Pantomime recognition defect in aphasia: implications for the concept of asymbolia

This study investigated the relationship of impaired pantomime recognition to reading comprehension, sound recognition, letter recognition, and nonverbal abstract reasoning among aphasic patients. Defects in pantomime recognition were closely associated with defects in reading comprehension, but some with impaired pantomime recognition performed well on some or all of the remaining tests. Implications of the findings for the theory of asymbolia, and for reading comprehension are discussed.     

Language, moral order and political praxis

The paper argues that the debate between objectivist criticism and postmodern critique represents a fracturing of the modes of mundane social and linguistic practice. The two together miss the open-textured character of language-in-use and the reflexive properties of situated human practice. Both difference and agreement are grounded in the multiplicity of criteria that are a feature of the logical grammar of language, and therefore of everyday praxis, including that of critique. To escape the duality of foundationalism on the one hand, and radical relativism on the other, attention to the praxiological details of human action and reasoning is needed. The paper draws on Wittgensteinian philosophy and ethnomethodological studies of reasoning to make its case.     

Prosody, linguistic demands, and auditory comprehension in aphasia.

Prosody plays a clear role in the auditory comprehension of narratives by aphasic listeners. Previous research, however, has pointed to questions regarding variables which increase task complexity (e.g., memory, reading level) and the influence of the severity of aphasia. This study examined the role of the severity of aphasia and linguistic complexity in narrative comprehension by aphasic listeners. Findings indicate that while all subject groups improved their auditory comprehension when emphasis was present, people with severe aphasia improved significantly more, but only in a low linguistic complexity condition. However, subjects had additional opportunity for improved performance in both low and high linguistic complexity conditions. These results pose additional questions about perceived task difficulty (and performance) and resource allocation strategies.     

Frontal-opercular aphasia.

The standard nomenclature divides nonfluent aphasic syndromes with relatively spared comprehension into Broca's aphasia and transcortical motor aphasia. We report on a patient with a persistent nonfluent aphasia from a discrete, primarily cortical, frontal-opercular lesion who had impaired syntax but intact repetition and, therefore, did not conform to the traditional classification. Based on this patient's behavior and a review of other cases, we have divided the nonfluent aphasias with intact comprehension into five disorders. (1) Verbal akinesia-exhibiting diminished intention or drive to speak and associated with medial frontal lesions (supplementary motor area and cingulate gyrus) or with lesions damaging the efferent projections from these areas. (2) Disorders of syntax-telegraphic and agrammatic utterances that may be associated with dominant pars opercularis lesions. (3) Phonemic disintegration-a failure to correctly produce phonemes, which may be associated with injury to the opercular primary motor cortex or efferent projections from this area. (4) Defects of lexical access-patients who struggle to find words and are impaired at timed word-generation tasks. Defects of lexical access may be associated with lesions of the pars triangularis and adjacent prefrontal cortex. (5) Mixed defects. According to this model, the traditional patient with Broca's aphasia would exhibit disorders of syntax, phonemic disintegration, and defects of lexical access, whereas the traditional patient with transcortical motor aphasia would have verbal akinesia or defects of lexical access or both. Our patient had defects of lexical access and syntax, but only mild symptoms of phonemic disintegration, suggesting that his opercular primary motor cortex was relatively intact. Our patient's ability to repeat normally while his propositional speech remained telegraphic suggests that different neural mechanisms subserve these functions.     

Short-term memory and aphasia.

Short-term retention tests of verbal item information (short-term memory for items) and order information (memory for sequences) were administered to aphasic, nonaphasic brain-damaged, and normal subjects. Memory for both parameters was significantly impaired in aphasics only. One-third of errors made by aphasics resulted from a specific, separable defect in short-term memory for sequences. As information load increased, memory for sequences became critical for linguistic performance of aphasics.     

Pantomime recognition impairment in Alzheimer's disease

This study was designed to examine whether 10 AD patients with diffuse lesions and an early semantic deficit could comprehend the meaning of pantomimes and symbolic gestures. We especially wanted to determine the relationship between pantomime recognition and production. The tasks involved naming or showing an understanding (e.g., circumlocutions) of the pantomimes executed by the examiner and producing pantomimes to verbal command or to imitation. The results showed no significant relationship between pantomime comprehension and pantomime production. However, 60% of AD patients performed poorly compared to controls on the Gesture Recognition task. Gesture comprehension was highly correlated with a measure of global cognitive impairment (3MS). The data are consistent with the proposed separation of comprehension and action production systems in a cognitive model of praxis. Gesture comprehension may be diffusely distributed and thus preserved in the early stages of AD as in circumscribed lesions of the left parietal lobe.     

Finger localization and finger praxis

The relations between finger localization and various types of finger praxis were assessed by estimates of the inter-correlations among the performance of 100 six-year-old children. Finger localization was related significantly to those types of finger praxis which involve movements of the individual fingers with respect to each other. Right-left discrimination was related to finger localization, but not to the measures of finger praxis.

The findings are interpreted in terms of the construct of the finger schema, which can be viewed as a determinant of performance in both the localization and praxis tasks. This construct can also serve as an explanation of the observed concurrence of finger agnosia and finger apraxia as a consequence of cerebral disease.     

Language,life praxis and scenic understanding in psychoanalytic therapy

Freud held that the repressed unconscious arose from the separation of thing‐presentations from word‐presentations. The author divests these terms of the implication that they are objectively existing entities by citing some of Freud's other texts. Thing‐presentations are memory‐traces of (as yet) non‐language‐based interactions – that is, precipitates of actions that have been experienced and models of future actions. Scenic understanding, which, on the basis of participation by the therapist in the patient's play, treats all material presented by the patient by an approach analogous to the interpretation of dreams, is therefore the royal road to the unconscious.     

Computer tomographic localization, lesion size, and prognosis in aphasia and nonverbal impairment.

Computerized tomography scans (80) were used to localize infarcts in 70 patients. Twenty-three aphasics were scanned within 35 days from onset, 39 beyond a year, and 18 were nondominant cases. Aphasics were also grouped according to test scores obtained within 35 days of scan. Chronic global aphasics have larger lesions than persisting Broca's aphasics. The area of persisting Broca's aphasia is similarly anterior but larger than that of recovered motor aphasia. Anomic aphasics evolve from Broca's and Wernicke's types with differing localization. Lesion size correlated with severity and recovery, and comprehension among the subtests.     

Empowerment praxis in community coalitions

Community coalitions address a wide variety of community problems, espousing a community development processes that promotes individual and collective self-determination. They offer a promising venue for the study of empowerment of individuals and organizations. This study utilizes data from members of 35 community coalitions organized for the prevention of alcohol and other drug problems to address the following questions: What individual characteristics are related to the psychological empowerment of coalition members? What organizational characteristics are related to the collective empowering of members? What organization characteristics are related to a coalition being organizationally empowered to succeed in achieving its objectives? At the individual level, psychological empowerment was most strongly related to individuals' participation levels, sense of community, and perceptions of a positive organizational climate. At the group level, the strongest predictors of collective empowering (our operationalization of the empowering organization) were net benefits of participation, commitment, and positive organization climate. Psychological empowerment and positive organizational climate were the two predictors of organizational effectiveness (the empowered organization). Implications and limitations of these findings are discussed.     

Automatic and volitional semantic processing in aphasia.

The present study investigated the status of semantic information in aphasia by comparing the performances of aphasic and nonaphasic subjects on two tasks: an automatic semantic facilitation task and a volitional task of relatedness judgment. Both the aphasic and nonaphasic groups evidenced a semantic facilitation effect, in an on-line task of semantic processing. However, those aphasics with severe comprehension and naming disturbances (termed low comprehension aphasics) demonstrated considerable difficulty in judging the relatedness between a pictured object and members of that object's semantic field, the severity of the impairment being greater for those pictures that the low comprehension aphasics were unable to name. The pattern of results can best be explained by supposing the structural integrity of the store of semantic information in aphasia, and in particular in low comprehension aphasia: information that is retrieved and manipulated in judgment-mediated tasks with considerable difficulty.     

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.