Heart and ____ or Give and ____? An Exploration of Variables That Influence Binomial Completion for Individuals With and Without Aphasia.

Purpose: The goal of this research was to institute an evidence base behind commonly used elicitation materials known as binomials (e.g., "day and night") that are commonly used for persons with aphasia (PWAs). The study explored a number of linguistic variables that could influence successful binomial completion in nonaphasic adults and PWAs. Method: Thirty nonaphasic adults and 11 PWAs were asked to verbally complete 128 binomials; responses were scored by accuracy and reaction time. Binomials were coded according to the following independent variables: frequency of usage, phonological (e.g., alliteration, rhyme) and semantic (i.e., antonymy) relationships, grammatical category of the response, and number of plausible binomial completions. Results: Regression analyses demonstrated that, for both groups, greater accuracy was predicted by presence of antonymy and absence of a phonological relationship. Though reaction time models differed between groups, items that elicited a greater number of response options led to longer latencies across participants. Conclusion: Findings suggest that clinicians consider antonymy as well as the number of plausible responses for a given prompt when adapting the level of difficulty for their clients. Results also contribute to broader interdisciplinary research on how automatic language is processed in adults with and without neurogenic communication disorder. Supplemental Material: https://doi.org/10.23641/asha.6030806.

Error Consistency in Acquired Apraxia of Speech With Aphasia: Effects of the Analysis Unit.

Purpose: Diagnostic recommendations for acquired apraxia of speech (AOS) have been contradictory concerning whether speech sound errors are consistent or variable. Studies have reported divergent findings that, on face value, could argue either for or against error consistency as a diagnostic criterion. The purpose of this study was to explain discrepancies in error consistency results based on the unit of analysis (segment, syllable, or word) to help determine which diagnostic recommendation is most appropriate. Method: We analyzed speech samples from 14 left-hemisphere stroke survivors with clinical diagnoses of AOS and aphasia. Each participant produced 3 multisyllabic words 5 times in succession. Broad phonetic transcriptions of these productions were coded for consistency of error location and type using the word and its constituent syllables and sound segments as units of analysis. Results: Consistency of error type varied systematically with the unit of analysis, showing progressively greater consistency as the analysis unit changed from the word to the syllable and then to the sound segment. Consistency of error location varied considerably across participants and correlated positively with error frequency. Conclusions: Low to moderate consistency of error type at the word level confirms original diagnostic accounts of speech output and sound errors in AOS as variable in form. Moderate to high error type consistency at the syllable and sound levels indicate that phonetic error patterns are present. The results are complementary and logically compatible with each other and with the literature.

Cognitive Factors and Residual Speech Errors: Basic Science, Translational Research, and Some Clinical Frameworks.

This article explores the theoretical and empirical relationships between cognitive factors and residual speech errors (RSEs). Definitions of relevant cognitive domains are provided, as well as examples of formal and informal tasks that may be appropriate in assessment. Although studies to date have been limited in number and scope, basic research suggests that cognitive flexibility, short- and long-term memory, and self-monitoring may be areas of weakness in this population. Preliminary evidence has not supported a relationship between inhibitory control, attention, and RSEs; however, further studies that control variables such as language ability and temperament are warranted. Previous translational research has examined the effects of self-monitoring training on residual speech errors. Although results have been mixed, some findings suggest that children with RSEs may benefit from the inclusion of this training. The article closes with a discussion of clinical frameworks that target cognitive skills, including self-monitoring and attention, as a means of facilitating speech sound change.