Effects of morphological complexity on phonological output deficits in fluent and nonfluent aphasia

This study examined the effects of morphological complexity on aphasic speakers with lexical-phonological output deficits. Subjects were two fluent and two nonfluent aphasic speakers who repeated morphologically simple words at the same level of accuracy and whose errors were virtually all phonological in nature. They were asked to repeat a variety of morphologically complex (i.e., affixed) words. Results were interpreted within our two-stage model of lexical-phonological production (Kohn & Smith, 1994, 1995), which we expand to include a distinction between derivational and inflectional morphology. When comparing overall performance levels between morphologically simple and complex words, only three subjects exhibited more difficulty repeating the morphologically complex targets. Nevertheless, when comparing repetition accuracy between different types of morphologically complex words (e.g., derived vs. inflected), all four subjects displayed similar patterns. These findings suggested that while morphological complexity has different effects on the two stages within the lexical-phonological output system, the relative effects of different morphological structures are constant. At the level of error analysis, patterns of affix errors distinguished the nonfluent from the fluent subjects in ways that are reminiscent of the affix errors associated with agrammatic and paragrammatic speech. This finding raised questions concerning the relationship between morphosyntactic and morphophonological deficits.     

Perception and production of tone in aphasia

An acoustical and perceptual study of lexical tone was conducted to evaluate the extent and nature of tonal disruption in aphasia. The language under investigation was Thai, a tone language which has five lexical tones--mid, low, falling, high, and rising. Subjects included six left brain-damaged aphasics (two Broca's, one transcortical motor, one global, one conduction, one Wernicke), one right brain-damaged nonaphasic, one cerebellar dysarthric, and five normals. High-quality tape recordings of each subject's productions of a minimal set of five, monosyllabic Thai words were presented to 10 adult Thai listeners for identification. Results from the phonemic identification tests indicated that tone production is relatively spared in aphasic patients with unilateral left hemisphere lesions. The performance of the global aphasic, however, was considerably below normal. Patterns of tonal confusions further revealed that the performance of all aphasics, except the global, differed from that of normal speakers primarily in degree rather than in kind. Tonal contrasts were signaled at a high level of proficiency by the right brain-damaged and dysarthric patients. Acoustical analysis revealed that F0 contours associated with the five tones for all aphasics, except the global, were similar in overall shape as well as position in the tone space to those of normals. F0 contours for the right brain-damaged patient and the dysarthric also generally agreed with those of normals in terms of shape and position. F0 ranges of both aphasic and nonaphasic brain-damaged speakers were generally larger than those of normals for all five tones. The relationship between tone and vowel duration was generally similar to that of normals for all brain-damaged speakers. A comparison of aphasics' performance on tone perception (J. Gandour & R. Dardarananda, 1983, Brain and Language, 18, 94-114) and tone production indicated that, for the normal and right brain-damaged subjects, performance on the perception task was higher than on production, whereas the opposite was true for the aphasics. These data are brought to bear on issues related to tone production in aphasia, consonant and vowel production in aphasia, hemispheric specialization for tone production, intonation production in aphasia, relationship between speech perception and speech production, and tone production in dysarthria with cerebellar disease.     

Effects of speech rate on the absolute and relative timing of apraxic and conduction aphasic sentence production

The purpose of this investigation was to provide a constructive replication of the Kent and McNeil (1987, In Phonetic approaches to speech production in aphasia and related disorders. San Diego: College-Hill Press) study of the speech timing characteristics of apraxic and conduction aphasic speakers. Acoustic analysis was used to obtain absolute utterance durations, segment durations, and vowel formant trajectories from utterances produced under control, fast, and slow rate conditions. Segment-to-whole ratios and slope values were calculated. Results support the hypothesis presented by Kent and McNeil (1987) that there is a phonetic-motoric component contributing to the speech patterns of both the apraxic and conduction aphasic speakers sampled. Theories of rate control in normal and disordered speakers are discussed.     

Orthographic processing of polysyllabic words by native and nonnative English speakers

How polysyllabic English words are analyzed in silent reading was examined in three experiments by comparing lexical decision responses to words physically split on the screen. The gap was compatible either with the Maximal Onset Principle or the Maximal Coda Principle. The former corresponds to the spoken syllable (e.g., ca det), except when the word has a stressed short first vowel (e.g., ra dish), while the reverse is true for the latter (giving cad et and rad ish). Native English speakers demonstrated a general preference for the Max Coda analysis and a correlation with reading ability when such an analysis did not correspond with the spoken syllable. Native Japanese speakers, on the other hand, showed a Max Onset preference regardless of the type of word, while native Mandarin Chinese speakers showed no preference at all. It is concluded that a maximization of the coda is the optimal representation of polysyllabic words in English and that poorer native readers are more influenced by phonology than are better readers. The way that nonnative readers mentally represent polysyllabic English words is affected by the way such words are structured in their native language, which may not lead to optimal English processing.     

An acoustic study of vowel production in aphasia

A group of five anterior and seven posterior aphasic patients were recorded for their vowel productions of the nine nondipthong vowels of American English and compared to a group of seven normal speakers. All phonemic substitutions were eliminated from the data base. A Linear Predictive Coding (LPC) computer program was used to extract the first and the second formant frequencies at the midpoint of the vowel for each of the remaining repetitions of the nine vowels. The vowel duration and the fundamental frequency of phonation were also measured. Although there were no significant differences in the formant frequency means across groups, there were significantly larger standard deviations for the aphasic groups compared to normals. Anterior aphasics were not significantly different from posterior aphasics with respect to this greater formant variability. There was a main effect for vowel duration means, but no individual group was significantly different from the other. Standard deviations of duration were significantly greater for the anterior aphasics compared to normal speakers, but not significantly different from posterior aphasics. Posterior aphasics did not have significantly greater standard deviations of duration than did normal subjects. Greater acoustic variability was considered to evidence a phonetic production deficit on the part of both groups of aphasic speakers, in the context of fairly well-preserved phonemic organization for vowels.     

A kinematic analysis of anticipatory coarticulation in the speech of anterior aphasic subjects using electromagnetic articulography

An investigation was made into the extent and time course of anticipatory coarticulation in the speech of two normal and two anterior aphasic, German-speaking subjects. Both labial and velar coarticulation gestures were investigated. Subjects produced sentences containing target words contrasting in postconsonantal vowel rounding (e.g., [geli:ge]/[gely:gel]) and in nasality (e.g., [ti:de]/[ti:ne]). Speech kinematics were monitored by means of electromagnetic articulography. The data revealed that for correct productions, aphasic speakers' coarticulatory patterns were more highly variable than those of control subjects. These differences, however, were found chiefly for spatial displacement characteristics, while the temporal aspects of articulator movement necessary for anticipatory coarticulation appeared largely intact. Articulator mistiming did not appear to explain a small corpus of stop/nasal substitution errors produced by one of the aphasic speakers.     

On the facilitatory effects of cognate words in bilingual speech production

There is a growing body of evidence showing that a word's cognate status is an important dimension affecting the naming performance of bilingual speakers. In a recent article, Kohnert extended this observation to the naming performance of an aphasic bilingual (DJ). DJ named pictures with cognate names more accurately than pictures with non-cognate names. Furthermore, having named the pictures in Spanish helped the subsequent retrieval (with a delay of one week between the two tests) of the same pictures' names in English, but only for pictures with cognate names. That is, there was a language transfer but only for those translation words that were phonologically similar. In this article we first evaluate the conclusions drawn from these results by Kohnert, and second we discuss the theoretical implications of the facilitatory effects of cognate words for models of speech production in bilingual speakers.     

Phonological processing in Broca's aphasics

Phonological processing was investigated in nine Broca's aphasics. A receptive phonological task examined knowledge of phonotactic rules. Three lists of “word” pairs, phoneme sequences, were constructed such that one member was possible in English and the other was not. The lists varied in distance from English or phonemic structure (CCVC vs. CCVCC). Following auditory presentation, the aphasic was required to indicate which of the two “words” was possible in English. The productive task was an articulation test for monosyllabic and polysyllabic words. The high positive correlation between receptive and productive scores suggested that, rather than motor speech sequencing problems being exclusively involved, more general phonological-articulatory processes were disrupted. Several hypotheses were advanced to describe the nature of this disruption.     

Differential diagnosis between apraxia and dysarthria based on acoustic analysis

Acoustic analysis provides objective quantitative measures of speech that enable a comprehensive and accurate understanding of motor disorders and complement the traditional measures. This paper aims to distinguish between normal and pathological speech, more specifically between apraxia of speech and spastic dysarthria in native Spanish speaking patients using acoustic parameters. Participants (4 aphasic with apraxia of speech, 4 with spastic dysarthria, and 15 without speech disorders) performed three different tasks: repeating the syllable sequence [pa-ta-ka], repeating the isolated syllable [pa] and repeating the vowel sequence [i-u]. The results showed that the normative values of motor control, in general, coincide with those obtained in previous research on native English speakers. They also show that damage to motor control processes results in a decrease in the rate of alternating and sequential movements and an increase in the inter-syllabic time for both types of movements. A subset of the acoustic parameters analyzed, those that measure motor planning processes, enable differentiation between normal population and apraxic and dysarthric patients, and between the latter. The differences between the pathological groups support the distinction between motor planning and motor programming as described by van der Merwe's model of sensorimotor processing (1997).     

Tonal Coarticulation in Thai after Unilateral Brain Damage

The magnitude and temporal extent of anticipatory and perseverative tonal coarticulation was investigated in Thai-speaking normal and brain-damaged adults. A total of 47 speakers (10 young normal, 10 old normal, 13 nonaphasic right-brain-damaged patients, 14 left-brain-damaged aphasic patients, 9 fluent, 5 nonfluent) produced all 25 possible sequences of two tones from the five lexical tones of Thai embedded in a carrier sentence.F₀contours were analyzed in terms of height and slope at 10% intervals throughout the duration of the two syllables. Acoustic analysis revealed that anticipatory and perseverative tonal coarticulation of tones was markedly reduced in left fluent aphasics, totally absent in left nonfluent aphasics, but reasonably intact in right hemisphere patients. Findings are interpreted to highlight the nature of speech disturbances in nonfluent and fluent aphasia, hemispheric specialization for tone, and tonal coarticulation in Thai.     

An Acoustic Analysis of Rate of Speech Effects on Vowel Production in Aphasia

The present investigation examined the production of tense and lax vowel duration differences at two speaking rates in the speech of 10 nonfluent aphasics, 8 fluent aphasics, and 10 normal control subjects. Subjects produced four repetitions of each of the vowels [i e æ o u I ε υ Λ] at each speaking rate. Acoustic analyses revealed that subjects in all three groups were able to manipulate overall rate of speech. In addition, normal controls and fluent aphasic subjects produced vowels under the fast rate condition which were significantly shorter than those under the slow rate condition. Despite a change in overall speaking rate, the nonfluent aphasics did not exhibit a significant difference in vowel duration at the two rates of speech, suggesting a deficit in the implementation of this temporal parameter. Both normal controls and fluent aphasic patients produced nonoverlapping distributions of tense and lax vowels at both speaking rates. In contrast, the nonfluent aphasics demonstrated a great deal of overlap in the distribution of tense and lax vowel durations at the fast rate. Results are discussed in relation to the nature of the speech production deficits in nonfluent and fluent aphasic patients.     

Production of Stress Retraction by Left- and Right-Hemisphere-Damaged Patients

An acoustic-perceptual investigation of a phonological phenomenon in which stress is retracted in double-stressed words (e.g., thirTEEN vs THIRteen MEN) was undertaken to identify the locus of functional impairments in speech prosody. Subjects included left-hemisphere-damaged (LHD) and right-hemisphere-damaged (RHD) patients and nonneurological controls. They were instructed to read sentences containing double-stressed target words in the presence of a clause boundary or its absence. Whereas all three groups of subjects were capable of manipulating the acoustic parameters that signal a shift in stress, there were some differences between the performance of the patient groups and that of the normal controls. Further, stress production deficits were more severe in LHD aphasic patients than in RHD patients. LHD speakers exhibited deficits in the control of both temporal and F0 cues. Their F0 disturbance appears to be secondary to a primary deficit in temporal control at the phase or sentence level, as an increased number of continuation rises found for the LHD patients seemed to arise from lengthy pauses within sentences. Findings are highlighted to address the nature of breakdown in speech prosody and the competing views of prosodic lateralization.     

Comparison of the performances of a fluent and a nonfluent aphasic on a pantomimic referential task

The pantomimic performances of a typical Broca's (nonfluent) and Wernicke's (fluent) aphasic were compared with each other and with four normal control subjects on a simple task of nonverbal referential communication. Both aphasic subjects demonstrated only about 50% accuracy in their pantomimic communication. Also, measures were obtained of the motoric fluency of the pantomimes of all subjects and comparisons were made between the fluent and nonfluent aphasics. These measures demonstrated distinct differences in the fluency patterns of the pantomimes of the two aphasic subjects similar to the differences in speech fluency which distinguish and characterize these two types of aphasia; that is, the fluent aphasic pantomimed fluently and like the control subjects and the nonfluent aphasic pantomimed nonfluently. The quantitative and qualitative similarities in the fluency patterns of the speech and the pantomimic behaviors of the aphasic subjects are discussed in terms of their implications for a definition of aphasia.     

Voice onset time characteristics in apraxia of speech

In order to examine the timing control of laryngeal and supralaryngeal articulatory adjustments in apraxia of speech, voice onset time (VOT) data for stop consonants in monosyllables /de/, /te/, /ge/ and /ke/ were obtained from four apraxic subjects and compared with those of fluent aphasic and normal (both young and aged) speakers (Experiment 1). The results indicated that the VOT distribution patterns of the apraxic patients differed markedly from those of the other speakers. A second experiment was conducted to determine whether the VOT distribution patterns of these four apraxic patients and of two normal controls would change with a lapse of time (Experiment 2). The results of the second experiment demonstrated marked changes in the VOT distribution patterns over time in half of the apraxic patients examined, but essentially no change in the normal controls.     

Aphasics' appreciation of hierarchical semantic categories

The mental representative structure of hierarchically ordered semantic categories was explored with 66 aphasic patients and 60 normal adults by a word-verification task. Four words concerning living things and 10 line drawings depicting an object were prepared as stimuli. All possible pairings of each of the four words with each of the 10 line drawings were made to be verified. The results indicated that subjective category domains were more diffusive in aphasic patients than in normal adults, and that this alteration was exclusively due to increase of peripheral members, but not of central members. It was also revealed that normative category boundaries may be preserved vestigially or incompletely in aphasic patients except the severe fluent subgroup, in whom there may be profound disintegration of boundaries. On the other hand, some common features concerning intracategorical structure and preference among levels of abstraction across normal adults and aphasic patients permit the hypothesis that aphasic patients may retain partially normal semantic knowledge.     

Characterizing the Bilingual Disadvantage in Noun Phrase Production

Up to now, evidence on bilingual disadvantages in language production comes from tasks requiring single word retrieval. The present study aimed to assess whether there is a bilingual disadvantage in multiword utterances, and to determine the extent to which such effect is present in onset latencies, articulatory durations, or both. To do so, we tested two groups of Spanish speakers (monolinguals and early highly proficient bilinguals using their first and dominant language) each in two different production tasks: bare noun and noun phrase production. Onset latencies were longer for bilinguals relative to monolinguals in both production tasks. Regarding articulatory durations, we observed a clear bilingual disadvantage in noun phrase production and a strong tendency in bare noun production. These findings generalize the bilingual disadvantage in speech production to various performance measures (onset latency and articulatory duration of production) and beyond single words.     

The quantitative analysis of agrammatic production: procedure and data

Despite the long-standing interest in structural aspects of aphasic production, no method has emerged for the systematic analysis of aphasic speech. This paper attempts to address that need by outlining a procedure for the quantitative assessment of narrative speech which yields measures for both morphological and structural characteristics of aphasic production. In addition to complete instructions for carrying out this analysis, data for three groups of subjects are presented: agrammatic aphasics, aphasics who are similarly nonfluent but not clinically judged as agrammatic, and normal controls. While the agrammatics were distinguishable from the nonagrammatic patients on most measures, both nonfluent groups showed comparable reductions in the structural complexity of their propositional utterances. Other findings include indications from individual patient data that aspects of grammatical morphology may dissociate in agrammatism.