Anomia with and without lexical comprehension disorders

Anomic patients are usually described as free from language comprehension disorders, but the status of lexical comprehension in anomia is still controversial. Most anomic patients are impaired on tasks of semantic-lexical discrimination, but some of them do not present clear signs of semantic-lexical deficit at the receptive level. The aim of the present research was to elucidate the nature of word-finding disturbances by contrasting results obtained by anomic patients with and without lexical comprehension disorders on a number of variables, namely severity of anomia, implicit knowledge of words that patients failed to name, presence of verbal-semantic paraphasias, and scores obtained on a test of phoneme discrimination and on the "Token Test." The results of our investigation seem to suggest that there are two types of anomia, caused by the impairment of two different sets of mechanisms. In "purely expressive anomia" the locus of defect seems to be near to the stage in which the selected lexical item is specified into the appropriate phonological form. In "anomia with lexical comprehension disturbances" the locus of defect seems to be much deeper within the lexicon, so that the semantic disorder affects both the expressive and the receptive levels in a roughly comparable manner.     

Semantic disorders of auditory language comprehension in right brain-damaged patients

A test of auditory language comprehension was given to 110 right brain-damaged patients and to 94 normal controls in order to check if patients with lesions of the right (nondominant) hemisphere make a significantly higher number of semantic errors than normals. Confirmation of the hypothesis was obtained, but the relationship between semantic errors and lesion of the right hemisphere did not seem a simple and direct one. In fact, most of the lexical-semantic errors were due to associated variables (such as unilateral spatial agnosia and general mental deterioration) and not to the lesion of the right hemisphere per se. These data do not suggest a specific semantic capacity of the nondominant hemisphere but rather stress the fragility of the lexical-semantic organization at the cortical level.This work was assisted by a grant from C.N.R. (Consiglio Nazionale delle Ricerche).     

The Italian version of the Thinking About Life Experiences Questionnaire and its relationship with gender,age, and life events on Facebook

The present study provided a cross-cultural validation of the Thinking About Life Experiences Scale-revised (TALE-R) in an Italian sample of Facebook users (n = 492; female = 378; male = 114; mean age 26.1) to test for replication and universality of the TALE-R three-factor model. Furthermore, it explored the interrelations among gender, age, the scores at the TALE-R and the frequency of posting textual/visual information about individuals' life events on Facebook. Results at exploratory and confirmatory factor analysis gave empirical support to both of a tripartite model for the functions of autobiographical memory (i.e., directive-behavior, social-bonding, and self-continuity) and measurement invariance of this three-factor model across gender and age. Further results at linear correlation and regression analyses showed that directive-behavior and self-continuity functions of autobiographical memory are significantly related to the ways people use Facebook for personal documentation. Age differences more than gender influence this association. Discussion and conclusion reported both theoretical and empirical implications of the findings of the study.     

The role of Broca's area in speech perception: evidence from aphasia revisited

Motor theories of speech perception have been re-vitalized as a consequence of the discovery of mirror neurons. Some authors have even promoted a strong version of the motor theory, arguing that the motor speech system is critical for perception. Part of the evidence that is cited in favor of this claim is the observation from the early 1980s that individuals with Broca’s aphasia, and therefore inferred damage to Broca’s area, can have deficits in speech sound discrimination. Here we re-examine this issue in 24 patients with radiologically confirmed lesions to Broca’s area and various degrees of associated non-fluent speech production. Patients performed two same-different discrimination tasks involving pairs of CV syllables, one in which both CVs were presented auditorily, and the other in which one syllable was auditorily presented and the other visually presented as an orthographic form; word comprehension was also assessed using word-to-picture matching tasks in both auditory and visual forms. Discrimination performance on the all-auditory task was four standard deviations above chance, as measured using d′, and was unrelated to the degree of non-fluency in the patients’ speech production. Performance on the auditory–visual task, however, was worse than, and not correlated with, the all-auditory task. The auditory–visual task was related to the degree of speech non-fluency. Word comprehension was at ceiling for the auditory version (97% accuracy) and near ceiling for the orthographic version (90% accuracy). We conclude that the motor speech system is not necessary for speech perception as measured both by discrimination and comprehension paradigms, but may play a role in orthographic decoding or in auditory–visual matching of phonological forms.     

Variation in the pattern of omissions and substitutions of grammatical morphemes in the spontaneous speech of so-called agrammatic patients

We describe the patterns of omissions (and substitutions) of freestanding grammatical morphemes and the patterns of substitutions of bound grammatical morphemes in 20 so-called agrammatic patients. Extreme variation was observed in the patterns of omissions and substitutions of grammatical morphemes, both in terms of the distribution of errors for different grammatical morphemes as well as in terms of the distribution of omissions versus substitutions. Results are discussed in the context of current debates concerning the possibility of a theoretically motivated distinction between the clinical categories of agrammatism and paragrammatism and, more generally, concerning the theoretical usefulness of any clinical category. The conclusion is reached that the observed heterogeneity in the production of grammatical morphemes among putatively agrammatic patients renders the clinical category of agrammatism, and by extension all other clinical categories from the classical classification scheme (e.g., Broca's aphasia, Wernicke's aphasia, and so forth) to more recent classificatory attempts (e.g., surface dyslexia, deep dysgraphia, and so forth), theoretically useless.     

Cognitive analysis of a case of pure dysgraphia

An Italian patient with a pure dysgraphia who incorrectly spelled words and nonwords is described. The spelling errors made by the patient were not affected by lexical factors (e.g., frequency, form class) and were qualitatively the same for words and nonwords. The pattern of writing performance is discussed in relation to current models of writing and, specifically, in relation to the role of the Output Grapheme Buffer and Phoneme-Grapheme Conversion in writing.     

The structure of graphemic representations

The analysis of the spelling performance of a brain-damaged dysgraphic subject is reported. The subject's spelling performance was affected by various graphotactic factors, such as the distinction between consonant and vowel and graphosyllabic structure. For example, while the subject produced many consonant and vowel deletion errors when these were part of consonant and vowel clusters, respectively (e.g., sfondo----sondo; giunta----gunta), deletions were virtually never produced for single consonants flanked by two vowels (e.g., onesto----oesto) or for single vowels flanked by two consonants (e.g., tirare----trare). The demonstration that graphosyllabic factors affect spelling performance disconfirms the hypothesis that graphemic representations consist simply of linearly ordered sets of graphemes. It is concluded that graphemic representations are multidimensional structures: one dimension specifies the grapheme identities that comprise the spelling of a word; a second dimension specifies the consonant/vowel status of the graphemes; a third dimension represents the graphosyllabic structure of the grapheme string; and, a fourth dimension provides information about geminate features.