Chapter 4 Flashcards
An acquired language disorder resulting from damage to the brain.
Aphasia
Aphasia is most often caused by ____ within the ________
Stroke; language-dominant ( usually left) hemispheres
Any etiology that damages the left hemisphere can produce ____
Aphasia
Aphasia is ____ resulting from _____
An acquired language disorder resulting from damage to the brain.
Aphasia is most often caused by stroke within the ______
Most often caused by stroke within the language-dominant (usually left) hemisphere
Aphasia is not the result of ______, _____, or ______.
Aphasia is not the result of motor, intellectual, or psychological impairment.
Aphasia is a deficit in ____, _____ or _____
Aphasia is a deficit in language production, language comprehension or both
Individuals with aphasia can display language deficits in any or all modalities of language which include
- production
- comprehension of spoken
- Reading
- written language
(i.e., reading, writing, speaking, understanding)
Difficulty formulating or producing language to indicate meaning.
Expressive language deficits
Expressive language deficits usually arise from lesions in the ______ portion of the left cerebral hemisphere.
Anterior/frontal
Expressive language deficits is when one has difficulty ____ or _____ language to indicate meaning.
Difficulty formulating or producing language to indicate meaning.
Lesions anywhere in the anterior portion of the left hemisphere are likely to produce some ______ language deficit.
Lesions anywhere in the anterior portion of the left hemisphere are likely to produce some expressive language deficit.
Difficulty deriving meaning from language.
Receptive language deficits
Receptive language deficits usually arise from lesions in the ______ portion of the left hemisphere.
Usually arise from lesions in the posterior/back portion of the left hemisphere.
Receptive language deficits is when one has difficulty ______ from language.
Difficulty deriving meaning from language.
Usually arise from lesions in the posterior/back portion of the left hemisphere.
Receptive language deficits
Signs and symptoms of aphasia include
- Anomia
- Verbal Comprehension deficits
- Paraphasias
- Perseveration
- Agrammatism
- Repetition deficits
- Alexia and Agraphia
Deficit in word finding ability & deficits in expressive language
Anomia
In anomia, one knows the ______ the person wants to ______ but ____ find the _____ to do so.
Knows the meaning the person wants to communicate but cannot find the word or words to do so.
Often can describe in detail and maybe even use hand gestures but cannot find the appropriate word to name the object.
Anomia
Anomia has deficits in ____ & _____
Word finding ability & expressive language
In Anomia, one can often describe in ____ and maybe even use _____ but cannot ____ the _____ _____ to _____ the ____.
Often can describe in detail and maybe even use hand gestures but cannot find the appropriate word to name the object.
Some level of _____ is found in all the aphasias
Some level of anomia is found in all the aphasias
Inability to comprehend the spoken language others produce.
Verbal comprehension deficits
Verbal comprehension deficits refers specifically to _____
Verbal language
Verbal comprehension deficit is the inability to _____ the ______others ____.
Inability to comprehend the spoken language others produce.
Errors in expressive language unrelated to motor deficits but linked to higher language-level deficits associated with aphasia.
Paraphasias
Syllables, words or phrases produced unintentionally by an individual is known as
Paraphasias
Different types of paraphasias:
- Phonemic paraphasias
- Neologism
- Semantic paraphasia
- Unrelated verbal paraphasia
Paraphasias is described as _____, ____, or ____ produced ____ by an individual
Syllables, words or phrases produced unintentionally by an individual
Paraphasias are ____ in expressive language unrelated to ____ but linked to _____ deficits associated with _____.
Errors in expressive language unrelated to motor deficits but linked to higher language-level deficits associated with aphasia.
when the word produced is discernable, yet there are phoneme-level mistakes.
Phonemic paraphasia/literal paraphasia
Example of phonemic Paraphasia is saying ____ instead of ____
Say “Taples” instead of “Staple”
Another word for phonemic paraphasia is
Literal paraphasia
when a person produces a word that is entirely different from the intended word and is mostly unintelligible
Neologism/neologistic paraphasia
An example of neologism is saying ____ instead of ____
Say “dowfler” instead of “pencil”
when one word is substituted for another word that is similar in meaning
Semantic paraphasia
An example of semantic paraphasia is saying ____ for ____
Say “glass” for “cup”
a substitution for a word that is unrelated in meaning to the intended word
Unrelated verbal paraphasia
An example of unrelated verbal paraphasia is saying ___ for ____
Say “lunch” for “bicycle”
Neologism/neologistic paraphasia is when a person produces a word that is ____ _____ from the ____ word and is mostly ____
Neologism/neologistic paraphasia- when a person produces a word that is entirely different from the intended word and is mostly unintelligible
Semantic paraphasia is when one word is _____ for another word that is ____ in ____
Semantic paraphasia- when one word is substituted for another word that is similar in meaning
Unrelated verbal paraphasia is a ____ for a word that is ____ in ____ to the intended word
Unrelated verbal paraphasia-a substitution for a word that is unrelated in meaning to the intended word
Phonemic paraphasia/literal paraphasia is when the word produced is ____, yet there are _____
Phonemic paraphasia/literal paraphasia- when the word produced is discernable, yet there are phoneme-level mistakes.
to do something repeatedly, redundantly, and inappropriately
Perseverate- to do something repeatedly, redundantly, and inappropriately
a word that is said repeatedly and inappropriately
Perseveration- a word that is said repeatedly and inappropriately
when a word produced earlier is repeatedly and inadvertently produced by an individual instead of the intended word
Perseverative paraphasia- when a word produced earlier is repeatedly and inadvertently produced by an individual instead of the intended word
Perseveration is a ___ that is said ___ and ____
Perseveration- a word that is said repeatedly and inappropriately
Perseverate is to do something ____, ____, and ___
Perseverate- to do something repeatedly, redundantly, and inappropriately
Perseverative paraphasia is when a word produced __ is ____ and ____ produced by an individual instead of the intended word
Perseverative paraphasia- when a word produced earlier is repeatedly and inadvertently produced by an individual instead of the intended word
A lack of grammar
Agrammiatism
An example of perseveration paraphasia is when an individual with aphasia correctly names a hammer as a “hammer” but then involuntary continues to produce “hammer” when presented with other items, despite knowing the correct names of the other items
In agrammatism, speech is often referred to as sounding ____, which indicates that ___ words are used, but the words that are used are used with some degree of ___.
Speech is often referred to as sounding telegraphic, which indicates that few words are used, but the words that are used are used with some degree of efficiency.
the words that carry the meaning of a sentence
Content word- the words that carry the meaning of a sentence
the in-between words used to frame the major content words in a sentence.
Function word: the in-between words used to frame the major content words in a sentence.
Content word are the words that ____ the __ of a sentence
Content word- the words that carry the meaning of a sentence
Function word is the ___ words used to ____ the ___ words in a sentence.
Function word- the in-between words used to frame the major content words in a sentence.
Ability to repeat words originates with the ______, the white matter pathways stretching between Broca’s area and Wernicke’s areas.
Repetition deficits arcuate fasciculus
White matter pathways enable a word to be heard and then travel from the posterior portion of the left hemisphere to the anterior portion
Repetition deficits
Lesions along the arcuate fasciculus create ____ by impairing an individuals ability to move the auditory image from the left temporal lobe to the left frontal lobe where the word is selected for expression
repetition deficits
**Just because the person cannot repeat the word, does not mean they cannot understand the meaning of the word they have been asked to repeat.
Acquired reading impairment that has many subtypes
Alexia
Acquired impairment in the ability to form letters or form words using letters
Agraphia
Lesions to the left hemisphere at the angular gyrus often result in _____ and ___
Lesions to the left hemisphere at the angular gyrus often result in alexia and agraphia
Alexia is acquired ____ ___ that has many subtypes
Acquired reading impairment that has many subtypes
Agraphia is acquired impairment in the ability to _____ or ____ ___ using _____
Acquired impairment in the ability to form letters or form words using letters
Lesions to the ____ hemisphere at the ____ ___ often result in alexia and agraphia
Lesions to the left hemisphere at the angular gyrus often result in alexia and agraphia
Related behaviors of aphasia include
Self Repairs
Speech Disfluencies
Struggle in Nonfluent Aphasias
Preserved and Automatic Language
Ability to repeat words originates with the ___ _____, the _____ pathways stretching between ___ and the _____
Ability to repeat words originates with the arcurate fasciculus, the white matter pathways stretching between Broca’s area and Wernicke’s areas.
Enable a word to be heard and then travel from the ____ portion of the ____ hemisphere to the ___ portion
Enable a word to be heard and then travel from the posterior portion of the left hemisphere to the anterior portion
Move the auditory image from the left ____ lobe to the left _____ lobe
Move the auditory image from the left temporal lobe to the left frontal lobe
Occurs when a speaker restates or revises a word or phrase in an attempt to produce it in error-free fashion or refine it to reflect the intended meaning
Self repairs
An acquired language disorder resulting from damage to the brain
Aphasia
Aphasia is known as ____ due to ___ to the brain
Language disorders due to damage to the brain
Modalities of aphasia
Difficultly reading
Difficulty writing
Difficulty speaking
Difficulty understanding
When a person’s brain is damaged, it is rare that only a single deficit ( such as aphasia) arises. True or false
True
Most individuals with aphasia also have deficits in ___ and ___ that can affect ___, __, or ___
Most individuals with aphasia also have deficits in cognition and motor skills that can affect speech, swallowing, or both