LCC 4 Flashcards

Sentence processing deficits in aphasia (44 cards)

1
Q

What are the 2 broad categories of aphasia?

A

Fluent
Non-fluent

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2
Q

Describe non-fluent aphasia

A

Prosody disturbed

Phonetic
disturbance

Slow effortful production

Less expressive language than typical

May omit words

May have
agrammatism

Auditory comprehension may appear preserved
in conversation

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3
Q

What is agrammatism?

A

Syntactic processing deficit
Affects input and output processing, so affects asyntactic comprehension & production

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4
Q

Describe production seen in agrammatism?

A

Short, simplified phrase length
Content words (nouns + HF verbs)
Few function words
Lack of inflectional morphology eg: -s, -ed

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5
Q

Describe fluent aphasia

A

Typical prosody

No phonetic difficulties

Syntax appears ‘normal’- may produce
paragrammatic errors e.g. word/ morpheme substitutions/ blends

Lexical retrieval errors affecting verbs + nouns-
semantic, unrelated, circumlocutions

Phonemic paraphasias + neologisms

Auditory comprehension may be impaired

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6
Q

What is another sentence deficit beyond the fluency divide?

A

Deficit in verb argument information

eg: the garage is ringing M

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7
Q

What is the mapping theory?

A

Thematic role- ‘meaning’ role a word / phrase plays in a sentence

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8
Q

What are the 5 stages of sentence production according to Garrett, 1984?

A

Message level
Functional level
Positional level
Phonetic level
Speech

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9
Q

What is the 1st message level of sentence production?

A

Idea / message / outline of event to be conveyed

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10
Q

What comes between the message and functional level in Garrett’s sentence production model?

A

Thematic roles assigned

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11
Q

What is the 2nd functional level of sentence production?

A

Identifies predicate argument structure (semantic representations retrieved)
riven by syntactic processes

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12
Q

What is the 3rd positional level of sentence production?

A

Syntactic frame produced with phonological forms of words (grammatical elements) inserted into frames
Results in surface form of sentence

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13
Q

What is the 4th phonetic level of sentence production?

A

Phonological forms are slotted into phonological frame

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14
Q

What are 4 aspects where sentence processing deficits can occur?

A

Verb processing: verb semantics +
verb retrieval

Assigning thematic roles

Integrating semantic + syntactic
information

Generating accurate syntactic structure

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15
Q

What is the core meaning of a verb?

A

Specifies general aspects / meaning of event

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16
Q

What does core meaning of a verb impose?

A

Selective restrictions over verb’s arguments

eg: eat the water illegal in English

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17
Q

What are the 2 types of verbs?

A

Transitive
Intransitive

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18
Q

What is a transitive verb?

A

Requires obligatory argument(s)

19
Q

What is an intransitive verb?

A

Doesn’t require an argument

20
Q

What is predicate-argument structure?

A

Verb is the predicate
Its semantics dictate the arguments it will take

21
Q

What is thematic information?

A

Specifies the arguments that combine with the verb and their role in the event

eg: ‘sell’ has 3 thematic roles
- agent (seller)
- theme (object sold)
- goal (buyer)

22
Q

What is an agent / actor?

A

Animate, causing an action / change of state

23
Q

What is a patient / theme / victim?

A

Entity which undergoes the effect of the action / change of state

24
Q

What is a common feature of agrammatism?

A

Verb retrieval deficit

25
How is verb retrieval deficit / impairment assessed?
Assess single word production verbs Assess ability to produce sentences with no support + compare to production when verb is supplied
26
Describe what impaired verb syntax knowledge may look like?
Lack of affixes - present 3rd person singular -s - past -ed Difficulty producing irregular past tense Impairment mapping thematic knowledge
27
Is this example of impaired thematic aspects of verbs non / fluent aphasia?
Fluent
28
Is this example of impaired thematic aspects of verbs non / fluent aphasia?
Non-fluent
29
If someone has thematic knowledge impairment, describe their use of verbs and nouns
Verb omission Verb form limited to base form (-ing) Difficulty with more verb arguments in production Incorrect ordering of nouns More nouns than verbs
30
Why will giving a verb to someone with thematic knowledge impairment not help?
Deficit is not in verb retrieval, but in verb argument knowledge Thus- limited structural complexity
31
What is relatively preserved in thematic knowledge impairment?
Function words Inflections
32
Describe comprehension in thematic knowledge impairment
Verb comprehension impaired - reverse role verbs (eg: chase, follow) especially difficult - reversible sentences poor
33
What is the TRIP?
Thematic roles in production
34
What did Berndt et al (2000) find from his data of people retelling the cinderella story?
2 groups Agrammatic: morphological + syntactic structure impairments in sentence production Non-fluent but non-agrammatic: simplified structures relative to typical controls
35
With a sample of 150 words, what 4 things can be analysed? note: used less clinically, more in research
Words /min Lexical content Auxiliaries Structural complexity
36
Which sentences are easier to process- reversible or non-reversible?
Non-reversible
37
Are these examples of sentences with or without a pragmatic bias? * The woman feeding the horse is singing. * The table the cup is on has four legs.
Pragmatic bias- can bypass sentence processing to understand
38
Are these examples of sentences with or without a pragmatic bias? * The woman kissing the man is tall. * The book the table is on is old.
No pragmatic bias
39
Describe sentence comprehension in Broca's aphasia
Syntactic deficit with embedded clauses Difficulties with SVO sentence comprehension
40
What do most tests of sentence comprehension include?
Non / Reversible sentences Canonical (frequent) structure eg: SVO Moved arguments eg: passive Embedded clauses
41
What are the PALPA numbers for written and spoken sentence comprehension?
55 (spoken) 56 (written)
42
What are therapies for sentence processing?
Verb naming at single word level Assigning thematic roles: - mapping - verb noun association - verb network strengthening treatment (VNeST) - constraint induced aphasia therapy (CIAT), generating sentence in response to question
43
What are the 4 active ingredients in sentence processing therapies?
Producing verb in sentence Pictures to stimulate sentence production Written cues Thematic roles + how they map onto syntax
44
What should also be considered when doing sentence processing therapy?
Interaction with cognition