Auditory Comprehension Disorders

Question 1

Describe the 5 steps of word recognition and comprehension starting with hearing speech

Answer 1

SPEECH > Auditory phonological analysis (Hearing the word) > Phonological input lexicon (recognize word) > Semantic system (attach meaning to word) > phonological (say it) or orthographic (write it) output

Question 2

What are 3 possible routes for repetition

Answer 2

1 – Acoustic-phonological conversion (repeating non-words or foreign words)
2 – Phonological input lexicon (Repeating but not understanding - not thru semantics)
3 – Activate entries in APA>PIL>Semantic>phonological output lexicon (understand and repeat)

Question 3

Which stage is impaired in PURE word deafness? (aka auditory agnosia)

Answer 3

Impaired Auditory phonological analysis (APA)

Question 4

What is impaired in PURE word deafness (2)

Answer 4

X auditory comprehension
X repetition (words)

Question 5

Which stage is impaired in Word FORM deafness

Answer 5

Impaired access to phonological input lexicon

Question 6

What 3 impairments are associated with word FORM deafness?

Answer 6

• Poor auditory lexical decision (is bat a word)
• Poor Repetition
• Impaired STM

Question 7

What is preserved in word FORM deafness (2)

Answer 7

✓ written lexical decision

✓ minimal pair distinction

Question 8

What step is impaired in word MEANING deafness

Answer 8

Impaired access to semantics (arrow going from auditory input lexicon to semantic system)

Question 9

What are the impairments associated with word MEANING deafness (2)

Answer 9

X understanding speech (single words)

X specific word meanings

Question 10

What is preserved in word MEANING deafness (4)

Answer 10

✓ spontaneous speech
✓ repetition
✓ comprehension written words
✓ auditory lexical decision

Question 11

What two features distinguish word MEANING deafness from PURE word deafness and word FORM deafness?

Answer 11

1. Intact Auditory lexical decisions

2. intact Repetition

Question 12

What are the 9 linguistic factors to consider when choosing lexical tasks

Answer 12

1.Frequency
2.Grammatical category (verb, noun)
3.Semantic category (living, man-made)
4.Lexcality (real word or not)
5.Regularity (isle vs. can)
Age of acquisition
6.Imageability (boat vs. hope)
7.Length
8.Familiarity (will be individual based on their education, work, experience, etc.)

Question 13

What are 6 comprehension problems people with aphasia report

Answer 13

1. Groups
2. Telephone
3. Accents or ESL
4. Watching tv, movies
5. Driving
6. Given appointment or quick info

Question 14

What are 5 strategies for the person with aphasia

Answer 14

Slow down
Bluffing
Explain condition
Repetition
Avoidance

Question 15

What are strategies used by the family (5)

Answer 15

Precision
Repetition
Avoid complex discussion or tasks
Check in for understanding
Write a list

Question 16

What is preserved in PURE word deafness

Answer 16

✓ hearing: volume, tone, accent
✓ non-speech sounds
✓ reading, writing + production

Question 17

Which Auditory Comprehension disorder Cannot perceive speech sounds?

Answer 17

PURE word deafness

Question 18

Which Auditory Comprehension disorder cannot recognize sounds as words (can’t distinguish non-words and words)

Answer 18

word FORM deafness

Question 19

Which Auditory Comprehension disorder cannot perceive semantic meaning

Answer 19

word MEANING deafness