TY - THES A1 - Lorenz, Antje T1 - Die Behandlung von Wortabrufstörungen bei Aphasie : eine methodenvergleichende Studie zum Bildbenennen N2 - In einer multiplen Einzelfallstudie mit zehn aphasischen Patienten wurde die Wirksamkeit eines semantischen und eines phonologischen Therapieansatzes zur Behandlung von Wortabrufstörungen verglichen. Detaillierte Einzelfalluntersuchungen ermöglichten die Diagnose der zugrundeliegenden funktionalen Störungen bei jedem Patienten. Auf diese Weise konnten die erzielten Therapieeffekte auf die individuellen kognitiv-neurolinguistischen Störungsmuster bezogen werden. Im Vordergrund der Therapie stand in beiden Ansätzen das mündliche Benennen von Objektabbildungen mit unterschiedlichen Arten von Hilfen. Während in der semantischen Therapie Teilaspekte des semantischen Zielkonzepts als Benennhilfen eingesetzt wurden, handelte es sich bei den phonologischen Hilfen um Teilinformationen der Zielwortform. Bei der Erhebung von spezifischen Therapieeffekten wurde zwischen itemspezifischen und itemübergreifenden Verbesserungen sowie kurz- und langfristigen Effekten auf die mündlichen Benennleistungen unterschieden. Dabei wurden neben den quantitativen Verbesserungen (% korrekt) auch die qualitativen Effekte (Fehlertypen) der beiden Ansätze berücksichtigt, und es wurden Transfereffekte in die Spontansprache der Patienten untersucht. Zusätzlich wurden auch die Soforteffekte der verschiedenen Benennhilfen in den Therapiesitzungen erhoben. Im Methodenvergleich zeigte sich, dass die phonologische Therapiephase kurzfristig bei der Mehrzahl der Patienten signifikante Verbesserungen beim Bildbenennen bewirkte, diese Effekte haben sich jedoch überwiegend als nicht stabil erwiesen. Im Gegensatz dazu erwies sich die semantische Therapiephase auch als langfristig effektiv. Im Unterschied dazu erwiesen sich die phonologischen Benennhilfen bei fast allen Patienten als unmittelbar effektiver als die semantischen Benennhilfen. Somit waren die Soforteffekte der Hilfetypen in den Therapiesitzungen kein sicherer Indikator für die Dauer der Gesamteffekte einer Therapiephase. Außerdem zeigte sich nicht bei allen Patienten ein direkter Zusammenhang zwischen der Art ihrer zugrundeliegenden funktionalen Störung und den erzielten Therapieeffekten. Einerseits profitierten Patienten mit erhaltenen semantischen Verarbeitungsleistungen von der semantischen Therapie, andererseits zeigten sich signifikante phonologische Therapieeffekte bei Patienten mit zentral-semantischen Störungen. Die Wirkmechanismen der beiden Therapieansätze werden unter Berücksichtigung unterschiedlicher kognitiv-neurolinguistischer Theorien zum mündlichen Wortabrufprozess beim Bildbenennen interpretiert. N2 - This study compared semantic and phonological treatments of word retrieval in ten aphasic patients using a multiple single case paradigm. The patients' single word processing was investigated before therapy, so that specific treatment effects could be interpreted with regard to underlying functional deficit(s) in each patient. In both treatments, the main task was spoken picture naming with different types of cues. In the semantic treatment, different aspects of the semantic target concept were used as a cue in picture naming, in the phonological treatment, different types of word-form specific information were provided as a cue. Treatment effects were assessed in terms of both short- and long-lasting effects on spoken picture naming accuracy in each patient. Both quantitative (proportion of correct responses) and qualitative (error types) improvements were evaluated. Furthermore, generalisation to untreated pictures (control items) and related tasks and transfer effects into spontaneous speech were examined. In addition, the immediate effects of the different types of prompts in the phonological and semantic treatment sessions were analysed. Regarding the stability of effects, different outcomes were found for semantic versus phonological treatments. The phonological treatment phase produced only short-lasting effects in most of the patients. In contrast, the semantic treatment phase produced more stable effects in some participants. With regard to the immediate effects of the different types of cues in the treatment sessions, it turned out that the phonological cues produced stronger effects than the semantic cues in most of the participants. Nevertheless, the effects of the semantic treatment phase were more stable than the phonological treatment effects. Specific effects of the phonological and the semantic treatment were not directly linked to the underlying functional disorder in each patient. Patients with preserved and with impaired semantic processing of concrete nouns could profit from both methods. The underlying mechanisms of effectiveness of the two treatment methods are interpreted in the framework of different cognitive-neuropsychological theories of spoken picture naming. T2 - Die Behandlung von Wortabrufstörungen bei Aphasie : eine methodenvergleichende Studie zum Bildbenennen KW - Aphasie KW - Aphasietherapie KW - Wortabrufstörungen KW - Benennen KW - phonologische Hilfen KW - semantische Hilfen KW - aphasia KW - anomia treatment KW - anomia KW - picture naming KW - phonological cues KW - semantic cues Y1 - 2004 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:517-0001747 ER - TY - JOUR A1 - Tsegaye, Mulugeta Tarekegne A1 - De Bleser, Ria A1 - Iribarren, Carolina T1 - The effect of literacy on oral language processing implications for aphasia tests JF - Clinical linguistics & phonetics N2 - Most studies investigating the impact of literacy on oral language processing have shown that literacy provides phonological awareness skills in the processing of oral language. The implications of these results on aphasia tests could be significant and pose questions on the adequacy of such tools for testing non-literate individuals. Aiming at examining the impact of literacy on oral language processing and its implication on aphasia tests, this study tested 12 non-literate and 12 literate individuals with a modified Amharic version of the Bilingual Aphasia Test (Paradis and Amberber, 1991, Bilingual Aphasia Test. Amharic version. Hillsdale, NJ: Lawrence Erlbaum.). The problems of phonological awareness skills in oral language processing in non-literates are substantiated. In addition, compared with literate participants, non-literate individuals demonstrated difficulties in the word/sentence-picture matching tasks. This study has also revealed that the Amharic version of the Bilingual Aphasia Test may be viable for testing Amharic-speaking non-literate individuals with aphasia when modifications are incorporated. KW - aphasia KW - Bilingual Aphasia Test KW - literacy KW - Amharic KW - phonological awareness KW - word/sentence-picture matching Y1 - 2011 U6 - https://doi.org/10.3109/02699206.2011.567348 SN - 0269-9206 VL - 25 IS - 6-7 SP - 628 EP - 639 PB - Taylor & Francis Group CY - London ER - TY - JOUR A1 - Heidler, Maria-Dorothea T1 - Clock test in patients with severe aphasia JF - Nervenheilkunde : Zeitschrift für interdisziplinäre Fortbildung N2 - Objective: How do patients with severe aphasia perform in the clock test? Methods:Ten patients with severe aphasia performed the clock test in two modes: copy a given clock (copy condition) and set a clock by drawing the clock hands, where a given digital display (11:10) should be transformed into an analogue display (time setting condition). Results: Not a single patient with severe aphasia was able to master any mode of the clock test. Both copy and time conditions were severely impaired by executive, conceptual, motoric visuospatial and apraxic disorders - impairments of language system were only one of numerous influencing factors. Conclusions and clinical relevance:The clock test measures and requires for its execution so many different cognitive, motoric and perceptual functions that it cannot adequately differentiate between patients with severe aphasia and other severe brain damage. KW - Clock test KW - aphasia KW - apraxia KW - executive functions Y1 - 2012 SN - 0722-1541 VL - 31 IS - 11 SP - 837 EP - 843 PB - Schattauer CY - Stuttgart ER - TY - JOUR A1 - Clahsen, Harald A1 - Siegmüller, Julia A1 - Penke, Martina A1 - Schröder, Astrid A1 - Hofmann, Janine A1 - Holzgrefe-Lang, Julia A1 - Skerra, Antje A1 - Adani, Flavia A1 - Gagarina, Natalʹja Vladimirovna A1 - Schröter, Carolin A1 - Frieg, Hendrike A1 - Belke, Eva A1 - Schwab, Susanne A1 - Seifert, Susanne A1 - Watko, Petra A1 - Obendrauf, Tanja A1 - Trauntschnig, Mike A1 - Gasteiger-Klicpera, Barbara A1 - Adelt, Anne A1 - Hanne, Sandra A1 - Burchert, Frank A1 - Swietza, Romy A1 - Doppelbauer, Lea A1 - Dralle, Jenny A1 - Purat, Patricia A1 - Webersinke, Dorothea A1 - Schwytay, Jeannine A1 - Stadie, Nicole A1 - Hoppe, Carina A1 - Heide, Judith A1 - Marusch, Tina A1 - von der Malsburg, Titus Raban A1 - Bastiaanse, Roelien A1 - Schultheiss, Corinna A1 - Nahrstaedt, Holger A1 - Schauer, Thomas A1 - Seidl, Rainer Ottis A1 - Rath, Elisa ED - Fritzsche, Tom ED - Meyer, Corinna B. ED - Adelt, Anne ED - Roß, Jennifer T1 - Spektrum Patholinguistik = Schwerpunktthema: Labyrinth Grammatik: Therapie von syntaktischen Störungen bei Kindern und Erwachsenen N2 - Das Herbsttreffen Patholinguistik wird seit 2007 jährlich vom Verband für Patholinguistik e.V. (vpl) durchgeführt. Das 6. Herbsttreffen mit dem Schwerpunktthema "Labyrinth Grammatik: Therapie von syntaktischen Störungen bei Kindern und Erwachsenen" fand am 17.11.2012 in Potsdam statt. Im vorliegenden Tagungsband finden sich alle Beiträge der Veranstaltung: die vier Hauptvorträge zum Schwerpunkthema, die Vorträge aus Praxis und Forschung von vier Patholinguistinnen in der Reihe Spektrum Patholinguistik sowie die Abstracts der Posterpräsentation. N2 - The 'Herbsttreffen Patholinguistik' is an annual conference organized by the Association for Patholinguistics (Verband für Patholinguistik e.V./vpl) since 2007. The 6th Herbsttreffen with its theme "Labyrinth Grammar: Therapy of Syntactic Disorders in Children and Adults" took place on November 17th, 2012 in Potsdam. These proceedings contain all contributions of the meeting: the four keynote talks, the talks on speech/language therapy and research in the section "Spektrum Patholinguistik" by four patholinguists as well as the abstracts of the poster session. T3 - Spektrum Patholinguistik - 6 KW - Patholinguistik KW - syntaktische Störungen KW - Aphasie KW - Agrammatismus KW - Dysgrammatismus KW - patholinguistics KW - speech/language therapy KW - syntactic disorders KW - aphasia KW - agrammatism Y1 - 2013 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:517-opus-67659 SN - 978-3-86956-270-4 SN - 1869-3822 SN - 1866-9433 IS - 6 PB - Universitätsverlag Potsdam CY - Potsdam ER - TY - JOUR A1 - Lorenz, Antje A1 - Heide, Judith A1 - Burchert, Frank T1 - Compound naming in aphasia: effects of complexity, part of speech, and semantic transparency JF - Language, cognition and neuroscience KW - compound production KW - morphology KW - decomposition KW - lemma KW - part of speech KW - semantic transparency KW - aphasia KW - word-finding difficulties Y1 - 2014 U6 - https://doi.org/10.1080/01690965.2013.766357 SN - 2327-3798 SN - 2327-3801 VL - 29 IS - 1 SP - 88 EP - 106 PB - Routledge, Taylor & Francis Group CY - Abingdon ER - TY - JOUR A1 - Groenewold, Rimke A1 - Bastiaanse, Roelien A1 - Nickels, Lyndsey A1 - Wieling, Martijn A1 - Huiskes, Mike T1 - The differential effects of direct and indirect speech on discourse comprehension in Dutch and English listeners with and without aphasia JF - Aphasiology : an international, interdisciplinary journal N2 - Background: In a previous study, we demonstrated that narratives containing direct speech constructions were easier to comprehend than narratives with indirect speech constructions for Dutch listeners with and without aphasia. There were two possible explanations for this finding: either that direct speech has increased liveliness compared to indirect speech or that direct speech is less grammatically complex. Aims: This study aimed to provide further insight into the mechanisms underlying the differences between direct and indirect speech constructions on discourse comprehension in Dutch. More specifically, it aimed to examine the role that the grammatical characteristics of direct and indirect speech play in discourse comprehension success by comparing English- and Dutch-speaking individuals with and without aphasia. Methods & Procedures: An English version of the Dutch iPad-based Direct Speech Comprehension (DISCO) test was developed. Twenty individuals with aphasia and 19 neurologically healthy control participants were presented with spoken narratives that contained either direct or indirect speech constructions. Their performance was compared to that of the participants of the Dutch DISCO study. To assess the effect of language on performance, we conducted a single analysis in which we contrasted the English data with the Dutch data. Outcomes & Results: Control participants performed better than participants with aphasia; English-speaking participants performed worse than Dutch participants, and narratives containing direct speech were easier to comprehend than narratives with indirect speech constructions. However, a subsequent analysis including only individuals with aphasia showed that the Dutch group differed from the English-speaking group: direct speech was only beneficial for the Dutch participants with aphasia. Conclusions: This study expanded on the findings of a previous study, in which a facilitating effect of direct over indirect speech constructions for audiovisual discourse comprehension was found. The differential effects of direct speech on comprehension in Dutch and English showed that rather than one or other explanation being "correct", both liveliness and grammatical characteristics play a role in discourse comprehension success. Grammatically less complex constructions (direct speech) are not necessarily always easier to comprehend than grammatically more complex constructions (indirect speech) for individuals with aphasia. In our study grammatically simple constructions introduced grammatical ambiguity and therefore possible interpretation difficulties for the English-speaking participants with aphasia. KW - discourse comprehension KW - direct speech KW - indirect speech KW - aphasia Y1 - 2015 U6 - https://doi.org/10.1080/02687038.2014.977217 SN - 0268-7038 SN - 1464-5041 VL - 29 IS - 6 SP - 685 EP - 704 PB - Routledge, Taylor & Francis Group CY - Abingdon ER - TY - JOUR A1 - Linnik, Anastasia A1 - Bastiaanse, Roelien A1 - Höhle, Barbara T1 - Discourse production in aphasia: a current review of theoretical and methodological challenges JF - Aphasiology : an international, interdisciplinary journal N2 - Background: Discourse abilities play an important role in the assessment, classification, and therapy outcome evaluation of people with aphasia. Discourse production in aphasia has been studied quite extensively in the last 15 years. Nevertheless, many questions still do not have definitive answers.Aims: The aim of this review is to present the current situation in the research on a number of crucial aspects of discourse production in aphasia, focusing on methodological progress and related challenges. This review continues the discussion of the core themes in the field, aiming to render it as up-to-date as possible.Main Contribution: The review focuses on a number of unexplored theoretical issues, specifically, the interface between micro- and macrolinguistic abilities, and the relationship between linguistic competence and communicative success in aphasia. The emphasis on theoretical challenges, along with the thorough discussion of methodological problems in the field, makes this review a starting point and a comprehensive information source for researchers planning to address language production in people with aphasia.Conclusion: Although the picture is not yet complete, recent advancements lead to a better understanding of the processes involved in aphasic discourse production. Different approaches provide insights into the complex multifaceted nature of discourse-level phenomena; however, methodological issues, including low comparability, substantially slow down the progress in the field. KW - Discourse production KW - aphasia Y1 - 2016 U6 - https://doi.org/10.1080/02687038.2015.1113489 SN - 0268-7038 SN - 1464-5041 VL - 30 SP - 765 EP - 800 PB - Copernicus CY - Abingdon ER - TY - JOUR A1 - Bastiaanse, Roelien A1 - Wieling, Martijn A1 - Wolthuis, Nienke T1 - The role of frequency in the retrieval of nouns and verbs in aphasia JF - Aphasiology : an international, interdisciplinary journal N2 - Background: Word retrieval in aphasia involves different levels of processinglemma retrieval, grammatical encoding, lexeme retrieval, and phonological encodingbefore articulation can be programmed and executed. Several grammatical, semantic, lexical, and phonological characteristics, such as word class, age of acquisition, imageability, and word frequency influence the degree of success in word retrieval. It is, however, not yet clear how these factors interact. The current study focuses on the retrieval of nouns and verbs in isolation and in sentence context and evaluates the impact of the mentioned factors on the performance of a group of 54 aphasic speakers.Aims: The main aim is to measure the effect of word frequency on the retrieval of nouns and verb by disentangling the influence of word class, age of acquisition, imageability, and lemma and lexeme frequencies on word retrieval in aphasia.Methods & Procedures: Four tests for retrieval of nouns, verbs in isolation, and infinitives and finite verbs were administered to 54 aphasic speakers. The influence of lemma and lexeme frequency, Age of Acquisition on the word retrieval abilities was analysed.Outcomes and Results: Word class, age of acquisition, and imageability play a significant role in the retrieval of nouns and verbs: nouns are easier than verbs; the earlier a word has been learned and the more concrete it is, the easier it is to retrieve. When performance is controlled for these factors, lemma frequency turns out to play a minor role: only in object naming does it affect word retrieval: the higher the lemma frequency of a noun, the easier it is to access. Such an effect does not exist for verbs, neither on an action-naming test, nor when verbs have to be retrieved in sentence context. Lexeme frequency was not found to be a better predictor than lemma frequency in predicting word retrieval in aphasia.Conclusions: Word retrieval in aphasia is influenced by grammatical, semantic, and lexical factors. Word frequency only plays a minor role: it affects the retrieval of nouns, but not of verbs. KW - Word frequency KW - age of acquisition KW - imageability KW - verbs KW - nouns KW - aphasia Y1 - 2016 U6 - https://doi.org/10.1080/02687038.2015.1100709 SN - 0268-7038 SN - 1464-5041 VL - 30 SP - 1221 EP - 1239 PB - Karger CY - Abingdon ER - TY - THES A1 - Linnik, Anastasia T1 - Coherence and structure in aphasic and non-aphasic spoken discourse T1 - Kohärenz und Struktur im aphasischen und nicht-aphasischen gesprochenen Diskurs N2 - Discourse production is crucial for communicative success and is in the core of aphasia assessment and treatment. Coherence differentiates discourse from a series of utterances/sentences; it is internal unity and connectedness, and, as such, perhaps the most inherent property of discourse. It is unclear whether people with aphasia, who experience various language production difficulties, preserve the ability to produce coherent discourse. A more general question of how coherence is established and represented linguistically has been addressed in the literature, yet remains unanswered. This dissertation presents an investigation of discourse production in aphasia and the linguistic mechanisms of establishing coherence. N2 - Die Diskursproduktion ist entscheidend für den kommunikativen Erfolg und ist ausschlaggebend für die Diagnostik und Behandlung von Aphasie. Durch Kohärenz wird eine Reihe von Äußerungen oder Sätzen zum Diskurs. Kohärenz stellt die innere Einheit und Verbundenheit eines Textes dar und ist damit vielleicht die zentrale Eigenschaft des Diskurses. Es ist unklar, ob Menschen mit Aphasie, die Schwierigkeiten bei der Sprachproduktion haben, die Fähigkeit bewahren, einen kohärenten Diskurs zu konstruieren. Die Frage, was genau Sprache kohärent macht, wurde in der Literatur behandelt, ist aber nicht vollständig verstanden. Diese Dissertation stellt eine Untersuchung der aphasischen Diskursproduktion und der linguistischen Mechanismen zur Herstellung von Kohärenz dar. KW - aphasia KW - discourse production KW - rhetorical structure theory KW - coherence KW - Aphasie KW - Diskursproduktion KW - rhetorische Struktur KW - Kohärenz Y1 - 2016 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:517-opus4-423202 ER - TY - THES A1 - Räling, Romy T1 - Age of acquisition and semantic typicality effects T1 - Erwerbsalter- und semantische Typikalitätseffekte BT - evidences for distinct processing origins from behavioural and ERP data in healthy and impaired semantic processing BT - Evidenzen für distinktive Verarbeitungsursprünge aus behavioralen und elektrophysiologischen Daten der sprachgesunden und beeinträchtigten semantischen Verarbeitung N2 - Age of acquisition (AOA) is a psycholinguistic variable that significantly influences behavioural measures (response times and accuracy rates) in tasks that require lexical and semantic processing. Its origin is – unlike the origin of semantic typicality (TYP), which is assumed at the semantic level – controversially discussed. Different theories propose AOA effects to originate either at the semantic level or at the link between semantics and phonology (lemma-level). The dissertation aims at investigating the influence of AOA and its interdependence with the semantic variable TYP on particularly semantic processing in order to pinpoint the origin of AOA effects. Therefore, three studies have been conducted that considered the variables AOA and TYP in semantic processing tasks (category verifications and animacy decisions) by means of behavioural and partly electrophysiological (ERP) data and in different populations (healthy young and elderly participants and in semantically impaired individuals with aphasia (IWA)). The behavioural and electrophysiological data of the three studies provide evidence for distinct processing levels of the variables AOA and TYP. The data further support previous assumptions on a semantic origin for TYP but question the same for AOA. The findings, however, support an origin of AOA effects at the transition between the word form (phonology) and the semantic level that can be captured at the behavioural but not at the electrophysiological level. N2 - Das Erwerbsalter (engl. age of acquisition, AOA) ist eine psycholinguistische Variable, die Verhaltensdaten (Reaktionszeiten und Fehlerraten) von sprachgesunden Studienteilnehmern in Aufgaben zur lexikalisch-semantischen Verarbeitung nachweislich beeinflusst. Während für die Typikalität (engl. typicality, TYP), eine weitere wichtige psycholinguistische Variable, der Verarbeitungsursprung auf der semantischen Ebene als sicher angenommen werden kann, wird der Ursprung des Erwerbsalters bis heute kontrovers diskutiert. Verschiedene Theorien erwägen den Ursprung von Erwerbsaltereffekten entweder auf der semantischen Ebene oder auf der Verbindungsroute zwischen der Semantik und der Phonologie (Lemma-Level). Das Ziel der Dissertation ist die Evaluation eines semantischen Ursprunges von Erwerbsaltereffekten sowie des Wechselspiels des Erwerbsalters mit der semantischen Variable Typikalität. Im Rahmen des Promotionsprojektes wurden drei Studien durchgeführt, die die Variablen Erwerbsalter und Typikalität in Aufgaben zum Sprachverständnis (Belebtheits-Entscheiden und Kategorie-Vertreter-Verifikation) mit Hilfe unterschiedlicher Methoden (Verhaltens- und EEG-Messungen) und Populationen (junge und ältere Sprachgesunde und Aphasiker mit einem spezifisch semantischen Defizit) untersuchen. Die erhobenen Daten der drei Studien liefern Evidenzen für unterschiedliche Verarbeitungsursprünge der Variablen Erwerbsalter und Typikalität. Während die Daten bisherige Annahmen eines semantischen Ursprunges von Typikalitätseffekten unterstützen, stellen sie entsprechendes für Erwerbsaltereffekte in Frage. Insbesondere die behavioralen Ergebnisse liefern jedoch Evidenzen für einen Verarbeitungsursprung des Erwerbsalters auf den Verbindungsrouten zwischen den Wortformebenen (phonologisches bzw. graphematisches Inputlexikon) und der semantischen Ebene. KW - semantische Typikalität KW - Erwerbsalter KW - Aphasie KW - semantische Verarbeitung KW - ereigniskorrelierte Potentiale KW - semantic typicality KW - age of acquisition KW - aphasia KW - semantic processing KW - event-related potentials Y1 - 2016 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:517-opus4-95943 ER -