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Monteiro S, Sherbino J, Ilgen JS, Hayden EM, Howey E, Norman G. The effect of prior experience on diagnostic reasoning: exploration of availability bias. ACTA ACUST UNITED AC 2020; 7:265-272. [PMID: 32776898 DOI: 10.1515/dx-2019-0091] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2019] [Accepted: 06/08/2020] [Indexed: 11/15/2022]
Abstract
Objectives Diagnostic reasoning has been shown to be influenced by a prior similar patient case. However, it is unclear whether this process influences diagnostic error rates or whether clinicians at all experience levels are equally susceptible. The present study measured the influence of specific prior exposure and experience level on diagnostic accuracy. Methods To create the experience of prior exposure, participants (pre-clerkship medical students, emergency medicine residents, and faculty) first verified diagnoses of clinical vignettes. The influence of prior exposures was measured using equiprobable clinical vignettes; indicating two diagnoses. Participants diagnosed equiprobable cases that were: 1) matched to exposure cases (in one of three conditions: a) similar patient features, similar clinical features; b) dissimilar patient features, similar clinical features; c) similar patient features, dissimilar clinical features), or 2) not matched to any prior case (d) no exposure). A diagnosis consistent with a matched exposure case was scored correct. Cases with no prior exposure had no matched cases, hence validated the equiprobable design. Results Diagnosis A represented 47% of responses in condition d, but there was no influence of specific similarity of patient characteristics for Diagnosis A, F(3,712)=7.28, p=0.28 or Diagnosis B, F(3,712)=4.87, p=0.19. When re-scored based on matching both equiprobable diagnoses, accuracy was high, but favored faculty (n=40) 98%, and residents (n=39) 98% over medical students (n=32) 85%, F(2,712)=35.6, p<0.0001. Accuracy for medical students was 84, 87, 94, and 73% for conditions a-d, respectively, interaction F(2,712)=3.55, p<0.002. Conclusions The differential diagnosis of pre-clerkship medical students improved with prior exposure, but this was unrelated to specific case or patient features. The accuracy of medical residents and staff was not influenced by prior exposure.
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Affiliation(s)
- Sandra Monteiro
- Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.,McMaster Faculty of Health Sciences Education Research, Innovation and Theory (MERIT) Program, McMaster University, Hamilton, ON, Canada
| | - Jonathan Sherbino
- McMaster Faculty of Health Sciences Education Research, Innovation and Theory (MERIT) Program, McMaster University, Hamilton, ON, Canada.,Division of Emergency Medicine, Department of Medicine, McMaster University, Hamilton, ON, Canada
| | - Jonathan S Ilgen
- Department of Emergency Medicine, University of Washington, Seattle, WA, USA.,Center for Leadership & Innovation in Medical Education, University of Washington, Seattle, WA, USA
| | - Emily M Hayden
- Department of Emergency Medicine, Massachusetts General Hospital, Boston, MA, USA
| | - Elizabeth Howey
- McMaster Faculty of Health Sciences Education Research, Innovation and Theory (MERIT) Program, McMaster University, Hamilton, ON, Canada
| | - Geoff Norman
- Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.,McMaster Faculty of Health Sciences Education Research, Innovation and Theory (MERIT) Program, McMaster University, Hamilton, ON, Canada
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Bourne VJ, Hole GJ. Lateralized Repetition Priming for Familiar Faces: Evidence for Asymmetric Interhemispheric Cooperation. Q J Exp Psychol (Hove) 2018; 59:1117-33. [PMID: 16885146 DOI: 10.1080/02724980543000150] [Citation(s) in RCA: 26] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Repetition priming refers to facilitated recognition of stimuli that have been seen previously. Although a great deal of work has examined the properties of repetition priming for familiar faces, little has examined the neuroanatomical basis of the effect. Two experiments are presented in this paper that combine the repetition priming paradigm with a divided visual field methodology to examine lateralized recognition of familiar faces. In the first experiment participants were presented with prime faces unilaterally to each visual field and target faces foveally. A significant priming effect was found for prime faces presented to the right hemisphere, but not for prime faces presented to the left hemisphere. In Experiment 2, prime and target faces were presented unilaterally, either to the same visual field or to the opposite visual field (i.e., either within hemisphere or across hemispheres). A significant priming effect was found for the within right hemisphere condition, but not for the within left hemisphere condition, replicating the findings of the first experiment. Priming was also found in both of the across hemispheres conditions, suggesting that interhemispheric cooperation occurs to aid recognition. Taken in combination these experiments provide two main findings. First, an asymmetric repetition priming effect was found, possibly as a result of asymmetric levels of activation following recognition of a prime face, with greater priming occurring within the right hemisphere. Second, there is evidence for asymmetric interhemispheric cooperation with transfer of information from the right hemisphere to the left hemisphere to facilitate recognition.
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McHugh T, Buchanan L. Pun processing from a psycholinguistic perspective: Introducing the Model of Psycholinguistic Hemispheric Incongruity Laughter (M.PHIL). Laterality 2016; 21:455-483. [DOI: 10.1080/1357650x.2016.1146292] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Neill E, Rossell SL. Comparing implicit and explicit semantic access of direct and indirect word pairs in schizophrenia to evaluate models of semantic memory. Psychiatry Res 2013; 205:199-204. [PMID: 23260447 DOI: 10.1016/j.psychres.2012.11.034] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/10/2012] [Revised: 11/13/2012] [Accepted: 11/27/2012] [Indexed: 11/28/2022]
Abstract
Semantic memory deficits in schizophrenia (SZ) are profound, yet there is no research comparing implicit and explicit semantic processing in the same participant sample. In the current study, both implicit and explicit priming are investigated using direct (LION-TIGER) and indirect (LION-STRIPES; where tiger is not displayed) stimuli comparing SZ to healthy controls. Based on a substantive review (Rossell and Stefanovic, 2007) and meta-analysis (Pomarol-Clotet et al., 2008), it was predicted that SZ would be associated with increased indirect priming implicitly. Further, it was predicted that SZ would be associated with abnormal indirect priming explicitly, replicating earlier work (Assaf et al., 2006). No specific hypotheses were made for implicit direct priming due to the heterogeneity of the literature. It was hypothesised that explicit direct priming would be intact based on the structured nature of this task. The pattern of results suggests (1) intact reaction time (RT) and error performance implicitly in the face of abnormal direct priming and (2) impaired RT and error performance explicitly. This pattern confirms general findings regarding implicit/explicit memory impairments in SZ whilst highlighting the unique pattern of performance specific to semantic priming. Finally, priming performance is discussed in relation to thought disorder and length of illness.
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Affiliation(s)
- Erica Neill
- Monash Alfred Psychiatry Research Centre (MAPrc), Central Clinical School, Faculty of Medicine, Nursing and Health Sciences, Monash University, Level 4, 607 St Kilda Road, St Kilda, Vic 3004, Melbourne, Australia.
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Rutherford BJ, Mathesius JR. The brain's hemispheres and controlled search of the lexicon: evidence from fixated words and pseudowords. Brain Cogn 2012; 79:188-99. [PMID: 22542843 DOI: 10.1016/j.bandc.2012.03.004] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2010] [Revised: 11/06/2011] [Accepted: 03/01/2012] [Indexed: 10/28/2022]
Abstract
Difference between the brain's hemispheres in efficiency of intentional search of the mental lexicon with phonological, orthographic, and semantic strategies was investigated. Letter strings for lexical decision were presented at fixation, with a lateralized distractor to the LVF or RVF. Word results revealed that both hemispheres were capable of using each of the three strategies, but the right hemisphere had better baseline processing of orthography and was better at processing semantics. Pseudoword results supported the right hemisphere advantage for orthography and showed a left hemisphere advantage for phonology and assessment of possible semantic relationships. Taken together, the data support the idea that the right hemisphere uses orthography to make efficient decisions about novelty of an item, while the left engages in grapheme-to-phoneme conversion to test hypotheses about unfamiliar items. The convergence of data with previous research reveals that the procedure, as well as analyses of pseudowords, inform laterality research.
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Affiliation(s)
- Barbara J Rutherford
- Psychology Department, University of British Columbia, Okanagan, Kelowna, British Columbia, Canada.
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Smith-Conway ER, Chenery HJ, Angwin AJ, Copland DA. A dual task priming investigation of right hemisphere inhibition for people with left hemisphere lesions. Behav Brain Funct 2012; 8:14. [PMID: 22429687 PMCID: PMC3386013 DOI: 10.1186/1744-9081-8-14] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2011] [Accepted: 03/20/2012] [Indexed: 11/25/2022] Open
Abstract
Background During normal semantic processing, the left hemisphere (LH) is suggested to restrict right hemisphere (RH) performance via interhemispheric suppression. However, a lesion in the LH or the use of concurrent tasks to overload the LH's attentional resource balance has been reported to result in RH disinhibition with subsequent improvements in RH performance. The current study examines variations in RH semantic processing in the context of unilateral LH lesions and the manipulation of the interhemispheric processing resource balance, in order to explore the relevance of RH disinhibition to hemispheric contributions to semantic processing following a unilateral LH lesion. Methods RH disinhibition was examined for nine participants with a single LH lesion and 13 matched controls using the dual task paradigm. Hemispheric performance on a divided visual field lexical decision semantic priming task was compared over three verbal memory load conditions, of zero-, two- and six-words. Related stimuli consisted of categorically related, associatively related, and categorically and associatively related prime-target pairs. Response time and accuracy data were recorded and analyzed using linear mixed model analysis, and planned contrasts were performed to compare priming effects in both visual fields, for each of the memory load conditions. Results Control participants exhibited significant bilateral visual field priming for all related conditions (p < .05), and a LH advantage over all three memory load conditions. Participants with LH lesions exhibited an improvement in RH priming performance as memory load increased, with priming for the categorically related condition occurring only in the 2- and 6-word memory conditions. RH disinhibition was also reflected for the LH damage (LHD) group by the removal of the LH performance advantage following the introduction of the memory load conditions. Conclusions The results from the control group are consistent with suggestions of an age related hemispheric asymmetry reduction and indicate that in healthy aging compensatory bilateral activation may reduce the impact of inhibition. In comparison, the results for the LHD group indicate that following a LH lesion RH semantic processing can be manipulated and enhanced by the introduction of a verbal memory task designed to engage LH resources and allow disinhibition of RH processing.
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Affiliation(s)
- Erin R Smith-Conway
- The University of Queensland Centre for Clinical Research, Brisbane, QLD, Australia.
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Abstract
Semantic deficits constitute a core cognitive abnormality in schizophrenia. In the current study, the N-methyl-d-aspartate receptor antagonist ketamine was administered to healthy individuals acutely while they performed semantic processing tasks that included word pairs of differing degrees of semantic relatedness. Two dimensions of semantic processing were investigated: (1) explicit versus implicit processing, that is, unconscious versus conscious processing of semantic relationships and (2) direct versus indirect processing, that is, word pairs that are closely (LION-TIGER) or distantly (LION-STRIPES) related. The immediate effects of ketamine (0.8 mg/kg per hour during 80 minutes with approximate target plasma levels of 200 ng/mL) were examined in a placebo-controlled double-blind repeated-measures group design with 19 participants. It was predicted that ketamine would disrupt access to semantic memory as evidenced in schizophrenia, especially the indirectly related word pairs. In addition, implicit processing and explicit processing were predicted to be differentially affected. Ketamine administration did result in an abnormal performance in the reaction time responses to implicitly presented indirectly related word pairs (ie, greater priming) and reduced accuracy for explicit pairs. Performance on the directly related word pair tasks (both implicit and explicit) was similar across ketamine and placebo conditions, except for the suggestion of abnormal semantic matching in the accuracy data in the implicit task. This study confirms that implicit indirect semantic processing is changed under the influences of ketamine akin to schizophrenia. Future research comparing a schizophrenia group and a ketamine group directly about these tasks is needed to determine the similarity of impairments.
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8
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Huang CY, Lee CY, Huang HW, Chou CJ. Number of sense effects of Chinese disyllabic compounds in the two hemispheres. BRAIN AND LANGUAGE 2011; 119:99-109. [PMID: 21600638 DOI: 10.1016/j.bandl.2011.04.005] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/31/2009] [Revised: 04/01/2011] [Accepted: 04/18/2011] [Indexed: 05/30/2023]
Abstract
The current study manipulated the visual field and the number of senses of the first character in Chinese disyllabic compounds to investigate how the related senses (polysemy) of the constituted character in the compounds were represented and processed in the two hemispheres. The ERP results in experiment 1 revealed crossover patterns in the left hemisphere (LH) and the right hemisphere (RH). The sense facilitation in the LH was in favor of the assumption of single-entry representation for senses. However, the patterns in the RH yielded two possible interpretations: (1) the nature of hemispheric processing in dealing with sublexical sense ambiguity; (2) the semantic activation from the separate-entry representation for senses. To clarify these possibilities, experiment 2 was designed to push participants to a deeper level of lexical processing by the word class judgment. The results revealed the sense facilitation effect in the RH. In sum, the current study was in support of the single-entry account for related senses and demonstrated that two hemispheres processed sublexical sense ambiguity in a complementary way.
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9
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Kandhadai P, Federmeier KD. Hemispheric differences in the recruitment of semantic processing mechanisms. Neuropsychologia 2010; 48:3772-81. [PMID: 20638397 PMCID: PMC2989429 DOI: 10.1016/j.neuropsychologia.2010.07.018] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2010] [Revised: 07/06/2010] [Accepted: 07/12/2010] [Indexed: 10/19/2022]
Abstract
This study examined how the two cerebral hemispheres recruit semantic processing mechanisms by combining event-related potential measures and visual half-field methods in a word priming paradigm in which semantic strength and predictability were manipulated using lexically associated word pairs. Activation patterns on the late positive complex (LPC), linked to controlled aspects of processing, showed that previously documented left hemisphere (LH) processing benefits for word pairs with a weak forward but strong backward association stem from the ability to appreciate meaning relations in an order-independent fashion and/or strategically reorder them. Whereas there is a LH benefit for such strategic processing during comprehension in passive tasks, the present study further showed that the right hemisphere (RH) is also able to make use of these mechanisms when explicit semantic judgments are required. In both hemispheres, N400 responses, linked to initial semantic activation, were largely graded by association strength, with more amplitude reduction for forward associates and strong, symmetrically associated pairs compared to backward associates and matched weak, symmetrically associated pairs. However, responses to moderately associated pairs were more facilitated after initial presentation to the LH than to the RH. This pattern converges with sentence-processing findings that point to LH advantages for using context information to predict features of likely upcoming words. Together, the results suggest that an important basis for hemispheric asymmetries in language comprehension arises from when and how each uses top-down semantic mechanisms to shape initial semantic activation over time.
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Affiliation(s)
- Padmapriya Kandhadai
- Department of Psychology, University of British Columbia, Vancouver, BC, Canada.
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10
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Shears C, Chiarello C. No go on neutrals? An interhemispheric account of semantic category priming. Laterality 2010; 8:1-23. [PMID: 15513212 DOI: 10.1080/713754474] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
In a divided-visual-field priming paradigm, participants made manual lexical decisions performing either go no-go responses, or yes-no responses, to related prime-target word pairs that were nonassociated, category members (DEER-PONY). Half of each response group received unrelated (ATTIC-PONY) baselines and half received neutral (BLANK-PONY) baselines. In the go no-go response, small but reliable priming was obtained in both target visual fields and there was a reliable slowing of response time in the right visual field/left hemisphere for participants receiving the neutral baseline. In the yes-no response, greater priming was obtained from a neutral baseline, as compared to an unrelated baseline. We show that under appropriate conditions priming for these stimuli occurs in both visual fields. We also report that cross-visual-field advantages emerged as cognitive task load increased across combinations of baseline and response variables. We conclude that task load may be as important a factor in priming asymmetries as SOA or type of semantic relationship.
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Affiliation(s)
- Connie Shears
- Psychology Department, University of California, Riverside 92521, USA.
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11
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[Hemispheric difference in the time course of semantic activation: evidence from event-related potentials]. SHINRIGAKU KENKYU : THE JAPANESE JOURNAL OF PSYCHOLOGY 2010; 81:226-33. [PMID: 20845728 DOI: 10.4992/jjpsy.81.226] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
To investigate hemispheric differences of semantic activation, event-related potentials were recorded when two pairs of words were successively presented with a SOA of 200 ms or 800 ms. Each word pair was simultaneously exposed to the left (LVF) and right (RVF) visual fields. Participants were required to attend one visual field and make a judgment whether the words (prime-target) presented at the attended visual field were semantically related or not. A priming effect on reaction time was observed for RVF targets with SOA 200 ms, and for both LVF and RVF targets with SOA 800 ms, consistent with the idea that semantic activation is faster in the left than the right hemisphere. In contrast, the priming effect on N400 amplitude was not affected by the SOA and visual field, and the onset latency was shorter for RVF than for LVF targets, irrespective of SOA. The N400 priming effects were interpreted to be associated with task-induced semantic processing.
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Kaploun KA, Abeare CA. Degree versus direction: A comparison of four handedness classification schemes through the investigation of lateralised semantic priming. Laterality 2010; 15:481-500. [DOI: 10.1080/13576500902958871] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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13
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Kandhadai P, Federmeier KD. Automatic and controlled aspects of lexical associative processing in the two cerebral hemispheres. Psychophysiology 2010; 47:774-85. [PMID: 20136731 PMCID: PMC2907428 DOI: 10.1111/j.1469-8986.2009.00969.x] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Associative processing in the cerebral hemispheres was examined using ERPs and visual half-field (VF) methods. Associative strength was manipulated using asymmetrically associated pairs: viewed in one order (forward), there was a strong prime-to-target association, but in the backward order, predictability was weak. N400 priming was greater for forward than backward pairs in both VFs and not different across VF, suggesting similar semantic representations and automatic meaning activation in the two hemispheres. However, a frontal P2 enhancement for forward pairs restricted to the LH suggests that it uses context to predict likely upcoming words. Also, greater late positive complex priming for backward pairs in the LH than the RH reveals a LH advantage for strategically reshaping meaning activation for weakly related and/or non-canonically ordered pairs. The results link asymmetries in word processing with those observed at the sentence level.
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Affiliation(s)
- Padmapriya Kandhadai
- Department of Psychology, University of Illinois, Urbana-Champaign, Illinois 61820, USA.
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14
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Abstract
Contextual recall in humans relies on the semantic relationships between items stored in memory. These relationships can be probed by priming experiments. Such experiments have revealed a rich phenomenology on how reaction times depend on various factors such as strength and nature of associations, time intervals between stimulus presentations, and so forth. Experimental protocols on humans present striking similarities with pair association task experiments in monkeys. Electrophysiological recordings of cortical neurons in such tasks have found two types of task-related activity, "retrospective" (related to a previously shown stimulus), and "prospective" (related to a stimulus that the monkey expects to appear, due to learned association between both stimuli). Mathematical models of cortical networks allow theorists to understand the link between the physiology of single neurons and synapses, and network behavior giving rise to retrospective and/or prospective activity. Here, we show that this type of network model can account for a large variety of priming effects. Furthermore, the model allows us to interpret semantic priming differences between the two hemispheres as depending on a single association strength parameter.
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Hemispheric contributions to semantic activation: A divided visual field and event-related potential investigation of time-course. Brain Res 2009; 1284:125-44. [DOI: 10.1016/j.brainres.2009.05.053] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2008] [Revised: 05/02/2009] [Accepted: 05/23/2009] [Indexed: 11/20/2022]
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Taxonomic and thematic categories: Neural correlates of categorization in an auditory-to-visual priming task using fMRI. Brain Res 2009; 1270:78-87. [DOI: 10.1016/j.brainres.2009.03.013] [Citation(s) in RCA: 56] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2009] [Revised: 02/09/2009] [Accepted: 03/06/2009] [Indexed: 11/22/2022]
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17
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Vladeanu M, Bourne VJ. Examining the hemispheric distribution of semantic information using lateralised priming of familiar faces. Brain Cogn 2009; 69:420-5. [DOI: 10.1016/j.bandc.2008.09.006] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2008] [Revised: 09/11/2008] [Accepted: 09/18/2008] [Indexed: 10/21/2022]
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18
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Reynvoet B, Ratinckx E, Notebaert K. Intra- and interhemispheric number priming: Evidence for rapid integration of magnitude information between hemispheres. Cortex 2008; 44:728-36. [DOI: 10.1016/j.cortex.2007.12.005] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2006] [Revised: 09/01/2006] [Accepted: 12/12/2006] [Indexed: 10/22/2022]
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Abstract
Although language is a function traditionally attributed to the left hemisphere, experimental and clinical reports indicate that the right hemisphere may also have a capacity to process verbal information. Indeed, some attributes of words, including their concreteness, imageability and emotional component, have been shown to be associated with right-hemispheric processing capacities. In addition, studies on brain-damaged, split-brain patients and studies realized with neuroimaging techniques have also suggested that the right hemisphere has some linguistic capacities. The main objective of this article is to review specific contribution of right cerebral hemisphere to semantic processing from three complementary approaches: (1) divided visual-field experiments with healthy participants, (2) studies of patients with acquired lesions of both left and right hemispheres, and (3) neuroimaging studies.
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Affiliation(s)
- Karima Kahlaoui
- Centre de recherche, Institut universitaire de gériatrie de Montréal, 4565 chemin Queen-Mary, Montréal, Québec, Canada
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Abstract
We investigated hemispheric differences and inter-hemispheric transfer of facilitation in automatic semantic priming, using prime-target pairs composed of words of the same category but not associated (e.g. skirt-glove), and a blank-target baseline condition. Reaction time and accuracy were measured at short (300 ms) intervals between prime and target onsets, using a go/no-go task to discriminate between word or non-word targets. Reaction times were facilitated more for target words presented in the right visual field (RVF) compared to the left visual field (LVF), and targets presented in RVF were primed in both visual fields, whereas targets presented in LVF were primed by primes in the LVF only. These results suggest that both hemispheres are capable of automatic priming at very short stimulus onset asymmetries (SOA), but cross-hemisphere priming occurs only in the left hemisphere.
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Kacinik NA, Chiarello C. Understanding metaphors: Is the right hemisphere uniquely involved? BRAIN AND LANGUAGE 2007; 100:188-207. [PMID: 16325253 DOI: 10.1016/j.bandl.2005.10.010] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/05/2004] [Revised: 09/28/2005] [Accepted: 10/18/2005] [Indexed: 05/05/2023]
Abstract
Two divided visual field priming experiments examined cerebral asymmetries for understanding metaphors varying in sentence constraint. Experiment 1 investigated ambiguous words (e.g., SWEET and BRIGHT) with literal and metaphoric meanings in ambiguous and unambiguous sentence contexts, while Experiment 2 involved standard metaphors (e.g., The drink you gave me was a meteor) with sententially consistent and inconsistent targets (i.e., POTENT vs COMET). Similar literal and metaphor priming effects were found in both visual fields across most experimental conditions. However, RH processes also maintained activation of sententially inconsistent literal meanings following metaphoric expressions. These results do not strongly support the RH as the preferred substrate for metaphor comprehension (e.g., ), and suggest that processes in both hemispheres can support metaphor comprehension, although not via identical mechanisms. The LH may utilize sentence constraint to select and integrate only contextually relevant literal and metaphoric meanings, whereas the RH may be less sensitive to sentence context and can maintain the activation of some alternative interpretations. This may be potentially useful in situations where an initial understanding must be revised.
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Affiliation(s)
- Natalie A Kacinik
- Center for Neuroscience, University of California, 1544 Newton Crt., Davis, CA 95616-8768, USA.
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Bouaffre S, Faïta-Ainseba F. Hemispheric differences in the time-course of semantic priming processes: evidence from event-related potentials (ERPs). Brain Cogn 2007; 63:123-35. [PMID: 17207563 DOI: 10.1016/j.bandc.2006.10.006] [Citation(s) in RCA: 36] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2005] [Revised: 10/24/2006] [Accepted: 10/27/2006] [Indexed: 10/23/2022]
Abstract
To investigate hemispheric differences in the timing of word priming, the modulation of event-related potentials by semantic word relationships was examined in each cerebral hemisphere. Primes and targets, either categorically (silk-wool) or associatively (needle-sewing) related, were presented to the left or right visual field in a go/no-go lexical decision task. The results revealed significant reaction-time and physiological differences in both visual fields only for associatively related word pairs, but an electrophysiological difference also tended to reach significance for categorically related words when presented in the left visual field. ERP waveforms showed a different time-course of associative priming effects according to the field of presentation. In the right visual field/left hemisphere, both N400 and Late Positive Component (LPC/P600) were modulated by semantic relatedness, while only a late effect was present in the left visual field/ right hemisphere.
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Affiliation(s)
- Sarah Bouaffre
- Laboratoire de Sciences Cognitives EA-487, Université Victor Segalen-Bordeaux2, Bordeaux, France.
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23
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Chiarello C, Kacinik NA, Shears C, Arambel SR, Halderman LK, Robinson CS. Exploring cerebral asymmetries for the verb generation task. Neuropsychology 2006; 20:88-104. [PMID: 16460225 DOI: 10.1037/0894-4105.20.1.88] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
This study investigated potential right hemisphere involvement in the verb generation task. Six divided visual field experiments explored cerebral asymmetries for word retrieval in the verb generation task as well as in rhyme generation and immediate and delayed word pronunciation. The typical right visual field/left hemisphere (RVF/LH) advantage was observed for pronunciation and rhyme generation. For verb generation, the RVF/LH advantage was obtained only when stimulus items had a single prepotent response and not when there were multiple response alternatives. A semantic priming experiment suggested that activation for less common, related verbs was maintained for a longer time course within the right than within the left hemisphere. The authors suggest that the right hemisphere may play a role in continued activation of semantically related response alternatives in word generation and discuss methodological implications of their findings.
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Affiliation(s)
- Christine Chiarello
- Department of Psychology, University of California, Riverside, Riverside, CA 92521, USA.
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Abstract
The Japanese written language comprises both a logographic (kanji) and a phonetic (kana) script. Patterns of hemispheric asymmetry in the encoding of these scripts have been found to differ. The present study examined the way in which hemispheric differences at the level of orthographic encoding impact at the level of lexical access. A total of 32 participants performed a lexical decision task within an associative priming paradigm across both scripts. The results showed a right visual field advantage for the processing of kana, but no lateralised advantage for kanji stimuli. Patterns of facilitation also differed, with kanji stimuli eliciting a late-developing and eventually stronger priming effect in the left visual field. The results are discussed with reference to the recognition-with-phonology model in the processing of logographic script.
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25
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Grose-Fifer J, Deacon D. Priming by natural category membership in the left and right cerebral hemispheres. Neuropsychologia 2004; 42:1948-60. [PMID: 15381025 DOI: 10.1016/j.neuropsychologia.2004.04.024] [Citation(s) in RCA: 35] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2002] [Revised: 03/01/2004] [Accepted: 04/27/2004] [Indexed: 11/23/2022]
Abstract
The cerebral representation of category information was examined in a single word priming paradigm, during which the N400 component of the event-related potential (ERP) was recorded. The visual half-field paradigm was employed in order to selectively stimulate the two hemispheres. To investigate which aspects of category membership are relevant in producing priming, two types of related stimuli were presented. In one condition pairs of exemplars had a higher amount of feature overlap (e.g., MOSQUITO-FLEA) than in the other (e.g., SOFA-VASE). Significant priming was obtained only for stimuli in the high feature overlap condition and then only when these were presented to the left visual field (LVF)/right hemisphere (RH). This finding was interpreted within our recent model of semantic memory wherein the right hemisphere represents items on the basis of distributed individual features, whereas the left hemisphere (LH) represents semantic information locally, within a spreading activation system, where priming occurs exclusively through associative links. It was concluded that knowledge regarding category membership is maintained in the RH, on the basis of feature coding.
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Affiliation(s)
- Jillian Grose-Fifer
- Department of Psychology, City College of the City University of New York, 138th Street and Convent Avenue, New York, NY 10031, USA
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26
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Fecteau JH, Kingstone A, Enns JT. Hemisphere differences in conscious and unconscious word reading. Conscious Cogn 2004; 13:550-64. [PMID: 15336247 DOI: 10.1016/j.concog.2004.05.007] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2004] [Indexed: 12/01/2022]
Abstract
Hemisphere differences in word reading were examined using explicit and implicit processing measures. In an inclusion task, which indexes both conscious (explicit) and unconscious (implicit) word reading processes, participants were briefly presented with a word in either the right or the left visual field and were asked to use this word to complete a three-letter word stem. In an exclusion task, which estimates unconscious word reading, participants completed the word stem with any word other than the prime word. Experiment 1 showed that words presented to either visual field were processed in very similar ways in both tasks, with the exception that words in the right visual field (left hemisphere) were more readily accessible for conscious report. Experiment 2 indicated that unconsciously processed words are shared between the hemispheres, as similar results were obtained when either the same or the opposite visual field received the word stem. Experiment 3 demonstrated that this sharing between hemispheres is cortically mediated by testing a split-brain patient. These results suggest that the left hemisphere advantage for word reading holds only for explicit measures; unconscious word reading is much more balanced between the hemispheres.
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Chiarello C, Liu S, Shears C, Quan N, Kacinik N. Priming of strong semantic relations in the left and right visual fields: a time-course investigation. Neuropsychologia 2003; 41:721-32. [PMID: 12591029 DOI: 10.1016/s0028-3932(02)00220-8] [Citation(s) in RCA: 50] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Prior time-course investigations of cerebral asymmetries in word processing have sometimes reported hemisphere differences in the onset and duration of semantic priming. In the current study, very strongly related word pairs (categorical associates such as arm-leg) were employed in a low relatedness proportion lexical decision priming paradigm. A range of prime-target stimulus onset asynchronies (SOAs: 150-800 ms) was included. Only very weak evidence was obtained for a LVF priming lag at the briefest SOA, while priming was bilateral at moderately long SOAs. We consider these data in the context of previous time-course studies and suggest that, when highly semantically similar word pairs are used, a right hemisphere priming lag is, at best, a very small effect.
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Affiliation(s)
- Christine Chiarello
- Department of Psychology, University of California, Riverside, CA 92521, USA.
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28
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Shibahara N, Lucero-Wagoner B. Access to concrete word meanings in the cerebral hemispheres: facilitation and inhibition effects. Percept Mot Skills 2003; 96:166-72. [PMID: 12705523 DOI: 10.2466/pms.2003.96.1.166] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
In 2002 Shibahara and Lucero-Wagoner, using a priming paradigm, reported a larger facilitation for concrete noun pairs in the right than left hemisphere when the stimulus onset asynchrony was 250 msec. Their related prime-target pairs were similar not only in meaning but also perceptual attributes, such as shape. They had reported such perceptual information to be available only in the right hemisphere early in target processing. Thus, we predicted that, when the stimulus onset asynchrony is long, there would be no effect of perceptual information on target processing in the right hemisphere, resulting in no hemispheric differences in the amount of facilitation. We also predicted that target processing would be inhibited by prior presentation of unrelated primes only in the left hemisphere because inhibition seems to be produced by the attention system in the left hemisphere. The present experiment was designed to test these predictions, using the stimulus onset asynchrony of 550 msec. and the same prime-target pairs. Analysis showed no hemispheric differences in the amount of facilitation, and inhibition effects for unrelated pairs were produced in both hemispheres. It is suggested that the inhibition effects in each hemisphere might be produced by different mechanisms.
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Lavidor M, Ellis AW, Pansky A. Case alternation and length effects in lateralized word recognition: studies of English and Hebrew. Brain Cogn 2002; 50:257-71. [PMID: 12464194 DOI: 10.1016/s0278-2626(02)00508-0] [Citation(s) in RCA: 32] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Effects of CaSe AlTeRnAtIoN were studied in two lateralized visual lexical decision experiments. We manipulated word length and letter case (UPPER, lower and MiXeD) in both English (Exp. 1, N=60) and Hebrew (Exp. 2, N=60). The previously reported visual field and word length interaction was found for upper and lower case presentation, but not for MiXeD CaSe, where both fields were affected by word length. The effects of case alternation are discussed in light of a new lateralized word recognition theory.
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Abstract
Functional brain asymmetries in semantic activation were studied by presenting categorically related (e.g. TABLE-BED) or unrelated primes and targets to the left visual field (LVF)/right hemisphere or to the right visual field (RVF)/left hemisphere in the single word presentation lexical decision task. The results showed that the primes in the RVF/left hemisphere primed lexical decisions to the targets both in the RVF and in the LVF. However, the primes in the LVF/right hemisphere did not induce any priming in the LVF or RVF. These results suggest that the left hemisphere automatically activates categorically related meanings in both hemispheres. The role of the right hemisphere in automatic semantic processing may be very limited.
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Affiliation(s)
- Mika Koivisto
- Department of Psychology, Centre for Cognitive Neuroscience, University of Turku, FIN-20014 Turku, Finland.
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31
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Copland DA, Chenery HJ, Murdoch BE. Hemispheric contributions to lexical ambiguity resolution: evidence from individuals with complex language impairment following left-hemisphere lesions. BRAIN AND LANGUAGE 2002; 81:131-143. [PMID: 12081387 DOI: 10.1006/brln.2001.2512] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
Nine individuals with complex language deficits following left-hemisphere cortical lesions and a matched control group (n = 9) performed speeded lexical decisions on the third word of auditory word triplets containing a lexical ambiguity. The critical conditions were concordant (e.g., coin-bank-money), discordant (e.g., river-bank-money), neutral (e.g., day-bank-money), and unrelated (e.g., river-day-money). Triplets were presented with an interstimulus interval (ISI) of 100 and 1250 ms. Overall, the left-hemisphere-damaged subjects appeared able to exhaustively access meanings for lexical ambiguities rapidly, but were unable to reduce the level of activation for contextually inappropriate meanings at both short and long ISIs, unlike control subjects. These findings are consistent with a disruption of the proposed role of the left hemisphere in selecting and suppressing meanings via contextual integration and a sparing of the right-hemisphere mechanisms responsible for maintaining alternative meanings.
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Affiliation(s)
- David A Copland
- Department of Speech Pathology and Audiology, Centre for Research in Language Processing and Linguistics, The University of Queensland, Brisbane, Queensland, Australia.
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32
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Collins M. Interhemispheric communication via direct connections for alternative meanings of ambiguous words. BRAIN AND LANGUAGE 2002; 80:77-96. [PMID: 11817891 DOI: 10.1006/brln.2001.2582] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
A priming experiment was used to investigate Burgess and Simpson's (1988) claim that interhemispheric cooperation plays an essential role in the interpretation of ambiguous text. In doing so, the merits of two models of interhemispheric cooperation, the homotopic inhibition theory (Cook, 1986) and the direct connections model (Collins & Coney, 1998), were examined. Priming of alternative meanings of ambiguous words was measured using homographs and their dominant (e.g., BARK-DOG) and subordinate meanings (e.g., BARK-TREE) as related pairs in a lexical decision task, with normal university students as subjects. Stimulus pairs were temporally separated by stimulus onset asynchronies (SOAs) of 180 and 350 ms and were independently projected to the left or right visual fields (LVF or RVF). At the shorter SOA, priming was restricted to LVF-RVF presentations, with homograph primes directed to the LVF equally facilitating responses to RVF targets which were associated with their dominant and subordinate meanings. This suggests that within 180 ms, a homograph projected to the right hemisphere activates a range of alternative meanings in the left hemisphere. At an SOA of 350 ms, LVF-RVF priming was obtained along with RVF-LVF and RVF-RVF priming. Evidently at this stage of processing, an ambiguous word directed to either hemisphere activates a range of alternative meanings in the contralateral hemisphere, while RVF primes also activate subordinate, but not dominant meanings in the left hemisphere. A homograph directed to the LVF did not activate dominant or subordinate meanings within the right hemisphere at either SOA. Generally, ambiguous words directed to either hemisphere activated a more extensive array of meanings in the contralateral hemisphere than in the hemisphere to which the prime was directed. This confirms the importance of interhemispheric cooperation in generating alternate meanings of ambiguous words. Strong support was found for the direct connections model (Collins & Coney, 1998), but no support for the homotopic inhibition theory (Cook, 1986).
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Affiliation(s)
- Marjorie Collins
- School of Psychology, Murdoch University, Murdoch, Perth, Western Australia, 6150.
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Lavidor M, Ellis AW. Word length and orthographic neighborhood size effects in the left and right cerebral hemispheres. BRAIN AND LANGUAGE 2002; 80:45-62. [PMID: 11817889 DOI: 10.1006/brln.2001.2583] [Citation(s) in RCA: 36] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
Previous studies have reported an interaction between visual field (VF) and word length such that word recognition is affected more by length in the left VF (LVF) than in the right VF (RVF). A reanalysis showed that the previously reported effects of length were confounded with orthographic neighborhood size (N). In three experiments we manipulated length and N in lateralized lexical decision tasks. Results showed that length and VF interacted even with N controlled (Experiment 1); that N affected responses to words in the LVF but not the RVF (Experiment 2); and that when length and N were combined, length only affected performance in the LVF for words with few neighbors.
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Affiliation(s)
- Michal Lavidor
- Department of Psychology, University of York, York YO10 5DD, England, UK.
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34
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Lavidor M, Ellis AW. Orthographic neighborhood effects in the right but not in the left cerebral hemisphere. BRAIN AND LANGUAGE 2002; 80:63-76. [PMID: 11817890 DOI: 10.1006/brln.2001.2570] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
Two lexical decision experiments investigated orthographic neighborhood effects in the hemispheres. In the first experiment, lexical decision was affected by orthographic neighborhood size when stimuli were presented to the right hemisphere (RH) but not to the left hemisphere (LH). In a four-field masked-prime lexical decision task (Experiment 2), a larger shared orthographic neighborhood between prime and target facilitated lexical decision in the RH but not in the LH. The patterns of activation invoked in the two cerebral hemispheres by a written word and its orthographic neighbors may be qualitatively different.
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Affiliation(s)
- Michal Lavidor
- Department of Psychology, University of York, York YO10 5DD, England, UK.
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35
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Chiarello C, Maxfield L, Liu S, Kacinik N. Categorical processing in the left and right hemispheres: the effect of category repetition. Brain Cogn 2001; 46:66-9. [PMID: 11527366 DOI: 10.1016/s0278-2626(01)80036-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Previous research has indicated that the right hemisphere (RH) exhibits priming for nonassociated category members, but that the left hemisphere (LH) does not (Chiarello et al., 1990; Chiarello & Richards, 1992). Subsequent research has shown that time course is an important factor, but what other variables might influence the priming of nonassociated semantic category members? We hypothesized that repeated stimulation of the same semantic category would produce priming within the LH. Previous studies have used few exemplars from a given semantic category and thus have not tested this idea. Our prediction was that the LH would show priming after an adequate number of category instances had been processed. Based on previous research, we predicted no change in the priming observed in the RH over trial block. Priming was obtained in the RH, but it diminished as category repetition increased. In contrast, priming was not significant in the LH, indicating that category repetition does not induce maintenance of category members within the LH.
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36
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Collins M, Frew A. Right hemisphere contributions to the comprehension of low-imagery words. Laterality 2001; 6:111-32. [PMID: 15513164 DOI: 10.1080/713754407] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
A priming experiment, with normal university students as subjects, was used to investigate whether the right cerebral hemisphere contributes to the comprehension of low-imagery words. Each hemisphere's access to semantic representations of low-imagery words was gauged by comparing responses to low-imagery targets preceded by associated low-imagery primes (e.g., BELIEF-IDEAL) with responses to the same targets when they were preceded by unrelated primes (e.g., FATE-IDEAL). All primes and targets were independently projected to the left or right visual fields (LVF or RVF), and temporally separated by a stimulus onset asynchrony of 250 ms. There was a clear RVF advantage in response speed and accuracy measures, confirming the left hemisphere's advantage in processing low-imagery words. Nonetheless, the priming effects provided evidence that the right hemisphere contributes to the comprehension of low-imagery words, as primes projected to the RVF equally facilitated responses to associated targets subsequently appearing in either visual field. In contrast, primes directed to the LVF did not facilitate responses to associated targets projected to the LVF or RVF. The results suggest that low-imagery words projected to the left hemisphere activated low-imagery associates in both hemispheres to an equivalent degree, whereas low-imagery primes directed to the right hemisphere failed to activate low-imagery associates in either hemisphere. Like Kounios and Holcomb's (1994) study of event-related response potentials evoked by abstract and concrete words, the findings indicate that while the left hemisphere is the primary processor of low-imagery/abstract words, the right hemisphere plays a subsidiary role in the comprehension of these words.
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Affiliation(s)
- M Collins
- School of Psychology, Murdoch University, Perth, Western Australia, Australia.
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37
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Abstract
14 subjects performed a semantic category-discrimination task in which they were presented pairs of words and asked to judge whether these belonged to the same category. Three semantic distance conditions, established for the word pairs on the basis of a survey, were semantically close condition (mammals and birds condition) and two semantically distant conditions (mammals and tools condition and birds and tools condition). The reaction times and the percentage of errors were significantly greatest for the mammals and bird condition. There were no significant differences among the three different conditions in N400 latency for target, but the amplitude of N400 tended to be largest for the mammal and bird condition. Comparison N400 of prime and target for each of the conditions showed that the latency for prime was longer than for target in all three conditions.
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Affiliation(s)
- T Yano
- National Institute of Mental Health, National Center of Neurology and Psychiatry, Chiba, Japan.
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38
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Koivisto M, Revonsuo A. Semantic priming by pictures and words in the cerebral hemispheres. BRAIN RESEARCH. COGNITIVE BRAIN RESEARCH 2000; 10:91-8. [PMID: 10978696 DOI: 10.1016/s0926-6410(00)00030-6] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
In order to determine whether pictures would act as more effective semantic primes than words in the right cerebral hemisphere, automatic semantic activation in intact hemispheres was studied with primed GO-NOGO lexical decision tasks by presenting word-word and picture-word pairs to the left visual field (right hemisphere) or to the right visual field (left hemisphere). Response times in Experiment 1 showed that categorically related targets (e.g., TABLE-BED) were primed only in the right visual field after both word and picture primes. Experiment 2 found that picture primes activated the representations of the corresponding written names in both visual fields. These observations suggest that the range of automatic semantic activation is larger in the left than in the right hemisphere. The results implicate that semantic categories may be organized in a different fashion in the left than the right hemisphere.
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Affiliation(s)
- M Koivisto
- Department of Psychology, University of Turku, FIN-20014, Turku, Finland.
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39
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YANO TAKEMI. SEMANTIC CATEGORY DISCRIMINATION AND N400. Psychol Rep 2000. [DOI: 10.2466/pr0.87.6.415-422] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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