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[Model oriented assessment of literacy performance in children with cochlear implants].

BACKGROUND: Although most hearing-impaired children lag behind normally hearing children in literacy acquisition, this aspect has hardly been addressed in the evaluation of language acquisition after cochlear implantation. The present study investigated written language abilities in 8 school-age children with cochlear implants. Neurolinguistic dual-route-models of written language processing indicate that literacy acquisition leads to the establishment of two distinct reading and writing strategies: a lexical one for the quick processing of known words and a sublexical one for decoding unfamiliar words or nonwords letter by letter. PATIENTS: 8 school-aged children were investigated, a very heterogeneous group concerning age of onset of hearing impairment, educational placement, and competences in sign language. However, this range is typical of the group of CI-children. METHODS: The aim was to investigate if children with cochlear implants are able to establish both strategies or if they need to find a differential and individual access to written language. Performance within the Salzburger Lese-Rechtschreib-Test was evaluated. Individual performance of each subject was analysed. RESULTS: Performance varied substantially ranging from only rudimentary spoken and written language abilities in two children to age-equivalent performance in three of them. Severe qualitative differences in written language processing were shown in the remaining three subjects. Suggestions for remediation were made and a re-test was carried out after 12 months. Their individual profiles of performance are described in detail. CONCLUSIONS: The present study stresses the importance of a thorough investigation of written language performance in the evaluation of language acquisition after cochlear implantation. The results draw a very heterogeneous picture of performance. Model-oriented testing and analysis of performance prove to be sensible in at least a subpopulation of children with cochlear implants. Based on a better understanding of their acquired word-processing strategies, remediation programs meeting the needs of each individual child can be derived.

Age Factors↗

[Q:] When would you prefer a SOSSAGE to a SAUSAGE? [A:] At about 100 msec. ERP correlates of orthographic typicality and lexicality in written word recognition.

Using a speeded lexical decision task, event-related potentials (ERPs), and minimum norm current source estimates, we investigated early spatiotemporal aspects of cortical activation elicited by words and pseudo-words that varied in their orthographic typicality, that is, in the frequency of their component letter pairs (bi-grams) and triplets (tri-grams). At around 100 msec after stimulus onset, the ERP pattern revealed a significant typicality effect, where words and pseudo-words with atypical orthography (e.g., yacht, cacht) elicited stronger brain activation than items characterized by typical spelling patterns (cart, yart). At approximately 200 msec, the ERP pattern revealed a significant lexicality effect, with pseudo-words eliciting stronger brain activity than words. The two main factors interacted significantly at around 160 msec, where words showed a typicality effect but pseudo-words did not. The principal cortical sources of the effects of both typicality and lexicality were localized in the inferior temporal cortex. Around 160 msec, atypical words elicited the stronger source currents in the left anterior inferior temporal cortex, whereas the left perisylvian cortex was the site of greater activation to typical words. Our data support distinct but interactive processing stages in word recognition, with surface features of the stimulus being processed before the word as a meaningful lexical entry. The interaction of typicality and lexicality can be explained by integration of information from the early form-based system and lexicosemantic processes.

Adolescent↗

The influence of phonological neighborhood on visual word perception.

In the research reported here, we investigated the influence of phonological neighborhood density on the processing of words in the visual lexical decision task. The results of the first experiment revealed that words with large phonological neighborhoods were verified more rapidly than words with small phonological neighborhoods. In the second experiment, we replicated this effect with a more tightly controlled set of stimuli. These results demonstrate the importance of phonological codes when processing visually presented letter strings. We relate this research to previous results on semantic and orthographic neighborhoods and discuss the results within the context of a model in which lexical decisions are based on stimulus familiarity.

Decision Making↗

Electrocortical evidence for an early abnormal processing of panic-related words in panic disorder patients.

Panic patients are hypothesized to have particularly elaborated cortical networks for panic-related stimuli, and this characteristic should be associated with an abnormal automatic processing of these stimuli. Panic-related and neutral words were presented to 25 panic patients and 25 matched healthy controls either at individually determined perception thresholds (threshold condition) or for 1000 ms (above threshold condition). Word recognition for words presented at perception threshold (threshold words), and event-related brain potentials (ERPs) triggered by threshold and above threshold words were analyzed. In the threshold condition, both panic patients and control participants correctly recognized more panic-related than neutral words. An additional analysis restricted to participants who used an intuitive strategy for word identification revealed an enhanced frequency of correctly identified panic-related words in panic patients. In the ERPs, only panic patients exhibited enhanced positive potentials during early time windows (200-400 ms after stimulus presentation) triggered by panic-related compared to neutral threshold words. In late (400-600 ms) and very late (600-1000 ms) time windows, both groups showed a greater ERP positivity for panic-related than for neutral words. These data suggest that panic patients are characterized by an early automatic and elaborated processing of disorder-relevant stimuli.

Adult↗

Linguistic determinants of word colouring in grapheme-colour synaesthesia.

Previous studies of grapheme-colour synaesthesia have suggested that words tend to be coloured by their initial letter or initial vowel (e.g., Baron-Cohen et al., 1993; Ward et al., 2005). We examine this assumption in two ways. First, we show that letter position and syllable stress have been confounded, such that the initial letters of a word are often in stressed position (e.g., 'wo-man, 'ta-ble, 'ha-ppy). With participant JW, we separate these factors (e.g., with stress homographs such as 'con-vict vs. con-'vict) and show that the primary determinant of word colour is syllable stress, with only a secondary influence of letter position. We show that this effect derives from conceptual rather than perceptual stress, and that the effect is more prominent for synaesthetes whose words are coloured by vowels than by consonants. We examine, too, the time course of word colour generation. Slower colour naming occurs for spoken versus written stimuli, as we might expect from the additional requirement of grapheme conversion in the former. Reaction time data provide evidence, too, of incremental processing, since word colour is generated faster when the dominant grapheme is flagged early rather than late in the spoken word. Finally, we examine the role of non-dominant graphemes in word colouring and show faster colour naming when later graphemes match the dominant grapheme (e.g., ether) compared to when they do not (e.g., ethos). Taken together, our findings suggest that words are coloured incrementally by a process of competition between constituent graphemes, in which stressed graphemes and word-initial graphemes are disproportionately weighted.

Adult↗

Brain activation on fMRI and verbal memory ability: functional neuroanatomic correlates of CVLT performance.

We have recently reported (Saykin et al., 1999b) selective activation of left medial temporal lobe structures during processing of novel compared to familiar words using functional magnetic resonance imaging (fMRI). The current study describes the relationship between a widely used clinical test of verbal learning, the California Verbal Learning Test (CVLT), and the previously reported fMRI activations. Thirteen right-handed healthy adult participants were studied with whole brain echo-planar fMRI while listening to novel and recently learned (familiar) words intermixed pseudorandomly in an event-related design. These participants were also tested with the CVLT. Scores for CVLT Trial 1 (immediate encoding of novel words) and recognition discriminability (recognition of familiar vs. novel words) were correlated with fMRI signal change during processing of novel versus familiar words using a covariance model implemented in SPM96. For the novel words analysis, voxels in the right anterior hippocampus correlated significantly with Trial 1 (r = .76 at the maxima). For the recognition analysis, a significant cluster of voxels was found in the right dorsolateral prefrontal cortex (r = .88 at the maxima). Our prior results of separable left medial temporal activation to novel and familiar words, together with results of the covariance analyses reported here, suggest that in addition to the left medial temporal lobe (MTL) regions that are engaged during novel and familiar word processing, the right hippocampus and right frontal lobe are also involved, particularly in those participants with better memory ability. This positive relationship between fMRI activation and CVLT performance suggests a role for these right hemisphere regions in successful memory processing of verbal material, perhaps reflecting more efficient encoding and retrieval strategies that facilitate memory.

Adult↗

The processing of non-target words: semantic or not?

It is known that people reacting to visual words may be affected by the meaning of accompanying non-target words. On the approach to perception developed by Treisman (e.g. 1986), this is surprising, because meaning might be thought to require analysis of conjunctions of physical features and so should remain uncomputed for non-target words. Treisman's approach does, however, assert that analysis of the target may unleash further processes that would prime the system for detection of related words. If this were so, then presentation of the target earlier than the distractors would increase the effect of the latter; whereas if analysis of non-targets were independent of priming, they might be expected to have a smaller effect when delayed. Further, if the sets of words involved are small and familiar, then individual features of primed non-targets, rather than conjunctions of features, might trigger interference. They might especially do so when spatial separation of target and non-target is small. Five experiments using a paradigm developed by Shaffer and LaBerge confirm that the meaning of non-target words affects response to targets; but (1) this is more true for early than for late arrival of the target; (2) it is affected by target/non-target separation in space; (3) it is true for familiar sets of repeated words but not, in these data, for words used once only in the experiment. It is therefore concluded that the results are more consistent with a Treisman type of explanation than with a theory of universal and automatic full analysis.

Adolescent↗

Functional specialization for semantic and phonological processing in the left inferior prefrontal cortex.

Neuroimaging and neuropsychological studies have implicated left inferior prefrontal cortex (LIPC) in both semantic and phonological processing. In this study, functional magnetic resonance imaging was used to examine whether separate LIPC regions participate in each of these types of processing. Performance of a semantic decision task resulted in extensive LIPC activation compared to a perceptual control task. Phonological processing of words and pseudowords in a syllable-counting task resulted in activation of the dorsal aspect of the left inferior frontal gyrus near the inferior frontal sulcus (BA 44/45) compared to a perceptual control task, with greater activation for nonwords compared to words. In a direct comparison of semantic and phonological tasks, semantic processing preferentially activated the ventral aspect of the left inferior frontal gyrus (BA 47/45). A review of the literature demonstrated a similar distinction between left prefrontal regions involved in semantic processing and phonological/lexical processing. The results suggest that a distinct region in the left inferior frontal cortex is involved in semantic processing, whereas other regions may subserve phonological processes engaged during both semantic and phonological tasks.

Brain Mapping↗

Deep dysphasia: analysis of a rare form of repetition disorder.

"Deep dysphasia" is the parallel in repetition to the reading impairment deep dyslexia. Our patient, S.M., showed part of speech, word/nonword, and concreteness effects in repetition, and he made semantic errors, but his oral reading was relatively spared. Further testing indicated that S.M. did not have difficulty perceiving spoken stimuli or deciding their lexical status, but he was deficient at semantically processing spoken words. Moreover, his phonemic memory was severely impaired. We argue that the routes for repetition (lexical and nonlexical) that function without semantic mediation were defective and that deficits in phonemic memory further diminished their effectiveness, since initial phonological encoding of spoken words was not available to guide the output stages of phonological processing. In addition, the semantically mediated route for repetition was unreliable because semantic processing was faulty and S.M. could not accurately label concepts.

Aged↗

Towards a functional neuroanatomy of self processing: effects of faces and words.

We studied the neural correlates of self vs. non-self judgements using functional magnetic resonance imaging (fMRI). Individually tailored faces and personality trait words were used as stimuli in three experiments (exp.). In the first two experiments, brain activation was measured while subjects viewed morphed versions of either their own (self face exp.) or their partner's face (partner's face exp.), alternating in blocks with presentation of an unknown face. In the self face exp. right limbic areas (hippocampal formation, insula, anterior cingulate), the right middle temporal lobe, left inferior parietal and left prefrontal regions showed signal changes. In the partner's face exp., only the right insula was activated. In the third exp., subjects made decisions about psychological trait adjectives previously categorized as describing their own attributes. Activation was present in the precuneus, the left parietal lobe, left insula/inferior frontal gyrus and the left anterior cingulate. A reaction time advantage was present when subjects responded to self-relevant words. The main area with signal changes during self-reference processing, regardless of the type of stimulus, was the left fusiform gyrus. The self-relevant stimuli engaged to a differential extent long term and working memory, semantic and emotional processes. We suggest that regions activated by these stimuli are engaged in self-processing.

Adult↗

Letter migration in word perception.

These experiments demonstrate that the perception of two distinct words in a briefLy presented display can interact, causing perceptual migrations of letters from one word to the other. For example, when LINE and LACE are presented, subjects might report seeing LICE or LANE instead of LINE. Several properties of the letter migrations were revealed: (a) Migrations are more frequent when the words are separated by smaller physical distances; (b) a majority of the migrations are a result of letters being copied from one word to the other, not from the interchange of letters of the two words; (c) migrations to a word are less frequent when subjects focus attention on that word; and (d) migrations are far more frequent when the words share letters in common. This last result suggests that migrations are not caused by a loss of spatial information at the letter level, that is, by free-floating letters being wrongly combined. Rather, migrations occur because of structural limitations at a high level of the word-recognition process, perhaps during lexical activation. Implications for models of multiple-word perception are discussed.

Attention↗

Distinct time courses of word and context comprehension in the left temporal cortex.

The time course and cortical basis of reading comprehension were studied using magnetoencephalography. The cortical structures implicated most consistently with comprehension were located in the immediate vicinity of the left auditory cortex, where final words totally inappropriate to the overall sentence context evoked enduring activation starting approximately 250 ms and lasting up to 600 ms after word onset. Contextually appropriate but unexpected words produced weaker activation which terminated earlier. Highly anticipated words totally failed to activate this area, suggesting that the conceptual network became involved only if unexpected information was detected during the primary word identification process. We propose that the point in time (350 ms after word onset) where the response to appropriate but unexpected endings started to diverge from those to contextually inappropriate endings reflects the boundary between understanding a single word and the meaning of a whole sentence.

Adult↗

Orthographic cues to lexical stress: effects on naming and lexical decision.

Words whose spellings represent regular phonemic patterns, such as mint, show advantages in naming and lexical decision tasks over words, such as pint, that have exceptional relations between orthographic and phonemic patterns. We have extended such phenomena to the domain of lexical stress, by showing that disyllabic words whose spellings are consistent with their stress are easier to process than words whose spellings are misleading about stress. Such words are named more quickly and are pronounced with incorrect stress less often (Experiment 1). They are also classified more quickly and accurately in lexical decision tasks (Experiments 2 and 3). These results indicate that literate speakers have learned orthographic correlates to lexical stress in English. In addition, the similarities between results in the phonemic and prosodic domains indicate that models of reading developed for the former could be extended to the latter area.

Adult↗

Conditions affecting the revelation effect for autobiographical memory.

In four experiments involving 184 participants, people rated their confidence that particular events had happened in their childhood (e.g., "Broke a window playing ball"). If participants had to unscramble a key word in a phrase just before rating it (e.g., "Broke a nwidwo [window] playing ball"), confidence ratings increased-the revelation effect. However, the pattern of revelation effects depended on the particular way in which participants processed key words (e.g., visualizing vs. counting vowels in the word window) approximately 10 min prior to rating life events that contained those words. Prior exposure to key words never in itself directly affected confidence ratings. These results demonstrate that one can manipulate the revelation effect by altering the processing that participants perform on words prior to unscrambling them. These results also pose difficulties for many accounts of the revelation effect. The major puzzle posed by our present findings is that unscrambling key words increases confidence that an event has happened in childhood, whereas prior exposure to these words does not.

Age Factors↗

Stroop process dissociations: the relationship between facilitation and interference.

L.L. Jacoby's (1991) "process dissociation procedure" was used to quantitatively estimate the contributions of color-naming and word-reading processes to responding on the Stroop task. The results show that color naming and word reading can operate independently to determine responses. Degrading stimulus colors eliminated the typical asymmetry between Stroop facilitation and interference, as predicted by the equations (Experiments 1 and 2). Degrading stimulus colors reduced the estimated contribution of color naming to responding but had no effect on the estimated contribution of word reading (Experiment 2). In contrast, increasing the proportion of incongruent items reduced the estimated contribution of word reading but had no effect on the estimated contribution of color naming (Experiments 3 and 4). The results indicate that the facilitating and interfering effects of automatic processes cannot be accurately measured in terms of differences from baseline.

Adult↗

Lexicalization of idioms in urban fifth graders: a reaction time study.

Idioms are an important aspect of language that comprises a sizeable portion of our vocabulary. However, lexical access research has largely been limited to understanding how literal words are accessed and processed in the mental lexicon. Adult data show that idioms are quickly accessed from the lexicon and are likely processed as long words [J. Verbal Learn. Verbal Behav. 18 (1979) 523]. The purpose of this study was to examine lexicalization of idioms in a group of school-aged children. Using a phrase classification design, this research tested the Lexical Representation Hypothesis [J. Verbal Learn. Verbal Behav. 18 (1979) 523] in 19 urban fifth graders (5 boys, 14 girls; M age=10.16 years). On a computer, the students classified 54 phrases, including 24 idioms (high, moderate, and low familiarity [J. Speech Hear. Res. 36 (1993) 728]), 24 grammatical control word strings and 6 unrelated foils as either idioms or nonidioms. The idioms were identified with 62% accuracy. Unexpectedly, the boys tended to show higher rates of accuracy than the girls. Response latencies were shorter on the idioms compared to the controls and high familiarity idioms were processed faster than moderate and low familiarity idioms. These findings provide developmental data for lexicalization of idioms and the relationship between lexicalization and familiarity. At the cocnlusion of this articel, the reader will be able to: (1). discuss the various theories of idiom access and processing, (2). discuss how lexical access relates to idiom knowledge in school-aged children, and (3). consider the association between lexical access and familiarity relative to idiom comprehension in school-aged children.

Child↗

Effects of titles on the processing of text and lexically ambiguous words: evidence from eye movements.

Providing titles for passages improves the comprehension and memorability of text. Titles have generally been thought to facilitate comprehension at later stages of processing. Consistent with prior research, we found that passages presented with titles were better recalled than those without titles. Furthermore, in Experiment 1, the presence of titles led to fewer regressive eye movements, shorter end-of-sentence reading times, and shorter fixation times on target nouns. Experiments 2 and 3, using ambiguous target words, indicated that except when a very infrequent sense of a word is required, titles provide a strong enough context to allow for ambiguous words to be processed as quickly as control words. The results of the three experiments suggest that titles affect processing at both integrative and lexical stages of reading.

Adult↗

Metaphorical vs. literal word meanings: fMRI evidence against a selective role of the right hemisphere.

The neural networks associated with processing metaphorical word meanings were investigated in normal adults using fMRI. Subjects listened to sets of three adjectives and decided whether the last two had a similar meaning. One condition required accessing the literal meaning of the middle word (e.g., hot-cold-chilly), whereas the other condition required accessing its nonliteral, or metaphorical, meaning (e.g., hot-cold-unfriendly). Direct comparison of the nonliteral vs. literal condition showed reliable activity only in left prefrontal and temporo-parietal regions. These results argue against a selective role of the right hemisphere (RH) in accessing metaphorical word meanings. In line with a growing literature, these findings suggest that prior reports of greater RH involvement for metaphorical language might reflect the increased complexity of figurative language rather than an RH specialization for understanding metaphors.

Adult↗