Influence of linguistic complexity,rate of presentation,and interphrase pause time on auditory-verbal comprehension of adult aphasic patients

Among the variables affecting comprehension of linguistic stimuli by aphasic subjects are syntactic complexity and processing time. Comprehension performance of 15 aphasic adults was studied while altering the rate of speech presentation and varying the pause time between the major phrases within sentences of increasing grammatical complexity.Simple Active Affirmative Declarative Sentences, Negative, and Passive sentences were presented (1) at the rate of 150 words per minute (wpm) with 1-sec interphrase pause time (IPT); (2) 150 wpm with no pauses; (3) 120 wpm with 1-sec IPT; (4) 120 wpm with no pauses added.Performance was seen to vary with increasing syntactical complexity and as a function of processing time. Greater comprehension was seen with active affirmative than negative; greater with passive affirmative than with active negative. Clinical implications are discussed. Subjects demonstrated greater comprehension when sentences were presented at slower than normal rate; addition of interphrase pause time intervals aided comprehension. Combining slower rate of presentation and IPT intervals provided greatest increase in auditory processing time and showed concomitant increase in comprehension performance.     

Phonological short-term memory contributions to sentence processing in young children

Two experiments investigated the contribution of phonological short-term memory to the processing of spoken sentences by 4- and 5-year-old children. In Experiment 1, sentences contained either short or longer words, and varied in syntactic structure. Overall, repetition but not comprehension of the sentences was significantly influenced by word length. In Experiment 2. children selected on the basis of their high phonological short-term memory ability were founded to be superior at repeating sentences to children of lower phonological short-term memory ability, although the two groups did not differ in their comprehension accuracy for the same sentences. In both experiments, comprehension and repetition performance were differently influenced by particular sentence structures. It is proposed that sentence repetition in children is constrained by phonological memory capacity, and is therefore directly influenced by memory-related factors that include the length and number of words in sentences, and individual differences in memory skills.     

Speech Rate and Syntactic Complexity as Multiplicative Factors in Speech Comprehension by Young and Older Adults

An experiment is reported in which young and older adults heard short English sentences that differed in syntactic complexity and speech rate. The syntactic contrast pitted center-embedded sentences with a subject-relative clause against sentences with center-embedded object-relative clauses. Speech rate was varied using computer time-compression of the speech signal. Both young and older adults showed poorer comprehension accuracy for the more complex object-relative clause sentences than subject-relative sentences, with an age difference appearing only when sentences were presented at a very rapid rate. By contrast to accuracy scores, older adults took longer than the young adults to give their comprehension responses at all speech rates tested, with this age difference amplified by both speech rate and syntactic complexity.     

The uses of short-term memory: A case study

It has been widely claimed that the systems employed in tasks of immediate memory have a function in the comprehension of speech; these systems, it has been proposed, are used to hold a representation of the speech until a syntactic analysis and interpretation have been completed. Such a holding function is meant to be especially important where the sentences heard are long or complex. It has thus been predicted that subjects with impaired short-term memory performance would show deficits in comprehension of such materials.

In this study, one subject with impaired phonological processing and a severely reduced digit span was tested on a range of tasks requiring the syntactic analysis, memory and comprehension of long and complex material. She was found to be unimpaired on syntactic analysis and comprehension, but not on sentence repetition. The implications for models of short-term memory are discussed.     

Dissociable patterns of brain activity during comprehension of rapid and syntactically complex speech: evidence from fMRI

Sentence comprehension is a complex task that involves both language-specific processing components and general cognitive resources. Comprehension can be made more difficult by increasing the syntactic complexity or the presentation rate of a sentence, but it is unclear whether the same neural mechanism underlies both of these effects. In the current study, we used event-related functional magnetic resonance imaging (fMRI) to monitor neural activity while participants heard sentences containing a subject-relative or object-relative center-embedded clause presented at three different speech rates. Syntactically complex object-relative sentences activated left inferior frontal cortex across presentation rates, whereas sentences presented at a rapid rate recruited frontal brain regions such as anterior cingulate and premotor cortex, regardless of syntactic complexity. These results suggest that dissociable components of a large-scale neural network support the processing of syntactic complexity and speech presented at a rapid rate during auditory sentence processing.     

Consequences of a Motor Programming Deficit for Rehearsal and Written Sentence Comprehension

The role of central motor processes in rehearsal was investigated by studying a braindamaged patient with a severe articulatory impairment. Evidence is presented that his articulatory impairment is due to a disruption of motor programming rather than to peripheral muscle weakness. Despite his motor programming deficit, the patient showed normal auditory span and evidence of rehearsal for auditorily presented sequences of words. For visual presentation, span was reduced and there was no evidence of rehearsal. Also, the patient showed excellent sentence comprehension for syntactically complex sentences for both auditory and visual presentation. The results imply that central motor processes are not critical for normal short-term memory, at least for auditory presentation, and that reading comprehension does not depend on inner rehearsal.     

Processing resource capacity and the comprehension of garden path sentences

Three experiments explored the relationship between verbal working memory capacity and the comprehension of garden path sentences. In Experiment 1, subjects with high, medium, and low working memory spans made acceptability judgments about garden path and control sentences under whole sentence and rapid serial visual presentation (RSVP) conditions. There were no significant differences between subjects with different working memory spans in the comprehension of garden path sentences in either condition. In Experiments 2A and 2B, subjects with high and low working memory spans were tested on the same materials at three RSVP rates. There were no significant differences between subjects with different working memory spans in the magnitude of the effect of garden path sentences at any presentation rate. The results suggest that working memory capacity, as measured by the Daneman and Carpenter (1980) reading span task, is not a major determinant of individual differences in the processing of garden path sentences.     

Relational processing and working memory capacity in comprehension of relative clause sentences

Previous research has indicated that the cognitive load imposed by tasks in various content domains increases with the complexity of the relational information processed. Sentence comprehension entails processing noun-verb relations to determine who did what to whom. The difficulty of object-extracted relative clause sentences might stem from the complex noun-verb relations they entail. Across three studies, participants read 16 types of object- and subject-extracted relative clause sentences at their own pace and then responded to a comprehension question for each sentence. Relational processing was assessed using a premise integration task or a Latin square task. These tasks predicted comprehension of object-relatives before and after controlling for subject-relatives. Working memory (WM) capacity was assessed using reading span or forward and backward digit span tests. WM tasks predicted comprehension of object-relatives before but not after controlling for subject-relatives. Comprehension of object-relatives relied more heavily on a domain-general capacity to process complex relations than on WM capacity.     

Exploring the forgetting mechanisms in working memory: Evidence from a reasoning span test

In working memory (WM) span tests participants have to maintain to-be-remembered information while processing other, potentially distracting, information. Previous studies have shown that WM span scores are greater when span lists start with a long processing task and end with a short processing task than when these processing tasks are presented in the reverse order (e.g., Towse, Hitch, & Hutton, 2000). In Experiment 1, we obtained a similar stimulus order effect in a reasoning span test, using reasoning sentences that were equated for length in terms of the number of constituent words, but which differed in processing complexity; span scores were greater when lists began with a complex sentence and ended with a simple sentence than when this stimulus order was reversed. In Experiment 2, the stimulus order effect was not found when processing duration was held constant while sentence complexity was varied using a computer-paced moving window presentation paradigm. These results suggest that duration-based constraints can affect degree of forgetting independently of the load generated during processing phases in WM span performance and therefore imply that time-related forgetting can occur in WM span tests, particularly when the difficulty of the processing component blocks active maintenance of to-be-remembered material.     

Memory-load interference in syntactic processing

Participants remembered a short set of words while reading syntactically complex sentences (object–extracted clefts) and syntactically simpler sentences (subject–extracted clefts) in a memory–load study. The study also manipulated whether the words in the set and the words in the sentence were of matched or unmatched types (common nouns vs. proper names). Performance in sentence comprehension was worse for complex sentences than for simpler sentences, and this effect was greater when the type of words in the memory load matched the type of words in the sentence. These results indicate that syntactic processing is not modular, instead suggesting that it relies on working memory resources that are used for other nonsyntactic processes. Further, the results indicate that similarity–based interference is an important constraint on information processing that can be overcome to some degree during language comprehension by using the coherence of language to construct integrated representations of meaning.     

The measurement of reading comprehension: How not to trade construct validity for predictive power

This paper proposes a way to measure and understand individual differences in reading comprehension. The measure is based on the theory that individual differences in reading skill reflect differences in the processing capacity of working memory. The measure of processing capacity, called the reading span test, requires subjects to read aloud increasingly longer sets of sentences and to recall the final word of each sentence in the set. Reading span, the number of final words recalled, varies from two to five for university students. According to the proposed theory, poor readers devote so much capacity to processing the sentences, that they have less residual capacity for storing and producing the final words. The ability to keep information accessible in working memory is particularly crucial for the processes that integrate each ne word with previously read information. And, indeed, reading span is highly correlated with integration processes such as computing pronominal reference, monitoring and revising comprehension errors, and making inferences. The theoretical and predictive value of the reading span measure can be contrasted with the relatively limited value of existing atheoretical and theoretical measures of reading comprehension.     

The effects of slowed speech on auditory comprehension in aphasia

The present study investigates the effects of slowed speech on auditory comprehension in aphasia. Specifically, an attempt was made to isolate the effects of added time on comprehension at the language processing stages of auditory perception, by increasing the duration of the vowel segments in each word; word recognition and semantic analysis, by adding silences between words; and syntactic analysis, by adding silences at constituent phrase boundaries. Sentences were also read at a slow rate to see the effects of naturally slowed speech on sentence comprehension. Test sentences consisted of simple active and passive declarative sentences, and complex sentences with embedded medial and final relative clauses. Sentences were either semantically reversible or nonreversible. Thirty-four aphasic patients who varied in both severity and type of aphasia were tested on a picture verification task. Results indicated that slowing facilitated language comprehension significantly only in the syntactic condition. Neither syntactic complexity nor semantic reversibility interacted with slowed speech to facilitate auditory language comprehension. Further, it was only the Wernicke's aphasics who showed significant improvement with time added at constituent boundaries. These results suggest that time alone does not facilitate language comprehension in aphasia, but that rather it is the interaction of time with syntactic processing which improves comprehension.     

Articulatory and phonological deficits in short-term memory and their relation to syntactic processing

The relationships between sentence comprehension deficits and deficits in the articulatory or phonological components of short-term memory were investigated. Nonfluent agrammatic patients showed very poor comprehension of syntax while a group of nonfluent patients who were not agrammatic showed good comprehension, despite both groups showing similar degrees of deficits in an articulatory component of memory. The results imply that a disruption of inner rehearsal has little consequence for auditory sentence comprehension, and that the syntactic comprehension deficits of the agrammatic patients could not be attributed to their memory deficit. A patient with a disruption in phonological storage showed good comprehension for many sentences, but was impaired when a difficult syntactic structure was encountered early in a sentence. It was proposed that phonological storage serves to hold words in a phonological form when sentence processing cannot keep pace with sentence input. Although a role for phonological storage was postulated, the impressive degree of syntactic processing that could be carried out by patients with very restricted memory spans implies that there is little overlap between the memory systems disrupted in these patients and the working memory system presumed to be involved in sentence comprehension.     

Syntactic comprehension deficits in Alzheimer's disease

Syntactic comprehension of German patients with dementia of the Alzheimer type was investigated and compared to healthy controls matched with respect to age, sex, and education. Special attention was directed at syntactic structures, which, in contrast to a language like English, are feasible in a grammatically rich language like German. In a sentence picture matching paradigm, only semantically reversible sentences were used. Syntactic complexity ranged from simple active voice sentences to more complex sentences like center-embedded object relative sentences. In comparison to their controls, patients showed a deficit in nearly all categories. Their performance was not influenced by age, but was heavily influenced by the degree of cognitive impairment. Patients with mild cognitive impairment, as defined by a MMSE score of 20 or higher, showed only slight difficulties in syntactic processing, whereas patients with moderate to severe impairment (MMSE < 20) did not perform above chance limits in most syntactic categories. It appears as though syntactic comprehension is only mildly affected in the early stages of Alzheimer's disease and is rather severely impaired in more advanced stages. In the present report, results are discussed in terms of working memory demands for syntactic processing.     

Sentence Comprehension Deficits in Alzheimer''s Disease: A Comparison of Off-Line vs. On-Line Sentence Processing

Two studies explored whether sentence comprehension impairments in Alzheimer's disease (AD) are due to deficits in syntactic processing or memory. Study 1 used a picture-pointing sentence comprehension task to measure the final outcome of comprehension in an off-line fashion. It showed the comprehension of 30 patients with AD to be impaired, but suggested that the deficits could not be attributed solely to syntactic impairments. Study 2 investigated the effects of memory on sentence comprehension by comparing off-line (grammaticality judgment) with on-line (cross-modal naming) language processing in 11 AD and 9 control subjects. The results revealed impaired performance in the off-line task but normal performance in the on-line task using the same sentences. Performance on the off-line task correlated with independent measures of verbal working memory. These data are used to argue that sentence comprehension impairments are related to verbal working memory deficits in AD.     

A study of syntactic processing in aphasia I: behavioral (psycholinguistic) aspects

This paper presents the results of a study of syntactically based comprehension in aphasic patients. We studied 42 patients with aphasia secondary to left hemisphere strokes and 25 control participants. We measured off-line, end-of-sentence, performance (accuracy and reaction time) in two tasks that require comprehension--enactment and sentence-picture matching--and in grammaticality judgment, with whole sentence auditory presentation. We also used sentence-picture matching and grammaticality judgment as tasks in two self-paced listening studies with the same patients to measure on-line performance. In each task and presentation format, we presented sentences that tested the ability to assign and interpret three structural contrasts chosen to examine different basic syntactic operations: actives and passives, subject and object extracted relative clauses, and reflexive pronouns and matched sentences without these elements. We examined these behavioral data to determine patterns of impairment in individual patients and in groups of patients, using correlational analyses, factor analyses, and analyses of variance. The results showed that almost no individual patients had stable deficits referable to the ability to interpret individual syntactic structures, that a variety of structural features contributed to sentence processing complexity both on-line and off-line, that correct responses were associated with normal on-line and errors with abnormal performance, and that the major determinant of performance is a factor that affected performance on all sentence types. The results indicate that the major cause of aphasic impairments of syntactically based comprehension are intermittent reductions in the processing capacity available for syntactic, interpretive, and task-related operations.     

Attentional resource and processing speed limitations during sentence processing in Parkinson's disease

Several studies have suggested that patients with Parkinson's disease (PD) have sentence comprehension difficulty in part because of their limited executive resources. However, these assessments confound the executive resources contributing to sentence comprehension with the resources needed for task performance. In the present study, we used a word detection technique that minimizes task demands in order to evaluate attentional and processing speed resources during the comprehension of simple sentences without subordinate clauses and sentences containing subject-relative and object-relative center-embedded subordinate clauses. We found that PD patients have poor sensitivity to phonetic errors embedded in unbound grammatical morphemes, regardless of the clausal structure of the sentence, suggesting difficulty attending to grammatical morphemes. We also found that PD patients are significantly slowed in their sensitivity to phonetic errors in content words embedded in object-relative center-embedded sentences. Slowed sensitivity to content words in object-relative sentences was correlated with timed executive measures of planning. On a traditional measure of comprehension, these PD patients were impaired for sentences containing object-relative center-embedded clauses compared to sentences with subject-relative center-embedded clauses, and comprehension of object-relative sentences was correlated with executive measures. Our findings are consistent with the claim that limited executive resources for strategic attention and processing speed contribute to the sentence comprehension difficulties of PD patients.     

Evidence of syntactic deficits in a fluent aphasic

The syntactic abilities of a mild Wernicke's aphasic were examined in production and comprehension tasks. The patient made few errors involving the omission or substitution of substantives or grammatical markers, especially after the first few weeks of testing. Despite his good ability to produce sentences with acceptable surface form, he continued to make role reversal errors and to produce a restricted range of syntactic forms. In comprehension, he also demonstrated an impairment in his ability to use the syntactic information in a sentence to assign role relations. These syntactic impairments could not be attributed to a short-term memory deficit as the patient showed only a slightly reduced short-term memory span, and showed evidence of having a normal phonological store. Implications for theories of aphasic deficits as well as for theories of normal language processing are discussed.     

Working memory and language comprehension: A meta-analysis

This paper presents a meta-analysis of the data from 6,179 participants in 77 studies that investigated the association between working-memory capacity and language comprehension ability. A primary goal of the meta-analysis was to compare the predictive power of the measures of working memory developed by Daneman and Carpenter (1980) with the predictive power of other measures of working memory. The results of the meta-analysis support Daneman and Carpenter’s (1980) claim that measures that tap the combined processing and storage capacity of working memory (e.g., reading span, listening span) are better predictors of comprehension than are measures that tap only the storage capacity (e.g., word span, digit span). The meta-analysis also showed that math process plus storage measures of working memory are good predictors of comprehension. Thus, the superior predictive power of the process plus storage measures is not limited to measures that involve the manipulation of words and sentences.