-damaged and normal controls showed no performance deficit for judgments of monotone sentences. The aphasic patients' performance was slightly worse for both signal-processed conditions, but there was little apparent effect of removing sentence intonation on their ability to judge sentence grammaticality. These results indicate that the high levels of performance on grammaticality judgement tasks have not resulted from patients' detection of intonational cues in ungrammatical sentences.     

Patterns of comprehension performance in agrammatic Broca's aphasia: a test of the Trace Deletion Hypothesis

We tested the core prediction of the Trace Deletion Hypothesis (TDH) of agrammatic Broca's aphasia, which contends that such patients' comprehension performance is normal for active reversible sentences but at chance level for passive reversible sentences. We analyzed the comprehension performance of 38 Italian Broca's aphasics with verified damage to Broca's area, who completed sentence-to-picture matching tasks using active and passive reversible sentences as stimuli. The results failed to confirm the predictions made by TDH: only a small minority (15%) performed at chance on passive sentences and better than chance on active sentences. Furthermore, the distribution of the 38 subjects' performance on passive sentences differed from that predicted by the TDH since many more subjects performed at better-than-chance levels than expected. We discuss the implication of these results for claims about the distribution of language processing mechanisms in the brain.     

Dissociation of algorithmic and heuristic processes in language comprehension: Evidence from aphasia

Three groups of aphasic patients, Broca's, Conduction, and Wernicke's, and a nonaphasic patients control group were tested for comprehension of object-relative center-embedded sentences. The sentences were of three types: sentences in which semantic constraints between words allowed the subjects to assign a correct semantic reading of the sentence without decoding the syntax, sentences in which semantic constraints were relaxed and for which a correct reading was only possible with knowledge of syntactic relationships among words, and sentences which described highly improbable events. The subjects' task was to choose which of two pictures captured the meaning expressed in the sentence. Broca's and Conduction aphasics performed near perfectly on sentences where they could use semantic information. Their performance dropped to chance when they had to use syntactic information. These results support a neuropsychological dissociation of heuristic and algorithmic processes based primarily, though not exclusively, on semantic and syntactic information, respectively.     

Processing of lexical ambiguities in aphasia

Wernicke's and Broca's aphasics performed a lexical decision task wherein they had to decide whether the third word of an auditorily presented triplet series of words was "real" or not. The first and third words of each triplet were related to one, both, or neither meaning of the second word which was semantically ambiguous. The performance pattern of the Wernicke's aphasics was similar to that of normals. They showed selective access to different meanings of the ambiguous words, as demonstrated by the fact that the context provided by the first word affected semantic facilitation on the third word. In contrast, Broca's aphasics showed no semantic facilitation in any priming condition. These results are consistent with previous findings, suggesting that semantic representations may be largely spared in Wernicke's aphasics. The failure of the Broca's aphasics to demonstrate facilitation is consistent with the view that they have a processing deficit in automatically accessing the lexical representation of words.     

Mechanisms underlying writing and speech in aphasia

As a parallel to the dual decoding concept for processing of written language we proposed that phonological encoding does not necessarily occur in writing and that the phonemic and graphemic subsystems can be independent on the one-word level. This hypothesis was tested by comparing oral and written performance in a picture-naming task in Broca's and Wernicke's aphasics. In addition, the residual tacit knowledge of the orthographic properties of the names of the pictures was examined with a multiple-choice recognition task. The principal finding is that Broca's aphasics who were better in written than in oral naming showed more graphemically and semantically motivated errors than aphasics who were better in oral than in written naming, the latter producing more phonemically motivated errors. This result supports the dual encoding concept for writing on the singleword level, implying a direct route from the mental lexicon to the graphemic system in parallel with a route mediated by the phonemic system. Multiple-choice recognition was found to be superior to both oral and written performance in both Broca's and Wernicke's aphasics.     

Deficits in thematic integration processes in Broca's and Wernicke's aphasia

This study investigated how normal subjects and Broca's and Wernicke's aphasics integrate thematic information incrementally using syntax, lexical-semantics, and pragmatics in a simple active declarative sentence. Three priming experiments were conducted using an auditory lexical decision task in which subjects made a lexical decision on a 'target' (the last word of each sentence) preceded by a 'prime' (a subject noun phrase and verb). The presence and magnitude of priming was compared to a baseline condition in which non-words systematically replaced real word primes. Normal subjects showed evidence for combinatorial thematics by exhibiting significant and larger amounts of thematic priming in the condition where two real words were present in the prime than in the conditions in which only one real word was present in the prime. Additionally, normal subjects showed sensitivity to both syntactic structures and pragmatics. In contrast, Broca's patients did not show significant priming for any condition nor did they show a difference in the magnitude of priming among the conditions. Nonetheless, they showed sensitivity to pragmatics. Wernicke's patients showed significant priming for all conditions, but did not show differences in the magnitude of priming among the conditions. However, they showed sensitivity to sentence grammaticality and pragmatics. The distinct patterns of performance of Broca's and Wernicke's aphasics are discussed in terms of the nature of their impairments in the processes of combinatorial thematics.     

Reading and listening comprehension in Broca's aphasia: Lexical versus syntactical errors

Ten agrammatic Broca's aphasics were presented with a series of four picture plates together with a spoken or written sentence stimulus. All sentence stimuli were of the structure, the + N + is/are + V + ing + the + N. The four pictures on each stimulus plate represented (a) the correct response, (b) a reversal of the stimulus sentence subject and object, (c) a change in the number of the subject of the stimulus sentence, and (d) a change in one of the major lexical items of the stimulus sentence. Subjects selected the correct picture most often. When they erred, they usually selected a subject-object reversal. Number errors were less frequent, and the patients seldom selected a change in major lexical item. This pattern occurred with both written and spoken sentences. These results were interpreted as reflecting the dependence of agrammatic Broca's aphasics on the semantic interpretation of the lexicon for decoding sentences in the face of deficits in syntactical-grammatical interpretation, irrespective of comprehension modality.