Prelexical representations and processes in reading: evidence from acquired dyslexia

Characterizing different types of developmental dyslexias in French: The Malabi screener

Reading is a complex process involving multiple stages. An impairment in any of these stages may cause distinct types of reading deficits- distinct types of dyslexia. We describe the Malabi, a screener to identify deficits in various orthographic, lexical, and sublexical components of the reading process in French. The Malabi utilizes stimuli that are sensitive to different forms of dyslexia, including "attentional dyslexia", as it is traditionally refered to, characterized by letter-to-word binding impairments leading to letter migrations between words (e.g., "bar cat" misread as "bat car"), and "letter-position dyslexia", resulting in letter transpositions within words (e.g., "destiny" misread as "density"). After collecting reading error norms from 138 French middle-school students, we analyzed error types of 16 students with developmental dyslexia. We identified three selective cases of attentional dyslexia and one case of letter-position dyslexia. Further tests confirmed our diagnosis and demonstrate, for the first time, how these dyslexias are manifested in French. These results underscore the significance of recognizing and discussing the existence of multiple dyslexias, both in research contexts when selecting participants for dyslexia studies, and in practical settings where educators and practitioners work with students to develop personalized support. The test and supporting materials are available on Open Science Framework (https://osf.io/3pgzb/).

Post-stroke Chinese pure alexia: linguistic features and neuropsychological profiles

PURPOSE

Very few cases of Chinese pure alexia have been reported to date. We aim to summarize the linguistic features and neuropsychological profiles of Chinese pure alexia through a case series study.

METHODS

11 consecutive patients with post-stroke Chinese pure alexia and 11 healthy controls were included. The Aphasia Battery of Chinese (ABC) and 68-Chinese character oral reading test (68-character test) were used to evaluate the reading and writing ability. Reading errors were classified based on the performance of 68-character test. Neuropsychological profiles were evaluated with corresponding scales. The possible correlation between the reading ability and the writing ability or neuropsychological performance was analyzed.

RESULTS

The patients had a correct rate of 43.7 ± 23.2% in the 68-character test, significantly lower (P < 0.001) than that of controls. Shape-similar error was the most common type of reading error (101/209, 48.3%). The ABC total writing score rate of the patients ranged from 68.9% to 98.7% (median, 90.5%), significantly lower (P < 0.001) than that of the controls. The patients also showed worse performance in MMSE, auditory verbal learning test, Boston naming test, intersecting pentagons copying and clock-drawing test (all P < 0.05). In the patient group, the correct rate of 68-character test was significantly correlated with the ABC total writing score rate (P = 0.008), the score rate of Boston naming test (P = 0.017), and the clock-drawing test score (P = 0.010).

CONCLUSION

Shape-similar errors may be a characteristic of Chinese pure alexia. The correlation between visuospatial dysfunction and pure alexia might explain the frequent occurrence of shape-similar errors in Chinese pure alexia.

Attentional and lexical factors underlying word-centred neglect dyslexia errors in healthy readers

Word-centred neglect dyslexia is most commonly conceptualised as a deficit caused by attentional biases within spatially coded internal representations of words. However, recent research has suggested that at least some cases of word-centred neglect dyslexia are unrelated to visuospatial neglect and may instead be modulated by self-inhibition and lexical factors. Here, we set out to provide novel insight into potential underlying mechanisms modulating the occurrence of word-centred lateralised reading errors in healthy participants. A sample of 47 healthy readers completed a novel attentional cueing paradigm in which they sequentially identified lateral cues and read presented words under limited exposure conditions. Reading responses were analysed to determine whether word-centred neglect dyslexia could be simulated in healthy readers, to compare the strengths of induced biases, and to identify systematic differences in lexical characteristics between target words and neglect dyslexia reading errors. Healthy participants produced frequent lateralised reading errors in both horizontal and vertical reading stimuli with > 50% of errors classed as neglect dyslexic. Cues appended to word beginnings elicited significantly more reading errors than cues at word ends, illustrating the interaction between existing reading spatial attentional biases and cue-induced biases. Neglect dyslexia reading errors were found to contain significantly more letters per word and had higher concreteness ratings than target words. These findings demonstrate that word-centred neglect dyslexia can be simulated using attentional cues in healthy readers. These results provide important insight into the mechanisms underlying word-centred neglect dyslexia and further fundamental understanding of this syndrome.

Linguistic structure modulates attention in reading: Evidence from negative concord in Italian

We report the reading performance of an Italian speaker with egocentric Neglect Dyslexia on sentences with Negative Concord structures, which contain a linguistic cue to the presence of a preceding negative marker and compare it to sentences with no such cue. As predicted, the frequency of reading the whole sentence, including the initial negative marker non, was higher in Negative Concord structures than in sentences which also started with non, but crucially, lacked the medially positioned linguistic cue to the presence of non. These data support the claim that the presence of linguistic cues to sentence structure modulates attention during reading in Neglect Dyslexia.

Word-centred neglect dyslexia as an inhibitional deficit: A single case study

Word-centred neglect dyslexia is most commonly characterised as consequence of visuospatial neglect rather than an independent condition. However, recent research has suggested that this deficit may be dissociable from spatial attentional biases. This study aims to provide preliminary evidence investigating alternative mechanisms which could account for cases of word-centred neglect dyslexia which cannot be explained by visuospatial neglect. Patient EF is a chronic stroke survivor who presented with clear right-lateralised word-centred neglect dyslexia in conjunction with severe left egocentric neglect and left hemianopia following a right PCA stroke. The severity of EF's neglect dyslexia was not found to be affected by factors which modulate the severity of visuospatial neglect. EF demonstrated an intact ability to identify all letters in words, but reliably committed neglect dyslexia errors when subsequently reading the same words as a whole. EF did not exhibit neglect dyslexic impairment in standardised spelling, word-meaning matching, and word-picture matching tasks. Critically, EF exhibited marked cognitive inhibition impairment and committed neglect dyslexia errors which were characterised by misreading less familiar target words as more familiar responses. This behavioural pattern cannot be clearly accounted for by theories which characterize word-centred neglect dyslexia as a consequence of neglect. Instead, this data suggests that this case of word-centred neglect dyslexia may be related to a deficit of cognitive inhibition. Overall, these novel findings call for reevaluation of the dominant model of word-centred neglect dyslexia.

The form of reference frames in vision: The case of intermediate shape-centered representations

Although a great deal is known about the early sensory and the later, perceptual, stages of visual processing, far less is known about the nature of intermediate representational units and reference frames. Progress in understanding intermediate levels of representations in vision is hindered by the complexity of interactions among multiple levels of representation in the visual system, making it difficult to isolate and study the nature of each particular level. Nature occasionally provides the opportunity to peer inside complex systems by isolating components of a system through accidental damage or genetic modification of neural components. We have recently reported the case of a young woman who perceives 2D bounded regions of space as if they were plane-rotated by 90, 180 or 270° around their center, mirrored across their own axes, or both. This suggested that an intermediate stage of processing consists in representing mutually exclusive 2D bounded regions extracted from the retinal image in their own "shape-centered" perceptual frame. We proposed to refer to this level of representation as "intermediate shape-centered representation" (ISCR). Here, we used Davida's pattern of errors across 9 experiments as a tool for specifying in greater detail the geometrical properties of the reference frame in which elongated and/or symmetrical shapes are represented at the level of the ISCR. The nature of Davida's errors in these experiments suggests that ISCRs are represented in reference frames composed of orthogonal axes aligned with and centered on the most elongated segment of elongated shapes and, for symmetrical shapes deprived of a straight segment, aligned with their axis of symmetry, and centered on their centroid.

The Effects of Handwriting Experience on Literacy Learning

Previous research indicates that writing practice may be more beneficial than nonmotor practice for letter learning. Here, we report a training study comparing typing, visual, and writing learning conditions in adults (N = 42). We investigated the behavioral consequences of learning modality on literacy learning and evaluated the nature of the learned letter representations. Specifically, the study addressed three questions. First, are the benefits of handwriting practice due to motor learning per se or to other incidental factors? Second, do the benefits generalize to untrained tasks? And third, does handwriting practice lead to learning and strengthening only of motor representations or of other types of representations as well? Our results clearly show that handwriting compared with nonmotor practice produces faster learning and greater generalization to untrained tasks than previously reported. Furthermore, only handwriting practice leads to learning of both motor and amodal symbolic letter representations.

What masked priming effects with abbreviations can tell us about abstract letter identities

Models of visual word recognition share the assumption that lexical access is based on abstract letter identities. The present study re-examined the assumption that this is because information about the visual form of the letter is lost early in the course of activating the abstract letter identities. The main support for this assumption has come from the case-independent masked priming effects. Experiment 1 used common English words presented in lowercase as targets in lexical decision, and replicated the oft-reported case-independent identity priming effect (e.g., edge-edge = EDGE-edge). In contrast, Experiment 2 using abbreviations (e.g., DNA, CIA) produced a robust case-dependent identity priming effect (e.g., DNA-DNA < dna-DNA). Experiment 3 used the same abbreviation stimuli as primes in a semantic priming lexical decision experiment. Here the prime case effect was absent, but so was the semantic priming effect (e.g., dna-GENETICS = DNA-GENETICS = LSD-GENETICS). The results question the view that information about the visual form of the letter is lost early. We offer an alternative perspective that the abstract nature of priming for common words stems from how these words are represented in the reader's lexicon. The implication of these findings for letter and word recognition is discussed. (197 words).

A deficit in post-graphemic writing processes: Evidence for a graphomotor buffer

Post-graphemic writing processes transform abstract letter representations into representations of writing movements. We describe an individual with an acquired post-graphemic writing deficit. NGN is normal in spelling words aloud, but impaired in writing words to dictation, with most errors involving letter substitutions (e.g., RUMOR written as BUMOR). NGN's deficit affects graphic motor plans, which specify the writing strokes for producing letters. Analyses of writing speed, fluency, and stroke patterns suggest that NGN's errors result from incomplete motor-plan activation. NGN's error rate is high for the first letter in a word, and declines across subsequent positions. On the basis of this serial position effect and other results, we propose that post-graphemic writing mechanisms include a graphomotor buffer, a writing-specific working memory that holds activated graphic motor plans bound to specific serial positions. We suggest that NGN's graphomotor buffer is damaged such that early serial positions are affected most severely. Finally, we present results speaking to the roles and capabilities of the graphomotor buffer, and the structure of graphic motor plans.

Evidence for cross-script abstract identities in learners of Japanese kana

The presence of abstract letter identity representations in the Roman alphabet has been well documented. These representations are invariant to letter case (upper vs. lower) and visual appearance. For example, "a" and "A" are represented by the same abstract identity. Recent research has begun to consider whether the processing of non-Roman orthographies also involves abstract orthographic representations. In the present study, we sought evidence for abstract identities in Japanese kana, which consist of two scripts, hiragana and katakana. Abstract identities would be invariant to the script used as well as to the degree of visual similarity. We adapted the cross-case masked-priming letter match task used in previous research on Roman letters, by presenting cross-script kana pairs and testing adult beginning -to- intermediate Japanese second-language (L2) learners (first-language English readers). We found robust cross-script priming effects, which were equal in magnitude for visually similar (e.g., り/リ) and dissimilar (e.g., あ/ア) kana pairs. This pattern was found despite participants' imperfect explicit knowledge of the kana names, particularly for katakana. We also replicated prior findings from Roman abstract letter identities in the same participants. Ours is the first study reporting abstract kana identity priming (in adult L2 learners). Furthermore, these representations were acquired relatively early in our adult L2 learners.

Do reading and spelling share orthographic representations? Evidence from developmental dysgraphia

Both spelling and reading depend on knowledge of the spellings of words. Despite this commonality, observed dissociations between spelling and reading in cases of acquired and developmental deficits suggest some degree of independence between the cognitive mechanisms involved in these skills. In this paper, we examine the relationship between spelling and reading in two children with developmental dysgraphia. For both children, we identified significant deficits in spelling that affected the processing of orthographic long-term memory representations of words. We then examined their reading skills for similar difficulties. Even with extensive testing, we found no evidence of a reading deficit for one of the children. We propose that there may be an underlying difficulty that specifically affects the learning of orthographic word representations for spelling. These results lead us to conclude that at least some components of lexical orthographic representation and processing develop with considerable independence in spelling and reading.

The role of allograph representations in font-invariant letter identification

The literate brain must contend with countless font variants for any given letter. How does the visual system handle such variability? One proposed solution posits stored structural descriptions of basic letter shapes that are abstract enough to deal with the many possible font variations of each letter. These font-invariant representations, referred to as allographs in this paper, while frequently posited, have seldom been empirically evaluated. The research reported here helps to address this gap with 2 experiments that examine the possible influence of allograph representations on visual letter processing. In these experiments, participants respond to pairs of letters presented in an atypical font in 2 tasks-visual similarity judgments (Experiment 1) and same/different decisions (Experiment 2). By using representational similarity analysis (RSA) in conjunction with linear mixed effect models (LMEM; RSA-LMEM) we show that the similarity structure of the responses to the atypical font is influenced by the predicted similarity structure of allograph representations even after accounting for font-specific visual shape similarity. Similarity due to symbolic (abstract) identity, name, and motor representations of letters are also taken into account providing compelling evidence for the unique influence of allograph representations in these tasks. These results provide support for the role of allograph representations in achieving font-invariant letter identification. (PsycINFO Database Record

Development of children's identity and position processing for letter, digit, and symbol strings: A cross-sectional study of the primary school years

Letter recognition and digit recognition are critical skills for literate adults, yet few studies have considered the development of these skills in children. We conducted a nine-alternative forced-choice (9AFC) partial report task with strings of letters and digits, with typographical symbols (e.g., $, @) as a control, to investigate the development of identity and position processing in children. This task allows for the delineation of identity processing (as overall accuracy) and position coding (as the proportion of position errors). Our participants were students in Grade 1 to Grade 6, allowing us to track the development of these abilities across the primary school years. Our data suggest that although digit processing and letter processing end up with many similarities in adult readers, the developmental trajectories for identity and position processing for the two character types differ. Symbol processing showed little developmental change in terms of identity or position accuracy. We discuss the implications of our results for theories of identity and position coding: modified receptive field, multiple-route model, and lexical tuning. Despite moderate success for some theories, considerable theoretical work is required to explain the developmental trajectories of letter processing and digit processing, which might not be as closely tied in child readers as they are in adult readers.

The Cognitive Neuroplasticity of Reading Recovery following Chronic Stroke: A Representational Similarity Analysis Approach

Damage to certain left hemisphere regions leads to reading impairments, at least acutely, though some individuals eventually recover reading. Previous neuroimaging studies have shown a relationship between reading recovery and increases in contralesional and perilesional activation during word reading tasks, relative to controls. Questions remain about how to interpret these changes in activation. Do these changes reflect functional take-over, a reorganization of functions in the damaged brain? Or do they reveal compensatory masquerade or the use of alternative neural pathways to reading that are available in both patients and controls? We address these questions by studying a single individual, CH, who has made a partial recovery of reading familiar words following stroke. We use an fMRI analysis technique, representational similarity analysis (RSA), which allows us to decode cognitive function from distributed patterns of neural activity. Relative to controls, we find that CH shows a shift from visual to orthographic processing in contralesional regions, with a marginally significant result in perilesional regions as well. This pattern supports a contralesional reorganization of orthographic processing following stroke. More generally, these analyses demonstrate how powerful RSA can be for mapping the neural plasticity of language function.

The independence of letter identity and letter doubling in reading

The ability to read requires processing the letter identities in the word and their order, but it is by no means obvious that our long-term memory representations of words spellings consist of only these dimensions of information. The current investigation focuses on whether we process information about another dimension-letter doubling (i.e., that there is a double letter in WEED)-independently of the identity of the letter being doubled. Two experiments that use the illusory word paradigm are reported to test this question. In both experiments, participants are more likely to misperceive a target word with only singleton letters (e.g., WED) as a word with a double (e.g., WEED) when the target is presented with a distractor that contains a different double letter (e.g., WOOD) than when the distractor does not contain a double letter (e.g., WORD). This pattern of results is not predicted by existing computational models of word reading but is consistent with the hypothesis that written language separately represents letter identity and letter doubling information, as previously shown in written language production. These results support a view that the orthographic representations that underlie our ability to read are internally complex and suggest that reading and writing rely on a common level of orthographic representation.

A Special Font for People with Dyslexia: Does it Work and, if so, why?

In 2008 Christian Boer, a Dutch artist, developed a special font ("Dyslexie") to facilitate reading in children and adults with dyslexia. The font has received a lot of media attention worldwide (e.g., TheGuardian.com, Slate.com, TheAtlantic.com, USA Today, and io9.com). Interestingly, there is barely any empirical evidence for the efficacy of Dyslexie. This study aims to examine if Dyslexie is indeed more effective than a commonly used sans serif font (Arial) and, if so, whether this can be explained by its relatively large spacing settings. Participants were 39 low-progress readers who were learning to read in English. They were asked to read four different texts in four different font conditions that were all matched on letter display size (i.e., x-height), but differed in the degree to which they were matched for spacing settings. Results showed that low-progress readers performed better (i.e., read 7% more words per minute) in Dyslexie font than in standardly spaced Arial font. However, when within-word spacing and between-word spacing of Arial font was matched to that of Dyslexie font, the difference in reading speed was no longer significant. We concluded that the efficacy of Dyslexie font is not because of its specially designed letter shapes, but because of its particular spacing settings. Copyright © 2016 John Wiley & Sons, Ltd.

Neural bases of orthographic long-term memory and working memory in dysgraphia

Spelling a word involves the retrieval of information about the word's letters and their order from long-term memory as well as the maintenance and processing of this information by working memory in preparation for serial production by the motor system. While it is known that brain lesions may selectively affect orthographic long-term memory and working memory processes, relatively little is known about the neurotopographic distribution of the substrates that support these cognitive processes, or the lesions that give rise to the distinct forms of dysgraphia that affect these cognitive processes. To examine these issues, this study uses a voxel-based mapping approach to analyse the lesion distribution of 27 individuals with dysgraphia subsequent to stroke, who were identified on the basis of their behavioural profiles alone, as suffering from deficits only affecting either orthographic long-term or working memory, as well as six other individuals with deficits affecting both sets of processes. The findings provide, for the first time, clear evidence of substrates that selectively support orthographic long-term and working memory processes, with orthographic long-term memory deficits centred in either the left posterior inferior frontal region or left ventral temporal cortex, and orthographic working memory deficits primarily arising from lesions of the left parietal cortex centred on the intraparietal sulcus. These findings also contribute to our understanding of the relationship between the neural instantiation of written language processes and spoken language, working memory and other cognitive skills.

Multicolored words: Uncovering the relationship between reading mechanisms and synesthesia

Grapheme-color and lexical-color synesthesia, the association of colors with letters and words, respectively, are some of the most commonly studied forms of synesthesia, yet relatively little is known about how synesthesia arises from and interfaces with the reading process. To date, synesthetic experiences in reading have only been reported in relation to a word's graphemes and meaning. We present a case study of WBL, a 21-year old male who experiences synesthetic colors for letters and words. Over 3 months, we obtained nearly 3000 color judgments for visually presented monomorphemic, prefixed, suffixed, and compound words as well as judgments for pseudocompound words (e.g., carpet), and nonwords. In Experiment 1, we show that word color is nearly always determined by the color of the first letter. Furthermore, WBL reported two separate colors for prefixed and compound words approximately 14% of the time, with the additional color determined by the first letter of the second morpheme. In Experiment 2, we further investigated how various morphological factors influenced WBL's percepts using the compound norms of Juhasz, Lai, and Woodcock (2014). In a logistic regression analysis of color judgments for nearly 400 compounds, we observed that the likelihood that WBL would perceive a compound as bearing 1 lexical color or 2 lexical colors was influenced by a variety of factors including stem frequency, compound frequency, and the relationship between the meaning of the compound and the meaning of its stems. This constitutes the first study reporting an effect of morphological structure in synesthesia and demonstrates that synesthetic colors result from a complex interaction of perceptual, graphemic, morphological, and semantic factors.

Beyond the visual word form area: the orthography-semantics interface in spelling and reading

Lexical orthographic information provides the basis for recovering the meanings of words in reading and for generating correct word spellings in writing. Research has provided evidence that an area of the left ventral temporal cortex, a subregion of what is often referred to as the visual word form area (VWFA), plays a significant role specifically in lexical orthographic processing. The current investigation goes beyond this previous work by examining the neurotopography of the interface of lexical orthography with semantics. We apply a novel lesion mapping approach with three individuals with acquired dysgraphia and dyslexia who suffered lesions to left ventral temporal cortex. To map cognitive processes to their neural substrates, this lesion mapping approach applies similar logical constraints to those used in cognitive neuropsychological research. Using this approach, this investigation: (a) identifies a region anterior to the VWFA that is important in the interface of orthographic information with semantics for reading and spelling; (b) determines that, within this orthography-semantics interface region (OSIR), access to orthography from semantics (spelling) is topographically distinct from access to semantics from orthography (reading); (c) provides evidence that, within this region, there is modality-specific access to and from lexical semantics for both spoken and written modalities, in both word production and comprehension. Overall, this study contributes to our understanding of the neural architecture at the lexical orthography-semantic-phonological interface within left ventral temporal cortex.