Are semantic errors actually semantic?: Evidence from alzheimer's disease

Patients with Alzheimer's disease (AD) produce a high rate of semantic errors when naming to confrontation. This is considered to be one of the many consequences of their semantic memory deficit. However, it has been shown, in aphasic patients with focal lesions, that semantic errors could arise from impairment to any one of the levels in the naming process. To check this hypothesis in AD, we assessed in 15 patients the capacity to name and access semantic knowledge (by multiple-choice probe questions) about 14 objects presented successively in the visual, tactile, auditory, and verbal modalities. In the visual naming task, 33 errors were recorded: 26 (78.8%) were semantic and 7 (21.2%) were unrelated errors. Of the 26 semantic errors, 8 were related to a deficit of the semantic knowledge related to the item and 17 to a deficit in the retrieval of the phonological form of the word. One was associated with a deficit of access to semantic knowledge in the visual modality. The 7 unrelated errors were associated with a loss of semantic knowledge for 4 and deficit of access to the phonological form for 3. In conclusion, this study shows that semantic errors do not systematically reflect a deficit of semantic knowledge in Alzheimer's disease. It also seems that unrelated errors are more frequently related to semantic deficits than semantic errors in this population.     

Priming and semantic memory loss in Alzheimer's disease

Semantic memory (SM) was investigated in six patients with probable Alzheimer's disease (AD) by on-line measurement of semantic priming in a lexical decision task, and off-line tests of comprehension. Detailed assessment was carried out on naming, name comprehension, and probes of semantic knowledge with a battery of 150 items. The patients performed normally on perceptual tests and displayed an item-specific loss of knowledge on the semantic tests. In a primed lexical decision task, greater semantic priming was found relative to age-matched normals. The priming was substantially greater for items with "degraded" representations as determined by the off-line tests. Lexical decision was also performed more slowly on these items. These unexpected results demand a reevaluation of the concepts of the lexicon and semantic memory structure and their possible alteration in dementia.     

Dissociation of semantic and phonological errors in naming

We report the naming performance of a fluent aphasic, DP, who shows a striking dissociation between semantic and phonological (nonword) errors: he produced numerous semantic errors but virtually no phonological errors. DP's pattern of performance is the reverse of that reported for patient DM (Caramazza, Papagno, & Ruml, 2000), who only made phonological errors in a naming task. These patterns of performance are inconsistent with the proposal by Dell, Schwartz, Martin, Saffran, and Gagnon (1997) that the naming deficit in fluent aphasia is the result of global damage to all levels of the lexical access system and support instead the hypothesis that brain damage can selectively disrupt distinct subcomponents of the lexical processing system.     

Semantic impairment and anomia in Alzheimer''s disease

Impairment in naming visually presented objects was investigated in patients with a clinical diagnosis of Alzheimer's disease. Impaired object naming correlated with difficulty listing the names of objects from a specified semantic category and with erroneous selection of words semantically related to the correct names for objects in a name recognition test. These results suggest that patients with Alzheimer's disease have a semantic impairment characterized by inability to distinguish among objects that are members of the same semantic category, and that this impairment is associated with difficulty producing the names for objects. Semantic impairment was present in patients with normal ability to discriminate visually presented shapes, indicating that the semantic deficit in Alzheimer's disease occurs independently of abnormalities of visuospatial function. Patients tended to make errors on the same items in both confrontation naming and name recognition tests, suggesting that the semantic impairment in Alzheimer's disease involves loss of information about specific objects and their names.     

Contextual priming in semantic anomia: a case study

The present case continues the series of anomia treatment studies with contextual priming (CP), being the second in-depth treatment study conducted for an individual suffering from semantically based anomia. Our aim was to acquire further evidence of the facilitation and interference effects of the CP treatment on semantic anomia. Based on the results of the study of , our hypothesis before the treatment was that our participant would show short-term interference and at most modest and short-term benefit from treatment. To acquire such evidence would not only be important for the choice of anomia treatment methods in individual patients, but would also prompt further development of the CP method. The CP technique used for our participant included cycles of repeating and naming items in three contextual conditions (semantic, phonological, and unrelated). As predicted, the overall improvement of naming was modest and short-term. Interestingly, the contextual condition that corresponded with the nature of our patient's underlying naming deficit (semantic) elicited immediate interference in the form of contextual naming errors, as well as short-term improvement of naming. Based on this and a recent study by , it appears that despite short-term positive effects, in its current form the CP treatment is not sufficient for those aphasics who have a semantic deficit underlying their anomia. The possible mechanism and directions for future research are discussed.     

Lexical Retrieval Deficit in Picture Naming: Implications for Word Production Models

In models of word retrieval, it is common to differentiate lexical-semantic (word meaning) and lexical-phonological (word form) levels. There has been considerable interest in the relationship between these two levels. The so-called discrete two-stage model claims that phonological activation follows selection at the lexical-semantic level and is limited only to the selected item. In contrast, nondiscrete (interactive and cascade) models assume that all activated lexical-semantic candidates are also phonologically activated to some extent. We addressed this issue by studying an anomic patient who suffered from a partial functional disconnection between lexical-semantic and lexical-phonological levels. A multitarget repeated naming task with phonological training was employed. Systematic manipulation of semantic and phonological relatedness between the to-be-named items indicated that our patient's word error patterns were sensitive to both types of lexical relatedness. A delayed repetition task employing the same items failed to show similar effects, suggesting that they were specific to naming. The discrete two-stage model is unable to explain the observed effects of semantic and phonological relatedness. However, they are consistent with assumptions of nondiscrete models of lexical retrieval. In addition to the theoretical implications of this study, the observed effects of lexical context on word retrieval have implications for treatment of anomia.     

Automatic processes in lexical access and spreading activation.

The semantic priming effect can be reduced or eliminated depending on how the prime word is processed. The experiments reported here investigate this prime task effect. Two experiments used identity and semantic priming tasks to determine whether the prime word is encoded at a lexical level under letter-search conditions. When the prime task was naming, both identity and semantic priming occurred; however, when a letter-search task was performed on the prime word, only identity priming occurred, thus supporting the argument that the search task affects activation of semantic associates rather than lexical access of the prime word. Another experiment demonstrated that this identity priming was the result of lexical processes rather than of letter-by-letter priming. A cross-modal priming technique demonstrated that the letter-search prime task does not actively suppress activation of semantic associates. The implications of these results for automaticity and for proposed mechanisms of priming are discussed.     

Behavioral and electrical brain measures of semantic priming in patients with Alzheimer's disease: implications for access failure versus deterioration hypotheses

This study investigated the nature of anomia and semantic memory deficits in patients with Alzheimer's disease (DAT). We measured reaction time (RT) and the N400 event-related brain potential (ERP) in a word-picture semantic priming paradigm for DAT patients and elderly controls. For patients, pictures were classified as a function of the individual's naming ability to determine whether naming deficits reflected a failure to access a picture's name or reflected a deterioration of its semantic representation. As expected, DAT patients had significantly poorer naming performance than controls. For successfully named pictures, robust RT and ERP priming effects were obtained in both groups. In DAT patients, priming for unnamed pictures was heterogeneous. The results are discussed in terms of current hypotheses of semantic memory deficits in DAT.     

Visual word recognition of single-syllable words

Speeded visual word naming and lexical decision performance are reported for 2428 words for young adults and healthy older adults. Hierarchical regression techniques were used to investigate the unique predictive variance of phonological features in the onsets, lexical variables (e.g., measures of consistency, frequency, familiarity, neighborhood size, and length), and semantic variables (e.g. imageahility and semantic connectivity). The influence of most variables was highly task dependent, with the results shedding light on recent empirical controversies in the available word recognition literature. Semantic-level variables accounted for unique variance in both speeded naming and lexical decision performance, level with the latter task producing the largest semantic-level effects. Discussion focuses on the utility of large-scale regression studies in providing a complementary approach to the standard factorial designs to investigate visual word recognition.     

Ambiguity and synonymy effects in lexical decision,naming, and semantic categorization tasks: interactions between orthography,phonology, and semantics

In this article, ambiguity and synonymy effects were examined in lexical decision, naming, and semantic categorization tasks. Whereas the typical ambiguity advantage was observed in lexical decision and naming, an ambiguity disadvantage was observed in semantic categorization. In addition, a synonymy effect (slower latencies for words with many synonyms than for words with few synonyms) was observed in lexical decision and naming but not in semantic categorization. These results suggest that (a) an ambiguity disadvantage arises only when a task requires semantic processing, (b) the ambiguity advantage and the synonymy disadvantage in lexical decision and naming are due to semantic feedback, and (c) these effects are determined by the nature of the feedback relationships from semantics to orthography and phonology.     

Contribution of perceptual and lexical-semantic errors to the naming impairments in Alzheimer's disease

The contribution of perceptual and semantic processing deficits to naming-test performance by Alzheimer's Disease subjects was examined. Groups of 34 Alzheimer subjects and 25 elderly controls completed tests of naming standard line drawings and naming perceptually degraded figures, and a test of verbal fluency for a specific semantic category. Alzheimer subjects were impaired on all measures and, when their naming-test errors were analyzed, they showed higher proportions of perceptual errors and failures to respond. Further, considerable variability in the proportions of different types of error was found both among subjects and among test items. These findings indicate that poor naming-test performance cannot necessarily be attributed to a specific deficit in semantic processing. Also, the discrepancies between previous reports of the naming deficits in Alzheimer's Disease may reflect differences in task difficulty and item selection that were apparent in this study.     

Locus of inhibition effects in the priming of lexical decisions: pre- or postlexical access?

The lexical decision task has been employed to investigate the effects of semantic context on word recognition. A frequent finding from the task is that “word” responses are slower when the target is preceded by an unrelated word than when it is preceded by a neutral stimulus. This inhibition effect has been interpreted as indicating that the unrelated prime interferes with word-recognition processes operating on the target. In three experiments, the effects of unrelated primes were compared for a lexical decision and word naming task. Although large inhibition effects were found for the lexical decision task in all experiments, no inhibition effects were observed for the naming task. The results are interpreted as demonstrating that inhibition effects in the lexical decision task are not on recognition processes; rather they are located at processes operating after recognition of the target has occurred.     

Pre- and postlexical loci of contextual effects on word recognition

The context in which a word occurs could influence either the actual decoding of the word or a postrecognition judgment of the relatedness of word and context. In this research, we investigated the loci of contextual effects that occur in lexical priming, when prime and target words are related along different dimensions. Both lexical decision and naming tasks were used because previous research had suggested that they are differentially sensitive to postlexical processing. Semantic and associative priming occurred with both tasks. Other facilitative contextual effects, due to syntactic relations between words, backward associations, or changes in the proportion of related items, occurred only with the lexical decision task. The results indicate that only associative and semantic priming facilitate the decoding of a target; the other effects are postlexical. The results are related to the different demands of the naming and lexical decision tasks, and to current models of word recognition.     

The interaction of multiple routes in oral reading: evidence from dissociations in naming and oral reading in phonological dyslexia

During oral reading we hypothesized that lexical representations are activated and selected for output by the simultaneous activation of the semantic, the direct lexical orthography to phonology, and the sublexical grapheme-to-phoneme conversion (GPC) routes (Southwood & Chatterjee, 1999). Serial models of reading argue that the semantic route governs oral reading with minimal influence from the nonlexical direct route and the sublexical GPC route. These models predict that semantic errors should occur in reading when the semantic route and GPC are both impaired. The Simultaneous Activation Hypothesis predicts few semantic errors in oral reading but many during picture naming. Semantic errors are infrequent in reading because information from all three reading routes constrains activation of a phonological entry. By contrast phonological selection in picture naming is constrained primarily by the semantic route and if damaged additional information is unavailable to select the appropriate phonological code. In agreement with the Simultaneous Activation Hypothesis five phonological dyslexics produced semantic errors during picture naming but not when reading aloud. Phonological errors were present during oral reading and minimal during picture naming.     

Lexical Anomia: Or the Case of the Missing Lexical Entries

This paper reports the case of an aphasic patient, EE, with a problem in word retrieval. He is consistently unable to produce specific lexical items, which tend to be items of low rated familiarity. His retrieval of these words is not aided by the provision of phonemic cues or extra time for word retrieval. His errors consist primarily of failures to respond, and the provision of semantic information without any attempt at the target. It is argued that this pattern of performance is consistent with the loss of specific lexical items from a phonological lexicon for speech production.

EE is shown to have no impairment in auditory recognition and comprehension of the lexical items that are unavailable for naming. This dissociation is problematic for theories that propose a single phonological lexicon for both word recognition and production, but is easily accounted for by separate input and output lexicons.     

An attenuation of the 'normal' category effect in patients with Alzheimer's disease: a review and bootstrap analysis

There is a consensus that Alzheimer's disease (AD) impairs semantic information, with one of the first markers being anomia i.e. an impaired ability to name items. Doubts remain, however, about whether this naming impairment differentially affects items from the living and nonliving knowledge domains. Most studies have reported an impairment for naming living things (e.g. animals or plants), a minority have found an impairment for nonliving things (e.g. tools or vehicles), and some have found no category-specific effect. A survey of the literature reveals that this lack of agreement may reflect a failure to control for intrinsic variables (such as familiarity) and the problems associated with ceiling effects in the control data. Investigating picture naming in 32 AD patients and 34 elderly controls, we used bootstrap techniques to deal with the abnormal distributions in both groups. Our analyses revealed the previously reported impairment for naming living things in AD patients and that this persisted even when intrinsic variables were covaried; however, covarying control performance eliminated the significant category effect. Indeed, the within-group comparison of living and nonliving naming revealed a larger effect size for controls than patients. We conclude that the category effect in Alzheimer's disease is no larger than is expected in the healthy brain and may even represent a small diminution of the normal profile.     

The locus of the frequency effect in picture naming: When recognizing is not enough

The lexical frequency effect in picture naming is generally assumed to constitute a signature of lexical access. Lexical frequency, however, is correlated with other variables, like concept familiarity, that can produce effects similar to those of lexical frequency in picture naming tasks. In this study, a delayed picture naming task was employed to address the hypothesis that the frequency effect in picture naming is due to variables that affect processing in the perceptual and semantic identification stages (i.e., input stages). Despite the fact that all the input processing stages were completed prior to the presentation of the naming cue, a strong frequency effect was still obtained in this task. These results establish that the lexical frequency effect is independent of variables affecting the input stages of picture naming, and, hence, confirm the lexical frequency effect as a signature effect of lexical access.     

Distributed versus Localist Representations: Evidence from a Study of Item Consistency in a Case of Classical Anomia

Models of word production and comprehension can be split into two broad classes: localist and distributed. In localist architectures each word within the lexicon is represented by a single unit. The distributed approach, on the other hand, encodes each lexical item as a pattern of activation across a set of shared units. If we assume that the localist representations are more than a convenient shorthand for distributed representations at the neuroanatomical level, it should be possible to find patients who, after brain injury, have lost specific words from their premorbid vocabulary.Following a closed head injury, JS had severe word-finding difficulties with no measurable semantic impairment nor did he make phonological errors in naming. Cueing with an initial phoneme proved relatively ineffective. JS showed a high degree of item consistency across three administrations of two tests of naming to confrontation. This consistency could not be predicted from a linear combination of psycholinguistic variables but the distribution fitted a stochastic model in which it is assumed that a proportion of items have become consistently unavailable.Further evidence is presented which suggests that these items are not, in fact, lost but rather have a very low probability of retrieval. Given phonemic cueing of sufficient length, or delayed repetition priming from a written word, the consistently unnamed items were produced by JS. Additional data is reported which seems to support a distributed model of speech production. JS's naming accuracy for one set of pictures was found to predict his performance on a second set of items only when the names of the pictures were both semantically and phonologically related (e.g., cat–rat). There was no association for pairs of pictures if they were only semantically (e.g., cat–dog) or phonologically related (e.g., cat–cap).It is argued that JS's data are best described in terms of a graded, non-linear, distributed model of speech production.