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PubMed1979

Communication therapy for the young adult.

Speech clinicians are often frustrated in their assessment and therapeutic management of a young adult with speech and language problems. Procedures for children with language disorders and aphasic adults are often inadequate for the adult who has communication impairments that cannot be attributed to aphasia. This case study presents an account of a 29-year-old woman who had cognitive, linguistic, and pragmatic difficulties. Both diagnosis and therapy were based on recent innovations in the areas of cognition, linguistics, and interpersonal relations. Results indicated that therapy was successful when the client was responsible for therapy activities, when therapy combined tutorial as well as experimential sessions, and when each session focused on the development of cognitive, linguistic, and interpersonal domains. Specific examples of diagnostic and therapeutic activities are presented as well as the rationale underlying the approach to therapy.

Adult↗
PubMed1980

Assessment of language comprehension of 6-year-old deaf children.

Sixty-five 6-yr-old children from the New York State Schools for the Deaf were given the assessment of children's language comprehension (ACLC), administered orally and manually, along with a specially designed test of receptive language, the syntax screening test. The responses on the ACLC were analyzed according to selected word types. The test stimuli were analyzed and classified into a hierarchy of linguistic complexity to evaluate the children's comprehension of various linguistic structures. Results show that comprehension of word types (nouns, verbs, etc.) and linguistic structure can be orderly, producing a hierarchy of complexity similar to that found in normally hearing children. However, performance was about 3 yr behind that of normally hearing peers.

Child↗
PubMed1987

Illiteracy and brain damage--1. Aphasia testing in culturally contrasted populations (control subjects).

One hundred neurologically healthy adults were tested for their pointing (choosing one of four or six line drawings as the match to an auditorily presented linguistic stimulus), naming (from line drawings), and repetition abilities. All subjects were unilingual adult right-handers. Fifty-seven subjects were totally unschooled illiterates and 43 were fluent readers. Statistically significant differences were found to exist between the scores of the illiterate and literate subpopulations across all tasks. With the focus being placed on these cultural differences, the discussion bears on: (a) the interaction between linguistic and iconographic factors in certain types of naming and pointing tasks currently used in clinical and research aphasiology, (b) some of the linguistic parameters which are apparently at stake in repetition behavior, and (c) the circumstances in which aphasiological research dealing with groups of patients cannot yield reliable data without reference to neurologically healthy controls. It is argued that, when testing brain-damaged patients of different cultural backgrounds, one runs the risk of over- or underestimating the frequency of aphasia if one does not refer to norms which explicitly take educational level into account.

Adult↗
PubMed1986

Dissociations of writing and praxis: two cases in point.

For normal writing it is essential that both motoric and linguistic competence be present; disruption of one or the other of these faculties may result in qualitatively different types of agraphia. Two right-handed patients became agraphic after left hemisphere lesions; pure apraxic agraphia in the absence of limb apraxia developed in one patient and pure linguistic agraphia in association with severe ideomotor limb apraxia in the other. The performance of these patients not only serves to illustrate the dissociation between the motoric and linguistic faculties that underlie writing but also confirms that ideomotor limb apraxia and apraxic agraphia are distinct and dissociable entities.

Aged↗
PubMed1987

Unilateral brain lesions in childhood: performance on the Revised Token Test.

Comprehension of connected language as assessed by the Revised Token Test (RTT) was studied in 17 children with left hemisphere lesions (LL) and 11 with right hemisphere lesions (RL). LL children's significantly lower performance on several subtests than left controls (LC) matched by age, sex, race, and social class appeared to be related to the memory demands of these subtests rather than the limited syntactic elements assessed by the RTT. LL subjects requested significantly more command repetitions than control or RL subjects and when a repetition was not requested LL subjects often responded with immediacy. Although RL children tended to perform lower than right matched controls (RC), these differences were not significant nor readily related to either the memory or specific linguistic structures assessed. RL subjects required fewer command repetitions than LL subjects and exhibited a significantly greater frequency of immediate responses than controls or LL subjects. While based on few children, a trend for LL children with retrorolandic lesions to perform more poorly than those with left prerolandic lesions was suggested. No systematic difference in performance was apparent for children with left cortical vs. left subcortical lesions or among discrete sites of lesions within the right hemisphere. Children with left lesions prior to 1 year of age performed no better and, in several instances, significantly poorer than LL patients sustaining lesions after 1 year of age. Among RL subjects, those sustaining lesions after 1 year of age had greater difficulty than those with lesion onset before 1 year of age, especially on linguistic elements which seemed to be dependent upon visual spatial properties. Further studies are needed to evaluate the comprehension of more complex linguistic structures among children with unilateral brain lesions as well as to study the role of more basic factors such as memory and attention in explaining the present findings.

Adolescent↗
PubMed1989

Dysprosody in Broca's aphasia: a case study.

A detailed acoustic analysis of timing, intensity, and fundamental frequency (F0) at different levels of linguistic structure was conducted on the speech output of a Broca's aphasic who was a native speaker of Thai. Timing was measured with respect to syllables, phrases, and sentences in connected speech. Intensity variation at the sentence level was measured in connected speech. F0 variation associated with the five Thai tones was measured in both isolated words and connected speech. Results indicated that timing was differentially impaired depending upon complexity of articulatory gesture and size of the linguistic structure. Timing, as well as intensity, was aberrant at the sentence level. In contrast, F0 contours of the five tones were spared at all levels of linguistic structure. Findings are interpreted to support the view that dysprosody in Broca's aphasia is more applicable to speech timing than to F0.

Aphasia↗
PubMedDate not supplied

Early communication development in children with Rett syndrome.

This retrospective pilot study investigated the course of pre-linguistic and linguistic communication development in children with Rett syndrome (RS) from birth to 24 months of age. Parents of 17 children with RS completed a questionnaire based on the Clinical Linguistic Auditory Milestone Scale. No child exceeded single word use and most children had begun to regress. Pre-regression delay was in evidence along with limited intentional gestural communication as a precursor to single word use. Limited use of communicative gestures is suggested as a possible early predictor of RS pending further investigation.

Child, Preschool↗
PubMed1992

Cognitive nursing interventions with long-term care residents: effects on neurocognitive dimensions.

We recently reported that cognitive nursing interventions--such as cognitive-behavioral group therapy and focused visual imagery group therapy--administered over time may produce significant and lasting improvements in overall cognitive status in nursing home residents with slight to moderate cognitive impairment, when compared with subjects participating in educational discussion groups. To further elucidate the cognitive gains made by subjects, we reanalyzed the data focusing on the 15 neurocognitive parameters tested by means of the Modified Mini-Mental State Examination. Main effects of intervention were noted on neurocognitive operations involving abstraction and conceptual thinking, concentration and linguistic manipulation, and execution of auditorily presented language skills. Main effects for time were observed on short and medium term recall, fluency of category retrieval, abstraction and conceptual thinking, concentration and linguistic manipulation, and execution of visually presented commands. Intervention and time were found to produce interaction effects on subjects' ability to visually and linguistically identify objects and their praxic ability to recognize and redraw simple but intersecting geometric figures. From a functional brain perspective, these effects involved brain functions at higher cortical and subcortical/limbic levels, and lower and more basic cortical functions were not affected. These findings underscore the role of psychogeriatric nursing in maintaining or restoring cognitive function in nursing home residents with mild to moderate cognitive impairment, not only for the sake of cognition itself but also for the (corollary) sake of promoting functional independence and self-care in a high-risk population.

Aged↗
PubMed2005

Concrete spatial language: see what I mean?

Conveying complex mental scenarios is at the heart of human language. Advances in cognitive linguistics suggest this is mediated by an ability to activate cognitive systems involved in non-linguistic processing of spatial information. In this fMRI-study, we compare sentences with a concrete spatial meaning to sentences with an abstract meaning. Using this contrast, we demonstrate that sentence meaning involving motion in a concrete topographical context, whether linked to animate or inanimate subjects nouns, yield more activation in a bilateral posterior network, including fusiform/parahippocampal, and retrosplenial regions, and the temporal-occipital-parietal junction. These areas have previously been shown to be involved in mental navigation and spatial memory tasks. Sentences with an abstract setting activate an extended largely left-lateralised network in the anterior temporal, and inferior and superior prefrontal cortices, previously found activated by comprehension of complex semantics such as narratives. These findings support a model of language, where the understanding of spatial semantic content emerges from the recruitment of brain regions involved in non-linguistic spatial processing.

Acoustic Stimulation↗
PubMed2006

Prosodic processing by children: an fMRI study.

Prosodic information in the speech signal carries information about linguistic structure as well as emotional content. Although children are known to use prosodic information from infancy onward to assist linguistic decoding, the brain correlates of this skill in childhood have not yet been the subject of study. Brain activation associated with processing of linguistic prosody was examined in a study of 284 normally developing children between the ages of 5 and 18 years. Children listened to low-pass filtered sentences and were asked to detect those that matched a target sentence. fMRI scanning revealed multiple regions of activation that predicted behavioral performance, independent of age-related changes in activation. Likewise, age-related changes in task activation were found that were independent of differences in task accuracy. The overall pattern of activation is interpreted in light of task demands and factors that may underlie age-related changes in task performance.

Adolescent↗
PubMed2004

P600 related to rule violation in an arithmetic task.

The goal of the present paper was to study if a similar neurophysiological process is required for treating violations of both arithmetical rules and linguistic syntactic structures. It has been shown that syntactic violations elicit the P600/syntactic positive shift (SPS) component, reflecting secondary parsing processes or repairing of an incorrect syntactic structure. However, late positivities, similar to the P600/SPS component, are also elicited by other types of violations (e.g. harmonic anomalies or violations in non-linguistic abstract rules), so this component is thought to be an index of detection for any anomaly in rule-governed sequences. We carried out an experiment where violations of arithmetic rules were presented. These violations were evident to a greater or lesser degree (a number very different or very similar to that which correctly completed a series of seven numbers). The type of rule was also manipulated, and increasing and decreasing series were presented. Results showed a late centro-parietal positivity related to arithmetic violations, whose amplitude was larger, the more evident the violation presented was, in both addition and subtraction. It is concluded that a similar neurophysiological process could be required for the processing of violations in numerical sequences and in linguistic syntactic structures. When the rule was broken, another component was present for the adding operation: an early negativity peaking between 250- and 300-ms post-stimulus. Regarding this negative peak, although some possible explanations are drawn, further research needs to be carried out in order to gather more knowledge about it.

Adult↗
PubMed2004

Starting at the end: the importance of goals in spatial language.

We explored the linguistic encoding of Paths in children between the ages of three and seven, in children with Williams syndrome, and in normal adults, focusing specifically on Source and Goal Paths. The results showed an asymmetry, with Goal Paths regularly and systematically encoded, but Source Paths often omitted. This pattern occurred among all groups and across a broad range of domains including Manner of Motion, Change of Possession, Change of State, and Attachment/Detachment events. It also occurred whether participants spontaneously described events or were asked to use a specific verb that biased them towards a Goal or Source Path (e.g. 'give' vs. 'get'). The results are discussed in terms of non-linguistic foundations of spatial language and the linguistic mapping biases that arise when we describe what we see.

Adolescent↗
PubMed2006

What we know about what we have never heard: evidence from perceptual illusions.

Are speakers equipped with preferences concerning grammatical structures that are absent in their language? We examine this question by investigating the sensitivity of English speakers to the sonority of onset clusters. Linguistic research suggests that certain onset clusters are universally preferred (e.g., bd>lb). We demonstrate that such preferences modulate the perception of unattested onsets by English speakers: Monosyllabic auditory nonwords with onsets that are universally dispreferred (e.g., lbif) are more likely to be classified as disyllabic and misperceived as identical to their disyllabic counterparts (e.g., lebif) compared to onsets that are relatively preferred across languages (e.g., bdif). Consequently, dispreferred onsets benefit from priming by their epenthetic counterpart (e.g., lebif-lbif) as much as they benefit from identity priming (e.g., lbif-lbif). A similar pattern of misperception (e.g., lbif-->lebif) was observed among speakers of Russian, where clusters of this type occur. But unlike English speakers, Russian speakers perceived these clusters accurately on most trials, suggesting that the perceptual illusions of English speakers are partly due to their linguistic experience, rather than phonetic confusion alone. Further evidence against a purely phonetic explanation for our results is offered by the capacity of English speakers to perceive such onsets accurately under conditions that encourage precise phonetic encoding. The perceptual illusions of English speakers are also irreducible to several statistical properties of the English lexicon. The systematic misperception of universally dispreferred onsets might reflect their ill-formedness in the grammars of all speakers, irrespective of linguistic experience. Such universal grammatical preferences implicate constraints on language learning.

Auditory Perception↗
PubMed2004

Simulating flocks on the wing: the fuzzy approach.

Traditionally the systematic study of animal behaviour using simulations requires the construction of a suitable mathematical model. The construction of such models in most cases requires advanced mathematical skills and exact knowledge of the studied animal's behaviour. Exact knowledge is rarely available. Usually it is available in the form of the observer's linguistic explanations and descriptions of the perceived behaviour. Mathematical models thus require a transition from the linguistic description to a mathematical formula that is seldom straightforward. The substantial increase of the processing power of personal computers has had as a result a notable progress in the field of fuzzy logic. In this paper we present a novel approach to the construction of artificial animals (animats) that is based on fuzzy logic. Our leading hypothesis is, that by omitting the transition from linguistic descriptions to mathematical formulas, ethologists would gain a tool for testing the existing or forming new hypotheses about 'why' and 'how' animals behave the way they do.

Animals↗
PubMed2004

The self-organization of speech sounds.

The speech code is a vehicle of language: it defines a set of forms used by a community to carry information. Such a code is necessary to support the linguistic interactions that allow humans to communicate. How then may a speech code be formed prior to the existence of linguistic interactions? Moreover, the human speech code is discrete and compositional, shared by all the individuals of a community but different across communities, and phoneme inventories are characterized by statistical regularities. How can a speech code with these properties form? We try to approach these questions in the paper, using the "methodology of the artificial". We build a society of artificial agents, and detail a mechanism that shows the formation of a discrete speech code without pre-supposing the existence of linguistic capacities or of coordinated interactions. The mechanism is based on a low-level model of sensory-motor interactions. We show that the integration of certain very simple and non-language-specific neural devices leads to the formation of a speech code that has properties similar to the human speech code. This result relies on the self-organizing properties of a generic coupling between perception and production within agents, and on the interactions between agents. The artificial system helps us to develop better intuitions on how speech might have appeared, by showing how self-organization might have helped natural selection to find speech.

Biological Evolution↗
PubMed2005

Functional asymmetry in human primary auditory cortex: identified from longitudinal fMRI study.

The leftward hemispheric dominance in language processing may be associated with fundamental functional asymmetry in the primary auditory cortex (PAC). Based on repeated functional MRI (fMRI) measurements, we investigated the presence of functional asymmetry in the human PAC using binaural presentation of linguistic sounds (two-syllable nouns) and simple tonal stimulation. Eight right-handed volunteers underwent nine fMRI sessions, approximately eight weeks apart, spanning the duration of more than a year. The PAC from each hemisphere was manually segmented and the volume of activation, detected within the segmented region-of-interest, was measured across the subjects and sessions to generate functional laterality indices. Although variations existed in activation volume between sessions and subjects, we found predominant and consistent leftward functional asymmetry in PAC during both linguistic and non-linguistic sound stimulations.

Acoustic Stimulation↗
PubMed2006

Translating overactive bladder questionnaires in 14 languages.

OBJECTIVES: Overactive bladder (OAB) affects millions of people worldwide. Identifying patients and measuring OAB's impact on symptom severity and patients' health-related quality-of-life is necessary to ensure proper treatment and facilitate communication among patients, clinicians, and caregivers. To accomplish this, the Overactive Bladder questionnaire (OAB-q) and its subsets instruments, the OAB-q Short-Form and the OAB-V8, were developed in U.S. English. To measure the impact of OAB cross-culturally, we performed the linguistic validation of these instruments in Danish, English (Canada), French (Canada and France), Italian (Switzerland), German (Switzerland), Korean, Norwegian, Polish, Portuguese (Brazil), Romanian, Swedish, and Turkish. The linguistic validation was conducted following a rigorous method to ensure conceptual equivalence between the original and its translations. METHODS: In each country, a specialist monitored the process, which included six steps: (1) two forward translations; (2) comparison and reconciliation of the translations; (3) back-translation; (4) comparison of the source and back-translation; (5) review by one urologist or gynecologist; and (6) a comprehension test using patients. RESULTS: The translation of symptom-related adjectives such as "uncomfortable," "sudden," "accidental," "uncontrollable" proved challenging. The subtle differences in the meaning of symptomatic items increased the difficulties to find equivalents. Issues regarding the appropriateness of certain concepts and idiomatic terms emerged during cognitive debriefing. The terms "urge," "desire," "urination," "commute," "drowsy," and "escape routes" were not retained literally and were replaced by colloquial expressions. CONCLUSIONS: The 14 versions of the OAB-q, OAB-q Short-Form, and OAB-V8 were successfully validated linguistically to facilitate data collection cross-culturally and the international comparison of symptom bother and health-related quality of life in patients with OAB.

Language↗
PubMed2002

Object individuation using property/kind information in rhesus macaques (Macaca mulatta).

Around 1 year of age, infants develop the ability to individuate objects in the absence of spatiotemporal information. Some have proposed that this capacity relies on the emergence of language and, in particular, that comprehending an object's label is required to individuate it as a particular kind. One approach to testing this hypothesis is to conduct experiments on pre-linguistic human infants. A second is to test non-linguistic animals. We followed the second approach, exploring whether semi-free-ranging rhesus macaques can individuate objects using property/kind information. To make the results most directly comparable, we adapted a reaching paradigm used to examine property/kind individuation in infants. Results from three experiments demonstrate that, like 12-month-old infants, adult rhesus macaques can use both spatiotemporal and property/kind information to individuate food objects. In a fourth experiment designed to examine which properties are used to individuate food objects, results revealed that rhesus use color, but not shape. These results, together with experiments involving different procedures, provide support for the conclusion that in the absence of linguistic abilities, some non-human primates spontaneously use property/kind information to individuate objects.

Animals↗

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