Comparison of reading and spelling in patients with probable Alzheimer's disease.

Patients with probable Alzheimer's disease (AD) are reported to show mild, but reliable, difficulties reading aloud and spelling to dictation exception words, which have unusual or unpredictable correspondence between their spelling and pronunciation (e.g., touch). To understand the cognitive dysfunction responsible for these impairments, 21 patients and 27 age- and education-matched controls completed specially designed tests of single-word oral reading and spelling to dictation. AD patients performed slightly below controls on all tasks and showed mildly exaggerated regularity effects (i.e., the difference in response accuracy between words with regular spellings minus exception words) in reading and spelling. Qualitative analyses, however, did not demonstrate response patterns consistent with impairment in central lexical orthographic processing. The authors conclude that the mild alexia and agraphia in AD reflect semantic deficits and nonlinguistic impairments rather than a specific disturbance in lexical orthographic processing. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Lexical semantic and associative priming in Alzheimer's disease.

Semantic memory impairment was investigated in patients with probable Alzheimer's disease (AD) using a threshold oral word reading task to assess priming of different lexical relationships. Healthy elderly controls showed significant priming for associatively related nouns (tempest-teapot) and also for nouns semantically related either because both designate basic-level exemplars of a common superordinate category (cousin-nephew) or because the target names the superordinate category of the prime (daughter-relative). AD patients, in contrast, showed preserved priming of lexical associates but impaired priming of certain semantic relationships. They showed no priming between words designating coordinate exemplars within a category, despite preserved priming of the superordinate category label. Findings are consistent with the view that at least part of the semantic deficit in AD is due to disruption of semantic knowledge that affects relationships among basic-level concepts, more than the relationships between these concepts and their corresponding superordinate category of membership. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Semantic processing of spoken words in Alzheimer's disease: an electrophysiological study

Patients suffering from Alzheimer's disease (AD) have severe difficulties in tasks requiring the use of semantic knowledge. The semantic deficits associated with AD have been extensively studied by using behavioral methods. Many of these studies indicate that AD patients have a general deficit in voluntary access to semantic representations but that the structure of the representations themselves might be preserved. However, several studies also provide evidence that to some extent semantic representations in AD may in fact be degraded. Recently, a few studies have utilized event-related brain potentials (ERPs) that are sensitive to semantic factors in order to investigate the electrophysiological correlates of the semantic impairment in AD. Interest has focused on the N400 component, which is known to reflect the on-line semantic processing of linguistic and pictorial stimuli. The results from studies of N400 changes in AD remain somewhat controversial: Some studies report normal or enlarged N400 components in AD, whereas others report diminished ones. One issue not reported in previous studies is whether word-elicited ERPs other than N400 remain normal in AD. In the present study our aim was to find out whether the ERP waveforms N1, P2, N400, and Late Positive Component (LPC) to semantically congruous and incongruous spoken words are abnormal in AD and whether such abnormalities specifically reflect deficiencies in semantic activation in AD. Auditory ERPs from 20 scalp sites to semantically congruous and incongruous final words in spoken sentences were recorded from 17 healthy elderly adults and 9 AD patients. The early ERP waveforms N1 and P2 were relatively normal for the AD patients, but the N400 and LPC effects (amplitude difference between congruous and incongruous conditions) were significantly reduced. We interpret the present results as showing that semantic-conceptual activation and other high-level integration processes are defective in AD. However, a word congruity effect earlier than N400 (phonological mismatch negativity), reflecting lexical selection processes, is at least to some extent preserved in AD.     

Naming multisyllabic words.

The process of reading multisyllabic words aloud from print was examined in 4 experiments. Experiment 1 used multisyllabic words that vary in terms of the consistency of component spelling-sound correspondences. The stimuli were regular, regular inconsistent, and exception words analogous to the monosyllabic items used in previous studies. Both regular inconsistent and exception words produced longer naming latencies than regular words. In Experiment 2 these differences between word types were found to be limited to lower frequency items. Experiment 3 showed that effects of number of syllables on naming latency are also limited to lower frequency words. In the final experiment, consistency effects were obtained for both higher and lower frequency words when the stimulus display forced subjects to use syllabic units. Thus, frequency modulates the effects of two aspects of lexical structure—consistency of spelling-sound correspondences and number of syllables. The results suggest that the naming of multisyllabic words draws on some of the same knowledge representations and processes as monosyllabic words; however, naming does not require syllabic decomposition. The results are discussed in the context of current models of naming. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Reading aloud: Spelling-sound translation uses central attention.

Contrary to the received view that reading aloud reflects processes that are "automatic," recent evidence suggests that some of these processes require a form of attention. This issue was investigated further by examining the effect of a prior presentation of exception words (words whose spelling-sound translation are atypical, such as pint as compared with mint, hint, or lint) and pseudohomophones (nonwords that sound identical to words, such as brane from brain) on reading aloud in the context of the psychological refractory period paradigm. For exception words, the joint effects of repetition and stimulus onset asynchrony (SOA) yielded an underadditive interaction on the time to read aloud, replicating previous work--a short SOA between Task 1 and Task 2 increased reaction time (RT) and reduced the magnitude of the repetition effect relative to the long SOA. For pseudohomophones, in contrast, the joint effects of repetition and SOA were additive on RT. These results provide converging evidence for the conclusion that (a) processing up to and including the orthographic input lexicon does not require central attention when reading aloud, whereas (b) translating lexical and sublexical spelling to sound requires the use of central attention. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

When benefits outweigh costs: Reconsidering “automatic” phonological recoding when reading aloud.

Skilled readers are slower to read aloud exception words (e.g., PINT) than regular words (e.g., MINT). In the case of exception words, sublexical knowledge competes with the correct pronunciation driven by lexical knowledge, whereas no such competition occurs for regular words. The dominant view is that the cost of this “regularity” effect is evidence that sublexical spelling-sound conversion is impossible to prevent (i.e., is “automatic”). This view has become so reified that the field rarely questions it. However, the results of simulations from the most successful computational models on the table suggest that the claim of “automatic” sublexical phonological recoding is premature given that there is also a benefit conferred by sublexical processing. Taken together with evidence from skilled readers that sublexical phonological recoding can be stopped, we suggest that the field is too narrowly focused when it asserts that sublexical phonological recoding is “automatic” and that a broader, more nuanced and contextually driven approach provides a more useful framework. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Reading in dementia of the Alzheimer type: A preserved ability?

Assessed 45 patients with a probable diagnosis of dementia of the Alzheimer type (DAT), varying from minimal to moderate levels of dementia, on 3 tasks of reading aloud: (1) an extensive list of regular and exception words across a range of word frequencies, (2) the National Adult Reading Test (NART), and (3) a test of nonword reading. On the first test, the patients showed substantial effects of regularity, word frequency, and disease severity. Reading of less common words with atypical spelling-sound correspondences was significantly impaired in the moderately demented subgroup of patients and significantly correlated with measures of semantic memory for the patient group as a whole. This impaired exception word reading was attributed to the breakdown in semantic memory that occurs as the DAT disease process advances. A significant drop in performance on both the NART and nonword reading also accompanied increasing disease severity. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Morphological errors and the representation of morphology in the lexical-semantic system

Neuropsychological studies support the hypothesis that morphology is represented autonomously, both at the level of word meaning and at the level of word form. In output processes, morphologically organized semantic information activates lexical representations of roots and affixes, which are composed before production. In input processes, the stimulus is parsed along the morphological dimension, to access root and affix lexical representations, which in turn activate morphologically organized semantic information. Inflectional and derivational morphology are represented independently in the lexicon. Inflected words are fully decomposed; derived words are decomposed into base form+inflection. In aphasia, morphological errors in transcoding tasks always co-occur with semantic and/or phonemic errors. Morphological errors in transcoding tasks require combined damage to morphological representations in the semantic-lexical system and to sublexical conversion procedures; they co-occur with semantic errors when also root representations are damaged. The co-occurrence of morphological and phonemic errors can be accounted for by several hypotheses, but its theoretical meaning is still uncertain.     

Lexical and message-level sentence context effects on fixation times in reading.

Readers' eye movements were recorded as they read an unambiguous noun in a sentence context. In Exp 1, fixation durations on a target noun were shorter when it was embedded in context containing a subject noun and a verb that were weakly related to the target than when either content word was replaced with a more neutral word. These results were not affected by changes in the syntactic relations between the content words. In Exp 2, the semantic relations between the message-level representation of the sentence and the target word were altered whereas the lexical content was held constant. Fixation time on the target word was shorter when the context was semantically related to the target word than when it was unrelated. Intralexical priming effects between the subject noun and the verb were also observed. Results suggest that both lexical and message-level representations can influence the access of an individual lexical item in a sentence context. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Semantic involvement in reading aloud: Evidence from a nonword training study.

The current research uses a novel methodology to examine the role of semantics in reading aloud. Participants were trained to read aloud 2 sets of novel words (i.e., nonwords such as bink): some with meanings (semantic) and some without (nonsemantic). A comparison of reading aloud performance between these 2 sets of novel words was used to provide an indicator of the importance of semantic information in reading aloud. In Experiment 1, in contrast to expectations, reading aloud performance was not better for novel words in the semantic condition. In Experiment 2, the training of novel words was modified to reflect more realistic steps of lexical acquisition: Reading aloud performance became faster and more accurate for novel words in the semantic condition, but only for novel words with inconsistent pronunciations. This semantic advantage for inconsistent novel words was again observed when a subset of participants from Experiment 2 was retested 6-12 months later (in Experiment 3). These findings provide support for a limited but significant role for semantics in the reading aloud process. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Understanding normal and impaired word reading: Computational principles in quasi-regular domains.

A connectionist approach to processing in quasi-regular domains, as exemplified by English word reading, is developed. Networks using appropriately structured orthographic and phonological representations were trained to read both regular and exception words, and yet were also able to read pronounceable nonwords as well as skilled readers. A mathematical analysis of a simplified system clarifies the close relationship of word frequency and spelling–sound consistency in influencing naming latencies. These insights were verified in subsequent simulations, including an attractor network that accounted for latency data directly in its time to settle on a response. Further analyses of the ability of networks to reproduce data on acquired surface dyslexia support a view of the reading system that incorporates a graded division of labor between semantic and phonological processes, and contrasts in important ways with the standard dual-route account. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Semantic effects in single-word naming.

Three experiments demonstrated that, for lower frequency words, reading aloud is affected not only by spelling-sound typicality but also by a semantic variable, imageability. Participants were slower and more error prone when naming exception words with abstract meanings (e.g., scarce ) than when naming either abstract regular words (e.g., scribe ) or imageable exception words (e.g., soot ). It is proposed that semantic representations of words have the largest impact on translating orthography to phonology when this translation process is slow or noisy (i.e., for low-frequency exceptions) and that words with rich semantic representations (i.e., high-imageability words) are most likely to benefit from this interaction. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Semantic, phonological, and mediated priming in reading and lexical decisions.

Four experiments were conducted to investigate whether semantic activation of a concept spreads to phonologically and graphemically related concepts. In lexical decision or self-paced reading tasks, subjects responded to pairs of words that were semantically related (e.g., light–lamp), that rhymed (e.g., lamp–lamp), or that combined both of these relations through a mediating word (e.g., light–lamp). In one version of each task, test lists contained word–word pairs (e.g., light–lamp) as well as nonword–word (e.g., pown–table) and word–nonword pairs (e.g., month–poad); in another version, test lists contained only word–word pairs. The lexical decision and self-paced reading tasks were facilitated by semantic and rhyming relations regardless of the presence or absence of nonwords on the test lists. The effect of the mediated relation, however, depended on the presence of nonwords among the stimuli. When only words were included, there was no effect of the mediated relation, but when nonwords were included, lexical decision and self-paced reading responses were inhibited by the mediated relation. These inhibitory effects are attributed to processes occurring after lexical access, and the relative advantages of the self-paced reading task are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Reading of lexically stressed words by Italian aphasic patients: A retrospective study.

This retrospective study investigated whether there is evidence of a 3rd reading mechanism in a transparent orthography such as Italian, where (nearly) all words can be read through the sublexical route but stress cannot always be assigned by orthography-to-phonology rules. The presence and frequency of stress errors in lexically stressed words in 16 aphasic patients with impaired reading comprehension of those same words was checked. Nine patients were reexamined months later. Notwithstanding impaired reading comprehension, none of the patients made stress errors at first examination. At follow-up, all patients showed improvement of reading comprehension and only 2 patients still had better preserved oral reading. The authors concluded that even in transparent orthographies such as Italian, the noninteractive dual-route model is inadequate for explaining all patterns of reading performances. In nonprogressive aphasias, reading comprehension can recover in a large number of patients, reducing the amplitude of the dissociation between reading aloud and reading comprehension and reducing the number of patients showing this dissociation. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Word length and lexical activation: Longer is better.

Many models of spoken word recognition posit the existence of lexical and sublexical representations, with excitatory and inhibitory mechanisms used to affect the activation levels of such representations. Bottom-up evidence provides excitatory input, and inhibition from phonetically similar representations leads to lexical competition. In such a system, long words should produce stronger lexical activation than short words, for 2 reasons: Long words provide more bottom-up evidence than short words, and short words are subject to greater inhibition due to the existence of more similar words. Four experiments provide evidence for this view. In addition, reaction-time-based partitioning of the data shows that long words generate greater activation that is available both earlier and for a longer time than is the case for short words. As a result, lexical influences on phoneme identification are extremely robust for long words but are quite fragile and condition-dependent for short words. Models of word recognition must consider words of all lengths to capture the true dynamics of lexical activation. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Semantic memory in Alzheimer's disease: Representativeness, ontologic category, and material.

Alzheimer's disease (AD) patients with semantic memory difficulty and AD patients with relatively preserved semantic memory named pictures and judged the category membership of words and pictures of natural kinds and manufactured artifacts that varied in their representativeness. Only semantically impaired patients were insensitive to representativeness in their category judgments. AD subgroup judgments did not differ for natural kinds compared to manufactured artifacts nor for words compared to pictures. AD subgroup differences could not be explained by dementia severity, memory, reading, and visuoperception. The similarity process for relating coordinate members of a taxonomic category contributes to the normal appreciation of word and picture meaning, and this process is compromised in AD patients with semantic difficulty. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Semantic priming in major depressive state

We studied semantic priming in 20 major depressive subjects. The methodology used was a visual lexical decision task. Semantic priming is the facilitation of target word recognition (shortening of response time) by the prior presentation of a semantically related context (a prime word). It relies on semantic processing of words and context, facilitating early cognitive stages of response. Varying the temporal interval between prime and target words onset allows us to distinguish between two priming mechanisms, relying on more automatic (test 1) or more controlled (i.e. attention dependent) (test 2) information processing. We observe a significant retardation for words and pseudo-words in depressives (in relation to controls) in both tests. In spite of a general retardation and increase of response times in depressives, semantic priming is evident in both groups and both tests, and does not differ significantly between depressive and control groups in either automatic or controlled conditions. Theses results confirm that semantic processing is not impaired in depression, and are discussed with regard to the hypothesis of an effortful processing impairment in depression, and to depressive retardation.     

Tip-of-the-tongue states and lexical access in dementia

We induced tip-of-the-tongue (TOT) states in elderly participants with probable Alzheimer's disease (AD). We found that they experienced TOTs but, unlike control subjects, were unable to provide any information about the target word for which they were searching. The related words produced by the AD participants were almost all semantically related to the target, with very few phonological relatives. (Adults normally produce more phonological relatives than semantic.) We examine the relationship between the target and non-target words produced in terms of their syntactic category, frequency, and imageability. The results are discussed with regard to their implications for speech production models. We interpret the results in terms of a two-stage interactive account where the retrieval deficit in dementia lies between the semantic and lexical levels.     

Establishing a time-line of word recognition: evidence from eye movements and event-related potentials

The average duration of eye fixations in reading places constraints on the time for lexical processing. Data from event related potential (ERP) studies of word recognition can illuminate stages of processing within a single fixation on a word. In the present study, high and low frequency regular and exception words were used as targets in an eye movement reading experiment and a high-density electrode ERP lexical decision experiment. Effects of lexicality (words vs pseudowords vs consonant strings), word frequency (high vs low frequency) and word regularity (regular vs exception spelling-sound correspondence) were examined. Results suggest a very early time-course for these aspects of lexical processing within the context of a single eye fixation.     

Does recognizing orally spelled words depend on reading? An investigation into a case of better written than oral spelling

In this study we describe an investigation into the residual spelling skills of a patient (BRK) with a deep dysgraphia. His written spelling was significantly superior to his oral spelling and he had grave difficulties in recognizing orally spelled words. In addition, his impairment in recognizing orally spelled words was qualitatively very similar to his difficulties in oral spelling. In contrast, he could read and repeat the stimuli he could no longer spell. It seems therefore that, recognizing orally spelled words is dependent on the same procedures used in spelling rather than in reading. It is argued that BRK's discrepancy between oral and written spelling reflects a deficit in accessing a letter name code which translates abstract graphemic representations into letter names. In addition, it is suggested that the letter name code has an additional synthesizing function that is involved both in checking self-generated oral spellings and in recognizing orally spelled words.