Is there parallel and independent hemispheric processing of intonational and phonetic components of dichotic speech stimuli?

The possibility of hemisphere interaction in the processing of spoken language was studied in two dichotic listening experiments. The stimulus material consisted of six CV syllable triplets each spoken with each one of six intonation contours. In Experiment I, 15 aphasic patients, 8 patients with unilateral right hemisphere lesions, and 10 normal controls were asked to identify the four components of a dichotic item from a multiple-choice (MC) set comprising all possible CV triplets and intonation contours. In Experiment II, 30 normal subjects were required to identify either the right or left ear stimulus alone from an MC set comprising the right and left ear stimulus together with the two wrong combinations of right ear CV triplet with left ear intonation and vice versa. It is concluded from the results that the left hemisphere is capable of processing both phonetic and intonational information and that there is neither the necessity nor the tendency for right hemisphere participation in the perception of spoken language.     

Time sharing and dichotic listening asymmetry in normal and learning-disabled children

Time-sharing and dichotic listening techniques were used to examine cerebral lateralization for language function in 48 normal and 48 learning-disabled children. All subjects were matched according to age, sex, and handedness. An analysis of results indicated that both nornal and learning-disabled children demonstrated left hemisphere lateralization of language function on the time-sharing and dichotic listening tasks. However, no developmental trends were evident for either group. Differences observed in the performance of the normal and learning-disabled children may relate to how each group utilizes “verbal strategies” and processes simultaneous information in the left hemisphere. The results strongly question the notion that attributes learning disabilities to incomplete or delayed language lateralization and lend support to the notion that cerebral lateralization is not a developmental phenomena.     

Longitudinal dichotic listening patterns for aphasic patients : III. Relationship to language and memory variables

Longitudinal dichotic scores were obtained for aphasic patients for whom extensive language and memory data were also available. Severity of language impairments was related to ear advantage, but this occurred because larger lesions yielded more severe language impairments and were more likely to involve Heschl's gyrus. Extent of language recovery was not related to changes in ear dominance. Relationships that occurred generally supported a functional-anatomical interpretation which stressed the importance of the integrity of the posterior superior temporal lobe to performance both on dichotic tests and on specific language or memory tests.     

Dichotic listening in children: age-related changes in direction and magnitude of ear advantage

Children between the ages of 5 and 12 years were tested with dichotic listening tests utilizing single syllable words and random presentations of digits. They produced a higher prevalence of left ear dominance than expected, especially among right-handed children when tested with words. Whether more children demonstrate the LEA because of right hemisphere dominance for language or because there is less stability in ear advantage direction at younger ages cannot be fully resolved by this study. When ear advantages were measured by subtracting each child's lower score from the higher score without regard to right or left direction, an age-related trend toward lower measures of ear advantage was evident. This trend was greater for dichotic words than for dichotic digits. Structural factors that may be related to these results and possible influences of attention and verbal workload on the two kinds of dichotic stimuli are discussed.     

Lateralized hemisphere activity in relation to personality and degree course

Personality dimensions of Psychoticism (P), Extraversion (E) and Neuroticism (N) were related to multiple measures of lateralized hemispheric processing in order to test the predictions of right hemisphere overactivation in E, right hemisphere underactivation in N, and left hemisphere under- activation/overactivation in P. It was also predicted that architecture students would be characterized by right hemisphere activation and language students by left hemisphere activation. Lateral eye movements, verbal and nonverbal dichotic listening tasks, and Block Design and Digit Span subtests of the WAIS were assessed in 43 undergraduates, together with personality and degree course. High P scores were characterized by fewer rightward eye movements and hence reduced left hemisphere activation, while high N scores were characterized by poorer Block Design and superior Digit Span performance. These results which indicate a relationship between Psychoticism and left hemisphere underactivation are in conflict with the finding of Raine and Manders (1988) (Br. J. Clin. Pschol. In press) overactivation in those with high schizoid personality scores, a discrepancy which may be resolved by the notion that P reflects a different form of psychosis-proneness to other schizoid scales.     

A right-ear advantage for dichotic listening in bilingual children

A dichotic listening task was administered to two groups of right-handed Hispanic children enrolled in bilingual education classes. The younger group's mean age was 9:6, the older group's was 13:6. Two dichotic tapes were used, one in English, one in Spanish, consisting of 60 pairs of words per tape. The words were comparable across languages in terms of frequency, grammatical function, and phonetic composition. The results showed clear and equal right-ear advantages for both groups of subjects and for both languages. As expected, older children scored higher than younger ones, and performance on Spanish was better than on English. Neither of these effects interacted with the ear advantage, however. Ear difference scores did not correlate with proficiency in the second language (as measured by performance on the English tape), but there was a significant correlation (r = .58) between the degree of asymmetry in the two languages. These findings indicate that the left hemisphere is primarily (and equally) involved in processing both languages of bilinguals, and that this pattern appears to remain stable in development.     

Right-nostril advantage for discrimination of odors

Olfactory discrimination was tested with eight pairs of odors presented to each nostril of each subject. Ninety-nine subjects were tested; there were equal numbers of left- and right-handers, as well as both sexes. Detection thresholds for phenylethyl alcohol were measured separately in each nostril using a forced-choice staircase procedure. In addition, a verbal dichotic listening test known to be sensitive to language lateralization was administered. Results indicated that discrimination performance was significantly better when the stimuli were presented to the right nostril than when they were presented to the left, but no differences between the nostrils in detection thresholds were found. The right-nostril advantage did not vary as a function of sex or handedness, and did not bear any relation to language lateralization as measured via dichotic listening. The asymmetry for olfactory discrimination replicates an earlier study and is interpreted in terms of a possible specialization of function within the right cerebral hemisphere.     

Dichotic listening with forced attention in patients with temporal lobe epilepsy: significance of left hemisphere cognitive dysfunction

Fifty right-handed patients with focal temporal lobe epilepsy were administered a dichotic listening test with consonant-vowel syllables under non-forced, forced right and forced left attention conditions, and a neuropsychological test battery. Dichotic listening performance was compared in subgroups with and without left hemisphere cognitive dysfunction, measured by the test battery, and in subgroups with left and right temporal epileptic focus. Left hemisphere cognitive dysfunction led to more correct responses to left ear stimuli in all three attention conditions, and fewer correct responses to right ear stimuli in the non-forced attention condition. This was probably caused by basic left hemisphere perceptual dysfunction. Dichotic listening was less affected by a left-sided epileptic focus than by left hemisphere cognitive dysfunction. General cognitive functioning influenced dichotic listening performance stronger in forced than in non-forced attention conditions. Larger cerebral networks were probably involved in the forced attention conditions due to the emphasis on conscious effort.     

Dichotic listening during forced-attention in a patient with left hemispherectomy

A young left-handed girl with an extensive posttraumatic lesion in the left hemisphere was tested with dichotic listening (DL) under three different attentional instructions. The major aim of the study was to evaluate a structural vs attentional explanation for dichotic listening. As both her expressive and receptive language functions were intact after the lesion, it was assumed that the right hemisphere was the language-dominant one. In the free-report condition, she was free to divert attention to and to report from both ear inputs. In the forced-right condition, she was instructed to attend to and report only from the right ear input. In the forced-left condition, she was instructed to attend to and to report only from the left-ear input. Her performance was compared with data from a previously collected sample of normal left-handed females. Analysis showed that the patient, in contrast to the normal sample, revealed a complete right-ear extinction phenomenon, irrespective of attentional instruction. Furthermore, she showed superior correct reports from the left ear, compared with those of the normal sample, also irrespective of attentional instruction. It is concluded that these results support a structural, rather than attentional explanation for the right-ear advantage (REA) typically observed in dichotic listening. The utility of validating the dichotic listening technique on patients with brain lesions is discussed.     

Selective loss of complex-pitch or speech discrimination after unilateral lesion

Twenty-eight right-handed patients who suffered a single cerebrovascular accident in the distribution of either the left or right middle cerebral artery were tested on their ability to discriminate complex-pitch and speech stimuli presented dichotically. Whereas the left hemisphere lesion group was impaired in dichotic speech but not in dichotic complex-pitch discrimination, the right hemisphere lesion group was impaired in dichotic complex pitch but not in dichotic speech discrimination. Complex-pitch phenomena may provide a useful model for the study of auditory function in the nondominant hemisphere.     

The Role of Dichotic Listening Performance and Tasks of Executive Functions in Reading Impairment: A Discriminant Function Analysis

This study focused on the role of dichotic listening performance for the identification of reading impaired subtypes. Dichotic listening (DL), using verbal stimuli, has shown to be a valid measure of language lateralization. Usually, lateralization is estimated from the proportion of right ear over left ear accuracy during a free recall test procedure. However, it has been suggested that a more accurate estimate of laterality can be obtained by using a directed attention procedure. A sample of 43 reading disabled children of whom 18 showed signs of impaired language comprehension skills and 25 without language comprehension impairments, were compared to 20 age, and gender, matched controls on dichotic listening performance in both an unbiased free recall task and in a directed attention task using consonant-vowel syllables as dichotic stimuli. A laterality index was calculated for left and right ear stimuli reported during both the free recall condition and the attended ear-scores for the two directed attention conditions. Although both DL procedures yielded significant group differences, with a lower laterality score for the reading disabled compared to the controls, there was no main effect of DL-procedure or group × procedure interaction. Taken alone, DL performance could correctly classify 42% of the reading impaired samples, but together with other measures of executive functions, discriminant function analyses yielded 90.74% accuracy in classifying reading impaired children. The result indicates that DL together with tests of executive functions are valuable tools for assessment of reading impaired subjects.     

The role of dichotic listening performance and tasks of executive functions in reading impairment: a discriminant function analysis.

This study focused on the role of dichotic listening performance for the identification of reading impaired subtypes. Dichotic listening (DL), using verbal stimuli, has shown to be a valid measure of language lateralization. Usually, lateralization is estimated from the proportion of right ear over left ear accuracy during a free recall test procedure. However, it has been suggested that a more accurate estimate of laterality can be obtained by using a directed attention procedure. A sample of 43 reading disabled children of whom 18 showed signs of impaired language comprehension skills and 25 without language comprehension impairments, were compared to 20 age, and gender, matched controls on dichotic listening performance in both an unbiased free recall task and in a directed attention task using consonant-vowel syllables as dichotic stimuli. A laterality index was calculated for left and right ear stimuli reported during both the free recall condition and the attended ear-scores for the two directed attention conditions. Although both DL procedures yielded significant group differences, with a lower laterality score for the reading disabled compared to the controls, there was no main effect of DL-procedure or group x procedure interaction. Taken alone, DL performance could correctly classify 42% of the reading impaired samples, but together with other measures of executive functions, discriminant function analyses yielded 90.74% accuracy in classifying reading impaired children. The result indicates that DL together with tests of executive functions are valuable tools for assessment of reading impaired subjects.     

Language performance on visual processing tasks in right hemisphere lesion cases

Seven language tests were constructed or adapted to assess the performance of three groups of 10 right-handed adult subjects: a right hemisphere lesion (RHL) group, a left hemisphere lesion (LHL) group, and a neurologically normal (NN) control group. Both the LHL and RHL groups produced poorer scores than the NN group on six of the seven tests. On two of the six significant tests, the RHL performed more poorly than the NN group. Analyses of words uttered during an oral story telling test indicated that the RHL group told significantly fewer complete stories using significantly more nouns, adjectives, and conjunctions than the NN group. On a 7-point scale, three judges rated the overall communication abilities of the RHL group as having “mild problems,” a significantly different rating than the ratings of the LHL and NN groups. The findings suggest that underlying visual spatial and perceptual deficits may be accompanied by clearly recognizable language differences in certain subjects.     

Cerebral dominance in aphasia recovery.

This investigation studied the patterns of ear preference of a group of 25 aphasic adults through the administration of two verbal dichotic tests and retests over a 2-month interval of time. These dichotic tests were a Dichotic Digits Test (DDT) and a Dichotic Animal Names Test (DANT). Schuell's short test of aphasia was given twice over this interval to assess language recovery. Results indicated that as aphasics improve in language, cerebral dominance becomes more firmly established in the right cerebral hemisphere. The data in this study tend to support a dominance shift hypothesis in the recovery of language after aphasia.     

Pharmacological effects on lateralized behavior

Sixteen student volunteers were administered a placebo and 50 mg. of chlorpromazine in tablet form, on separate occasions, two hours before testing. The three tests measured dichotic listening performance, lateral eye movements while answering questions about spatial location and verbal meaning, and lateralized facial expression while relating pleasant and unpleasant life incidents. Results showed that chlorpromazine increased the number of trials showing an ear advantage in dichotic listening. Chlorpromazine reduced lateral and increased vertical eye movements in response to the questions about spatial location and verbal meaning. Under the placebo both negative and positive emotions were expressed more in the left face. Although chlorpromazine did not affect this lateralization of negative emotions, the expression of positive emotions occurred equally often on the two sides of the face under chlorpromazine. Results may be related to an effect of chlorpromazine on the asymmetrical dopamine pathways of the brain. It is suggested that the findings may be related to a left hemisphere deficit in schizophrenia.     

Visual-spatial processing in deaf brain-damaged signers

Sign language displays all the complex linguistic structure found in spoken languages, but conveys its syntax in large part by manipulating spatial relations. This study investigated whether deaf signers who rely on a visual-spatial language nonetheless show a principled cortical separation for language and nonlanguage visual-spatial functioning. Four unilaterally brain-damaged deaf signers, fluent in American Sign Language (ASL) before their strokes, served as subjects. Three had damage to the left hemisphere and one had damage to the right hemisphere. They were administered selected tests of nonlanguage visual-spatial processing. The pattern of performance of the four patients across this series of tests suggests that deaf signers show hemispheric specialization for nonlanguage visual-spatial processing that is similar to hearing speaking individuals. The patients with damage to the left hemisphere, in general, appropriately processed visual-spatial relationships, whereas, in contrast, the patient with damage to the right hemisphere showed consistent and severe visual-spatial impairment. The language behavior of these patients was much the opposite, however. Indeed, the most striking separation between linguistic and nonlanguage visual-spatial functions occurred in the left-hemisphere patient who was most severely aphasic for sign language. Her signing was grossly impaired, yet her visual-spatial capacities across the series of tests were surprisingly normal. These data suggest that the two cerebral hemispheres of congenitally deaf signers can develop separate functional specialization for nonlanguage visual-spatial processing and for language processing, even though sign language is conveyed in large part via visual-spatial manipulation.     

Psychopathy and cerebral asymmetry in semantic processing

A divided visual field (DVF) procedure was used to investigate the cerebral organization of language processes in psychopaths. The subjects consisted of four groups of 13 right-handed males: noncriminals (NC), and criminals with high (H), medium (M), and low (L) scores on the Psychopathy Checklist (Hare, 1980). The subject had to decide if a concrete noun, tachistoscopically presented in either the left (LVF) or the right visual hemifield (RVF), matched a pretrial work (SR task), or was an exemplar of a specific category (SC task) or an abstract category (AC task). There were no group differences in reaction time. As predicted, group differences in errors were confined to the AC task; Groups L and NC made fewer RVF than LVF errors (thus showing the sort of RVF advantage expected with semantic categorization), whereas the opposite was true of Group H. The results, along with those obtained in a recent dichotic listening study, lead us to speculate that psychopathy may be associated with weak or unusual lateralization of language function, and that psychopaths may have fewer left hemisphere resources for processing language than do normal individuals.     

Effects of eye movements on the recognition and localization of dichotic stimuli

Three experiments examined the effect of gaze shifts on overall performance and ear differences in dichotic listening. In the first two experiments, lights were switched on and off so as to induce rightward, leftward, or upward gaze during dichotic stimulation. The dichotic material consisted of musical passages in Experiment 1 and two kinds of verbal material in Experiment 2. Vertical eye movements enhanced the accuracy of identification of music but not verbal material. The lateral direction of eye movements affected subjects' ability to localize targets in Experiment 1: localization was more accurate in the direction toward which subjects were looking. In the third experiment it was found that optokinetic nystagmus (OKN) influenced the asymmetry of performance on a dichotic consonant-vowel (CV) test. The right-ear advantage was greatest when the OKN drum rotated from left to right and least when it rotated from right to left. The effect was due to corresponding variation in left-ear scores. Possible mechanisms through which shifts of gaze affect auditory identification and localization are proposed.     

Effects of right and left hemisphere damage on performance of the "Right Hemisphere Communication Battery"

A Hebrew adaptation of Gardner and Brownell's (1986) "Right Hemisphere Communication Battery" (HRHCB) was administered to 27 right brain-damaged (RBD) patients, 31 left brain-damaged (LBD) patients, and 21 age-matched normal controls. Both patient groups showed deficits relative to controls and overall there was no difference between the two patient groups. A factor analysis of patients' scores on the HRHCB yielded two interpretable factors, a verbal and a nonverbal one. These factors were not lateralized. Performance of patients on the HRHCB correlated significantly and positively with performance on most tests of basic language functions, measured with a Hebrew adaptation of the "Western Aphasia Battery" (HWAB) and with other cognitive functions measured with standardized neuropsychological tests. There were stronger correlations of HRHCB with subtests of the HWAB in LBD patients and with nonlanguage cognitive tests in RBD patients. In the LBD group, HRHCB subtests' scores correlated negatively with lesion extent in frontal and temporal perisylvian regions. Such localization was not observed in RBD patients. The results argue against selective right hemisphere (RH) involvement in the RHCB, alleged to measure pragmatic aspects of language use, and show, instead, bilateral involvement. The results also argue against a modular organization of these functions of language use, especially in the RH.     

Dichotic listening in the recovery of aphasia after stroke

Three different dichotic listening tests were given to a group of aphasic patients at various stages of the recovery process. Results were different for each test and in the course of time fluent aphasics demonstrated a tendency to increase right ear preference while nonfluent aphasics showed an increase of left ear preference in the test of dichotic words. The importance of these findings to the understanding of recovery of function is discussed in terms of the role played by the right hemisphere.