Tense and agreement in German agrammatism

This study presents results from sentence-completion and grammaticality-judgment tasks with 7 German-speaking agrammatic aphasics and 7 age-matched control subjects examining tense and subject-verb agreement marking. For both experimental tasks, we found that the aphasics achieved high correctness scores for agreement, while tense marking was severely impaired. To account for the observed tense-agreement dissociation, we suggest that the functional category T(ense)/INFL(ection) is tense-defective in agrammatic aphasia, i.e., it is specified for [+/-Realis], but not for [+/-Past]. It will also be argued that other accounts, specifically the tree-pruning model, do not explain our findings.     

Sensitivity to inflectional morphology in agrammatism: investigation of a highly inflected language

We present the results of a study with six Serbo-Croatian-speaking agrammatic patients on a test of inflectional morphology in which subjects judged whether spoken sentences were grammatical or ungrammatical. Sensitivity to two kinds of syntactic features was investigated in these aphasic patients: (1) subcategorization rules for transitive verbs (which must be followed by a noun in the accusative case; intransitive verbs can be followed by nouns in other noun cases); (2) sensitivity to the inflectional morphology marking noun case. The test items consisted of three-word sentences (noun-verb-noun) in which verb transitivity and appropriateness of the case inflection of the following noun were manipulated. Results of the grammaticality judgment task show that both syntactic properties are preserved in these patients.     

Visual marking: evidence for inhibition using a probe-dot detection paradigm

Watson and Humphreys (1997, 1998) have recently demonstrated that new objects can be prioritized for visual attentional processing by the top-down attentional inhibition of old objects already in the field, a mechanism they called visual marking. The experiments reported here show that the detection of a dim probe dot is impaired when it falls at the location of an old object (Experiments 1 and 3) but that this occurs only in conditions in which it is advantageous for subjects to mark (inhibit) old objects (Experiment 2). These results further support previous work showing that visual marking is based on the inhibition of the locations of old objects and that visual marking can be flexibly applied (or withheld), depending on the goals of current behavior.     

Lateralization of prosody during language production: a lesion study

To examine brain lateralization of prosody during speech, the sentence production of six right-hemisphere-lesion patients and five left-hemisphere-lesion patients was compared to that of seven normal controls using a question-answer paradigm. The task required the prosodic realization of two different syntactic structures under conditions of wide and narrow focus. Acoustical analyses were carried out on F0 and time structure. These analyses revealed a preserved ability in patients to express differences in syntactic structure via prosody. However, there were deficits in distinguishing narrow focus from wide focus. Whereas both right- and left-hemisphere lesions caused impairments in the realization of F0, time structure was mainly impaired in left-hemisphere patients. Therefore, the present results from language production support functional as well as cue-dependent hypotheses of the lateralization of prosodic processing in the brain.     

Writing errors and anosognosia in amyotrophic lateral sclerosis with dementia

Amyotrophic lateral sclerosis (ALS) with dementia (ALS-D) is known to exhibit characteristics of frontotemporal dementia. However, in clinical situations, it is often difficult to evaluate their cognitive functions because of impaired voluntary speech and physical disabilities. In order to identify characteristic and diagnostic cognitive symptoms of relatively advanced ALS-D patients, we retrospectively reviewed the clinical features of seven cases of clinically definitive ALS who had dementia, impaired voluntary speech, and physical disability. Their medical records showed that six out of seven patients made writing errors, and all of the patients demonstrated anosognosia. The writing errors consisted of paragraphia such as substitution, omission, or syntactic errors with individual differences in error types. Dissociation between kana and kanji were also observed. Anosognosia was evaluated by a self-rating scale with which the patients and the medical staff evaluated the patient's physical ability; the results indicated a large discrepancy between the evaluation by the patients and the medical staff. We emphasize that aphasic writing errors have been underestimated, particularly in ALS-D patients with impaired voluntary speech. We also reported that anosognosia was the most important and quantifiable symptom in ALS-D. The relationship between writing errors and anosognosia should be investigated further.     

PRESERVATION OF IMPLICIT MEMORY FOR NEW ASSOCIATIONS IN GLOBAL AMNESIA

Abstract— This study examined whether amnesic patients have preserved implicit memory for new associations between unrelated words, as measured by repetition priming, despite unpaired explicit memory for such new associations. Prior studies provide conflicting and ambiguous results. Amnesic and control participants read aloud visually presented, unrelated word pairs and then attempted to identify old, recombined, and new word pairs shown at threshold durations. Amnesic and control groups showed equivalent priming for new associations by identifying old pairs better than recombined pairs. Amnesic patients were impaired on a matched explicit test of memory far new associations. The preserved priming in amnesia indicates that implicit memory for new associations need not be, supported by the mnemonic processes and brain structures that mediate explicit memory for new associations.     

Tense and Agreement Impairment in Ibero–Romance

We examine the inflectional productions of seven Catalan, seven Galician, and seven Spanish speaking agrammatic subjects in an elicitation and a sentence repetition task and consider them in the light of the Tree Pruning Hypothesis (TPH). The results show relatively spared subject person/number agreement with the verb and impaired tense marking for all subjects in all the languages. Recent reformulations of syntactic theory [Chomsky (1999) MIT Occasional Papers in Linguistics (vol. 18). MA: The MIT Press; (2000). Step by Step: Essays on Minimalist Syntax in Honor of Howard Lasnik (pp. 89–155). Cambridge, MA: The MIT Press] regarding the locus of agreement force a reconsideration of the TPH for it to make the desired predictions; we adopt Cinque’s [(1999) Adverbs and Functional Heads: A Cross-linguistic Perspective. Oxford: Oxford University Press] array of functional mood/tense/aspect projections and we show that subject agreement must occur between the subject DP and a low functional head for selective impairment to result. Feature underspecification, formerly considered, is rendered unnecessary.     

Drug-induced amnesia impairs implicit relational memory

Amnesic patients have difficulty consciously recollecting past events, but they perform normally on implicit memory measures that do not require conscious access. Now, an innovative study offers compelling evidence that even implicit memory can be impaired during amnesia, temporarily induced in healthy subjects using a neuropharmacological manipulation (midazolam). Importantly, midazolam impaired implicit, relational memory, whereas non-relational memory was preserved, supporting the characterization of conscious memory in terms of relational encoding.     

Pictorial priming and cued recall in Alzheimer's and Huntington's disease

A picture fragment test was used to compare the priming and cued recall performances of patients with Huntington's disease (HD), patients with dementia of the Alzheimer type (DAT), and neurologically intact normal control (NC) subjects. On the pictorial priming test, subjects were asked to say "the first thing you think of" when shown incompletely drawn pictures, half of which were previously exposed to the subject during an unrelated naming task. Normal controls and HD patients, but not DAT patients, demonstrated similar increases in their ability to identify fragmented versions of previously seen pictures relative to novel pictures. These results are consistent with the previously observed pattern of preserved and impaired verbal priming ability in HD and DAT patients, respectively. The NC subjects, as expected, also demonstrated better performance on the cued recall than on the priming version of the picture fragment test, whereas the HD patients evidenced the opposite relationship on these two tasks and DAT patients were found to be equally impaired on both tests. This finding provides further support for the notion that HD patients' memory impairment is characterized primarily by an inability to initiate systematic retrieval strategies.     

The pattern of reading deterioration in dementia of the Alzheimer type: Observations and implications

Thirteen patients with dementia of the Alzheimer type (DAT) were tested for their ability to read aloud and to read with comprehension. Reading aloud was preserved in all but the most severely impaired cases and was found to be relatively independent of intellectual deterioration. Reading comprehension declined progressively with increasing dementia severity and correlated well with quantitative mental status assessments. The results suggest that the pattern of reading deterioration may aid in the clinical identification of DAT, that the disturbance of reading comprehension is a linguistic deficit rather than a product of visual-perceptual disturbances, and that the alexia is more consistent with an instrumental loss than a de-developmental model of dementia.     

Search of jumping items: visual marking and discrete motion

Watson and Humphreys (1997 Psychological Review 104 90-122) showed that when searching for a target, observers can ignore a previewed set of distractors (other items), effectively decreasing the number of relevant items in a difficult search display and thus speeding performance ('visual marking'). Other researchers have more recently investigated visual marking for continuously moving items, finding that shared features, and preserved inter-item spatial relationships, are helpful. Here, we tested whether visual marking occurs for a set of initial items that moves in one discrete jump (preserving shared features and inter-item spatial relationships). Marking did not occur in these displays, and we interpret this result in the context of previous research on visual marking.     

The crucial role of tense for verb production

The case of an aphasic patient whose spontaneous speech contains very few lexical verbs is reported. Instead of sentences with lexical verbs, the patient produces many (grammatical) copular constructions. He also substitutes lexical verbs with the copula. Although this results in ungrammatical utterances, by doing so, a resemblance of sentence structure and a degree of grammaticality of his utterances are preserved. Although the patient is more impaired in naming action than object pictures, it is unlikely that lexical retrieval difficulties are solely responsible for the paucity of lexical verbs in his speech. A series of tests revealed a profound deficit in producing tense marking inflections and in understanding their significance. We argue that the unavailability of tense features is the primary reason for the lack of lexical verbs in his speech. An alternative possibility, that the tense deficit interacts with the verb retrieval deficit, is also discussed. The patient has a complex lesion and language profile, with features associated with both Broca's and Wernicke's aphasia. However, since the study focuses on his verb and tense deficits and the grammaticality of his utterances, issues that are often discussed in relation to agrammatic Broca's aphasia, the literature that is relevant to these topics and to Broca's aphasia is reviewed, despite the different diagnostic profile of the patient.     

Context Memory in Korsakoff’s Syndrome

Memory for contextual information and target-context integration are crucial for successful episodic memory formation and are impaired in patients with Korsakoff's syndrome. In this paper we review the evidence for the notion that a context memory deficit makes an important contribution to the amnesia in these patients. First, we focus on anterograde memory for contextual (spatial and temporal) information. Next, the use of contextual cues in memory retrieval is examined and their role in retrograde amnesia and confabulation. Evidence on the role of contextual cues and associations in working memory is discussed in relation to the underlying neurocognitive mechanisms and their dissociation from long-term encoding. Finally, we focus on implicit learning of contextual information in Korsakoff patients. It can be concluded that Korsakoff patients are impaired in the explicit processing of contextual information and in target-context binding, both in long-term (retrograde and anterograde) memory and in working memory. These results extend the context memory deficit hypothesis. In contrast, implicit contextual learning is relatively preserved in these patients. These findings are discussed in relation to evidence of dysfunction of the extended diencephalic-hippocampal memory circuit in Korsakoff's syndrome.     

Syntactical knowledge in a case of agrammatism: Evidence from transcoding Roman and Arabic numerals

The ability of an aphasic subject with agrammatism in both comprehension and production to transcribe quantities from Roman numerals to Arabic and the reverse was investigated. Systematic errors in the transcoding processes were observed that could not be accounted for by the peculiarities of the two ideographic coding systems or by difficulties with direct transcoding rules. The results are discussed in the framework of the current debate on preserved/impaired hierarchical syntactical knowledge of agrammatic subjects. The findings paralleled the results of previous studies on the transcoding skills of agrammatics from/to alphabetic numerals to/from digital forms. In the case of this particular patient, it is therefore tentatively concluded in favor of preserved syntactical knowledge.     

Aging and visual marking: selective deficits for moving stimuli

The selective processing of new visual information can be facilitated by the top-down inhibition of old stimuli already in the visual field, a capacity-limited process termed visual marking (D. G. Watson & G. W. Humphreys, 1997). Three experiments assessed the effects of aging on visual marking using stationary (Experiment 1) and moving (Experiments 2 and 3) items. For young participants, visual marking was observed in all experiments. For older participants, visual marking was observed only with stationary items. The results are not consistent with any simple account of general age-related decrements and provide further support for the deployment of different methods of visual marking depending on the properties of the old items and the current task demands.     

The Role of Recollection and Familiarity in Nondemented Parkinson's Patients

The aim of the current study was to examine if recollection and familiarity decline in nondemented Parkinson's patients. To do so we compared a sample of older people with Parkinson's disease (n = 32) to a control sample of healthy older people (n = 32) on an associative recognition task in which we manipulated the repetition of the pairs during the study phase (half of the pairs were presented once and half twice) to obtain corrected estimates of recollection, familiarity, and false recognition based on the logic of the process-dissociation procedure. The results clearly show that recollection is impaired but familiarity is preserved in nondemented Parkinson's patients. The results show that memory for pairs in Parkinson's patients relies largely on the familiarity of each item and not on a precise recollection of associative information, supporting the idea that recollection-based monitoring processes are impaired in these patients.     

Visual imagery and knowledge about the visual appearance of objects in patients with posterior cerebral artery lesions

The purpose of this study was to explore whether patients with left posterior cerebral artery (PCA) lesions have defective mental visual imagery and to differentiate whether such a deficit stems from a loss of knowledge about the visual appearance of objects or from an inability to create mental visual images out of preserved visual knowledge. Normal controls and patients with either left or right PCA lesions were asked to verify low- and high-imagery sentences and then to verify pictorial representations of the predicates of high-imagery sentences. High-imagery questions concerned either the shape or the color of objects. In addition, perceptual discrimination of shape and color was assessed. Patients with right PCA lesions were impaired on the perceptual discrimination tasks. Left PCA patients did not significantly differ from controls on low-imagery sentences but scored significantly lower on shape and color questions. Their impairment was distinctly more severe with the pictorial than with the verbal versions of shape and color questions. In comparison to patients with occipital left PCA lesions, patients with temporo-occipital left PCA lesions were selectively impaired on verbal and visual color questions. It is concluded that patients with left PCA lesions lack knowledge about shape and color of objects, but that their ability to convert visual knowledge into mental images is preserved.     

Atypical development of language and social communication in toddlers with Williams syndrome

Williams syndrome (WS) is a genetic disorder which results in an uneven cognitive profile. Despite superior language compared to other syndromes in the phenotypic outcome, toddlers with WS are as delayed in their language onset and early linguistic development as are toddlers with other syndromes. The cause of this delay in WS is as yet unknown. In a series of experiments, we examined whether atypical socio‐interactive precursors to language could contribute to the explanation of the late language onset and atypical developmental pathways observed in WS. Experiment 1 showed that despite superficially good social skills, toddlers with WS were only proficient at dyadic interaction. They were impaired in triadic interaction, essential for the referential uses of language, and showed none of the correlations between socio‐interactive markers and language seen in the typical controls. Experiment 2 focused on the comprehension and production of referential pointing. Again, the WS group was impaired, despite vocabulary levels higher than those of typically developing controls. Finally, Experiment 3 examined fine motor skills. The WS lack of pointing could not be explained in terms of motor impairments, since the WS toddlers were proficient at fine motor control, such as the pincer grip. Overall, our data indicate that the early stages of WS language follow an atypical pathway. The findings challenge the frequent claims in the literature that individuals with Williams syndrome have preserved linguistic and social skills.     

Long-term follow-up of a childhood amnesic syndrome

In attempting to explain observed dissociations between impaired and preserved memory functioning in amnesia, various dichotomous memory systems (e.g., procedural versus declarative, episodic versus semantic, working versus reference memory) have often been employed. In such cases, the assumption has been that memory subserved by one system is preserved, while that of the other system is impaired. Cohen and Squire have suggested that in amnesia, declarative memory is impaired, although procedural memory is preserved. Long-term follow-up of a densely amnesic patient refutes this view by demonstrating significant anterograde learning of school subjects including reading, vocabulary, spelling, and arithmetic, all of which include some component of declarative memory. It appears that the procedural/declarative dichotomy is not adequate to explain preserved memory in amnesia.     

Alterations in working memory networks in amnestic mild cognitive impairment

Patients with amnestic mild cognitive impairment (aMCI) show preserved or mildly impaired working memory, despite their deficits in episodic memory. We aimed to identify performance and/or neural differences between aMCI patients and matched controls on a standard working memory fMRI task. Neuropsychological assessment demonstrated aMCI impairments in verbal and visual episodic long-term memory, with intact IQ and executive function. Participants completed a standard three-level N-back task where patients were unimpaired. Functional activations in the control group were found in expected areas, including the inferior parietal lobule and dorsolateral prefrontal cortex. Group differences were found in the insula and lingual gyrus and, in a region of interest analysis, in the hippocampus. In all cases, these were caused by an absence of task-related deactivations in the aMCI group. The results are consistent with reports of failure in task-related deacivations in aMCI and could be early indications of pathology.