language Flashcards
Characteristic elements of these models
difference in clinical presentation between subjects with anterior brain damage (Broca) involving symptoms of non-fluent, hypoarticulate and difficult speech, and subjects with posterior brain damage (Wernicke) involving the deficit of comprehension prevailing against a normal fluency of speech (however characterized by phonological, semantic and grammatical errors)
historical models based on
the fundamental production-comprehension dichotomy and phonology-semantics or syntax-semantics
very influential and have contributed largely to the development of a variety of aphasia classification systems
boston classification of aphasia - broca’s
fluency: nonfluent
comprehension: good
repetition: poor
boston classification of aphasia - transcortical motor
fluency: nonfluent
comprehension: good
repetition: good
boston classification of aphasia - global
fluency: nonfluent
comprehension: poor
repetition: poor
boston classification of aphasia - wernicke’s
fluency: fluent
comprehension: poor
repetition: poor
boston classification of aphasia - transcortical sensory
fluency: fluent
comprehension: poor
repetition: good
boston classification of aphasia - anomic
fluency: fluent
comprehension: good
repetition: good
boston classification of aphasia - conduction
fluency: fluent
comprehension: good
repetition: poor
Traditional system of classification of aphasias doesn’t
give correct description of the phenomenology of the disorders and for an adequate framing of the basic mechanisms of language
Currently: study of language is based on…
psycholinguistic assumptions
interpretation of the results of detailed observations of aphasic subjects (often single patients)
studies conducted on healthy subjects – especially with functional neuroimaging methods
Refer to three main levels of language processing:
Phonological
Semantic-lexical
Grammatical (morphology and syntax)
Processing of elementary auditory stimuli
occurs at the level of primary auditory cortex (located in the dorsal region of the temporal lobe [Heschl’s gyri])
Prelexical processing
consists of ability to recognize language sounds by distinguishing them from other environmental sounds and from each other (phonological discrimination)
regions mainly involved in prelexical processing are
superior temporal gyrus and superior temporal sulcus
Phonological processing system is
largely bilateral but functional asymmetries are present