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Clinical Neuropsychology Language
Material from Clinical Neuropsychology lecture on Language Deficits
37
Psychology
Graduate
11/13/2011

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Term
aphasia
Definition
A disturbance of language skills caused by brain damage, usually in the left hemisphere (stroke, tumour, head trauma, Alzheimer’s disease, etc.)
Term
global aphasia
Definition
A loss of all language skills
Term
paraphasias
Definition
most common error types in aphasia: phonological, verbal, neologism, semantic, morphological
Term
Phonological error
Definition
Some sounds are deleted, added, substituted or misplaced but the intended word (target) can still be identified. TEAMS -> KEAMS
Term
Verbal error
Definition
Word said is real and closely related to intended word in form but not in meaning. HOOK -> BOOK
Term
Neologism error
Definition
Invented a word that is far away from the target word. FIRE -> FIYEST
Term
Semantic error
Definition
Substitution of the target word with another word that is related in meaning. TABLE -> CHAIR
Term
Morphological error
Definition
Deletion or substitution of a suffix. SINGING-> SING or SINGS
Term
anarthria/dysarthria
Definition
poor articulation with otherwise fine language skills, but frequent with other more complex forms of aphasa, i.e. Broca's aphasia
Term
anomia
Definition
word finding difficulty (tip of the tongue), most common symptom of aphasia; pure anomia is lexical access deficit with no other language problem, when modality-specific (oral or written) an indicator of damage to phonological or orthographic output lexicon
Term
agrammatism
Definition
'telegraphic' speech, coherent message with real words but poor sentence construction and few 'function' words
Term
semantic jargon
Definition
good articulation, use of real words, grammatical sentences, but incoherent discourse due to incorrect choice of words, often cannot repeat accurately
Term
conduction aphasia
Definition
Affects speech production, repetition in particular, phonological errors, disconnection of Broca’s area from Wernicke’s area through a lesion of the arcuate fasciculus, a bundle of fibres that connects these two areas
Term
classical aphasias
Definition
Broca's aphasia, conduction aphasia, transcortical sensory aphasia, etc., syndromes based on association of symptoms not the causes of the symptoms
Term
cognitive neuropsychological classes of aphasias
Definition
semantic deficits, deficits to phonological output lexicon, postlexical deficits, deep dysphasia, etc., focused on what causes the problems
Term
word production steps
Definition
input (picture, word, thought)->semantic system, phonological lexicon->post-lexical phonology->output (spoken word)
Term
semantic disorder
Definition
difficulty in all tasks requiring access to meaning, regardless of input or output modality (spoken, written, etc), can be category-specific, affects all levels of language
Term
semantic paraphasia
Definition
substitution of a semantically related response, i.e. 'red' - 'blue', 'apple' - 'fruit', 'sneeze' - 'nose'
Term
semantic dementia
Definition
Progressive loss of conceptual knowledge due to neurodegenerative brain disease, targeting inferior & middle temporal lobe, usually begins with anomia
Term
clues to phonological lexicon deficits
Definition
semantic paraphasias with demonstrated comprehension, circumlocutions, phonologically related word errors (cable->table), not knowing responses
Term
disorders of written language
Definition
alexia, dyslexia, agraphia, dysgraphia; can be present without impaired spoken language
Term
phonological dyslexia or dysgraphia
Definition
deficit with unfamiliar words and pseudo-words (made-up word), errors are no response, phonological (saying it wrong), lexicalisation (saying a real word that sounds similar), giving only partial answer; familiar words are read much better, it's a deficit to the sublexical (phonological/analytical) reading/spelling route
Term
surface dyslexia or dysgraphia
Definition
regular words and pseudo-words (fake words) are better than irregular words (ocean, yacht). Regularisation errors in reading (saying it the way it looks but incorrectly-'ossyan', 'yakt'), spelling incorrectly but in a phonologically plausible way ('oshen', 'yot'); deficit along lexical route (whole word, global processing)
Term
"deep" dyslexia or dysgraphia
Definition
Very poor reading of nonwords and some real words, especially low frequency, abstract, and grammatical (function) words; errors include lexicalisations (making nonwords real words), semantic errors (related word-key feature), visual/phonological errors (words that look/sound similar), function word substitutions (like 'you' for 'my'), morphological errors (wrong/missing suffixes, teaching instead of teach); one theory is that deep dyslexia reflects limited reading capacity of right hemisphere that is seen when left hemisphere is very badly damaged
Term
prelexical processes in reading
Definition
recognising shapes as letters, recognising which letter is which, recognising letters' relationships to each other to form words
Term
alexia
Definition
letter by letter reading, specific reading deficit sometimes pure, lesions in left temporo-occipital region, strong effect of word length, letter confusion errors
Term
neglect dyslexia
Definition
read words incorrectly because neglecting one side of word (hug for huge, missed the 'e')
Term
peripheral dysgraphia
Definition
problem selecting or executing letters, affects spelling of words and non-words, sometimes only affects oral spelling or writing not both, sometimes better with lowercase or uppercase
Term
allographic dysgraphia
Definition
can form letters well but sometimes substitute visually similar letters or alternate case
Term
apraxic dysgraphia
Definition
poorly formed letters, production of letter-like shapes
Term
spatial dysgraphia
Definition
abnormally spaced letters and impaired word orientation
Term
afferent dysgraphia
Definition
omission and addition of letters and strokes, multiple stroke letters and double letters
Term
mirror writing
Definition
individual letters, whole words or sentences in reverse direction, errors with the left hand
Term
neglect dysgraphia
Definition
neglect one side of paper when writing
Term
visual word form area
Definition
left fusiform gyrus of ventral temporo-occipital region, responds to written words more than consonant strings no matter where they are displayed in space; functional role unknown, controversial theory that it is specialised for reading
Term
Broca's aphasia
Definition
anomia, little to no problems with comprehension, sometimes problems with syntax, like talking to a child who is just learning to talk; lesions to frontal lobe
Term
Wernicke's aphasia
Definition
fluid but incomprehensible speech full of jargon, neologisms or real words that don't make sense but sounds grammatically sound, problems with comprehension (speech and writing usually) and repeating things, as conversing in a foreign language that they are not very good with yet
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