The Stanford Binet Profiles of Young Children with Autism

Twenty-four young children with autism were assessed with the Fourth Edition of the Stanford Binet Intelligence Scale as part of the routine assessment procedure at the Douglass Developmental Disabilities Center. Inspection of the pattern of their responses yielded an distinctive profile with the subscale of Absurdities being consistently the lowest and Pattern Analysis the highest subtest. Comparisons of the profiles for the subjects with the highest and lowest overall IQs showed essentially the same profile patterns. These data are consistent with what we know about autism as a disorder and provide support for the notion that traditional psychometric assessment can be useful in evaluating children with autism.     

Covert reading of letters in a case of global alexia

This study describes the case of a global alexic patient with a severe reading deficit affecting words, letters and Arabic numbers, following a left posterior lesion. The patient (VA) could not match spoken letters to their graphic form. A preserved ability to recognize shape and canonical orientation of letters indicates intact access to the representation of letters and numbers as visual objects. A relatively preserved ability to match lowercase to uppercase letters suggests partially spared access to abstract letter identities independently of their visual forms. The patient was also unable to match spoken letters and numbers to their visual form, indicating that she could not access the graphemic representations of letters from their phonological representations. This pattern of performance suggests that the link between graphemic and phonological representations is disrupted in this patient. We hypothesize that VA’ residual reading abilities are supported by the right hemisphere.     

Phonological alexia with vowel-consonant dissociation in non-word reading

We present a patient with alexia secondary to cerebral lesion whose errors in the reading of non-words affect vowels more than consonants. The interest of the case resides in: (1) the documentation of a vowel-consonant dissociation selectively affecting the reading of non-words; and (2) the localization of the alteration in a specific stage of the perilexical reading pathway, that is, the blending of phonetic chains. The case contributes to the discussion on the nature of representations and the processing of vowels and consonants.     

Rapid word identification in pure alexia is lexical but not semantic

Following the notion that patients with pure alexia have access to two distinct reading strategies-letter-by-letter reading and semantic reading-a training program was devised to facilitate reading via semantics in a patient with pure alexia. Training utilized brief stimulus presentations and required category judgments rather than explicit word identification. The training was successful for trained words, but generalized poorly to untrained words. Additional studies involving oral reading of nouns and of functors also resulted in improved reading of trained words. Pseudowords could not be trained to criterion. The results suggest that improved reading can be achieved in pure alexia by pairing rapidly presented words with feedback. Focusing on semantic processing is not essential to this process. It is proposed that the training strengthens connections between the output of visual processing and preexisting orthographic representations.     

Word recognition and face recognition following posterior cerebral artery stroke: Overlapping networks and selective contributions

It has been suggested that word- and face recognition rely on a common cerebral network for perceptual processing. To further explore this hypothesis, face- and word recognition were assessed in seven patients with focal lesions after stroke of the posterior cerebral artery in either hemisphere. The aim was to investigate if problems in face- and word recognition would co-occur, if testing was sensitive and patients were not pre-selected based on behavioural symptoms. Patients and matched controls were given a reading test and a delayed matching paradigm with faces, objects, and words. Interestingly, all patients with word recognition difficulties had problems in face recognition, independently of the affected hemisphere, supporting the existence of a bilateral perceptual network for faces and words. However, two patients showed selective face recognition problems after unilateral damage to either hemisphere, suggesting that parts of this network may be more critical for face than for word recognition.     

Does dyslexia develop from learning the alphabet in the wrong hemisphere? A cognitive neuroscience analysis

A new perspective is described which views developmental dyslexia as the outcome of learning to write the alphabet in the nondominant (right) hemisphere. The letter-level and whole-word subtypes of dyslexia are seen as differing responses adopted to cope with this predicament. Striking similarities between dyslexics and callosotomy patients in the allocation of covert attention to lateralized stimuli provide direction for integrating a diversity of dyslexic research within this framework. This synthesis, together with information from pure alexia, brain activation, and reading research, lends insight into the neural circuitry of the compensatory strategies adopted by the two dyslexic subtypes.     

Age-of-acquisition effects in pure alexia

Pure alexia is an acquired reading disorder in which previously literate adults adopt a letter-by-letter processing strategy. Though these individuals display impaired reading, research shows that they are still able to use certain lexical information in order to facilitate visual word processing. The current experiment investigates the role that a word's age of acquisition (AoA) plays in the reading processes of an individual with pure alexia (G.J.) when other lexical variables have been controlled. Results from a sentence reading task in which eye movement patterns were recorded indicated that G.J. shows a strong effect of AoA, where late-acquired words are more difficult to process than early-acquired words. Furthermore, it was observed that the AoA effect is much greater for G.J. than for age-matched control participants. This indicates that patients with pure alexia rely heavily on intact top-down information, supporting the interactive activation model of reading.