Motor movement matters: The flexible abstractness of inner speech

Inner speech is typically characterized as either the activation of abstract linguistic representations or a detailed articulatory simulation that lacks only the production of sound. We present a study of the speech errors that occur during the inner recitation of tongue-twister-like phrases. Two forms of inner speech were tested: inner speech without articulatory movements and articulated (mouthed) inner speech. Although mouthing one’s inner speech could reasonably be assumed to require more articulatory planning, prominent theories assume that such planning should not affect the experience of inner speech and, consequently, the errors that are “heard” during its production. The errors occurring in articulated inner speech exhibited the phonemic similarity effect and the lexical bias effect—two speech-error phenomena that, in overt speech, have been localized to an articulatory-feature-processing level and a lexical—phonological level, respectively. In contrast, errors in unarticulated inner speech did not exhibit the phonemic similarity effect—just the lexical bias effect. The results are interpreted as support for a flexible abstraction account of inner speech. This conclusion has ramifications for the embodiment of language and speech and for the theories of speech production.     

Phonological transformations in conduction aphasia

Different explanations and subtypes of conduction aphasia are analyzed. Characteristics of literal paraphasias in parietal-insular conduction aphasia are discussed, emphasizing that paraphasias in conduction aphasia are articulatory-based (articulatory literal paraphasias) and due mainly to phoneme substitutions and phoneme deletions; they result basically in switches in phoneme manner and place of articulation. Similarities between errors in ideomotor apraxia and conduction aphasia language deficits are presented. It is proposed that language deviations (in oral as in written language) in conduction aphasia can be understood as a segmentary apraxia of speech.     

Intensive training of phonological skills in progressive aphasia: a model of brain plasticity in neurodegenerative disease

Three patients with a typical syndrome of nonfluent primary progressive aphasia (Mesulam's syndrome) were trained daily with a remediation protocol including auditory exercises specifically designed to involve several aspects of phonological processing, a domain known to be specifically affected in the condition. The speech content of the exercises was based on the temporal theory of phonological processes according to which increasing the duration of formant transition should facilitate phoneme discrimination and phoneomic awareness. Significantly improved performance on the trained tasks was demonstrated in the three patients. Improvement further generalized to other tasks such as nonword repetition and reading. We conclude that such results (1) argue for using intensive focused therapy of language impairment in neurodegenerative disorders, (2) may constitute a good model of brain plasticity in neurodegenerative disorders in general, and (3) support theories of phonological processing emphasizing temporal features of the auditory signal.     

The selective impairment of phonological processing in speech production

We report the naming performance of a patient (DM) with a fluent progressive aphasia who made phonological errors in all language production tasks. The pattern of errors in naming was strikingly clear: DM made very many phonological errors that resulted almost always in nonword responses. The complete absence of semantic errors and the very low ratio of formal errors relative to nonword errors (1.6:30.3) in DM's performance are discussed in the context of recent claims about the nature of naming deficits in fluent aphasics. We argue that DM's performance makes highly improbable the claim that fluent aphasia results from global lesions affecting all levels of the lexical access system equally.     

Conduction aphasia, sensory-motor integration, and phonological short-term memory - an aggregate analysis of lesion and fMRI data

Conduction aphasia is a language disorder characterized by frequent speech errors, impaired verbatim repetition, a deficit in phonological short-term memory, and naming difficulties in the presence of otherwise fluent and grammatical speech output. While traditional models of conduction aphasia have typically implicated white matter pathways, recent advances in lesions reconstruction methodology applied to groups of patients have implicated left temporoparietal zones. Parallel work using functional magnetic resonance imaging (fMRI) has pinpointed a region in the posterior most portion of the left planum temporale, area Spt, which is critical for phonological working memory. Here we show that the region of maximal lesion overlap in a sample of 14 patients with conduction aphasia perfectly circumscribes area Spt, as defined in an aggregate fMRI analysis of 105 subjects performing a phonological working memory task. We provide a review of the evidence supporting the idea that Spt is an interface site for the integration of sensory and vocal tract-related motor representations of complex sound sequences, such as speech and music and show how the symptoms of conduction aphasia can be explained by damage to this system.     

Phonology: A Review and Proposals from a Connectionist Perspective

A parallel distributed processing (PDP) model of phonological processing is developed, including components to support repetition, auditory processing, comprehension, and language production. From the performance of the PDP reading model of Plaut, McClelland, Seidenberg, and Patterson (1996), it is inferred that the acoustic-articulatory motor pattern associator that supports repetition provides the basis for phonological sequence knowledge. From the observation that many patients make phonemic paraphasic errors in language production, as in repetition, it is argued that there must be a direct link between distributed concept representations (lexical semantic knowledge) and this network representation of sequence knowledge. In this way, both lexical semantic and phonotactic constraints are brought to bear on language production. The literature on phonological function in normal subjects (slip-of-the-tongue corpora) and in patients with aphasia is critically reviewed from this perspective. The relationship between acoustic and articulatory motor representations in the process of phonetic perception is considered. Repetition and reproduction conduction aphasia are reviewed in detail and extended consideration is given to the representation of auditory verbal short-term memory in the model. Finally, the PDP model is reconciled with information processing models of phonological processing, including that of Lichtheim, and with current knowledge of the anatomic localization of phonological processing. Although no simulations of the model were run, a number of simulation studies are proposed.     

An overview on Primary Progressive Aphasia and its variants

We present a review of the literature on Primary Progressive Aphasia (PPA) together with the analysis of neuropschychological and neuroradiologic profiles of 42 PPA patients. Mesulam originally defined PPA as a progressive degenerative disorder characterized by isolated language impairment for at least two years. The most common variants of PPA are: 1) Progressive nonfluent aphasia (PNFA), 2) semantic dementia (SD), 3) logopenic progressive aphasia (LPA). PNFA is characterized by labored speech, agrammatism in production, and/or comprehension. In some cases the syndrome begins with isolated deficits in speech. SD patients typically present with loss of word and object meaning and surface dyslexia. LPA patients have word-finding difficulties, syntactically simple but accurate language output and impaired sentence comprehension. The neuropsychological data demonstrated that SD patients show the most characteristic pattern of impairment, while PNFA and LPA overlap within many cognitive domains. The neuroimaging analysis showed left perisylvian region involvement. A comprehensive cognitive, neuroimaging and pathological approach is necessary to identify the clinical and pathogenetic features of different PPA variants.     

Clinical and anatomical correlates of apraxia of speech

In a previous study (Dronkers, 1996), stroke patients identified as having apraxia of speech (AOS), an articulatory disorder, were found to have damage to the left superior precentral gyrus of the insula (SPGI). The present study sought (1) to characterize the performance of patients with AOS on a classic motor speech evaluation, and (2) to examine whether severity of AOS was influenced by the extent of the lesion. Videotaped speech evaluations of stroke patients with and without AOS were reviewed by two speech-language pathologists and independently scored. Results indicated that patients with AOS made the most errors on tasks requiring the coordination of complex, but not simple, articulatory movements. Patients scored lowest on the repetition of multisyllabic words and sentences that required immediate shifting between place and manner of articulation and rapid coordination of the lips, tongue, velum, and larynx. Last, all patients with AOS had lesions in the SPGI, whereas patients without apraxia of speech did not. Additional involvement of neighboring brain areas was associated with more severe forms of both AOS as well as language deficits, such as aphasia.     

Language and motor abilities of preschool children who stutter: Evidence from behavioral and kinematic indices of nonword repetition performance

Stuttering is a disorder of speech production that typically arises in the preschool years, and many accounts of its onset and development implicate language and motor processes as critical underlying factors. There have, however, been very few studies of speech motor control processes in preschool children who stutter. Hearing novel nonwords and reproducing them engages multiple neural networks, including those involved in phonological analysis and storage and speech motor programming and execution. We used this task to explore speech motor and language abilities of 31 children aged 4–5 years who were diagnosed as stuttering. We also used sensitive and specific standardized tests of speech and language abilities to determine which of the children who stutter had concomitant language and/or phonological disorders. Approximately half of our sample of stuttering children had language and/or phonological disorders. As previous investigations would suggest, the stuttering children with concomitant language or speech sound disorders produced significantly more errors on the nonword repetition task compared to typically developing children. In contrast, the children who were diagnosed as stuttering, but who had normal speech sound and language abilities, performed the nonword repetition task with equal accuracy compared to their normally fluent peers. Analyses of interarticulator motions during accurate and fluent productions of the nonwords revealed that the children who stutter (without concomitant disorders) showed higher variability in oral motor coordination indices. These results provide new evidence that preschool children diagnosed as stuttering lag their typically developing peers in maturation of speech motor control processes.Educational objectives: The reader will be able to: (a) discuss why performance on nonword repetition tasks has been investigated in children who stutter; (b) discuss why children who stutter in the current study had a higher incidence of concomitant language deficits compared to several other studies; (c) describe how performance differed on a nonword repetition test between children who stutter who do and do not have concomitant speech or language deficits; (d) make a general statement about speech motor control for nonword production in children who stutter compared to controls.     

Self-reported inner speech relates to phonological retrieval ability in people with aphasia

Many individuals with aphasia report the ability to say words in their heads despite spoken naming difficulty. Here, we examined individual differences in the experience of inner speech (IS) in participants with aphasia to test the hypotheses that self-reported IS reflects intact phonological retrieval and that articulatory output processing is not essential to IS. Participants (N = 53) reported their ability to name items correctly internally during a silent picture-naming task. We compared this measure of self-reported IS to spoken picture naming and a battery of tasks measuring the underlying processes required for naming (i.e., phonological retrieval and output processing). Results from three separate analyses of these measures indicate that self-reported IS relates to phonological retrieval and that speech output processes are not a necessary component of IS. We suggest that self-reported IS may be a clinically valuable measure that could assist in clinical decision-making regarding anomia diagnosis and treatment.     

Modeling the effects of irrelevant speech on memory

The feature model (Nairne, 1990) is extended to account for the effects of irrelevant speech and concomitant interactions in immediate serial recall. In the feature model, both articulatory suppression and irrelevant speech are seen as adding noise to the memory representation, the difference being that articulatory suppression diverts more resources than does irrelevant speech. The addition of noise impairs recall because it reduces the probability of successful redintegration. When a competitor is incorrectly recalled, rather than the correct item, this competitor is recalled out of order, producing an increase in order errors. Six simulations are reported that show that the model accounts for (1) the impairment by both irrelevant speech and articulatory suppression, (2) the irrelevance of the phonological and semantic composition of the irrelevant speech, (3) greater disruption when the irrelevant speech tokens vary, (4) the abolition of the phonological similarity effect for visual, but not for auditory, items, (5) the abolition of the word length effect for both visual and auditory items, and (6) the abolition of the irrelevant speech effect under articulatory suppression for both visual and auditory items. The feature model is compared with the two other major views of irrelevant speech, the phonological store hypothesis and the changing state hypothesis.     

Articulatory coding and phonological judgements on written words and pictures: The role of the phonological output buffer

Abstract

The ability of Italian subjects to make phonological judgements was investigated in three experiments. The judgements comprised initial sound similarity and stress assignment on pain of both written words and pictures. Stress assignment on both words and pictures as well as initial sound similarity on pictures required the activation of phonological lexical representations, but this was not necessarily the case for initial sound similarity judgements on word pairs. The first study assessed the effects of concurrent articulatory suppression on the judgements. Experiment 2 used a concomitant task (chewing), which shares with suppression the use of articulatory components but does not involve speech programming and production. The third experiment investigated the effects of unattended speech on the phonological judgements. The results of these three experiments showed that articulatory suppression had a significant disrupting effect on accuracy in all four conditions, while neither articulatory non-speech (chewing) or unattended auditory speech had any effect on the subjects' performance. The results suggest that these phonological judgements involve the operation of an articulatory speech output component, which is not implemented peripherally and does not require the involvement of a non-articulatory input system.     

Fragile X speech phonology in Finnish

Fragile X syndrome is a recently discovered relatively common syndrome linked with an anomaly of the X chromosome and causing handicaps of cognitive development especially in males. In the present phonological analysis we will discuss the sound patterns of two Finnish fragile X speakers, a five (borderline intelligence)- and an eight (mildly mentally retarded)-year-old boy. The fragile X syndrome is not necessarily linked with any anomalies of speech organs. The subjects could produce all Finnish speech sounds in isolated test words. However, in the present samples of connected speech they exhibited general dysphonology. What is noteworthy is that their phonological error patterns resembled each other to a great extent. Among the common features were the tendencies to substitute and omit phonemes. As for vowels, our results showed about one-half of the errors to be omissions. Labiality and quantity oppositions were quite resistant to substitution. Most substitution errors of place of consonants occurred in dentals. As for the feature of manner, /r/ and /s/ were the phonemes most prone for substitution. A tendency toward spirantization or /h/ sation was common for both patients. The number of additions was clearly lower than has been reported for English-speaking developmentally dyspraxic children and also for Finnish Broca's aphasics. The speech problems of our patients seemed to indicate higher level motor encoding problems of linguistic information rather than peripheral articulatory deficits.     

Disruption of verbal STM by irrelevant speech, articulatory suppression, and manual tapping: Do they have a common source?

Under appropriate conditions, immediate serial verbal recall is impaired by irrelevant speech, articulatory suppression, and syncopated tapping. Interpretation of these variables in terms of the phonological loop component of working memory assumes separate phonological storage and articulatory rehearsal processes. In contrast, the Object-Oriented Episodic Record (O-OER) of Jones and the feature theory of Neath interpret these and other phenomena in terms of a unitary multimodal system. Three experiments investigate these disrupting tasks, with each experiment emphasizing one parameter. In each case, recall of phonologically similar and dissimilar letter sequences is compared as a marker of the presence or absence of phonological coding. In Experiment 1, subjects heard or articulated a single item, or tapped a single key at equal intervals. Only articulatory suppression impaired performance; it also abolished the effects of phonological similarity. Experiment 2 was identical, except that items were heard, or generated in a syncopated rhythm. Both suppression and tapping impaired performance to an equivalent extent and obliterated the effect of phonological similarity. Syncopated irrelevant speech caused a modest but significant impairment in performance. Experiment 3 was identical to Experiment 1, except that six tokens were used. Irrelevant speech and tapping had a clear impact on recall, but neither removed the phonological similarity effect. Again articulatory suppression had a major impact on performance and removed the effect of phonological similarity. We conclude that the pattern of results readily fits the phonological loop hypothesis, provided one accepts Saito's proposal that generating syncopated sequences uses common processes with speech production. It is not clear how the results can be explained by either the O-OER or the feature hypothesis.     

Cascading influences on the production of speech: evidence from articulation

Recent investigations have supported the suggestion that phonological speech errors may reflect the simultaneous activation of more than one phonemic representation. This presents a challenge for speech error evidence which is based on the assumption of well-formedness, because we may continue to perceive well-formed errors, even when they are not produced. To address this issue, we present two tongue-twister experiments in which the articulation of onset consonants is quantified and compared to baseline measures from cases where there is no phonemic competition. We report three measure of articulatory variability: changes in tongue-to-palate contact using electropalatography (EPG, Experiment 1), changes in midsagittal spline of the tongue using ultrasound (Experiment 2), and acoustic changes manifested as voice-onset time (VOT). These three sources provide converging evidence that articulatory variability increases when competing onsets differ by one phonological feature, but the increase is attenuated when onsets differ by two features. This finding provides clear evidence, based solely on production, that the articulation of phonemes is influenced by cascading activation from the speech plan.     

Structure and Content in Language Production: A Theory of Frame Constraints in Phonological Speech Errors

Theories of language production propose that utterances are constructed by a mechanism that separates linguistic content from linguistic structure, Linguistic content is retrieved from the mental lexicon, and is then inserted into slots in linguistic structures or frames. Support for this kind of model at the phonological level comes from patterns of phonological speech errors. W present an alternative account of these patterns using a connectionist or parallel distributed proceesing (PDP) model that learns to produce sequences of phonological features. The model's errors exhibit some of the properties of human speech errors, specifically, properties that have been attributed to the action of phonological rules, frames, or other structural generalizations.     

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.     

旋律语调疗法及其对失语症的临床应用

失语症是当今人类面临的一个重要的健康问题。旋律语调疗法被认为是治疗失语症的有效手段之一。传统旋律语调疗法强调严格的程序和材料,改编版本则依据患者情况进行调整,二者均能提高失语症者的自发言语产生、言语复述以及命名等能力。研究还表明,旋律语调疗法不仅能提高失语症者相关脑区的激活水平,而且也能通过影响失语症者的相关神经结构改善其言语功能。未来研究需要进一步确定该疗法的干预机制及其对汉语失语症的适用性。