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Three hypotheses concerning the functional source of aphasic patients' difficulty comprehending semantically reversible sentences were tested using declarative sentences in active and passive voice and sentences with center-embedded relative clauses. Each of the three hypotheses is predicated on relative patterns of impairment and sparing of patient performance on these (and other) sentence types, yet the three hypotheses make somewhat different predictions about performance patterns across these types. Results from 5 Broca's aphasic patients were not consistent with the predictions of the linguistically motivated Trace Deletion Hypothesis or of a hypothesis based on an impairment involving grammatical morphemes. The hypothesis that aphasic comprehension impairments reflect a general limitation of working memory capacity was given partial support by the ordinal pattern of difficulty for a mixed group of 10 patients, but failed to account for patterns obtained from individual patients. Results are interpreted as having relevance for methodological as well as theoretical aspects of research on aphasic sentence comprehension.     

Acquiescence response set in aphasics.

2 tests of sentence comprehension and 2 tests requiring detection of word errors in sentences were administered to normal and aphasic patients. Each sentence could be responded to with "yes" or "no" or "right" or "wrong." Sentence content involved simple facts known to most adults. Little evidence of acquiescence response set was found for normals, but aphasics showed significant and marked acquiescence response bias on all tests. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Sentence production by aphasic patients in a constrained task

Sixty aphasic patients and 55 normal control subjects were tested on a sentence production protocol that required subjects to produce specific sentence types from semantic representations. Normal subjects produced the expected targets with great reliability. Analysis of the patients' performance indicated that patients had difficulty producing both grammatical forms and thematic roles. Patients had more trouble producing grammatical elements than content words, and showed differential difficulty on sentence types that had more grammatical elements and in which the order of thematic roles was non-canonical. The results provide evidence regarding the processing load imposed by different components of the sentence production process.     

Assessing the elements contributing to a "mapping" deficit: a targeted treatment study

Aphasic patients with excellent comprehension of word meanings frequently fail to understand simple declarative sentences in which either of two nouns could reasonably serve as agent of a transitive action. This study employed targeted treatment of this comprehension problem in a chronic aphasic patient (E.A.) in an attempt to isolate the source or sources of his comprehension failure. Treatment exercises that relied on error feedback in sentence-picture matching or verification initially were not effective. Comprehension of active and passive sentences improved only after both structures were explicitly compared and linked to a picture. Subsequently E.A. maintained consistently accurate interpretation of both sentence types in the treatment exercises as long as the full sentence was available to him. E.A. learned to assign thematic roles using a limited set of cues in the surface structure. Although improvement was reported in untreated sentences, the degree of generalization and the level of performance differed across tasks and appeared to be attributable to cognitive impairments that were not addressed by the treatment. Results are interpreted as evidence suggesting that multiple impairments contribute to failure of sentence comprehension tasks.     

Cognitive penetrability of syntactic priming in Broca's aphasia.

Agrammatic Broca's aphasia has been explained as an impairment of automatic syntactic processes. The present study investigated whether controlled processes play a role in agrammatics' handling of syntactic information. Agrammatic patients and normal controls performed a cross-modal priming task with sentence fragments and visual targets forming either grammatical or ungrammatical pairs. In Exp 1, Ss of both groups were instructed to ignore the auditory prime. The grammaticality effect observed in a previous study disappeared for the aphasic Ss but not for normal controls. Exp 2 demonstrated that for normal controls, the grammaticality effect was present even with a larger prime-target interval. These findings indicate that although automatic parsing routines in normal Ss are impervious to strategic effects, agrammatic Broca patients appear to use syntactic information in a controlled fashion. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Working memory and aphasia

This study investigated the relationship between working memory capacity and reading comprehension in aphasia. A measurement of working memory capacity was obtained using a modified version of Daneman and Carpenter's (1980) Reading Span Task. Sets of sentences ranging in length from one to six words were presented to 22 aphasic subjects who were required to retain the terminal words following each sentence for subsequent recognition. The maximum number of words retrieved was used as an index of working memory capacity. Two versions of the task (listening and reading) were presented depending on the subjects' ability to read. Strong positive correlations were found between working memory capacity, reading comprehension, and language function. These results support the notion that the ability of aphasic individuals to comprehend language is predictable from their working memory capacities.     

Sentence comprehension in Alzheimer's disease: Effects of grammatical complexity, speech rate, and repetition.

Caregivers of patients diagnosed with Alzheimer's disease (AD) are often advised to modify their speech to facilitate the patients' sentence comprehension. Three common recommendations are to (a) speak in simple sentences, (b) speak slowly, and (c) repeat one's utterance, using the same words. These three speech modifications were experimentally manipulated in order to investigate their individual and combined effects on sentence comprehension in AD. Fifteen patients with mild to moderate AD and 20 healthy older persons were tested on a sentence comprehension task with sentences varying in terms of (a) degree of grammatical complexity, (b) rate of presentation (normal vs. slow), and (c) form of repetition (verbatim vs. paraphrase). The results indicated a significant decline in sentence comprehension for the AD group. Sentence comprehension improved, however, after the sentence was repeated in either verbatim or paraphrased form. However, the patients' comprehension did not improve for sentences presented at the slow speech rate. This pattern of results is explained vis-à-vis the patients' working memory loss. The findings challenge the appropriateness of several clinical recommendations. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Semantic and syntactic processes in aphasia: A review of the literature.

Reviews recent investigations of lexical and syntactic aspects of language comprehension in aphasia. It is argued that these studies support theoretical assumptions concerning the functional independence of various components of normal language processing. Studies of the structure of the lexicon in aphasia provide support for componential theories of lexical semantics in that different types of features of meaning can be selectively disrupted under conditions of brain damage. Studies of sentence comprehension support the existence of a syntactic mechanism that is independent of lexically based heuristic strategies for assigning meaning. There is evidence that these independent elements of language are subserved by different portions of the dominant hemisphere of the brain. Focal brain damage can thus cause selective disruption of components, allowing the separation of elements that are highly integrated in the normal adult. It is suggested that studies of aphasic language, therefore, provide a valuable source of constraints on theories of normal language processing. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Task demands and sentence comprehension in patients with dementia of the Alzheimer's type

Patients with dementia of the Alzheimer's type (DAT) and matched normal controls were given three tests of syntactic comprehension in which nonlinguistic visual and memory task demands were varied. In all tasks, subjects were presented spoken semantically reversible sentences with a variety of syntactic structures and required to match the sentence to a picture. In the first experiment, subjects matched the spoken sentence to one of two pictures that appeared either before or immediately following the presentation of the sentence. The target picture depicted the spoken sentence correctly and the foil depicted the reversed thematic roles to those in the sentence (i.e., it was a syntactic foil). The second experiment employed a sentence video-verification task in which subjects were required to determine if the spoken sentence matched a videotaped depiction of the action in the sentence or a syntactic foil. In the third experiment, in different conditions, subjects were required to determine whether the spoken sentence matched a single picture or to choose the picture that matched the sentence from an array of two or three pictures. In this experiment, both lexical and syntactic foils were used. In all tasks, DAT patients were affected by the number of propositions in the presented sentence, but not by the syntactic complexity of the sentence. Control subjects also were unaffected by the syntactic complexity of the sentence; the number-of-proposition effect was present in some experiments in the control population. Comparison of performance across the one-, two-, and three-picture versions of the task showed that the magnitude of the effect of number of propositions increased as the number of pictures in the array increased. In addition, analysis of the data from each of the tasks separately showed that the effect of number of propositions only occurred when subjects were attempting to match the target to a syntactic foil (one-picture version) or to choose between the target and a syntactic foil (two- and three-picture versions). The results support the view that patients with DAT do not have disturbances affecting syntactic processing. In addition, they suggest that the effect of number of propositions arises at a stage of analysis that is partially separate from assigning sentence meaning, such as in holding a representation of the sentence in memory until the pictures can be analyzed and encoded and/or in comparing the results of the picture analysis with a stored representation of the sentence meaning.     

Language deficits, localization, and grammar: Evidence for a distributive model of language breakdown in aphasic patients and neurologically intact individuals.

Selective deficits in aphasic patients' grammatical production and comprehension are often cited as evidence that syntactic processing is modular and localizable in discrete areas of the brain (e.g., Y. Grodzinsky, 2000). The authors review a large body of experimental evidence suggesting that morphosyntactic deficits can be observed in a number of aphasic and neurologically intact populations. They present new data showing that receptive agrammatism is found not only over a range of aphasic groups, but is also observed in neurologically intact individuals processing under stressful conditions. The authors suggest that these data are most compatible with a domain-general account of language, one that emphasizes the interaction of linguistic distributions with the properties of an associative processor working under normal or suboptimal conditions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Recall of sentence meaning in aphasic and nonaphasic adults

The hypothesis that memory for spoken sentences is facilitated by memory for sentence meaning was tested with 16 aphasic and 8 nonaphasic adults. Subjects were asked to make judgments of same or different on pairs of active and passive sentences separated in time. Sentence pairs were either identical in all respects or identical in just grammatical structure, subject-verb-object word order, or meaning. Nonaphasic subjects had higher sentence recognition scores, and larger percentages of meaning preserving responses than aphasic subjects. Aphasic subjects with the highest recognition scores made more meaning preserving responses than aphasic subjects with the lowest recognition scores. The results suggested that memory for spoken sentences is facilitated more by memory for sentence meaning than memory for structure of wording.     

The levels of main urinary metabolite of prostaglandin F1alpha and F2alpha in human subjects measured by radioimmunoassay

Previous researchers have suggested that TMR children lack the competence to process negation. Questions about the appropriateness of using reversible sentences to test comprehension and observations on TMR children's imitative processing of simple affirmative and negative sentences led to an experimental reexamination of the earlier findings. Institutionalized students ranging in age from 10 to 21 years with a mean IQ of 30 were asked to evaluate 16 picture pairs, 8 each for nonreversible and reversible sentences. Nonreversible sentences, both positive and negative, were interpreted correctly more often than reversible sentences. There was a significant correlation between comprehension and mental age. The results were interpreted as substantiating the adverse effect of sentence reversibility on comprehension and as evidence for the position that retarded children develop basic grammatical structures including negation at a relatively late age, but in normal interrelationship and sequence with other language and cognitive abilities.     

Verbal working memory and sentence comprehension: A multiple-components view.

Semantic and syntactic aspects of sentence comprehension were investigated for 3 patients (aged 61, 65, and 72 yrs) who showed different patterns of performance on short-term memory tasks. On a sentence anomaly judgment task assessing the retention of semantic information, only patient A. B. showed a detrimental effect on comprehension with increases in the number of words to be held in an unintegrated fashion. On judgments of grammatical acceptability, only patient M. W. demonstrated a detrimental effect of increasing the number of words intervening between the words signaling that a sentence was ungrammatical. The results suggest that semantic and syntactic components must be postulated in addition to the phonological and articulatory components of A. D. Baddeley's (1986, 1990) working memory model. Although the phonological, semantic, and syntactic components may be differentially affected by brain damage, the components interact and support each other in normal comprehension. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Information processing speed and sentence comprehension in Parkinson's disease.

This study tests the hypothesis that sentence comprehension difficulty in Parkinson's disease (PD) is related in part to altered information processing speed that plays a crucial role in grammatical processing. The authors measured information processing speed in 32 PD patients without dementia using a lexical list-priming paradigm in which the interstimulus interval (ISI) between the prime and the target varied. Sentence comprehension accuracy was also assessed in 22 of these patients. Sentence comprehension accuracy for object-relative center-embedded sentences was impaired in a subgroup of PD patients. This subgroup of PD patients primed at an abnormally long ISI. Similarly, only PD patients who primed at a long ISI had greater difficulty understanding sentences with an object-relative clause than a subject-relative clause. Findings suggest that slowed information processing speed contributes to sentence comprehension difficulty in PD. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Working memory capacity and aphasia.

The talk presents a capacity theory of syntactic comprehension disorders in aphasia. The work described was done in collaboration with Patricia Carpenter and Akira Miyake. The theory assumes that aphasic patients still possess the structural (syntactic) and procedural knowledge necessary to perform syntactic analysis, but that they suffer from reductions in working memory capacity for language. The theory explains how reductions in working memory capacity can lead to the pattern of comprehension breakdown observed in aphasic patients. According to a resource-reduction view of comprehension impairments in aphasia, patients are assumed to have intact structural and procedural knowledge to parse various sentences, but suffer from consequences of severely reduced working memory resources. Two types of experiments provide relevant supporting data. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Conjoint and dissociable effects of syntactic and semantic context

Manipulating the semantic relatedness of noun and verb targets in contexts where they are grammatically appropriate or inappropriate allows for simultaneous examination of syntactic and semantic context effects. A lexical-decision experiment showed both a syntactic context effect and a semantic relatedness effect that was stronger in syntactically appropriate conditions. Thus, latencies appeared to be conjointly determined by syntactic and semantic context. In contrast, naming experiments also showed both semantic and syntactic effects, but the syntactic context effect was independent of semantic relatedness and was observed in the virtual absence of sensitivity to semantic anomaly. Thus, syntactic and semantic processing are largely dissociable in the naming task. In conjunction with other findings in the literature, this suggests the existence of an isolable level of syntactic assignment that precedes semantic integration of content words in sentence comprehension.     

Semantic priming during sentence processing by young and older adults.

Examined semantic processing of sentences by 30 younger (mean age 25.1 yrs) and 30 older (mean age 68.5 yrs) adults, using a priming technique. Ss read a sentence and then made a lexical decision about a target presented immediately after the sentence. For both age groups, word targets that were instruments implied by the action of the sentence had faster latencies than unrelated word targets. There was no evidence of inhibition of unrelated targets, suggesting that the facilitation of instrument targets involved automatic processes. Results provide no evidence for age-related changes in semantic processing of sentences, including access to implied information. Older Ss did, however, have poorer memory for the sentences on a recognition test. It is suggested that previous findings by G. Cohen (see PA, Vols 63:747 and 67:958) of age deficits in comprehension may depend on techniques that measure what is remembered rather than what is understood. (35 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Electrophysiological and behavioral evidence of syntactic priming in sentence comprehension.

Event-related potentials and eye tracking were used to investigate the nature of priming effects in sentence comprehension. Participants read 2 sentences (a prime sentence and a target sentence), both of which had a difficult and ambiguous sentence structure. The prime and target sentences contained either the same verb or verbs that were very close in meaning. Priming effects were robust when the verb was repeated. In the event-related potential experiment, the amplitude of the P600 was reduced in target sentences that followed prime sentences with the same verb but not in prime sentences with a synonymous verb. In the eye-tracking experiment, total reading times on the disambiguating region were reduced when the targets followed prime sentences with the same verb but not when targets followed prime sentences with a synonymous verb. The fact that verb overlap greatly boosted priming effects in reduced relative sentences may indicate that verb argument structures play an important role in online parsing. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Generalization from single sentence to multisentence production in severely aphasic patients

Multisentence production was examined in three nonfluent aphasic patients who had undergone a single sentence production training program using a computerized visual communication system (C-VIC). Patients were required to describe videotaped vignettes in English and using C-VIC. C-VIC allowed for an investigation of production abilities previously impossible to measure in severely aphasic patients, since C-VIC does not require internal generation of appropriate lexical items or phonological and articulatory realization. Results are discussed in the context of language production models in an attempt to determine the breakdown(s) in the production system that result in difficulty in trying to produce multiple sentences.     

Semantic influences on thematic role assignment: evidence from normals and aphasics

We report two studies that examine the role of semantic influences in the assignment of thematic roles. Semantic factors were manipulated by contrasting sentences in which one noun argument was a plausible filler of only one thematic role (e.g., the painting in The artist disliked the painting) with sentences in which both noun arguments were plausible fillers of both thematic roles (e.g., The robin ate the insect). Subjects were required to make plausibility judgments to sentences presented auditorily. Experiment 1 examined RTs of normal subjects on the plausibility judgment task. In Experiment 2, the same sentences were presented to aphasic patients identified as "asyntactic" comprehenders. In Experiment 1, RTs were speeded by semantic constraints on thematic assignment, particularly when the role-constrained NP occurred early in the sentence (as in The painting was disliked by the artist). The aphasic performance patterns in Experiment 2 paralleled those of normal subjects, but in greatly exaggerated fashion. The patients exhibited high error rates on sentences where semantic constraints conflicted with the syntactically based assignments, even on sentences with canonical (S-V-O) word order (e.g., #The deer shot the hunter).