Language Flashcards
Aphasia
A disruption in the ability to process or produce language after brain damage
— especially in left hemi (new research shows a slight role in the right hemi as well)
Broca’s Aphasia
Damage to Broca’s area can comprehend speech but have trouble with output (speech is dimished, effortful, hard to understand)
— typical lesion is anterior to the section of the motor strip responsible for facial control
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Nonfluent, uncommon paraphasia, good comprehension, poor repetition, poor naming
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Phonetics, phonemics, and syntax impaired, semantics intact
Wernicke’s Aphasia
Damage to Wernicke’s area disrupts speech comprehension but allows fluent-sounding speech output
—- Wernicke described it as an inability to link a sound image to meaning
—- Paraphasia
—- Typical lesions involves the superior temporal lobe near Heschl’s gyrus
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Fluent, common paraphasia, poor comprehension, poor repetition and naming
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Phonetics and syntax intact, phonemics and semantics impaired
Paraphasias
Errors in producing words caused by Wernicke’s aphasia
3 types:
— Semantic Paraphasia
— Phonemic Paraphasia
— Neologisms
Semantic Paraphasia
Substitutes a word with similar meaning to the intended word
— e.g. replacing “shoe” with “sock”
Phonemic Paraphasia
Substitutes a word with a similar-sounding one
— e.g. sock becomes rock, stock, slock
Neologisms
Made-up words that follow rules for combining sounds in language but do not have real meaning
— e.g. wilud
Conduction Aphasia
An inability to repeat what was just heard, although language comprehension and speech production are intact
—- created by damage to the white matter tract connecting Broca and Wernicke’s areas (and surrounding tissue) (the arcuate fasciculus)
—- considered a “disconnection” syndrome
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Fluent speech, common paraphasia, good comprehension, poor repetition and naming
Broca and Wernicke’s area locations
⠀⠀⠀⠀⢀⣠⣤⣤⣤⣤⣤⣤⣀⠀⠀⠀⠀⠀
⠀⠀⢀⣶⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣦⠀⠀⠀
⠀⠀⢾⣿⣿⢻⢍⣛⣿⣿⣿⠿⣿⣿⣿⣇⠀⠀
⠀⠀⠈⠻⠿⣷⣿⣿⣿⣿⣿⣶⣿⣿⣿⣿⠀⠀
⠀⠀⠀⠀⠀⠈⠻⠿⢿⣿⣿⣿⣿⣿⣿⠇⠀⠀
⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠙⠛⠛⠛⠋⠀⠀⠀
— left view of the brain
Broca ————————————Wernicke
Global Aphasia
The inability to comprehend or produce language
—- associated with extensive left-hemisphere damage
—- damage includes Broca’s and Wernicke’s areas and the area between them
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Nonfluent, variable paraphasia, poor comprehension, poor repetition, poor naming
3 Psycholinguistic Perspectives
- Phonology
- Syntax
- Semantics
Patterns of language disruption have been studied to understand the mental structure of language
Phonology
The sounds that compose a language and the rules that govern that combination
Two ways of representing sounds of speech:
— Phonemes (the smallest unit of sound that has meaning)
— The phonetic representation of a speech sound describes how it is produced on particular occasions or contexts
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Broca’s aphasia patients have issues producing both
Wernicke’s aphasia patients struggle to produce the right phoneme, but can produce the correct phonetic representation
Syntax
The rules of grammar + how words are put together into sentences
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Aphasias with anterior lesions often have compromised ability to comprehend and produce the grammatical aspects of language
Semantics
The meaning of language/ words/ phrases, the ability to extract meaning from language and use words to produce meaning
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Impaired in patients with aphasia in posterior regions (inability to comprehend the meaning of language, affects written as well)
Patients with anterior aphasia appear to be able to process semantics, but may experience minor problems in comprehension when syntax plays a large role.
Left Inferior Frontal Cortex (IFC) role:
Semantic processing— anterior (rostral)
Phonological processing— posterior (caudal)