Is Speech Arrest during Wada Testing a Valid Method for Determining Hemispheric Representation of Language?

Background and objective: The intracarotid amobarbital procedure, or Wada test, is the method of choice to determine hemispheric representation of language, and is routinely used in the presurgical evaluation for intractable epilepsy. Some investigators perform comprehensive language assessments, but others base language lateralization solely on speech arrest. This study sought to determine whether speech arrest alone during Wada testing provides valid data regarding language lateralization. Methods: The subjects (previously reported) were 21 patients evaluated for intractable epilepsy, who underwent language lateralization by Wada testing and functional MRI (FMRI). For each patient, language representation was determined by calculating: (1) a Wada laterality index based exclusively on speech arrest; (2) a Wada laterality index based on comprehensive language assessment; and (3) an FMRI laterality quotient. Correlation coefficients and categorical classifications were analyzed. Results: There was no significant correlation between the Wada laterality quotient derived from duration of speech arrest and either the comprehensive Wada language laterality score (r= .35,p= .12) or FMRI language laterality score (r= .32,p= .16). Categorical classification as left, right or bilateral language also showed marked discordance between speech arrest and the other two methods. Conclusion: Duration of speech arrest during Wada testing is not a valid measure of language dominance.     

Probing the Time Course of Nonlinear Discriminations during Human Electrodermal Conditioning

Animal-based theories of Pavlovian conditioning propose that patterning discriminations are solved using unique cues or immediate configuring. Recent studies with humans, however, provided evidence that in positive and negative patterning two different rules are utilized. The present experiment was designed to provide further support for this proposal by tracking the time course of the allocation of cognitive resources. One group was trained in a positive patterning schedule (A−, B−, AB+) and a second in a negative patterning schedule (A+, B+, AB−). Electrodermal responses and secondary task probe reaction time were measured. In negative patterning, reaction times were slower during reinforced stimuli than during nonreinforced stimuli at both probe positions while there were no differences in positive patterning. These results support the assumption that negative patterning is solved using a rule that is more complex and requires more resources than does the rule employed to solve positive patterning.     

Timing and Foraging: Gibbon's Scalar Expectancy Theory and Optimal Patch Exploitation

We present a study that links optimal foraging theory (OFT) to behavioral timing. OFT's distinguishing feature is the use of models that compute the most advantageous behavior for a particular foraging problem and compare the optimal solution to empirical data with little reference to psychological processes. The study of behavioral timing, in contrast, emphasizes performance in relation to time, most often without strategic or functional considerations. In three experiments, reinforcer-maximizing behavior and timing performance are identified and related to each other. In all three experiments starlings work in a setting that simulates food patches separated by a flying distance between the two perches. The patches contain a variable and unpredictable number of reinforcers and deplete suddenly without signal. Before depletion, patches deliver food at fixed intervals (FI). Our main dependent variables are the times of occurrence of three behaviors: the “peak” in pecking rate (Peak), the time of the last peck before “giving in” (GIT), and the time for “moving on” to a new patch (MOT). We manipulate travel requirement (Experiment 1), level of deprivation and FI (Experiment 2), and size of reinforcers (Experiment 3). For OFT, Peak should equal the FI in all conditions while GIT and MOT should just exceed it. Behavioral timing and Scalar Expectancy Theory (SET) in particular predict a Peak at around the FI and a longer (unspecified) GIT, and make no prediction for MOT. We found that Peak was close to the FI and GIT was approximately 1.5 times longer, neither being affected by travel, hunger, or reinforcer size manipulations. MOT varied between 1.5 and just over 3 times the FI, was responsive to both travel time and the FI, and did not change when the reinforcer rate was manipulated. These results support the practice of producing models that explicitly separate information available to the subject from strategic use of this information.     

Crossmodal temporal order and processing acuity in developmentally dyslexic young adults

We investigated crossmodal temporal performance in processing rapid sequential nonlinguistic events in developmentally dyslexic young adults (ages 20-36 years) and an age- and IQ-matched control group in audiotactile, visuotactile, and audiovisual combinations. Two methods were used for estimating 84% correct temporal acuity thresholds: temporal order judgment (TOJ) and temporal processing acuity (TPA). TPA requires phase difference detection: the judgment of simultaneity/nonsimultaneity of brief stimuli in two parallel, spatially separate triplets. The dyslexic readers' average temporal performance was somewhat poorer in all six comparisons; in audiovisual comparisons the group differences were not statistically significant, however. A principal component analysis indicated that temporal acuity and phonological awareness are related in dyslexic readers. The impairment of temporal input processing seems to be a general correlative feature of dyslexia in children and adults, but the overlap in performance between dyslexic and normal readers suggests that it is not a sufficient reason for developmental reading difficulties.     

Lateral asymmetry in phonological processing: relating behavioral measures to neuroimaged structures

Recent neuroimaging studies have revealed neuroanatomical centers of activation that appear to be linked specifically to phonological processes. Furthermore, there is evidence that these centers of activation are more likely to be bilaterally represented in women than in men. However, behavioral evidence of such hemispheric asymmetries or of related sex differences is somewhat inconsistent. Two experiments were carried out to determine whether behavioral correlates of the neuroimaging findings could be demonstrated. The first experiment employed a rhyme-matching task used in a recent neuroimaging study, in which two nonsense words were projected successively to the left or right sides of the visual field. The results indicated that the left hemisphere was superior for this task. An analysis of gender effects, however, revealed that the asymmetry was restricted to men. The second experiment employed a lateralized pseudohomophone detection task that was designed to determine whether the results of the first experiment could be confirmed in the context of a phonological task with a simpler structure. This experiment broadly supported the findings of the first experiment. The results support the specialization of the left hemisphere for phonological processing, and the existence of gender differences with respect to these processes.     

Effect of speech task on intelligibility in dysarthria: a case study of Parkinson's disease

This study assessed intelligibility in a dysarthric patient with Parkinson's disease (PD) across five speech production tasks: spontaneous speech, repetition, reading, repeated singing, and spontaneous singing, using the same phrases for all but spontaneous singing. The results show that this speaker was significantly less intelligible when speaking spontaneously than in the other tasks. Acoustic analysis suggested that relative intensity and word duration were not independently linked to intelligibility, but dysfluencies (from perceptual analysis) and articulatory/resonance patterns (from acoustic records) were related to intelligibility in predictable ways. These data indicate that speech production task may be an important variable to consider during the evaluation of dysarthria. As speech production efficiency was found to vary with task in a patient with Parkinson's disease, these results can be related to recent models of basal ganglia function in motor performance.     

Recency effects for meaning and form in word selection

Three experiments examined the contribution of phonological availability in selecting words as predicted by interactive activation models of word production. Homophonous words such as week and weak permitted a word's phonological form to be activated on priming trials without selection of its meaning or lemma. Recent production of a homophone failed to significantly increase production of its twin as a sentence completion. However, speakers were significantly more likely to complete a sentence with a recently read or generated unambiguous word. This increase in response probability was unaffected by word frequency. The results constrain the degree to which experience and phonological availability may affect word selection in spoken language production.     

Effects of right and left hemisphere damage on performance of the "Right Hemisphere Communication Battery"

A Hebrew adaptation of Gardner and Brownell's (1986) "Right Hemisphere Communication Battery" (HRHCB) was administered to 27 right brain-damaged (RBD) patients, 31 left brain-damaged (LBD) patients, and 21 age-matched normal controls. Both patient groups showed deficits relative to controls and overall there was no difference between the two patient groups. A factor analysis of patients' scores on the HRHCB yielded two interpretable factors, a verbal and a nonverbal one. These factors were not lateralized. Performance of patients on the HRHCB correlated significantly and positively with performance on most tests of basic language functions, measured with a Hebrew adaptation of the "Western Aphasia Battery" (HWAB) and with other cognitive functions measured with standardized neuropsychological tests. There were stronger correlations of HRHCB with subtests of the HWAB in LBD patients and with nonlanguage cognitive tests in RBD patients. In the LBD group, HRHCB subtests' scores correlated negatively with lesion extent in frontal and temporal perisylvian regions. Such localization was not observed in RBD patients. The results argue against selective right hemisphere (RH) involvement in the RHCB, alleged to measure pragmatic aspects of language use, and show, instead, bilateral involvement. The results also argue against a modular organization of these functions of language use, especially in the RH.     

Task-related factors in oral motor control: speech and oral diadochokinesis in dysarthria and apraxia of speech

This study was focused on the potential influence of task-related factors on oral motor performance in patients with speech disorders. Sentence production was compared with a nonspeech oral motor task, i.e., oral diadochokinesis. Perceptual and acoustic measures of speech impairment were used as dependent variables. Between-task comparisons were made for subsamples of a population of 140 patients with different motor speech syndromes, including apraxia of speech and cerebellar dysarthria. In a further analysis subgroups were matched for speaking rate. Overall, dysdiadochokinesis was correlated with the degree of speech impairment, but there was a strong interaction between task type and motor speech syndrome. In particular, cerebellar pathology affected DDK to a relatively greater extent than sentence production, while apraxic pathology spared the ability of repeating syllables at maximum speed.     

Neuronal changes in normal human aging and Alzheimer's disease

This article discusses age-related changes in brain weight, total number of cortical neurons, cortical dendrites, spine, and synapse density. The conclusion is that the present outlook is less grim than it was 30 years ago. Age-related reduction appears to be specific to brain region and cortical layer rather than a general feature. In addition, we describe a different pattern of changes that occur in Alzheimer's disease patients. This review concludes that the association cortices in particular are affected in aging and Alzheimer's disease and that the primary visual and somatosensory cortices are relatively spared.