MANUAL ACTIVITY DURING SPEAKING IN APHASIC SUBJECTS*

Samples of free conversations were recorded in 6 normal and 12 aphasic subjects. Manual activity during speech was observed. Groups were shown to behave in an opposite way for the verbal and nonverbal measures: while aphasic subjects' verbal behavior is impaired, they produce more speech-related movements than normals. No differences appear concerning other movements (automanipulation, hand-to-hand posture, miscellaneous movements). Analysis of the aphasie group reveals no difference between the fluent and the nonfluent aphasies. Verbal fluency is shown to be a non-critical factor in the explanation of gesture production. Increased gestural production in aphasies may be interpreted according to the hypothesis that gestures are cues for the difficulties the speaker experiences in the verbal encoding process.     

Verbal, perceptual and intellectual factors associated with reading achievement in adolescents with cerebral palsy

31 adolescents with cerebral palsy were administered measures of verbal production, speech perception, nonverbal auditory perception, visuospatial perception and verbal intelligence as well as measures of reading recognition and reading comprehension. Nonverbal auditory perception and verbal intelligence were most highly correlated with both reading measures despite the fact that most subjects were most severely impaired in visuospatial perception.     

PET activation studies comparing two speech tasks widely used in surgical mapping

"Automatic" speech, especially counting, is frequently preserved in aphasia, even when word production is severely impaired. Although brain sites and processes for automatic speech are not well understood, counting is frequently used to elicit fluent speech during preoperative and intraoperative cortical mapping for language. Obtaining both behavioral and functional brain imaging measures, this study compared counting with a word production task (generation of animal names), including non-verbal vocalizations and quiet rest as control states, in normal and aphasic subjects. Behavioral data indicated that normal and aphasic groups did not differ in counting or non-verbal vocalizations, but did differ significantly in word production ("naming" animals). Functional brain imaging results on normal subjects using partial least squares analysis of PET rCBF images revealed three significant latent variables (LVs): one for naming and vocalizing, identifying bilateral anterior areas, with left predominating over right; a second LV for naming, identifying left and right frontal and temporal areas. For the third, only marginally significant LV, which was associated with automatic speech alone (counting), right and subcortical sites predominated. For patients, two LVs emerged, identified with naming and vocalization, and corresponding to a variety of cerebral sites; the analysis failed to find a specific latent variable for counting. A comparison between group data for normal subjects and patients suggested that the naming, counting, and vocalization tasks were performed differently by the two groups. These results suggest that word generation as a verbal task is more likely to elicit activity in classical language areas than counting. Further studies are suggested to better understand differences between neurological substrates for non-propositional and automatic speech.     

Comparative study of neurolinguistic variables in Alzheimer patients, traumatic aphasias and Korsakoff psychoses and normal control probands

There are few studies of the breakdown of language in specific dementias and there is some dispute that language pathology in brain failure is comparable to that of focal lesions. It is recognized that while aphasic language is a disturbance of receptive and propositional speech, disturbances of "InnerLanguage" disrupt the planning and regulatory basis of behavior. This paper presents a comparison of three pathological groups to match normal controls and suggest that in its initial stages reduced cognitive performances in Alzheimers type Dementia and Korsakow Psychosis on non verbal measures maybe a further of the regulatory role of inner speech comparison with traumatic Aphasia which more clearly exists on a deficit of verbal comprehension and expression.     

Immediate memory for faces: Long- or short-term memory?

Immediate recognition memory span and short-term forgetting for non-verbal stimuli (“unfamiliar faces”) were investigated in normal subjects and amnesic patients. Surnames were used as a verbal control. It was found that normal subjects had a reliable immediate recognition span of one for faces and that there was no decrement in performance in the retention of three faces over a 30-s interval. Amnesic subjects were impaired on both the immediate memory span task and on the short-term forgetting task. This pattern of results contrasts with those obtained using surnames on which the results were comparable to other verbal S.T.M. tasks. It is suggested that performance on these tasks of recognition memory for faces is determined by L.T.M. processes. The implications for the interpretation of S.T.M. are discussed.     

材料呈现方式对不同音乐训练经验的汉语儿童英语言语记忆的影响

选取受过音乐训练和未受过音乐训练的汉语儿童为被试,在同一呈现速率条件下以歌曲、韵律和朗读三种方式呈现一段英文材料,从单词、句子和篇章三个层面探讨音乐训练经验和材料呈现方式对第二语言言语记忆的影响。结果发现：1）音乐组的记忆成绩高于非音乐组;2）相比于朗读材料,儿童对于歌曲和韵律材料的记忆效果更好;3）在单词和句子层面,音乐组和非音乐组的差异主要体现在歌曲材料上,而篇章层面没有类似发现。该结果表明音乐训练和材料呈现方式均能影响儿童的第二语言言语记忆,并且音乐训练效应对材料呈现方式表现出选择性     

Verbal self-correction behaviors of fluent and nonfluent aphasic subjects

This investigation examined the use of six explicitly defined verbal self-correction behaviors by fluent and nonfluent aphasic subjects of high and low verbal ability, and by subjects further classified into six groups according to type of aphasia (Broca's, Anomic, Wernicke's etc.). Aphasic groups, on the average, generated some type of verbal self-correction effort on more than half of their initially erroneous responses, and the proportions of these efforts did not differ between aphasic patient groups. Significant differences in self-correction success were found, however, between groups classified according to fluency and severity, as well as among the six groups based on type of aphasia. In the former case, distinctions in self-correction skill favored high-verbal-ability groups regardless of fluency classification. In the latter instance, the subgroups typically formed by less severely impaired patients (Anomic and Broca's) had significantly higher proportions of successful self-correction behaviors than those comprised of individuals with more severe involvement (Wernicke's and Broca's plus severely limiting apraxia of speech). Between-group differences for specific types of self-correction behaviors occurred rarely, but those which were found could be related to characteristics of the particular aphasic groups under consideration. Verbal self-correction behavior is discussed as a behavioral reaction to an erroneous response or dissatisfaction with the quality of an intended response. These behaviors are viewed as indicators of the intactness of an aphasic individual's self-monitoring system, and of his tolerance for responses that are qualitatively limited by his verbal deficits.     

REPLACING MALADAPTIVE SPEECH WITH VERBAL LABELING RESPONSES: AN ANALYSIS OF GENERALIZED RESPONDING

We taught three mentally handicapped students to answer questions with verbal labels and evaluated the generalized effects of this training on their maladaptive speech (e.g., echolalia) and correct responding to untrained questions. The students received cues-pause-point training on an initial question set followed by generalization assessments on a different set in another setting. Probes were conducted on novel questions in three other settings to determine the strength and spread of the generalization effect. A multiple baseline across subjects design revealed that maladaptive speech was replaced with correct labels (answers) to questions in the training and all generalization settings. These results replicate and extend previous research that suggested that cues-pause-point procedures may be useful in replacing maladaptive speech patterns by teaching students to use their verbal labeling repertoires.     

Memory deficits in early infantile autism: some similarities to the amnesic syndrome.

Autistic children were compared with control children on tasks in which retention was tested by different methods. In three tests of recall, using named pictures, written words and spoken words as test stimuli, autistic children were impaired in comparison with age-matched normal children and with controls matched for verbal ability. In one test of forced-choice recognition of pictures, autistic children were impaired in comparison with ability-matched controls. In three tests of cued recall, using named pictures, written words and spoken words as test stimuli, and acoustic, graphemic and semantic cues, autistic children were not impaired in comparison with normal age-matched controls. In one test of paired-associate learning using non-related word pairs as test stimuli autistic children were not impaired in comparison with normal age-matched controls. These experimental paradigms were similar to some that have been used to investigate the amnesic syndrome in man. Thus findings on paired-associate learning differ in autistic and amnesic subjects, but findings on recall, recognition and cued recall are comparable. A possible parallel between autism and amnesia is discussed.     

Deficits in temporal sequencing of verbal material: The effect of laterality of lesion

Temporal sequencing of verbal materials (digits, words, and geometric forms) presented in two sensory modalities (auditory and visual) to three groups of subjects (Broca's with left anterior lesions, patients with right hemisphere lesions, and normals) was examined. Each subject was asked to point to a set of stimuli in the same sequence as presented by the examiner. Results indicated that patients with left hemisphere lesions were more impaired on all tasks than the right hemisphere lesioned patients who, in turn, were impaired compared to normal controls. Response to auditory presentation was superior to response to visual presentation. Also, digits were the easiest for all groups, and words were easier than geometric forms. Of special interest was the finding which suggested that right hemisphere lesions are associated with impairment of verbal temporal sequencing under either auditory or visual presentation.     

Palilalia and repetitive speech: two case studies.

Palilalia, a disorder of speech characterized by compulsive repetitions of utterances has been found in various neurological and psychiatric disorders. It has commonly been interpreted as a defect of motor speech. This article describes palilalia and other variants of verbal repetitive behavior, such as monosyllabic iterations and conduite d'approche. The clinical features of palilalia, its prevalence in different language tasks, and the individual patterns of verbal repetitive behavior are illustrated in two patients with a long-standing cerebrovascular disease. An attempt is made to locate the origin of different forms of verbal repetitions in a standard model of speech production (Butterworth, 1980a; Garrett, 1980; Levelt, 1989) by analysis of their morphology and correlation with impairments of lexical or phonological processes. From these observations it is suggested that palilalia results from control malfunctions at the level of the Articulator, whereas other variants of pathological verbal iterations result from an impairment of the Formulator or from malfunctions of both the Articulator and the Formulator.     

Early Language Impairment and Young Adult Delinquent and Aggressive Behavior

Clinic and forensic studies have reported high rates of language impairments in conduct disordered and incarcerated youth. In community samples followed to early adolescence, speech and language impairments have been linked to attention deficits and internalizing problems, rather than conduct problems, delinquency, or aggression. This study examines the young adult antisocial outcomes of speech or language impaired children. Language impaired boys had higher levels of parent-rated delinquency symptoms by age 19 than boys without language impairment, controlled for verbal IQ and for demographic and family variables. Language impaired boys did not differ from controls in self-reported delinquency or aggression symptoms on a standardized checklist; however, language impaired boys reported higher rates of arrests and convictions than controls. Language impairment was not related to aggression or delinquency in girls. We examine alternate models of the interrelationships between language, academics, and behavior, at ages 5, 12, and 19.     

The effects of token reinforcement and feedback on the delusional verbal behavior of chronic paranoid schizophrenics

Prior research with token reinforcement in the psychiatric population has been directed at work adjustment, more than at major symptomatic behaviors. The purpose of the present research, on the other hand, was to investigate the effects of feedback and token reinforcement on the modification of delusional verbal behavior in chronic psychotics. Six male and four female paranoid schizophrenic patients participated in the study. The results indicated that the effects of feedback were effective about half the time in reducing percentage delusional talk, but in at least three cases produced adverse reactions. Token reinforcement, however, showed more consistency and reduced the percentage of delusional verbal behavior in seven of the nine subjects exposed to this procedure. The effects of both feedback and token reinforcement were quite specific to the environment in which they were applied and showed little generalization to other situations. It would appear that using token reinforcement can reduce the percentage delusional speech of chronic paranoid schizophrenics.     

Modification of cooperation and aggression through teacher attention to children's speech

Two experiments were performed in the naturalistic setting of a preschool classroom in order to assess the effects on children's social behavior of nonevaluative teacher attention to children's cooperative or aggressive speech. In Experiment 1, teachers attended to the children's spontaneous cooperative speech for two weeks. Observation of the children's free-play behaviors revealed an increase over baseline levels in both verbal and physical cooperative behaviors as well as a decrease in both verbal and physical aggressive behaviors. In Experiment 2, teachers attended first to the children's spontaneous aggressive speech for one week and then switched their attention to the children's cooperative speech for a second week. Teacher attention to aggressive speech in the first week led to an increase over baseline levels in the children's verbal aggressive behavior as well as a decrease in both verbal and physical cooperative behaviors; however, physical aggression remained unchanged. Teacher attention to cooperative speech in the following week served to reverse the effects of the first week's treatment. The findings were discussed in terms of the sequential relationship between verbal and nonverbal components of cooperative and aggressive social behaviors and the teacher's role in modifying children's performance on these behaviors in the classroom.     

The effects of receptive language training on articulation

The present study attempted to assess one condition of language exposure that might be operative in a normal environment, and experimentally determine its relevance to the acquisition of productive speech. The results demonstrated that the development of receptive language skills can be functionally related to productive speech. Specifically, the data indicated that exposure to words that have stimulus control over a subject's nonverbal pointing behavior can facilitate later articulation of those same words. Thus, this study draws attention to the fact that at least some classes of operants, in this case verbal, can be affected not only by their consequences, but by not obviously related antecedent events as well.     

Delayed Auditory Feedback in Polyglot Simultaneous Interpreters

Twelve polyglot students of simultaneous interpretation and 12 controls (students of the faculty of Medicine) were submitted to a task of verbal fluency under amplified normal auditory feedback (NAF) and under three delayed auditory feedback (DAF) conditions with three different delay intervals (150, 200, and 250 msec). The control group showed a significant reduction in verbal fluency and a significant increase in the number of mistakes in all three DAF conditions. The interpreters′ group, however, did not show any significant speech disruption neither in the subjects′ mother tongue (L1) nor in their second language (L2) across ah DAF conditions. Interpreters′ general high verbal fluency along with their ability to pay less attention to their own verbal output make them more resistant to the interfering effects of DAF on speech.     

Irrelevant speech effects and statistical learning

Immediate serial recall of visually presented verbal stimuli is impaired by the presence of irrelevant auditory background speech, the so-called irrelevant speech effect. Two of the three main accounts of this effect place restrictions on when it will be observed, limiting its occurrence either to items processed by the phonological loop (the phonological loop hypothesis) or to items that are not too dissimilar from the irrelevant speech (the feature model). A third, the object-oriented episodic record (O-OER) model, requires only that the memory task involves seriation. The present studies test these three accounts by examining whether irrelevant auditory speech will interfere with a task that does not involve the phonological loop, does not use stimuli that are compatible with those to be remembered, but does require seriation. Two experiments found that irrelevant speech led to lower levels of performance in a visual statistical learning task, offering more support for the O-OER model and posing a challenge for the other two accounts.     

Personality organization and language behavior: The imprint of psychological differentiation on language behavior in varying communication conditions

The language behavior of field-independent (F-D) clinically normal, verbally resourceful femal college students was examined in three different communication conditions: Dialogue, Warm (vissually supportive) monologue, and Cold (visually nonsupportive and stressful) Monologue. F-I and F-D Ss produced similar amounts of the different types of language behavior evaluated in each of the three communicative conditions. However, they differed with respect to verbal output and length of sentence "packaging" unit in Monologue conditions. F-D Ss talked considerably less but at the same time produced different types of grammatically more elaborate language behavior in Warm and Cold Monologue compared to their Dialogue language behavior. F-I Ss talked considerably more but also showed a type of language autonomy. The pattern of language behavior which characterized F-I speech in Dialogue remained the same in both Monologue conditions.     

Affective aprosodia from a medial frontal stroke

BACKGROUND AND OBJECTIVES: Whereas injury to the left hemisphere induces aphasia, injury to the right hemisphere's perisylvian region induces an impairment of emotional speech prosody (affective aprosodia). Left-sided medial frontal lesions are associated with reduced verbal fluency with relatively intact comprehension and repetition (transcortical motor aphasia), but persistent affective prosodic defects associated with right medial frontal lesions have not been described. METHODS: We assessed the prosody of a man who sustained a right medial frontal cerebral infarction seven years prior. RESULTS: While propositional speech expression was normal including syntactic prosody, the patient was impaired at expressing emotions using prosody. His comprehension and repetition of prosody were also impaired but less so than expression. CONCLUSIONS: Right medial frontal lesions can induce an affective aprosodia that primarily impairs expression.     

USING TIME DELAY TO PROMOTE SPONTANEOUS SPEECH IN AN AUTISTIC CHILD

One of the frequently observed deficits in autistic children is their lack of spontaneous speech. We used a multiple baseline across behaviors to investigate the effectiveness of a time delay procedure for inducing spontaneous speech in a 10-year-old male autistic child during play. We first taught the child to imitate the experimenter's verbal prompts that described the child's motor response. Once the child reached criteria on imitation, we implemented baseline wherein an immediate verbal prompt for speech was provided after each of the child's motor responses. Intervention consisted of a gradual delay in the presentation of the verbal prompts. The time delay effectively increased the child's spontaneous speech on trained items; some generalization to untrained items also occurred, but only within the same behavioral class of car play. Generalization was also observed across settings. Spontaneous speech remained at high levels during the 4-month maintenance for the behavior of car play but decreased for a second behavior. Decreases in the child's response latencies suggest that spontaneous speech may be an anticipatory verbal response.