Contrasting speech patterns in apraxia of speech and phonemic paraphasia

This study was designed to determine if perceptual phonological analysis would reveal distinctions between patients with apraxia of speech and patients with phonemic paraphasic speech. Test findings from 10 Broca's aphasics with apraxia of speech were compared to findings from 10 paraphasic speakers (5 conduction and 5 Wernicke's aphasics). Several marked differences were revealed. Predominant locus of errors and relative difficulty of different classes of phonemic segments were significant discriminators. There was a nonsignificant trend for substituted phonemes to be further from target phonetically in the paraphasic patients. In addition, the two groups showed certain consistent differences in the types of errors they produced. Apraxic patients produced many errors of transitionalization, while sequencing errors were more typical of the patients with phonemic paraphasia. The findings are interpreted in relation to a neuropsychological model of speech. It is suggested that phonemic paraphasia represents a breakdown mainly in the retrieval of phonological word patterns, while apraxia of speech is characterized predominantly by a disturbance in encoding phonological patterns into appropriate speech movements.     

Evidence that short-term memory is not the limiting factor in the tachistoscopic full-report procedure

An experiment was conducted to determine whether acoustic short-term memory is the factor which limits performance in the tachistoscopic full-report paradigm. Many Es have demonstrated the existence of phonemic encoding in short-term memory. The confusion errors from a tachistoscopic full-report task were, therefore, analyzed for the presence of acoustic confusions. Absolutely no evidence for acoustic confusions was found; visual confusions, however, were abundant. It was concluded that acoustic short-term memory is not the limiting factor in the full-report paradigm.     

Misreadings by beginning readers of Serbo-Croatian

Errors in reading aloud by the beginning reader have been interpreted as reflecting the difficulty and the importance of phonemic segmentation for the acquisition of reading skills. Results from previous studies on English words patterned as consonant-vowel-consonant showed: (1) more errors on vowels than on consonants; (2) more errors on word final consonants than on word initial consonants; and suggested that (3) consonant errors were based on phonetic confusions while vowel errors were not. In contrast to their English counterparts, the beginning readers of Serbo-Croatian tested in the present study committed proportionally fewer errors on their reading of vowels than of consonants but in common with their English counterparts, their reading of final consonants was more vulnerable to error than their reading of initial consonants. This pattern of errors was found for both word and pseudoword consonant-vowel-consonant structures and the pattern of vowel confusion, like the pattern of consonant confusions, was rationalized by speech-related factors. The differences between the patterns of confusions for Serbo-Croatian and for English could be due to the difference between the two orthographies in the precision with which they represent the phonology or to the fact that the vowels of English are qualitatively less distinct phonologically than the vowels of Serbo-Croatian.     

Speech sound errors in patients with conduction and Broca's aphasia

Speech sound errors exhibited by three conduction and three Broca's aphasic patients on naming and word-repetition tasks were subjected to phonemic and subphonemic analyses. In the conduction aphasic patients, errors occurred equally often on consonants and vowels in both the naming and word-repetition tasks, while in the Broca's aphasic patients errors occurred selectively on consonants. Transposition errors occurred almost as often as substitution errors in the conduction aphasic patients, while substitution errors constituted the majority of errors in the Broca's aphasic patients. The Broca's aphasic patients, as compared to the conduction aphasic patients, exhibited a markedly higher number of substitution errors occurring between phonemes separated by a single subphonemic feature on the naming task. On the basis of these findings, it was hypothesized that the differences in the error patterns of the two types of aphasia reflected differences in the underlying mechanisms of the impairment in each type.     

Attribute coding at different levels of processing

Schoolchildren, aged 16 years showed poorer incidental learning for nouns if the orienting task was one of finding rhymes for the items compared to assigning each word to a semantic category. On a recognition task including homophone and synonym foils, rhyming subjects made significantly more phonemic errors, whereas categorizing subjects produced a significantly greater number of semantic confusions. Subjects instructed to construct images for each of the nouns showed a performance pattern similar to the categorizing group. The results are interpreted in terms of Herriot's (1974) view that different levels of processing are associated with the coding of different clusters of stimulus attributes.     

Fluent versus nonfluent primary progressive aphasia: a comparison of clinical and functional neuroimaging features

To better characterize fluent and nonfluent variants of primary progressive aphasia (PPA). Although investigators have recognized both fluent and nonfluent patients with PPA, the clinical and neuroimaging features of these variants have not been fully defined. We present clinical and neuropsychological data on 47 PPA patients comparing the fluent (n=21) and nonfluent (n=26) subjects. We further compared language features with PET/SPECT data available on 39 of these patients. Compared to the nonfluent PPA patients, those with fluent PPA had greater impairment of confrontational naming and loss of single word comprehension. They also exhibited semantic paraphasic errors and loss of single word comprehension. Patients with nonfluent PPA were more likely to be female, were more often dysarthric, and exhibited phonological speech errors in the absence of semantic errors. No significant differences were seen with regard to left hemisphere abnormalities, suggesting that both variants result from mechanisms that overlap frontal, temporal, and parietal regions. Of the language measures, only semantic paraphasias were strongly localized, in this case to the left temporal lobe. Fluent and nonfluent forms of PPA are clinically distinguishable by letter fluency, single word comprehension, object naming, and types of paraphasic errors. Nevertheless, there is a large amount of overlap between dysfunctional anatomic regions associated with these syndromes.     

Inner speech slips exhibit lexical bias, but not the phonemic similarity effect

Inner speech, that little voice that people often hear inside their heads while thinking, is a form of mental imagery. The properties of inner speech errors can be used to investigate the nature of inner speech, just as overt slips are informative about overt speech production. Overt slips tend to create words (lexical bias) and involve similar exchanging phonemes (phonemic similarity effect). We examined these effects in inner and overt speech via a tongue-twister recitation task. While lexical bias was present in both inner and overt speech errors, the phonemic similarity effect was evident only for overt errors, producing a significant overtness by similarity interaction. We propose that inner speech is impoverished at lower (featural) levels, but robust at higher (phonemic) levels.     

Production deficits in aphasia: A voice-onset time analysis

An experimental study was conducted to examine phonetic and phonemic deficits in the speech production of aphasics. Subjects included four Broca's aphasics, four Conduction aphasics, five Wernicke's aphasics, one nonaphasic dysarthric patient, and four normal controls. The subjects read a list of words containing word-initial stop consonants which were subsequently measured acoustically for voice-onset time. The results showed that Broca's aphasics exhibit a more severe production disorder than Conduction aphasics who in turn exhibit a more severe disorder than Wernicke's aphasics, in accord with clinical observations. In addition, although Broca's aphasics produced both phonetic and phonemic errors, the results showed that they have a pervasive phonetic disorder which affects their correct target productions as well as the total number of phonetic errors produced. This deficit however seems to be a speech deficit rather than a low-level motor control problem. In contrast, the Wernicke's aphasics show a deficit characterized by isolated phonemic mistargeting errors. Finally, the pattern of productions for the Conduction aphasics indicates that some patients show a predominantly phonetic disorder similar to the Broca's aphasics and others show predominantly a phonemic disorder similar to the Wernicke's aphasics.     

Picture-naming in aphasia

The distribution of picture-naming errors for Broca's aphasics (n = 9), Wernicke's aphasics (n = 9), conduction aphasics (n = 9), frontal anomics (n = 7), and posterior anomics (n = 9) was examined to determine the diagnostic power of error types in picture-naming. Negated responses were associated with Broca's aphasia, whole-part errors ("hose" for nozzle) were associated with frontal anomia, and poor phonemic cuing was associated with Wernicke's aphasia. In addition, the relative distribution of the three most prominent naming errors-phonemic errors, semantic errors, and multiword circumlocutions-tended to distinguish the two anomic subgroups from the other aphasia subgroups. Anomic aphasics produced the fewest phonemic errors and the most multiword circumlocutions; this pattern suggests minimal word-production difficulty in anomic aphasia relative to the other aphasia syndromes. Despite such group differences, the overall picture indicates that there is considerable similarity among aphasia syndromes in terms of picture-naming behavior.     

On the universality of language dissolution: The case of a Turkish aphasic

The case of a Turkish aphasic suffering from motor aphasia is described. The transitional phonemic systems which could be observed in this patient in the course of speech rehabilitation are compared to the so-called “phonemic disintegration,” whereas the errors of his graphic performance are compared to the so-called “agrammatism” of Indo-European languages. It is found that there exists a strong parallelism between this agglutinative language and the inflecting Indo-European languages insofar as aphasic language dissolution is concerned.     

Formal lexical paragraphias in a single case study: how "masterpiece" can become "misterpieman" and "curiosity" "suretoy"

Formal lexical errors are relatively rare in the production of aphasic patients. In this study, we report the case of DW, who makes a high proportion of these errors. A few other cases have previously been reported, but DW shows a number of distinguishing characteristics. First, formal lexical errors are made in spelling and not in spoken speech. Second, they are associated with morphological errors and not with semantic errors. Third, they often combine lexical units in ways which are semantically and morphologically illegal. Finally, the majority of morphological errors involve the insertion, rather than the deletion, of suffixes. This pattern can be explained by hypothesizing that DW's errors arise because of confusions among a cohort of lexical neighbors activated top-down from a phonological input and bottom-up from shared letters. One possible cause of the confusions is lack of proper inhibition among lexical competitors.     

"Mirror-image" errors without mirror-image stimuli

Recent work has indicated that discrimination between upright and inverted stimuli is difficult when stimuli are one above the other, and discrimination between stimuli turned left and right is difficult when stimuli are side by side. That is, errors are frequent under conditions in which mirror-image confusions can be made. Young children were given a task requiring the matching of orientation of (a) identical realistic figures that could form mirror images of each other or (b) nonidentical realistic figures that could not form mirror images. The same pattern of errors appeared for the identical and nonidentical figures, indicating that the errors are not mirror-image confusions. It is argued that the errors are due to a strategy of matching analogous parts of the two figures.     

A case of thalamic aphasia with postmortem verification

This study discusses a case of aphasia after dominant thalamic lesion, a hemorrhagic infarction. Unlike other such cases, both repeated standardized assessment and postmortem verification were available. The patient was assessed at 3 weeks and again at 9 weeks postonset. The aphasia demonstrated the syndrome common to dominant thalamic hemorrhage: fluent but paraphasic output sometimes deteriorating to jargon, comprehension less impaired than this type of output usually indicates, and the least impairment in repetition. As sometimes reported in previous cases, semantic paraphasias were more common than phonemic paraphasias. The lesion was located in the dorsal aspect of the lateral nucleus, but it extended into the pulvinar, including the anterior superior lateral aspect which has been implicated in language by previous studies. Thus, data from this case are consistent with an involvement of the dominant pulvinar in language and suggest that this role involves the semantic aspects of language.     

Adult age differences in unconscious transference: Source confusion or identity blending?

Eyewitnesses are known often to falsely identify a familiar but innocent bystander when asked to pick out a perpetrator from a lineup. Such unconscious transference errors have been attributed to either identity confusions at encoding or source retrieval errors. Three experiments contrasted younger and older adults in their susceptibility to such misidentifications. Participants saw photographs of perpetrators, then a series of mug shots of innocent bystanders. A week later, they saw lineups containing bystanders (and others containing perpetrators in Experiment 3) and were asked whether any of the perpetrators were present. When younger faces were used as stimuli (Experiments 1 and 3), older adults showed higher rates of transference errors. When older faces were used as stimuli (Experiments 2 and 3), no such age effects in rates of unconscious transference were apparent. In addition, older adults in Experiment 3 showed an own-age bias effect for correct identification of targets. Unconscious transference errors were found to be due to both source retrieval errors and identity confusions, but age-related increases were found only in the latter.     

Self-monitoring behavior in a case of severe auditory agnosia with aphasia

This case report describes an unusual combination of speech and language deficits secondary to bilateral infarctions in a 62-year-old woman. The patient was administered an extensive series of speech, language, and audiologic tests and was found to exhibit a fluent aphasia in which reading and writing were extremely well preserved in comparison to auditory comprehension and oral expression, and a severe auditory agnosia. In spite of her auditory processing deficits, the patient exhibited unexpected self-monitoring ability and the capacity to form acoustic images on visual tasks. The manner in which she corrected and attempted to correct her phonemic errors, while ignoring semantic errors, suggests that different mechanisms may underlie the monitoring of these errors.     

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.     

The “ABCs” of REBT III: A Study of Errors and Confusions Made by Ellis and Joffe Ellis (2011)

In this study, I analysed Albert Ellis??s posthumous contribution to the APA ??Theories of Psychotherapy?? series (Ellis and Joffe Ellis 2011) for evidence of errors and confusions with respect to the ??ABCs?? of REBT. A total of 74 of such errors/confusions were found with most being made about beliefs at ??B?? (n?=?59), particularly about irrational beliefs (n?=?38). A variety of errors and confusions were also made about the relationship between ??B?? and ??C?? and about emotional ??Cs??. Weaknesses of the current study were noted and suggestions for future research made.     

What various kinds of errors tell us about lateral masking effects

Error analyses were conducted to study processes underlying lateral masking effects. Location errors (i.e., confusions with a flanking letter) occurred at a rate higher than chance, and they increased with increasing eccentricity and with decreasing spacing. In longer strings, confusions with a flanker directly adjacent to the target (which is itself laterally masked) were more frequent than with a far flanker, and these confusions also increased with increasing eccentricity and with decreasing spacing indicating that identification of the letter's form is not necessarily disturbed by adjacent characters. This was confirmed in a whole report task, where there was better recognition performance for the central letter than in partial report. Whereas in partial report, the left flanker was more often confused with the target than the right one, in whole report, the left-most letter was recognized best. The data provide evidence that positional uncertainty contributes to lateral masking effects, and that a substantial portion of positional uncertainty occurs after having identified the letter's forms.     

Phoneme errors in Broca's aphasia: three Finnish cases

The phonemic errors of three Finnish Broca's aphasics were analyzed according to various phonological features, frequency of segments, syllable, word, and stress positions, as well as for the phonotactic structure of the uncanonical products. It was found, e.g., that the distance between the syntagmatic error and its source could not be satisfactorily counted by phonemes, since the syllable had to be taken into account also in pathological Finnish. As regards the paradigmatic dimension of the errors, the number of incorrect features is even here in reverse relation to the frequency of the erroneous phonemes. Moreover, it was found that pure quantity errors and vowel harmony deviations are infrequent in the speech of Finnish Broca's aphasics.     

The Role of Source Confusions in Television's Cultivation of Social Reality Judgments

The chief hypothesis of this study was that errors in memory (specifically source confusions) contribute to the link between television viewing and social reality judgments. Fiction-to-news confusions (fictional programming remembered as news) were hypothesized to positively predict TV-biased judgments of reality. News-to-fiction confusions (news remembered as fiction) were hypothesized to negatively predict such judgments. The results of an experiment in which subjects watched television programming containing both news and fiction indicated that these hypotheses were supported. Levels of confusion interacted with daily television viewing and with the level of certainty attached to the confusions. A manipulation of the visual similarity of the news and fiction content affected subjects'tendency to make source confusions.