On the Status of Object Concepts in Aphasia
While verbal comprehension is often impaired in aphasia due to left hemispheric damage, the status of nonverbal conceptual knowledge of objects remains controversial. We tested 16 aphasic subjects for their comprehension of concrete single words. Eight showed significant impairment on word-to-pictur...
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Published in | Brain and language Vol. 58; no. 2; pp. 203 - 232 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
San Diego, CA
Elsevier Inc
15.06.1997
Elsevier |
Subjects | |
Online Access | Get full text |
ISSN | 0093-934X 1090-2155 |
DOI | 10.1006/brln.1997.1771 |
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Abstract | While verbal comprehension is often impaired in aphasia due to left hemispheric damage, the status of nonverbal conceptual knowledge of objects remains controversial. We tested 16 aphasic subjects for their comprehension of concrete single words. Eight showed significant impairment on word-to-picture matching, when distractors were semantically and not just perceptually confusable. These 8 also made errors in answering verbal probe questions concerning the same items. When tested on a nonverbal pictorial version of the same probe questions, however, 3 of these 8 improved their performance to the level of normal controls. The other 5 showed continuing impairment in indicating responses to pictorial probes. These 5 showed no evidence of generalized intellectual impairment, and it is concluded that they demonstrated a comprehension deficit not limited to the verbal domain. Unlike the other aphasic patients, these latter 5 also had CT scan lesions extending into the posterior left temporal lobe (involving Brodmann's areas 22, 21, and 37). They were also more impaired in terms of general aphasia severity. It is suggested that a nonverbal (as well as verbal) semantic memory deficit occurs in a subgroup of patients with single word comprehension disturbance due to aphasia, and this may reflect general severity of language impairment as well as damage to certain localized brain regions. |
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AbstractList | An exploration of the extent to which aphasia affects conceptual knowledge beyond language (N = 16 native French speakers with aphasia due to left hemispheric cerebral infarction, aged 48-88). Several interpretations of the observed association between aphasic anomia & impaired matching of auditory words to pictures are considered. Subjects (Ss) were administered tasks from the categories of visual-perceptual processing, concrete single word auditory comprehension, verbal semantic processing, & nonverbal semantic & nonsemantic processing. Ss were divided into normal & low comprehension groups. Low comprehension Ss were found to perform normally on a word-to-picture matching task when distractors were perceptually confusable but semantically distinct. This performance was degraded by the use of progressively more semantically confusable distractors. Low comprehension Ss were further divided into subgroups on nonverbally preserved & nonverbally impaired Ss. Several interpretations of the verbal plus nonverbal deficit were examined. Computerized tomography results from nonverbally impaired Ss were compared to those of nonverbally preserved Ss & to other cases in the literature. 6 Tables, 2 Figures, 87 References. D. Taylor While verbal comprehension is often impaired in aphasia due to left hemispheric damage, the status of nonverbal conceptual knowledge of objects remains controversial. We tested 16 aphasic subjects for their comprehension of concrete single words. Eight showed significant impairment on word-to-picture matching, when distractors were semantically and not just perceptually confusable. These 8 also made errors in answering verbal probe questions concerning the same items. When tested on a nonverbal pictorial version of the same probe questions, however, 3 of these 8 improved their performance to the level of normal controls. The other 5 showed continuing impairment in indicating responses to pictorial probes. These 5 showed no evidence of generalized intellectual impairment, and it is concluded that they demonstrated a comprehension deficit not limited to the verbal domain. Unlike the other aphasic patients, these latter 5 also had CT scan lesions extending into the posterior left temporal lobe (involving Brodmann's areas 22, 21, and 37). They were also more impaired in terms of general aphasia severity. It is suggested that a nonverbal (as well as verbal) semantic memory deficit occurs in a subgroup of patients with single word comprehension disturbance due to aphasia, and this may reflect general severity of language impairment as well as damage to certain localized brain regions.While verbal comprehension is often impaired in aphasia due to left hemispheric damage, the status of nonverbal conceptual knowledge of objects remains controversial. We tested 16 aphasic subjects for their comprehension of concrete single words. Eight showed significant impairment on word-to-picture matching, when distractors were semantically and not just perceptually confusable. These 8 also made errors in answering verbal probe questions concerning the same items. When tested on a nonverbal pictorial version of the same probe questions, however, 3 of these 8 improved their performance to the level of normal controls. The other 5 showed continuing impairment in indicating responses to pictorial probes. These 5 showed no evidence of generalized intellectual impairment, and it is concluded that they demonstrated a comprehension deficit not limited to the verbal domain. Unlike the other aphasic patients, these latter 5 also had CT scan lesions extending into the posterior left temporal lobe (involving Brodmann's areas 22, 21, and 37). They were also more impaired in terms of general aphasia severity. It is suggested that a nonverbal (as well as verbal) semantic memory deficit occurs in a subgroup of patients with single word comprehension disturbance due to aphasia, and this may reflect general severity of language impairment as well as damage to certain localized brain regions. While verbal comprehension is often impaired in aphasia due to left hemispheric damage, the status of nonverbal conceptual knowledge of objects remains controversial. We tested 16 aphasic subjects for their comprehension of concrete single words. Eight showed significant impairment on word-to-picture matching, when distractors were semantically and not just perceptually confusable. These 8 also made errors in answering verbal probe questions concerning the same items. When tested on a nonverbal pictorial version of the same probe questions, however, 3 of these 8 improved their performance to the level of normal controls. The other 5 showed continuing impairment in indicating responses to pictorial probes. These 5 showed no evidence of generalized intellectual impairment, and it is concluded that they demonstrated a comprehension deficit not limited to the verbal domain. Unlike the other aphasic patients, these latter 5 also had CT scan lesions extending into the posterior left temporal lobe (involving Brodmann's areas 22, 21, and 37). They were also more impaired in terms of general aphasia severity. It is suggested that a nonverbal (as well as verbal) semantic memory deficit occurs in a subgroup of patients with single word comprehension disturbance due to aphasia, and this may reflect general severity of language impairment as well as damage to certain localized brain regions. |
Author | Chertkow, Howard Bub, Daniel Deaudon, Christine Whitehead, Victor |
Author_xml | – sequence: 1 givenname: Howard surname: Chertkow fullname: Chertkow, Howard organization: Department of Neurology and Neurosurgery, McGill University, Montreal, Canada – sequence: 2 givenname: Daniel surname: Bub fullname: Bub, Daniel organization: University of Victoria, Victoria, Canada – sequence: 3 givenname: Christine surname: Deaudon fullname: Deaudon, Christine organization: Department of Neurology and Neurosurgery, McGill University, Montreal, Canada – sequence: 4 givenname: Victor surname: Whitehead fullname: Whitehead, Victor organization: Lady Davis Research Institute, Sir Mortimer B. Davis-Jewish General Hospital, Montreal, Canada |
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Keywords | Human Nervous system diseases Verbal comprehension Word Cognitive disorder Semantics Central nervous system disease Aphasia Object Neurological disorder Language disorder Cerebral disorder |
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3 Goodglass (10.1006/brln.1997.1771_BL971771RF39) 1976; 3 Kosslyn (10.1006/brln.1997.1771_BL971771RF54) 1990; 34 Lhermitte (10.1006/brln.1997.1771_BL971771RF57) 1971; 125 Snodgrass (10.1006/brln.1997.1771_BL971771RF73) 1980; 6 Warrington (10.1006/brln.1997.1771_BL971771RF82) 1978; 7 Decter (10.1006/brln.1997.1771_BL971771RF22) 1989; 30 Shallice (10.1006/brln.1997.1771_BL971771RF72) 1988; 5 Bay (10.1006/brln.1997.1771_BL971771RF3) 1962; 85 Spinnler (10.1006/brln.1997.1771_BL971771RF74) 1966; 2 Butterworth (10.1006/brln.1997.1771_BL971771RF8) 1984; 22 Caramazza (10.1006/brln.1997.1771_BL971771RF13) 1982; 15 McLeary (10.1006/brln.1997.1771_BL971771RF62) 1988; 2 Cappa (10.1006/brln.1997.1771_BL971771RF11) 1981; 19 Kertesz (10.1006/brln.1997.1771_BL971771RF51) 1974; 1 Cohen (10.1006/brln.1997.1771_BL971771RF18) 1980; 10 Goldstein (10.1006/brln.1997.1771_BL971771RF36) 1927 Coughlan (10.1006/brln.1997.1771_BL971771RF19) 1978; 101 Gainotti (10.1006/brln.1997.1771_BL971771RF30) 1986; 29 Caplan (10.1006/brln.1997.1771_BL971771RF9) 1987 Goldstein (10.1006/brln.1997.1771_BL971771RF38) 1948 Whitehouse (10.1006/brln.1997.1771_BL971771RF85) 1978; 6 Benson (10.1006/brln.1997.1771_BL971771RF5) 1979 Martin (10.1006/brln.1997.1771_BL971771RF59) 1987; 9 Bay (10.1006/brln.1997.1771_BL971771RF4) 1974 Luria (10.1006/brln.1997.1771_BL971771RF58) 1980 Vignolo (10.1006/brln.1997.1771_BL971771RF76) 1989 Zurif (10.1006/brln.1997.1771_BL971771RF87) 1974; 1 Kaplan (10.1006/brln.1997.1771_BL971771RF49) 1983 Labov (10.1006/brln.1997.1771_BL971771RF56) 1973 Chertkow (10.1006/brln.1997.1771_BL971771RF16) 1990 Jackson (10.1006/brln.1997.1771_BL971771RF48) 1878; 1 Gainotti (10.1006/brln.1997.1771_BL971771RF27) 1986; 28 Varney (10.1006/brln.1997.1771_BL971771RF75) 1982; 45 Warrington (10.1006/brln.1997.1771_BL971771RF80) 1979; 102 Geschwind (10.1006/brln.1997.1771_BL971771RF33) 1974 Hatfield (10.1006/brln.1997.1771_BL971771RF47) 1977; 15 Schwartz (10.1006/brln.1997.1771_BL971771RF68) 1990 Komeda-Lutz (10.1006/brln.1997.1771_BL971771RF53) 1987; 30 Damasio (10.1006/brln.1997.1771_BL971771RF20) 1989 Bub (10.1006/brln.1997.1771_BL971771RF7) 1988; 5 Goldenberg (10.1006/brln.1997.1771_BL971771RF35) 1991; 15 Batting (10.1006/brln.1997.1771_BL971771RF2) 1969; 80 McCarthy (10.1006/brln.1997.1771_BL971771RF60) 1988; 334 Goldenberg (10.1006/brln.1997.1771_BL971771RF34) 1989; 112 Schwartz (10.1006/brln.1997.1771_BL971771RF69) 1979; 7 Shallice (10.1006/brln.1997.1771_BL971771RF71) 1988 Goldstein (10.1006/brln.1997.1771_BL971771RF37) 1942 de Ajuriaguerra (10.1006/brln.1997.1771_BL971771RF21) 1959 Grober (10.1006/brln.1997.1771_BL971771RF43) 1980; 12 Kertesz (10.1006/brln.1997.1771_BL971771RF50) 1979 Warrington (10.1006/brln.1997.1771_BL971771RF81) 1984; 107 Caplan (10.1006/brln.1997.1771_BL971771RF10) 1992 Della Sala (10.1006/brln.1997.1771_BL971771RF23) 1987; 1 Warrington (10.1006/brln.1997.1771_BL971771RF77) 1975; 27 Goodglass (10.1006/brln.1997.1771_BL971771RF40) 1976 Postman (10.1006/brln.1997.1771_BL971771RF65) 1970 Caramazza (10.1006/brln.1997.1771_BL971771RF12) 1978; 85 Goodglass (10.1006/brln.1997.1771_BL971771RF42) 1966; 1 Rapp (10.1006/brln.1997.1771_BL971771RF66) 1989; 6 Raven (10.1006/brln.1997.1771_BL971771RF67) 1965 Bruning (10.1006/brln.1997.1771_BL971771RF6) 1977 Gainotti (10.1006/brln.1997.1771_BL971771RF32) 1987; 1 Shallice (10.1006/brln.1997.1771_BL971771RF70) 1987 Grossman (10.1006/brln.1997.1771_BL971771RF44) 1978; 6 Faglioni (10.1006/brln.1997.1771_BL971771RF26) 1969; 5 Barton (10.1006/brln.1997.1771_BL971771RF1) 1969; 5 Chertkow (10.1006/brln.1997.1771_BL971771RF17) 1992; 9 Caramazza (10.1006/brln.1997.1771_BL971771RF14) 1990; 7 McCleary (10.1006/brln.1997.1771_BL971771RF61) 1986; 27 Hart (10.1006/brln.1997.1771_BL971771RF46) 1990; 27 Knopman (10.1006/brln.1997.1771_BL971771RF52) 1984; 34 Wittgenstein (10.1006/brln.1997.1771_BL971771RF86) 1958 Kroll (10.1006/brln.1997.1771_BL971771RF55) 1984; 23 Warrington (10.1006/brln.1997.1771_BL971771RF78) 1983; 106 Wechsler (10.1006/brln.1997.1771_BL971771RF84) 1987 Gainotti (10.1006/brln.1997.1771_BL971771RF28) 1976; 3 Miller (10.1006/brln.1997.1771_BL971771RF64) 1976 De Renzi (10.1006/brln.1997.1771_BL971771RF25) 1969; 19 |
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Snippet | While verbal comprehension is often impaired in aphasia due to left hemispheric damage, the status of nonverbal conceptual knowledge of objects remains... An exploration of the extent to which aphasia affects conceptual knowledge beyond language (N = 16 native French speakers with aphasia due to left hemispheric... |
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SubjectTerms | Adult and adolescent clinical studies Aged Aged, 80 and over Anomia - diagnosis Anomia - physiopathology Aphasia Aphasia - diagnosis Aphasia - physiopathology Biological and medical sciences Brain Damage Brain Damage, Chronic - diagnosis Brain Damage, Chronic - physiopathology Brain Mapping Cerebral Cortex - physiopathology Concept Formation - physiology Dominance, Cerebral - physiology Female French Humans Intracranial Embolism and Thrombosis - diagnosis Intracranial Embolism and Thrombosis - physiopathology Language and communication disorders Male Medical sciences Mental Recall - physiology Middle Aged Neuropsychological Tests Pattern Recognition, Visual - physiology Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Recognition Semantics Speech Perception Visual Perception Visual Stimulation |
Title | On the Status of Object Concepts in Aphasia |
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