Class_06_Oral Language Flashcards

1
Q

4 Main Language Modalities

A
  1. Oral comprehension
  2. Oral expression
  3. Reading
  4. Writing
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2
Q

Vocabulary

A

Declarative memory system

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3
Q

Grammar

A

Non-declarative procedural memory system

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4
Q

Alzheimer’s & Language

A

Mainly cortical damage
- Declarative memory problems
- errors with irregular forms of words (i.e., vocabulary)

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5
Q

Parkinson’s & Language

A

Mainly subcortical damage involving thalamo-cortical circuits
- learning problem is procedural
- errors with rule-based use of words (i.e., grammar)

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6
Q

The important language areas

A

Left perisylvian system

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7
Q

Thalamo-cortical circuits

A

Connections between areas of the cerebral cortex and the thalamus

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8
Q

Thalamus

A

Two thalami connected
- Role in moderating the cortex
-> important in how language is processed at the neurophysiological level

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9
Q

Language Ready Brain

A

Humans, unlike other animals, are born with a brain that is already structured to allow it to learn oral language
- Thalamo-cortical circuits are responsible

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10
Q

Forms of Aphasia

A
  1. Expressive
  2. Receptive
  3. Anomic
  4. Global
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11
Q

Expressive Aphasia

A

Broca’s aphasia
- construction of language for communicating
- lack of fluency of speech
- pauses
- pronunciation difficulties
- word finding difficulties (anomia)
- verb tense errors (in languages that use tense)
- limited use of grammar in (agrammatism) in writing and speech
- good comprehension

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12
Q

Location & Causes of

A
  1. Broca’s area or left hemisphere posterior part of the inferior frontal above the Sylvian fissure
  2. Causes
    - Middle cerebral artery of the left hemisphere strokes
    - Transient ischemic attack -> can be recovered
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13
Q

Test for Agrammatism

A

Northwestern Anagram Test for primary progressive aphasia
- shown images
- make a sentence describing the image
- e.g., “the – man – is – kissing – the – woman”

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14
Q

Primary Progressive Aphasia

A

a form of dementia that particularly affects language use
- gradually deteriorate in the ability to use language
- syntax errors

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15
Q

Test of Fluency

A

Boston Cookie Theft Picture
- from Boston Diagnostic Aphasia Examination (BDAE)
- shown the drawing and asked to describe it
- also test for simultanagnosia
- requires
expertise in language assessment, e.g., by aphasiologists or speech and language therapists

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16
Q

Test of Aphasia

A

Frenchay Aphasia Screening Test
- image shows a quite British scene
- does not require language experts

17
Q

Receptive Aphasia

A

Wernicke’s aphasia
- Language production problems
- posterior part of the superior temporal gyrus on the left hemisphere
- fluent speech
- can’t finding words (anomia)
- made up words (neologisms)
- semantically-related errors in speech

18
Q

2 Models of Language in the Brain

A
  1. Two language centers in the
    brain
    - receiving language (Wernicke’s)
    - expression (Broca’s)
  2. perisylvian language system
    - includes multiple areas
19
Q

Tests for Receptive Aphasia

A
  1. BDAE
  2. Frenchay Aphasia Screening Test
    - ask them questions or to do things
    - e.g. “Point to the tallest tree”
  3. Token Test
20
Q

Tests for Comprehension

A

Token Test
- Colored plastic tokens
- requests like ‘touch a circle’
- ‘Instead of the white square, touch the yellow circle’

21
Q

Anomic Aphasia

A

Anomia
- Impairment of word retrieval
- The most common symptom in both receptive or expressive aphasia
- lateral surface of the left hemisphere, but particularly across the perisylvian region

22
Q

Transient Lesion

A

The electrical brain stimulation allows the surgeon to avoid damaging areas involved with audition, vision, language use etc

23
Q

Why do clinicians test for anomia?

A

if word finding appears to be an isolated symptom
- no or only mild comprehension or sentence production problems
- in the presence of obvious anomia

24
Q

Tests for Anomia

A
  1. Confrontation naming
    - shown drawings of animals or objects
    - name them
  2. Birmingham Object Recognition
    Battery (BORB)
    - 2 confrontation task
  3. Boston Naming Test
    - from BDAE
25
Q

Global Aphasia

A

Most severe form of aphasia both expressive and receptive
- strokes that damage large area of
the perisylvian region
- can perform comprehension tasks using visual materials, such as Pyramids and Palm Trees Test
- good understanding

26
Q

The relationship between language and thought

A

Language is not required for thought
- global aphasia
- no language ability
- can perform complex non-linguistic cognitive tasks
- e.g., arithmetic, logical reasoning, using theory of mind and spatial navigation

27
Q

Sapir-Whorf Hypothesis

A

DEBUNKED
“Ability to think is strongly limited by the language that we know”