Characteristics of auditory agnosia in a child with severe traumatic brain injury: a case report

We present a case that is unusual in many respects from other documented incidences of auditory agnosia, including the mechanism of injury, age of the individual, and location of neurological insult. The clinical presentation is one of disturbance in the perception of spoken language, music, pitch, emotional prosody, and temporal auditory processing in the absence of significant deficits in the comprehension of written language, expressive language production, or peripheral auditory function. Furthermore, the patient demonstrates relatively preserved function in other aspects of audition such as sound localization, voice recognition, and perception of animal noises and environmental sounds. This case study demonstrates that auditory agnosia is possible following traumatic brain injury in a child, and illustrates the necessity of assessment with a wide variety of auditory stimuli to fully characterize auditory agnosia in a single individual.     

Production of graphic symbol sentences by individuals with aphasia: efficacy of a computer-based augmentative and alternative communication intervention

The study employed a single-subject multiple baseline design to examine the ability of 9 individuals with severe Broca's aphasia or global aphasia to produce graphic symbol sentences of varying syntactical complexity using a software program that turns a computer into a speech output communication device. The sentences ranged in complexity from simple two-word phrases to those with morphological inflections, transformations, and relative clauses. Overall, results indicated that individuals with aphasia are able to access, manipulate, and combine graphic symbols to produce phrases and sentences of varying degrees of syntactical complexity. The findings are discussed in terms of the clinical and public policy implications.     

A Multitrait–Multisource Confirmatory Factor Analytic Approach to the Construct Validity of ADHD and ODD Rating Scales with Malaysian Children

Confirmatory factor analysis (CFA) was used to model a multitrait by multisource matrix to determine the convergent and discriminant validity of measures of attention-deficit hyperactivity disorder (ADHD)-inattention (IN), ADHD-hyperactivity/impulsivity (HI), and oppositional defiant disorder (ODD) in 917 Malaysian elementary school children. The three trait factors were ADHD-IN, ADHD-HI, and ODD. The two source factors were parents and teachers. Similar to earlier studies with Australian and Brazilian children, the parent and teacher measures failed to show convergent and discriminant validity with Malaysian children. The study outlines the implications of such strong source effects in ADHD-IN, ADHD-HI, and ODD measures for the use of such parent and teacher scales to study the symptom dimensions.     

Final part-word repetitions in school-age children: two case studies

In contrast to the many published accounts of the disfluent repetition of sounds at the beginnings of words, cases where it is predominantly the final parts of words that are repeated have been reported relatively rarely. With few exceptions, those studies that have been published have described either pre-school children or neurologically impaired subjects. The purpose of this case report was to describe final part-word repetitions in the speech of two school-age boys of normal intelligence with no known neurological lesions. Their speech was recorded during spontaneous conversation, reading, and sentence repetition. The repetitions occurred in all three speaking conditions, although the majority of instances were observed in spontaneous speech, and on both content words and function words. The participants exhibited no apparent awareness of the disfluencies, no abnormal muscle tension, and no accessory behaviours. Each child produced word-final repeated fragments whose phonological structure was highly predictable according to his individual set of rules. The results are discussed in terms of possible motor and cognitive explanations for the disfluencies. EDUCATIONAL OBJECTIVES: As a result of this activity, the participant will be able to: (1) summarize prior research into final part-word repetition; (2) describe the detailed characteristics of final part-word repetitions as displayed by two children of normal intelligence; and (3) discuss ways in which the behaviour might be explained as part of a model of speech production.     

Multiple-object tracking is based on scene, not retinal, coordinates

This study tested whether multiple-object tracking-the ability to visually index objects on the basis of their spatiotemporal history-is scene based or image based. Initial experiments showed equivalent tracking accuracy for objects in 2-D and 3-D motion. Subsequent experiments manipulated the speeds of objects independent of the speed of the scene as a whole. Results showed that tracking accuracy was influenced by object speed but not by scene speed. This held true whether the scene underwent translation, zoom, rotation, or even combinations of all 3 motions. A final series of experiments interfered with observers' ability to see a coherent scene by moving objects at different speeds from one another and by distorting the perception of 3-D space. These reductions in scene coherence led to reduced tracking accuracy, confirming that tracking is accomplished using a scene-based, or allocentric, frame of reference.     

Perception of visual speed while moving

During self-motion, the world normally appears stationary. In part, this may be due to reductions in visual motion signals during self-motion. In 8 experiments, the authors used magnitude estimation to characterize changes in visual speed perception as a result of biomechanical self-motion alone (treadmill walking), physical translation alone (passive transport), and both biomechanical self-motion and physical translation together (walking). Their results show that each factor alone produces subtractive reductions in visual speed but that subtraction is greatest with both factors together, approximating the sum of the 2 separately. The similarity of results for biomechanical and passive self-motion support H. B. Barlow's (1990) inhibition theory of sensory correlation as a mechanism for implementing H. Wallach's (1987) compensation for self-motion.     

Testing comprehension abilities in users of British Sign Language following CVA

Recent imaging (e.g., MacSweeney et al., 2002) and lesion (Hickok, Love-Geffen, & Klima, 2002) studies suggest that sign language comprehension depends primarily on left hemisphere structures. However, this may not be true of all aspects of comprehension. For example, there is evidence that the processing of topographic space in sign may be vulnerable to right hemisphere damage (e.g., Hickok, Say, Bellugi, & Klima, 1996), and the influence of iconicity on comprehension has yet to be explored. In this study, comprehension testing was conducted with 15 signers with unilateral brain damage, and with elderly Deaf controls. Four tests were administered: a test of iconic and non-iconic noun comprehension, a test of verb and sentence comprehension, a test of locative sentence comprehension, and a test of classifier comprehension. All tests were administered in British Sign Language (BSL), a language that has only recently been explored with lesioned signers (see Atkinson, Marshall, Thacker, & Woll, 2004; Marshall, Atkinson, Thacker, Woll, & Smulevitch, 2004; Marshall, Atkinson, Woll, & Thacker, in press). People with left hemisphere damage were impaired relative to controls on all tests. Those with right hemisphere damage performed well in the first two tests, but were impaired on locative sentences and classifiers. Neither group showed any effect of iconicity. The results shed further light on the laterality of sign language comprehension.     

Syllable structure and sonority in language inventory and aphasic neologisms

Phonological theories have raised the notion of a universally preferred syllable type which is defined in terms of its sonority structure (e.g., ). Empirical evidence for this notion has been provided by distributional analyses of natural languages and of language acquisition data, and by aphasic speech error analyses. The present study investigates frequency distributions of syllable types in German, which allows for a rather complex syllable structure, and in neologistic utterances of a German speaking jargon aphasic. The findings suggest that the sonority structure of the patient's neologisms is generally in accordance with the notion of theoretically preferred syllables. Moreover, comparative analyses suggest that the predominance of the preferred syllable type is especially pronounced in the aphasic data. On the basis of these findings, the influence of sonority in impaired phonological lexical processing is discussed.     

The processing of the right-sided accent mark in left neglect dyslexia

Italian polysyllabic words with stress falling on the last syllable are written with a diacritic sign on the last vowel. It allows discrimination between two words with the same orthographic segments (e.g., papa [pope], papà [dad]). The effect of the accent mark in left neglect dyslexia has never been investigated. In the current study, six patients with neglect dyslexia were asked to read aloud homographic words and non-words, with or without the accent mark. The presence of the accent improved reading performance of three patients but only with real words. In contrast, two patients ignored the accent mark, even if it relied on the right ipsilesional space. We conclude that the accent mark is computed separately from letter identity and that it can act as an important cue for lexical access.     

Idiom comprehension deficits in relation to corpus callosum agenesis and hypoplasia in children with spina bifida meningomyelocele

Idioms are phrases with figurative meanings that are not directly derived from the literal meanings of the words in the phrase. Idiom comprehension varies with: literality, whether the idiom is literally plausible; compositionality, whether individual words contribute to a figurative meaning; and contextual bias. We studied idiom comprehension in children with spina bifida meningomyelocele (SBM), a neurodevelopmental disorder associated with problems in discourse comprehension and agenesis and hypoplasia of the corpus callosum. Compared to age peers, children with SBM understood decomposable idioms (which are processed more like literal language) but not non-decomposable idioms (which require contextual analyses for acquisition). The impairment in non-decomposable idioms was related to congenital agenesis of the corpus callosum, which suggests that the consequences of impaired interhemispheric communication, whether congenital or acquired in adulthood, are borne more by configurational than by compositional language.