The dual origin of semantic errors in access deficit: activation vs. inhibition deficit

Focusing on the locus of the breakdown for treatment of anomia: a pilot study

The primary goal of this study was to evaluate the treatment effects of semantic feature analysis (SFA) and phonological components analysis (PCA) on word retrieval processing in persons with aphasia (PWAs). After identifying the locus of the breakdown in lexical retrieval processing, 15 monolingual native Persian speakers with aphasia were divided into two groups. After three naming trials, participants with dominant semantic deficits received SFA, and participants with primary phonological deficits were provided with PCA three times a week for eight weeks. Both approaches improved participants' naming and performance on language tests, including spontaneous speech, repetition, comprehension, and semantic processing. However, the correct naming of treated and untreated items was higher in mild-to-moderate participants, with mostly circumlocution and semantic paraphasias in the SFA group. The same holds for mild-to-moderate participants with mostly phonemic paraphasia who received PCA therapy. Moreover, the results showed that participants' baseline naming performance and semantic abilities could be associated with the treatment outcomes. Although limited by a lack of a control group, this study provided evidence supporting the possible benefits of focusing on the locus of the breakdown for treating anomia through SFA and PCA approaches, specifically in participants with mild to moderate aphasia. However, for those with severe aphasia, the treatment choice may not be as straightforward because several variables are likely to contribute to this population's word-finding difficulties. Replication with larger, well-stratified samples, use of a within-subjects alternating treatment design and consideration of treatments' long-term effects are required to better ascertain the effects of focusing on the locus of breakdown for treatment of anomia.

A narrative review of the anatomy and function of the white matter tracts in language production and comprehension

Much is known about the role of cortical areas in language processing. The shift towards network approaches in recent years has highlighted the importance of uncovering the role of white matter in connecting these areas. However, despite a large body of research, many of these tracts’ functions are not well-understood. We present a comprehensive review of the empirical evidence on the role of eight major tracts that are hypothesized to be involved in language processing (inferior longitudinal fasciculus, inferior fronto-occipital fasciculus, uncinate fasciculus, extreme capsule, middle longitudinal fasciculus, superior longitudinal fasciculus, arcuate fasciculus, and frontal aslant tract). For each tract, we hypothesize its role based on the function of the cortical regions it connects. We then evaluate these hypotheses with data from three sources: studies in neurotypical individuals, neuropsychological data, and intraoperative stimulation studies. Finally, we summarize the conclusions supported by the data and highlight the areas needing further investigation.

Contributions of semantic and phonological working memory to narrative language independent of single word production: Evidence from acute stroke

ABSTRACTNeuropsychological case studies have provided evidence that individuals with semantic, but not phonological, working memory (WM) deficits have difficulty producing phrases containing several content words. These findings supported the claim of a phrasal scope of planning at the grammatical formulation stage of production, where semantic WM supports the maintenance of lexical-semantic representations as they are inserted into slots in phrasal constituents. Recent narrative production results for individuals at the acute stage of stroke supported the role for semantic WM in phrasal elaboration while suggesting a role for phonological WM at a subsequent phonological encoding stage in supporting fluent, rapid speech. In the present study, we employed a larger participant sample while controlling for single word production abilities at semantic and phonological levels. Results confirmed the relations between semantic WM and phrasal elaboration whereas the relation between phonological WM and speech rate was eliminated. There was, however, evidence that both impaired phonological retrieval and restricted phonological WM were related to the tendency to produce short, highly frequent words such as pronouns rather than longer, less frequent words. Future research is needed to address whether the results relating to phonological WM depend on damage specific to an output rather than an input phonological capacity.

Precision of phonological errors in aphasia supports resource models of phonological working memory in language production

Working memory (WM) is critical for many cognitive functions including language production. A key feature of WM is its capacity limitation. Two models have been proposed to account for such capacity limitation: slot models and resource models. In recent years, resource models have found support in both visual and auditory perception, but do they also extend to production? We investigate this by analyzing sublexical errors from four individuals with aphasia. Using tools from computational linguistics, we first define the concept of "precision" of sublexical errors. We then demonstrate that such precision decreases with increased working memory load, i.e., word length, as predicted by resource models. Finally, we rule out alternative accounts of this effect, such as articulatory simplification. These data provide the first evidence for the applicability of the resource model to production and further point to the generalizability of this account as a model of resource division in WM.

A syntax-lexicon trade-off in language production

Spoken language production involves selecting and assembling words and syntactic structures to convey one's message. Here we probe this process by analyzing natural language productions of individuals with primary progressive aphasia (PPA) and healthy individuals. Based on prior neuropsychological observations, we hypothesize that patients who have difficulty producing complex syntax might choose semantically richer words to make their meaning clear, whereas patients with lexicosemantic deficits may choose more complex syntax. To evaluate this hypothesis, we first introduce a frequency-based method for characterizing the syntactic complexity of naturally produced utterances. We then show that lexical and syntactic complexity, as measured by their frequencies, are negatively correlated in a large (n = 79) PPA population. We then show that this syntax-lexicon trade-off is also present in the utterances of healthy speakers (n = 99) taking part in a picture description task, suggesting that it may be a general property of the process by which humans turn thoughts into speech.

Effect of Lexical-Semantic Cues during Real-Time Sentence Processing in Aphasia

Using a visual world eye-tracking paradigm, we investigated the real-time auditory sentence processing of neurologically unimpaired listeners and individuals with aphasia. We examined whether lexical-semantic cues provided as adjectives of a target noun modulate the encoding and retrieval dynamics of a noun phrase during the processing of complex, non-canonical sentences. We hypothesized that the real-time processing pattern of sentences containing a semantically biased lexical cue (e.g., the venomous snake) would be different than sentences containing unbiased adjectives (e.g., the voracious snake). More specifically, we predicted that the presence of a biased lexical cue would facilitate (1) lexical encoding (i.e., boosted lexical access) of the target noun, snake, and (2) on-time syntactic retrieval or dependency linking (i.e., increasing the probability of on-time lexical retrieval at post-verb gap site) for both groups. For unimpaired listeners, results revealed a difference in the time course of gaze trajectories to the target noun (snake) during lexical encoding and syntactic retrieval in the biased compared to the unbiased condition. In contrast, for the aphasia group, the presence of biased adjectives did not affect the time course of processing the target noun. Yet, at the post-verb gap site, the presence of a semantically biased adjective influenced syntactic re-activation. Our results extend the cue-based parsing model by offering new and valuable insights into the processes underlying sentence comprehension of individuals with aphasia.

Influence of homophone processing during auditory language comprehension on executive control processes: A dual-task paradigm

In the present preregistered study, we evaluated the possibility of a shared cognitive mechanism during verbal and non-verbal tasks and therefore the implication of domain-general cognitive control during language comprehension. We hypothesized that a behavioral cost will be observed during a dual-task including both verbal and non-verbal difficult processing. Specifically, to test this claim, we designed a dual-task paradigm involving: an auditory language comprehension task (sentence comprehension) and a non-verbal Flanker task (including congruent and incongruent trials). We manipulated sentence ambiguity and evaluated if the ambiguity effect modified behavioral performances in the non-verbal Flanker task. Under the assumption that ambiguous sentences induce a more difficult process than unambiguous sentences, we expected non-verbal flanker task performances to be impaired only when a simultaneous difficult language processing is performed. This would be specifically reflected by a performance cost during incongruent Flanker items only during ambiguous sentence presentation. Conversely, we observed a facilitatory effect for the incongruent Flanker items during ambiguous sentence suggesting better non-verbal inhibitory performances when an ambiguous sentence was simultaneously processed. Exploratory data analysis suggests that this effect is not only related to a more difficult language processing but also to the previous (n-1) Flanker item. Indeed, results showed that incongruent n-1 Flanker items led to a facilitation of the incongruent synchronized Flanker items only when ambiguous sentences were conjointly presented. This result, even if it needs to be corroborated in future studies, suggests that the recruitment of executive control mechanisms facilitates subsequent executive control implication during difficult language processing. The present study suggests a common executive control mechanism during difficult verbal and non-verbal tasks.

Cue responsiveness as a measure of emerging language ability in aphasia

Background: Prior research suggests that initial aphasia severity, lesion size, and lesion location are the most salient factors in predicting recovery outcomes. While these factors provide important prognostic information, information that is individualized and readily available to clinicians is limited. Deficits in naming are common to all aphasia types and are routinely targeted in aphasia assessment and treatment, with cues provided to facilitate lexical retrieval.Objectives: In this study, we examine aphasia recovery factors that are readily available to clinicians, examining whether a person's ability to improve naming with cues, indicating "stimulability," will be predictive of future word retrieval.Methods: Ten participants with aphasia following a left-hemisphere stroke participated in initial assessment, seven of whom met criteria for longitudinal assessment. Stroke and early clinical recovery data were collected for all participants. At four timepoints over one year we evaluated longitudinal participants' naming ability and measured the proportion of successful lexical retrieval with the presentation of phonemic, feature, and sentence cues.Results: For all participants, multiple descriptive factors regarding recovery, including lesion information, information from the acute inpatient timeframe, and communication opportunities, were examined. For individuals followed longitudinally, naming stimulability did not consistently predict naming accuracy at the subsequent assessment timepoint. Individuals' attempts at naming emerged as a metric related to future naming performance warranting further evaluation.Conclusions: Multiple factors related to recovery must be considered when providing prognostic information. Naming stimulability and attempts at naming provide some information regarding future performance, but are not consistently reliable across timepoints.

A Comprehension- or a Production-Based Monitor? Response to Roelofs (2020)

Roelofs (2020) has put forth a rebuttal of the criticisms raised against comprehension-based monitoring and has also raised a number of objections against production-based monitors. In this response, I clarify that the model defended by Roelofs is not a comprehension-based monitor, but belongs to a class of monitoring models which I refer to as production-perception models. I review comprehension-based and production-perception models, highlight the strength of each, and point out the differences between them. I then discuss the limitations of both for monitoring production at higher levels, which has been the motivation for production-based monitors. Next, I address the specific criticisms raised by Roelofs (2020) in light of the current evidence. I end by presenting several lines of arguments that preclude a single monitoring mechanism as meeting all the demands of monitoring in a task as complex as communication. A more fruitful avenue is perhaps to focus on what theories are compatible with the nature of representations at specific levels of the production system and with specific aims of monitoring in language production.

The dual origin of lexical perseverations in aphasia: Residual activation and incremental learning

Lexical perseveration, the inappropriate repetition of a previous response, is common in aphasia. Two underlying mechanisms have been proposed: residual activation and incremental learning. Previous attempts to differentiate the two have relied on experimental paradigms that encourage semantically related errors and analysis techniques designed to detect perseverations over short distances, resulting in a bias towards detecting short-lag, semantically related perseverations that both mechanisms can account for. Two key predictions that differentiate these accounts remain untested: only residual activation can explain short-lag, semantically unrelated perseverations, whereas only incremental learning can explain long-lag, semantically related perseverations. In this paper, we used a large set of picture naming trials and a novel analysis technique to test these key predictions in a multi-session study involving six individuals with aphasia. We found clear evidence for both mechanisms in different individuals, demonstrating that either one is sufficient to cause perseveration. Importantly, perseverations due to residual activation were associated with more severely impaired systems than those due to incremental learning, suggesting that a certain degree of structural and functional integrity was necessary for incremental learning. Finally, the results supported a key prediction of the incremental learning account by showing perseverations over longer lags than have previously been reported.

To select or to wait? Response to the commentaries

In [Nozari, N., & Hepner, C. R. (2018). To select or to wait? The importance of criterion setting in debates of competitive lexical selection. Cognitive Neuropsychology. Advance online publication. doi:10.1080/02643294.2018.1476335], we proposed a theoretical framework for reconciling two seemingly irreconcilable theories of lexical selection: competitive vs. non-competitive selection. The key point in this framework is the division of language production into two separate-albeit interacting-systems: a decision-making framework and a multi-layered system which maps meaning to sound. Technically, this can be accomplished by superimposing a signal detection model onto the distributions of conflict derived from the core dynamics of mapping semantic features to lexical representations. Based on this framework, we argued that a flexible selection criterion could accommodate patterns predicted by both competitive and non-competitive models of lexical selection. Five excellent commentaries posed various questions regarding the necessity, applicability, and scope of the proposed framework. This paper addresses those questions.