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Exploring generalisation following treatment of language deficits in aphasia can provide insights into the functional relation of the cognitive processing systems involved. In the present study, we first review treatment outcomes of interventions targeting sentence processing deficits and, second report a treatment study examining the occurrence of practice effects and generalisation in sentence comprehension and production. In order to explore the potential linkage between processing systems involved in comprehending and producing sentences, we investigated whether improvements generalise within (i.e., uni-modal generalisation in comprehension or in production) and/or across modalities (i.e., cross-modal generalisation from comprehension to production or vice versa). Two individuals with aphasia displaying co-occurring deficits in sentence comprehension and production were trained on complex, non-canonical sentences in both modalities. Two evidence-based treatment protocols were applied in a crossover intervention study with sequence of treatment phases being randomly allocated. Both participants benefited significantly from treatment, leading to uni-modal generalisation in both comprehension and production. However, cross-modal generalisation did not occur. The magnitude of uni-modal generalisation in sentence production was related to participants’ sentence comprehension performance prior to treatment. These findings support the assumption of modality-specific sub-systems for sentence comprehension and production, being linked uni-directionally from comprehension to production.
Exploring generalisation following treatment of language deficits in aphasia can provide insights into the functional relation of the cognitive processing systems involved. In the present study, we first review treatment outcomes of interventions targeting sentence processing deficits and, second report a treatment study examining the occurrence of practice effects and generalisation in sentence comprehension and production. In order to explore the potential linkage between processing systems involved in comprehending and producing sentences, we investigated whether improvements generalise within (i.e., uni-modal generalisation in comprehension or in production) and/or across modalities (i.e., cross-modal generalisation from comprehension to production or vice versa). Two individuals with aphasia displaying co-occurring deficits in sentence comprehension and production were trained on complex, non-canonical sentences in both modalities. Two evidence-based treatment protocols were applied in a crossover intervention study with sequence of treatment phases being randomly allocated. Both participants benefited significantly from treatment, leading to uni-modal generalisation in both comprehension and production. However, cross-modal generalisation did not occur. The magnitude of uni-modal generalisation in sentence production was related to participants’ sentence comprehension performance prior to treatment. These findings support the assumption of modality-specific sub-systems for sentence comprehension and production, being linked uni-directionally from comprehension to production.
Das 8. Herbsttreffen Patholinguistik mit dem Schwerpunktthema "Besonders behandeln? Sprachtherapie im Rahmen primärer Störungsbilder" fand am 15.11.2014 in Potsdam statt. Das Herbsttreffen wird seit 2007 jährlich vom Verband für Patholinguistik e.V. (vpl) durchgeführt.
Der vorliegende Tagungsband beinhaltet die vier Hauptvorträge zum Schwerpunktthema, die vier Kurzvorträge aus dem Spektrum Patholinguisitk sowie die Beiträge der Posterpräsentationen zu weiteren Themen aus der sprachtherapeutischen Forschung und Praxis.
Background: Individuals with agrammatic aphasia (IWAs) have problems with grammatical decoding of tense inflection. However, these difficulties depend on the time frame that the tense refers to. Verb morphology with reference to the past is more difficult than with reference to the non-past, because a link needs to be made to the past event in discourse, as captured in the PAst Discourse Linking Hypothesis (PADILIH; Bastiaanse, R., Bamyaci, E., Hsu, C., Lee, J., Yarbay Duman, T., Thompson, C. K., 2011. Time reference in agrammatic aphasia: A cross-linguistic study. J. Neurolinguist. 24, 652-673). With respect to reference to the (non-discourse-linked) future, data so far indicate that IWAs experience less difficulties as compared to past time reference (Bastiaanse, R., Bamyaci, E., Hsu, C., Lee, J., Yarbay Duman, T., Thompson, C. K., 2011. Time reference in agrammatic aphasia: A cross-linguistic study. J. Neurolinguist. 24, 652-673), supporting the assumptions of the PADILIH. Previous online studies of time reference in aphasia used methods such as reaction times analysis (e.g., Faroqi-Shah, Y., Dickey, M. W., 2009. On-line processing of tense and temporality in agrammatic aphasia. Brain Lang. 108, 97-111). So far, no such study used eye-tracking, even though this technique can bring additional insights (Burchert, F., Hanne, S., Vasishth, S., 2013. Sentence comprehension disorders in aphasia: the concept of chance performance revisited. Aphasiology 27, 112-125, doi:10.1080/02687038.2012.730603).
Aims: This study investigated (1) whether processing of future and past time reference inflection differs between non-brain-damaged individuals (NBDs) and IWAs, and (2) underlying mechanisms of time reference comprehension failure by IWAs.
Results and discussion: NBDs scored at ceiling and significantly higher than the IWAs. IWAs had below-ceiling performance on the future condition, and both participant groups were faster to respond to the past than to the future condition. These differences are attributed to a pre-existing preference to look at a past picture, which has to be overcome. Eye movement patterns suggest that both groups interpret future time reference similarly, while IWAs show a delay relative to NBDs in interpreting past time reference inflection. The eye tracking results support the PADILIH, because processing reference to the past in discourse syntax requires additional resources and thus, is problematic and delayed for people with aphasia. (C) 2014 Elsevier Ltd. All rights reserved.
Background: In behavioural tests of sentence comprehension in aphasia, correct and incorrect responses are often randomly distributed. Such a pattern of chance performance is a typical trait of Broca's aphasia, but can be found in other aphasic syndromes as well. Many researchers have argued that chance behaviour is the result of a guessing strategy, which is adopted in the face of a syntactic breakdown in sentence processing. Aims: Capitalising on new evidence from recent studies investigating online sentence comprehension in aphasia using the visual world paradigm, the aim of this paper is to review the concept of chance performance as a reflection of a syntactic impairment in sentence processing and to re-examine the conventional interpretation of chance performance as a guessing behaviour. Main Contribution: Based on a review of recent evidence from visual world paradigm studies, we argue that the assumption of chance performance equalling guessing is not necessarily compatible with actual real-time parsing procedures in people with aphasia. We propose a reinterpretation of the concept of chance performance by assuming that there are two distinct processing mechanisms underlying sentence comprehension in aphasia. Correct responses are always the result of normal-like parsing mechanisms, even in those cases where the overall performance pattern is at chance. Incorrect responses, on the other hand, are the result of intermittent deficiencies of the parser. Hence the random guessing behaviour that persons with aphasia often display does not necessarily reflect a syntactic breakdown in sentence comprehension and a random selection between alternatives. Instead it should be regarded as a result of temporal deficient parsing procedures in otherwise normal-like comprehension routines. Conclusion: Our conclusion is that the consideration of behavioural offline data alone may not be sufficient to interpret a performance in language tests and subsequently draw theoretical conclusions about language impairments. Rather it is important to call on additional data from online studies that look at language processing in real time in order to gain a comprehensive picture about syntactic comprehension abilities of people with aphasia and possible underlying deficits.
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.
Comprehension of non-canonical sentences can be difficult for individuals with aphasia (IWA). It is still unclear to which extent morphological cues like case marking or verb inflection may influence IWA's performance or even help to override deficits in sentence comprehension. Until now, studies have mainly used offline methods to draw inferences about syntactic deficits and, so far, only a few studies have looked at online syntactic processing in aphasia. We investigated sentence processing in German-speaking IWA by combining an offline (sentence-picture matching) and an online (eye-tracking in the visual-world paradigm) method. Our goal was to determine whether IWA are capable of using inflectional morphology (number-agreement markers on verbs and case markers in noun phrases) as a cue to sentence interpretation. We report results of two visual-world experiments using German reversible SVO and OVS sentences. In each study, there were eight IWA and 20 age-matched controls. Experiment 1 targeted the role of unambiguous case morphology, while Experiment 2 looked at processing of number-agreement cues at the verb in caseambiguous sentences. IWA showed deficits in using both types of morphological markers as a cue to non-canonical sentence interpretation and the results indicate that in aphasia, processing of case-marking cues is more vulnerable as compared to verbagreement morphology. We ascribe this finding to the higher cue reliability of agreement cues, which renders them more resistant against impairments in aphasia. However, the online data revealed that IWA are in principle capable of successfully computing morphological cues, but the integration of morphological information is delayed as compared to age-matched controls. Furthermore, we found striking differences between controls and IWA regarding subject-before-object parsing predictions. While in case-unambiguous sentences IWA showed evidence for early subjectbefore-object parsing commitments, they exhibited no straightforward subject-first prediction in case-ambiguous sentences, although controls did so for ambiguous structures. IWA delayed their parsing decisions in case-ambiguous sentences until unambiguous morphological information, such as a subject-verbnumber-agreement cue, was available. We attribute the results for IWA to deficits in predictive processes based on morphosyntactic cues during sentence comprehension. The results indicate that IWA adopt a wait-and-see strategy and initiate prediction of upcoming syntactic structure only when unambiguous case or agreement cues are available. (C) 2015 Elsevier Ltd. All rights reserved.