Unpicking the semantic impairment in Alzheimer's disease: qualitative changes with disease severity

Despite a vast literature examining semantic impairment in Alzheimer's disease (AD), consensus regarding the nature of the deficit remains elusive. We re-considered this issue in the context of a framework that assumes semantic cognition can break down in two ways: (1) core semantic representations can degrade or (2) cognitive control mechanisms can become impaired. We hypothesised and confirmed that the nature of semantic impairment in AD changes with disease severity. Patients at mild or severe stages of the disorder exhibited impairment across various semantic tasks but the nature of those deficits differed qualitatively for the two groups. Commensurate with early dysfunction of the cognitive control, temporoparietal-frontal-cingulate network, characteristics of deregulated semantic cognition were exhibited by the mild AD cases. In contrast, the severe AD group reproduced features of additional degradation of core semantic representations. These results suggest that spread of pathology into lateral anterior temporal lobes in later stage AD produces degradation of semantic representations, exacerbating the already deregulated system. Moreover, the dual nature of severe patients' impairment was highlighted by disproportionately poor performance on tasks placing high demand on both conceptual knowledge and control processes--e.g., category fluency.     

Motivated semantic control: Exploring the effects of extrinsic reward and self-reference on semantic retrieval in semantic aphasia

Recent insights show that increased motivation can benefit executive control, but this effect has not been explored in relation to semantic cognition. Patients with deficits of controlled semantic retrieval in the context of semantic aphasia (SA) after stroke may benefit from this approach since ‘semantic control’ is considered an executive process. Deficits in this domain are partially distinct from the domain-general deficits of cognitive control. We assessed the effect of both extrinsic and intrinsic motivation in healthy controls and SA patients. Experiment 1 manipulated extrinsic reward using high or low levels of points for correct responses during a semantic association task. Experiment 2 manipulated the intrinsic value of items using self-reference, allocating pictures of items to the participant (‘self’) or researcher (‘other’) in a shopping game before participants retrieved their semantic associations. These experiments revealed that patients, but not controls, showed better performance when given an extrinsic reward, consistent with the view that increased external motivation may help ameliorate patients’ semantic control deficits. However, while self-reference was associated with better episodic memory, there was no effect on semantic retrieval. We conclude that semantic control deficits can be reduced when extrinsic rewards are anticipated; this enhanced motivational state is expected to support proactive control, for example, through the maintenance of task representations. It may be possible to harness this modulatory impact of reward to combat the control demands of semantic tasks in SA patients.     

The contribution of executive control to semantic cognition: Convergent evidence from semantic aphasia and executive dysfunction

Semantic cognition, as described by the controlled semantic cognition (CSC) framework (Rogers et al., 2015 , Neuropsychologia, 76, 220), involves two key components: activation of coherent, generalizable concepts within a heteromodal ‘hub’ in combination with modality‐specific features (spokes), and a constraining mechanism that manipulates and gates this knowledge to generate time‐ and task‐appropriate behaviour. Executive–semantic goal representations, largely supported by executive regions such as frontal and parietal cortex, are thought to allow the generation of non‐dominant aspects of knowledge when these are appropriate for the task or context. Semantic aphasia (SA) patients have executive–semantic deficits, and these are correlated with general executive impairment. If the CSC proposal is correct, patients with executive impairment should not only exhibit impaired semantic cognition, but should also show characteristics that align with those observed in SA. This possibility remains largely untested, as patients selected on the basis that they show executive impairment (i.e., with ‘dysexecutive syndrome’) have not been extensively tested on tasks tapping semantic control and have not been previously compared with SA cases. We explored conceptual processing in 12 patients showing symptoms consistent with dysexecutive syndrome (DYS) and 24 SA patients, using a range of multimodal semantic assessments which manipulated control demands. Patients with executive impairments, despite not being selected to show semantic impairments, nevertheless showed parallel patterns to SA cases. They showed strong effects of distractor strength, cues and miscues, and probe–target distance, plus minimal effects of word frequency on comprehension (unlike semantic dementia patients with degradation of conceptual knowledge). This supports a component process account of semantic cognition in which retrieval is shaped by control processes, and confirms that deficits in SA patients reflect difficulty controlling semantic retrieval.     

The Rugged Resilience Measure: Development and Preliminary Validation of a Brief Measure of Personal Resilience

Applied Research in Quality of Life - There is an increasing demand for brief measures of resilience that can distinguish different dimensions of successful adaptation and good quality of life...     

Ignorance is bliss: the role of observer expectation in dynamic spatial tuning of the attentional focus

When two sequential targets (T1, T2) are inserted in an RSVP stream of distractors, perception of T2 is impaired at intertarget lags shorter than 700 msec. Paradoxically, this deficit disappears when T2 is presented directly after T1 (lag-1 sparing). Visser, Bischof, and Di Lollo (1999) found that lag-1 sparing occurs only when T1 and T2 are presented in the same stream. In contrast, Shih (2000) obtained lag-1 sparing with targets insepa-rate streams. Four experiments addressed this inconsistency and revealed lag-1 sparing with targets in different streams, but only when observers had no foreknowledge of T1's location. We hypothesized that when T1 location is known, attention is focused narrowly on that stream; if T2 then appears in the other stream it is missed, and lag-1 sparing does not occur. When T1 location is not known, attention is focused broadly, encompassing both streams, and lag-1 sparing ensues.     

Lexical and semantic influences on item and order memory in immediate serial recognition: Evidence from a novel task

Previous studies have reported that, in contrast to the effect on immediate serial recall, lexical/semantic factors have little effect on immediate serial recognition. This has been taken as evidence that linguistic knowledge contributes to verbal short-term memory in a redintegrative process at recall. Contrary to this view, we found that lexicality, frequency, and imageability all influenced matching span. The standard matching span task, requiring changes in item order to be detected, was less susceptible to lexical/semantic factors than was a novel task involving the detection of phoneme order and hence item identity changes. Therefore, in both immediate recognition and immediate serial recall, lexical/semantic knowledge makes a greater contribution to item identity than to item order memory. Task sensitivity, and not the absence of overt recall, may have underpinned previous failures to show effects of these variables in immediate recognition. We also compared matching span for pure and unpredictable mixed lists of words and nonwords. Lexicality had a larger impact on immediate recognition for pure than for mixed lists, in line with findings for immediate serial recall. List composition affected the detection of phoneme but not item order changes in matching span; similarly, in recall, mixed lists produce more frequent word phoneme migrations but not migrations of entire items. These results point to strong similarities between immediate serial recall and recognition. Lexical/semantic knowledge may contribute to phonological stability in both tasks.     

Lexical and semantic influences on item and order memory in immediate serial recognition: evidence from a novel task

Previous studies have reported that, in contrast to the effect on immediate serial recall, lexical/semantic factors have little effect on immediate serial recognition. This has been taken as evidence that linguistic knowledge contributes to verbal short-term memory in a redintegrative process at recall. Contrary to this view, we found that lexicality, frequency, and imageability all influenced matching span. The standard matching span task, requiring changes in item order to be detected, was less susceptible to lexical/semantic factors than was a novel task involving the detection of phoneme order and hence item identity changes. Therefore, in both immediate recognition and immediate serial recall, lexical/semantic knowledge makes a greater contribution to item identity than to item order memory. Task sensitivity, and not the absence of overt recall, may have underpinned previous failures to show effects of these variables in immediate recognition. We also compared matching span for pure and unpredictable mixed lists of words and nonwords. Lexicality had a larger impact on immediate recognition for pure than for mixed lists, in line with findings for immediate serial recall. List composition affected the detection of phoneme but not item order changes in matching span; similarly, in recall, mixed lists produce more frequent word phoneme migrations but not migrations of entire items. These results point to strong similarities between immediate serial recall and recognition. Lexical/semantic knowledge may contribute to phonological stability in both tasks.     

<Emphasis Type="Bold">Keeping it together: Semantic coherence stabilizes phonological sequences in short-term memory</Emphasis>

Our ability to hold a sequence of speech sounds in mind, in the correct configuration, supports many aspects of communication, but the contribution of conceptual information to this basic phonological capacity remains controversial. Previous research has shown modest and inconsistent benefits of meaning on phonological stability in short-term memory, but these studies were based on sets of unrelated words. Using a novel design, we examined the immediate recall of sentence-like sequences with coherent meaning, alongside both standard word lists and mixed lists containing words and nonwords. We found, and replicated, substantial effects of coherent meaning on phoneme-level accuracy: The phonemes of both words and nonwords within conceptually coherent sequences were more likely to be produced together and in the correct order. Since nonwords do not exist as items in long-term memory, the semantic enhancement of phoneme-level recall for both item types cannot be explained by a lexically based item reconstruction process employed at the point of retrieval (“redintegration”). Instead, our data show, for naturalistic input, that when meaning emerges from the combination of words, the phonological traces that support language are reinforced by a semantic-binding process that has been largely overlooked by past short-term memory research.     

How do valence and meaning interact? The contribution of semantic control

The hub-and-spoke model of semantic cognition proposes that conceptual representations in a heteromodal ‘hub’ interact with and emerge from modality-specific features or ‘spokes’, including valence (whether a concept is positive or negative), along with visual and auditory features. As a result, valence congruency might facilitate our ability to link words conceptually. Semantic relatedness may similarly affect explicit judgements about valence. Moreover, conflict between meaning and valence may recruit semantic control processes. Here we tested these predictions using two-alternative forced-choice tasks, in which participants matched a probe word to one of two possible target words, based on either global meaning or valence. Experiment 1 examined timed responses in healthy young adults, while Experiment 2 examined decision accuracy in semantic aphasia patients with impaired controlled semantic retrieval following left hemisphere stroke. Across both experiments, semantically related targets facilitated valence matching, while related distractors impaired performance. Valence congruency was also found to facilitate semantic decision-making. People with semantic aphasia showed impaired valence matching and had particular difficulty when semantically related distractors were presented, suggesting that the selective retrieval of valence information relies on semantic control processes. Taken together, the results are consistent with the hypothesis that automatic access to the global meaning of written words affects the processing of valence, and that the valence of words is also retrieved even when this feature is task-irrelevant, affecting the efficiency of global semantic judgements.     

Attending to illusory differences in object size

Focused visual attention can be shifted between objects and locations (attentional orienting) or expanded and contracted in spatial extent (attentional focusing). Although orienting and focusing both modulate visual processing, they have been shown to be distinct, independent modes of attentional control. Objects play a central role in visual attention, and it is known that high-level object representations guide attentional orienting. It not known, however, whether attentional focusing is driven by low-level object representations (which code object size in terms of retinotopic extent) or by high-level representations (which code perceived size). We manipulated the perceived size of physically identical objects by using line drawings or photographs that induced the Ponzo illusion, in a task requiring the detection of a target within these objects. The distribution of attention was determined by the perceived size and not by the retinotopic size of an attended object, indicating that attentional focusing is guided by high-level object representations.