The influence of phonological context on the sound errors of a speaker with Wernicke's aphasia.

A corpus of phonological errors produced in narrative speech by a Wernicke's aphasic speaker (R.W.B.) was tested for context effects using two new methods for establishing chance baselines. A reliable anticipatory effect was found using the second method, which estimated chance from the distance between phoneme repeats in the speech sample containing the errors. Relative to this baseline, error-source distances were shorter than expected for anticipations, but not perseverations. R.W.B.'s anticipation/perseveration ratio measured intermediate between a nonaphasic error corpus and that of a more severe aphasic speaker (both reported in Schwartz et al., 1994), supporting the view that the anticipatory bias correlates to severity. Finally, R.W.B's anticipations favored word-initial segments, although errors and sources did not consistently share word or syllable position.

Grammatical encoding in aphasia: evidence from a "processing prosthesis".

Agrammatic aphasia is characterized by severely reduced grammatical structure in spoken and written language, often accompanied by apparent insensitivity to grammatical structure in comprehension. Does agrammatism represent loss of linguistic competence or rather performance factors such as memory or resource limitations? A considerable body of evidence supports the latter hypothesis in the domain of comprehension. Here we present the first strong evidence for the performance hypothesis in the domain of production: an augmentative communication system that markedly increases the grammatical structure of agrammatic speech while providing no linguistic information, functioning merely to reduce on-line processing demands.

The role of computational models in neuropsychological investigations of language: reply to Ruml and Caramazza (2000).

W. Ruml and A. Caramazza's (2000) analysis of the model of normal and aphasic lexical access proposed by G. S. Dell, M. F. Schwartz, N. Martin, E. M. Saffran, and D. A. Gagnon (1997) is completely at odds with current practice concerning the use of models in psychology. An evaluation of Dell et al.'s original claims using Ruml and Caramazza's model parameters sustains these claims in all respects.

A model-driven analysis of severity, response characteristics, and partial recovery in aphasics' picture naming.

Dell, Schwartz, Martin, Saffran, and Gagnon (DSMSG; 1997) presented a computational analysis of aphasic naming that, among other things, purports to explain why some error types correlate with naming severity while others do not. It does so in terms of chance response opportunities, which differ among error types and which come into play particularly when activation levels are small. The present study looks at error frequencies in relation to severity at two points in time: at study entry and after a period of partial recovery. Results support the model's distinction between severity-sensitive errors (nonwords. formal paraphasias, and unrelated errors) and those that are severity insensitive (semantic; mixed). Additionally, we show that the degree of target overlap in nonwords is sensitive to severity but various measures of monitoring and error correction are not. While these results generally support DSMSG, effects at the level of individual patients underscore the difficulties that their model encounters in explaining some pure error dissociations.

Quantitative analysis of aphasic sentence production: further development and new data.

The narrative production of patients with Broca's aphasia and age-and education-matched control subjects was analyzed using the Quantitative Production Analysis (Saffran et al., 1989), a procedure designed to provide measures of morphological and structural characteristics of aphasic production. In addition to providing data for a larger number of subjects than in the original study, we provide data on interrater and test-retest reliability. The data were also submitted to factor and cluster analyses. Two factors characterized the data and the cluster analysis yielded four sets of patients who performed differently on these factors. In particular, there is evidence that agrammatic patients can differ in their production of free and bound grammatical morphemes, substantiating earlier claims in the literature.

Naturalistic action production following right hemisphere stroke.

An unselected group of right hemisphere, semi-acute stroke patients (n = 30) was run on a laboratory test of naturalistic action production and was found to commit errors of action at a higher rate than what was previously reported for recovering head injury patients [Schwartz et al., Naturalistic action impairment in closed head injury. Neuropsychology, 1997, 8, 59-72]. There were strong similarities in how these two patient groups responded to variations in task demands and in the pattern of errors they produced. Hemispatial biases were evident in the errors of right hemisphere patients with neglect but not those without neglect; and neglect patients also many errors that were unrelated to the spatial layout. We argue that a non-specific resource limitation--which might translate as reduced arousal or effort--is central to the breakdown of naturalistic action production after brain damage, and right hemisphere patients are especially vulnerable to this resource limitation and its behavioral consequences.

Awareness of errors in naturalistic action after traumatic brain injury.

A prospective study was performed to develop a method for assessing "on-line" error detection and correction during performance of naturalistic action, to determine whether traumatic brain injury (TBI) affects error detection and correction, and to compare actual task performance with verbal self-ratings of performance. Participants included 18 persons who had sustained severe TBI from 34 to 186 days prior to study and who were comparable to controls in their rate of naturalistic action error, along with 18 control subjects chosen to be demographically comparable to subjects with TBI. Subjects performed two different tests of naturalistic action in which they completed everyday activities (eg, wrapping a gift, making toast) at different levels of complexity, as manipulated by the addition of distractor objects, the number of tasks that had to be completed per trial, and other demands on planning and working memory. Using a specially developed coding system, each error on these tasks was scored as to whether the subject corrected it and whether the subject otherwise demonstrated awareness of the error. Error scores were also compared to subjects' responses to a questionnaire in which they rated their own performance on the most challenging level of the naturalistic action test. In general, subjects with TBI corrected and showed awareness of proportionally fewer of their errors when compared to controls. Qualitative patterns for some error types also differed between groups. Despite making more errors than control subjects on the most challenging task, subjects with TBI did not rate themselves as performing more poorly with respect to its cognitive demands. However, for subjects with TBI, the number of errors was correlated with performance ratings on certain questionnaire items. This study showed that error detection and correction can be reliably measured during naturalistic action and appear to be impaired in severe TBI even when the base rate of error is controlled. TBI may affect error detection and correction by reducing, or impairing the allocation of, attentional resources needed for the simultaneous execution and monitoring of routine action.

Semantic factors in verb retrieval: an effect of complexity.

Aphasic patients often have more difficulty retrieving verbs than nouns. We present data from eight aphasics demonstrating that they have a selective impairment for verb retrieval. We then explore the role of semantic complexity (i.e., the number of semantic features) in verb retrieval using a delayed repetition/story completion task. The results indicate that six of the patients are better at retrieving semantically complex verbs (e.g., run) than semantically simpler verbs (e.g., go). The results have implications for accounts of the noun/verb dissociation in aphasia, as well as for theories of verb representation.

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).

Naturalistic action impairment in closed head injury.

The authors sought to determine whether errors of action committed by patients with closed head injury (CHI) would conform to predictions derived from frontal lobe theories. In Study 1, 30 CHI patients and 18 normal controls performed routine activities, such as wrapping a present, under conditions of graded complexity. CHI patients committed more errors even on the simplest condition; but, except for a higher proportion of omitted actions, their error profile was very similar to that of controls. Study 2 involved a subset of patients whose performance in Study 1 was within normal limits. When these high functioning patients were asked to perform the routine tasks under still more taxing conditions, they, too, committed errors in excess of the control group. Accounts based on frontal mechanisms have a difficult time explaining the overall pattern of findings. An alternative based on limited-capacity resources is suggested.

Lexical access in aphasic and nonaphasic speakers.

An interactive 2-step theory of lexical retrieval was applied to the picture-naming error patterns of aphasic and nonaphasic speakers. The theory uses spreading activation in a lexical network to accomplish the mapping between the conceptual representation of an object and the phonological form of the word naming the object. A model developed from the theory was parameterized to fit normal error patterns. It was then "lesioned" by globally altering its connection weight, decay rates, or both to provide fits to the error patterns of 21 fluent aphasic patients. These fits were then used to derive predictions about the influence of syntactic categories on patient errors, the effect of phonology on semantic errors, error patterns after recovery, and patient performance on a single-word repetition task. The predictions were confirmed. It is argued that simple quantitative alterations to a normal processing model can explain much of the variety among patient patterns in naming.

The origins of formal paraphasias in aphasics' picture naming.

Accounts of spoken word production differ on whether aphasics' formal paraphasias derive solely from segmental distortion or whether some derive instead from whole word substitution. Form-related paraphasias produced by nine aphasics during picture naming were examined for evidence of lexical effects (word, frequency, and grammatical class biases) and for the manner in which target phonemes and word shape were preserved. Preservation patterns were consistent with previous descriptions of aphasic and nonaphasic form-related speech errors. Evidence for word and frequency biases was found, as well as a grammatical class bias sensitive to the degree of target-response segmental overlap. In conjunction, the results indicate that formal paraphasias arise, at least in part, via word substitution. The findings are supportive of interactive models with phonological-to-lemma feedback and/or modular models with a grammatically organized lexeme level.

Molecular cloning and domain structure of human myosin-VIIa, the gene product defective in Usher syndrome 1B.

Myosin-VIIa is an unconventional myosin with relatively restricted expression. Cloned first from an intestinal epithelium cell line, it occurs most notably in the testis, in the receptor cells of the inner ear, and in the pigment epithelium of the retina. Defects in myosin-VIIa cause the shaker-1 phenotype in mice and Usher syndrome 1B in human, which are characterized by deafness, lack of vestibular function, and (in human) progressive retinal degeneration. Because the described cDNAs encode less than half of the protein predicted from immunoblots, we have cloned cDNAs encoding the rest of human myosin-VIIa. Two transcripts were found, one encoding the predicted 250-kDa protein and another encoding a shorter form. Both transcripts were found in highest abundance in testis, although the shorter transcript was much less abundant. Both could be detected in lymphocytes by RT-PCR. The myosin tail encoded by the long transcript includes a long repeat of approximately 460 amino acids. Each repeat contains a novel "MyTH4" domain similar to domains in three other myosins, and a domain similar to the membrane-associated portion of talin and other members of the band-4.1 family.

Trisomy 7p resulting from isochromosome formation and whole-arm translocation.

A newborn boy with a large anterior fontanel, minor facial anomalies, postaxial polydactyly, patent ductus arteriosus, and developmental delay had trisomy of 7p due to an i(7p) and a concomitant t(2;7) (q37.3;q11.1). Significant enlargement of the fontanel is the most characteristic finding in most patients with duplications involving 7p15-pter. Asynchrony in fore- and hindbrain and hemisphere formation leading to brain asymmetry and various defects in the posterior fossa are typical of infants with duplications of 7p11-p12. A variety of heart defects has also been found in more than 50% of patients with duplication of 7p segments. Isochromosome formation accompanied by whole-arm translocation, resulting in uniparental isodisomy for the involved segment, is an extremely rare cause leading to partial trisomies. Although it is not clear whether isochromosome formation precedes the whole-arm translocation or follows it, the secondary rearrangement may have adaptive significance.

Origins of paraphasias in deep dysphasia: testing the consequences of a decay impairment to an interactive spreading activation model of lexical retrieval.

This study investigates an account of atypical error patterns within the framework of an interactive spreading activation model. Martin and Saffran (1992) described a patient, NC, whose error pattern was unusual for the occurrence of higher rates of form-related than meaning-related word substitutions in naming and the production of semantic errors in repetition. They proposed that NC's error pattern could be accounted for by a pathologically rapid decay of primed nodes in the semantic-lexical-phonological network that shifts the probabilities of error outcome in lexical retrieval. In the present study, Martin and Saffran's account was tested and supported in a series of simulations that reproduce essential features of NC's lexical error pattern in naming and repetition. Also described here are the results of a longitudinal study of NC's naming and repetition, which revealed a shift in relative lexical error rates toward a qualitatively normal pattern. This change in error pattern was simulated by assuming that recovery reflects resolution of the rapid decay rate toward normal levels. The patient data and computational studies are discussed in terms of their significance for the understanding of aphasic impairments and their implications for models of lexical retrieval.

Impairment of sentence comprehension.

We examine two different forms of comprehension impairment, 'semantic dementia' and 'asyntactic comprehension', focusing on the assignment of thematic roles; the determination of who did it to whom. We show, first, that the loss of word meaning does not impede thematic assignment in semantic dementia, demonstrating that syntactic information, along with some knowledge of the verb, is sufficient for the assignment of thematic roles. Studies of normal subjects indicate, however, that this process is normally subject to semantic influences; asked to judge the plausibility of sentences, subjects respond faster when thematic assignment is semantically constrained. The sentence plausibility judgments of 'asyntactic' comprehenders (aphasics with diminished syntactic control over thematic assignment) show increased effects of these semantic constraints. We discuss these results in relation to current issues in sentence processing.

Disordered speech production in aphasic and normal speakers.

Two empirical studies are presented which seek to extend the parallels between disordered speech production in aphasia and in normals. Study 1 compares the rate and distribution of some theoretically interesting error types in a jargon aphasic and a normal error corpus. Study 2 is an investigation of how the error pattern of normal speakers evolves as utterances become more practiced. On the basis of these studies, we offer a hypothesis about the nature of the variation between more and less disordered systems. Our claim, which is developed in the context of spreading activation models of production, is that such variation is tied to the ability of the system to deliver activation to intended units, relative to that of unintended units, within the time required by the task at hand.

Multi-modal hemispatial deficits after left hemisphere stroke. A disorder of attention?

We report a patient who, after suffering infarcts involving the left temporo-parietal and left anterior cingulate regions, performed significantly worse on a variety of motor, language and sensory tasks when he acted in or attended to right hemispace. Performance on a number of tasks was better when acting in near as compared with far peri-personal space and with his head deviated to the left as compared with the right. Additionally, performance with the 'unaffected' left hand was often worse in right as compared with left hemispace. We propose that his deficits are attributable to a disruption of a left hemisphere-specific attentional system which normally serves to regulate the activation and articulation of left hemisphere processing modules.