The effects of age on the strategic use of pitch accents in memory for discourse: a processing-resource account

Cognitive perspectives on maintaining physicians' medical expertise: II. Acquiring, maintaining, and updating cognitive skills

Over the course of training, physicians develop significant knowledge and expertise. We review dual-process theory, the dominant theory in explaining medical decision making: physicians use both heuristics from accumulated experience (System 1) and logical deduction (System 2). We then discuss how the accumulation of System 1 clinical experience can have both positive effects (e.g., quick and accurate pattern recognition) and negative ones (e.g., gaps and biases in knowledge from physicians' idiosyncratic clinical experience). These idiosyncrasies, biases, and knowledge gaps indicate a need for individuals to engage in appropriate training and study to keep these cognitive skills current lest they decline over time. Indeed, we review converging evidence that physicians further out from training tend to perform worse on tests of medical knowledge and provide poorer patient care. This may reflect a variety of factors, such as specialization of a physician's practice, but is likely to stem at least in part from cognitive factors. Acquired knowledge or skills gained may not always be readily accessible to physicians for a number of reasons, including an absence of study, cognitive changes with age, and the presence of other similar knowledge or skills that compete in what is brought to mind. Lastly, we discuss the cognitive challenges of keeping up with standards of care that continuously evolve over time.

Mapping Pitch Accents to Memory Representations in Spoken Discourse Among Chinese Learners of English: Effects of L2 Proficiency and Working Memory

We examined L2 learners' interpretation of pitch accent cues in discourse memory and how these effects vary with proficiency and working memory (WM). One hundred sixty-eight L1-Chinese participants learning L2-English listened to recorded discourses containing pairs of contrastive alternatives and then took a later recognition memory test. Their language proficiency and WM were measured through standard tests and the participants were categorized into low, medium, advanced, and high advanced language proficiency groups. We analyzed recognition memory task performance using signal detection theory to tease apart response bias (an overall tendency to affirm memory probes) from sensitivity (the ability to discern whether a specific probe statement is true). The results showed a benefit of contrastive L + H* pitch accents in rejecting probes referring to items unmentioned in a discourse, but not contrastive alternatives themselves. More proficient participants also showed more accurate memory for the discourses overall, as well as a reduced overall bias to affirm the presented statements as true. Meanwhile, that the benefit of L + H* accents in rejecting either contrast probes or unmentioned probes was modulated for people with greater working memory. Participants with higher WM were quite sure that it did not exist in the memory trace as this part of discourse wasn't mentioned. The results support a contrast-uncertainty hypothesis, in which comprehenders recall the contrast set but fail to distinguish which is the correct item. Further, these effects were influenced by proficiency and by working memory, suggesting they reflect incomplete mapping between pitch accent and discourse representation.

Contrast-marking prosodic emphasis in Williams syndrome: results of detailed phonetic analysis

BACKGROUND

Past reports on the speech production of individuals with Williams syndrome (WS) suggest that their prosody is anomalous and may lead to challenges in spoken communication. While existing prosodic assessments confirm that individuals with WS fail to use prosodic emphasis to express contrast, those reports typically lack detailed phonetic analysis of speech data. The present study examines the acoustic properties of speech prosody, aiming for the future development of targeted speech interventions.

AIMS

The study examines the three primary acoustic correlates of prosodic emphasis (duration, intensity, F0) and determines whether individuals with WS have difficulty in producing all or a particular set of the three prosodic cues.

METHODS & PROCEDURES

Speech produced by 12 individuals with WS and 12 chronological age (CA)-matched typically developing individuals were recorded. A sequential picture-naming task elicited production of target phrases in three contexts: (1) no contrast: gorilla with a racket → rabbit with a balloon; (2) contrast on the animal: fox with a balloon → rabbit with a balloon; and (3) contrast on the object: rabbit with a ball → rabbit with a balloon. The three acoustic correlates of prosodic prominence (duration, intensity and F0) were compared across the three referential contexts.

OUTCOMES & RESULTS

The two groups exhibited striking similarities in their use of word duration and intensity for expressing contrast. Both groups showed the reduction and enhancement of final lengthening, and the enhancement and reduction of intensity difference for the animal contrast and for the object contrast conditions, respectively. The two groups differed in their use of F0: the CA group produced higher F0 for the animal than for the object regardless of the context, and this difference was enhanced when the animal noun was contrastive. In contrast, the WS group produced higher F0 for the object than for the animal when the object was contrastive.

CONCLUSIONS & IMPLICATIONS

The present data contradict previous assessment results that report a lack of prosodic skills to mark contrast in individuals with WS. The methodological differences that may account for this variability are discussed. The present data suggest that individuals with WS produce appropriate prosodic cues to express contrast, although their use of pitch may be somewhat atypical. Additional data and future speech comprehension studies will determine whether pitch modulation can be targeted for speech intervention in individuals with WS.

Effects of contrastive accents on children's discourse comprehension

What role do contrastive accents play in children's discourse comprehension? By 6 years of age, children use contrastive accents during online comprehension to predict upcoming referents (Ito et al., 2014; Sekerina & Trueswell, 2012). But, at this age, children's performance on offline tasks of accent comprehension is poor (e.g., Wells et al., 2004). To examine whether the asymmetry could reflect a developmental stage in which the processing system uses contrastive accents to make local predictions, but fails to incorporate this information into discourse representations, we tested the effect of contrastive accents on children's memory of the content of a discourse. Five-year-olds heard 12 different stories consecutively, one after another, and the critical words were manipulated so that they were produced either with a contrastive L+H* accent or with a presentational H* accent. We found that children remembered facts about the contrast set better when the target word had an appropriate contrastive accent earlier than when it had a presentational accent. The results show that by 5 years, children are able to use contrastive accents for encoding a discourse, as well as for making local predictions during online comprehension.

Reasoning in Reference Games: Individual- vs. Population-Level Probabilistic Modeling

Recent advances in probabilistic pragmatics have achieved considerable success in modeling speakers’ and listeners’ pragmatic reasoning as probabilistic inference. However, these models are usually applied to population-level data, and so implicitly suggest a homogeneous population without individual differences. Here we investigate potential individual differences in Theory-of-Mind related depth of pragmatic reasoning in so-called reference games that require drawing ad hoc Quantity implicatures of varying complexity. We show by Bayesian model comparison that a model that assumes a heterogenous population is a better predictor of our data, especially for comprehension. We discuss the implications for the treatment of individual differences in probabilistic models of language use.

Reduction in Prosodic Prominence Predicts Speakers' Recall: Implications for Theories of Prosody

Repeated words are often reduced in prosodic prominence, but the underlying mechanisms remain unclear. The present study contrasted two theories: does prosodic reduction reflect the choice of a particular linguistic form, or does ease of retrieval within the language production system lead to facilitated, less prominent productions? One test of facilitation-based theories is suggested by findings on human memory: Whether a second presentation of an item benefits later memory is predicted by the item's availability at the time of the second presentation. If prosodic reduction partially reflects facilitated retrieval, it should predict later memory. One naïve participant described to another participant routes on a map. Critical items were mentioned twice. Following the map task, the speaker attempted written recall of the mentioned items. As expected, acoustic intensity of the second mentions predicted later recall in the same way that difficulty of retrieval has in other tasks. This pattern suggests that one source of prosodic reduction is facilitation within the language production system.

Commentary on Mata and von Helversen: Foraging Theory as a Paradigm Shift for Cognitive Aging

Mata and von Helversen's integrative review of adult age differences in search performance makes a good case that cognitive control may impact certain aspects of self-regulation of search. However, information foraging as a framework also offers an avenue to consider how adults of different ages adapt to age-related changes in cognition, such as in cognitive control.

What happened (and what didn't): Discourse constraints on encoding of plausible alternatives

Three experiments investigated how font emphasis influences reading and remembering discourse. Although past work suggests that contrastive pitch contours benefit memory by promoting encoding of salient alternatives, it is unclear both whether this effect generalizes to other forms of linguistic prominence and how the set of alternatives is constrained. Participants read discourses in which some true propositions had salient alternatives (e.g., British scientists found the endangered monkey when the discourse also mentioned French scientists) and completed a recognition memory test. In Experiments 1 and 2, font emphasis in the initial presentation increased participants' ability to later reject false statements about salient alternatives but not about unmentioned items (e.g., Portuguese scientists). In Experiment 3, font emphasis helped reject false statements about plausible alternatives, but not about less plausible alternatives that were nevertheless established in the discourse. These results suggest readers encode a narrow set of only those alternatives plausible in the particular discourse. They also indicate that multiple manipulations of linguistic prominence, not just prosody, can lead to consideration of alternatives.

Older and wiser: older adults' episodic word memory benefits from sentence study contexts

A hallmark of adaptive cognition is the ability to modulate learning in response to the demands posed by different types of tests and different types of materials. Here we evaluate how older adults process out-of-context words and sentences differently by examining patterns of memory errors. In two experiments, we explored younger and older adults' sensitivity to lures on a recognition test following study of words in these two types of contexts. Among the studied words were compound words such as "blackmail" and "jailbird" that were related to conjunction lures (e.g., "blackbird") and semantic lures (e.g., "criminal"). Participants engaged in a recognition test that included old items, conjunction lures, semantic lures, and unrelated new items. In both experiments, younger and older adults had the same general pattern of memory errors: more incorrect endorsements of semantic than conjunction lures following sentence study and more incorrect endorsements of conjunction than semantic lures following list study. The similar pattern reveals that older and younger adults responded to the constraints of the two different study contexts in similar ways. However, although younger and older adults showed similar levels of memory performance for the list study context, the sentence study context elicited superior memory performance in the older participants. It appears as though memory tasks that take advantage of greater expertise in older adults--in this case, greater experience with sentence processing--can reveal superior memory performance in the elderly.