"Penguins don't fly": An investigation into the effect of typicality on picture naming in people with aphasia

Why is a flamingo named as pelican and asparagus as celery? Understanding the relationship between targets and errors in a speeded picture naming task

Speakers sometimes make word production errors, such as mistakenly saying pelican instead of flamingo. This study explored which properties of an error influence the likelihood of its selection over the target word. Analysing real-word errors in speeded picture naming, we investigated whether, relative to the target, naming errors were more typical representatives of the semantic category, were associated with more semantic features, and/or were semantically more closely related to the target than its near semantic neighbours were on average. Results indicated that naming errors tended to be more typical category representatives and possess more semantic features than the targets. Moreover, while not being the closest semantic neighbours, errors were largely near semantic neighbours of the targets. These findings suggest that typicality, number of semantic features, and semantic similarity govern activation levels in the production system, and we discuss possible mechanisms underlying these effects in the context of word production theories.

Comparing two picture naming tasks in primary progressive aphasia: Insights from behavioural and neural results

Picture naming tests are widely used to evaluate language impairments in neurodegenerative diseases, especially in Primary Progressive Aphasia (PPA). The available tests differ for many factors affecting the performance, e.g. format of stimuli and their psycholinguistic properties. We aim to identify the most appropriate naming test to be used on PPA according to the clinical and research demands. We investigated the behavioural characteristics, i.e. proportion of correct responses and error type, and their neural correlates in two Italian naming tests, CaGi naming (CaGi) and naming subtest of the Screening for Aphasia in NeuroDegeneration battery (SAND), administered to 52 PPA patients who underwent an FDG-PET scan. We analysed the effectiveness of the tests in distinguishing PPA versus controls and among PPA variants, considering the psycholinguistic variables affecting performance. We explored the brain metabolic correlates of behavioural performance in the tests. SAND, differently from CaGi, has time limits for the response and its items are less frequent and acquired later. SAND and CaGi differed in terms of number of correct responses and error profile, suggesting a higher difficulty to name SAND items compared to CaGi. Semantic errors predominated in CaGi, while anomic and semantic errors were equally frequent in SAND. Both tests distinguished PPA from controls, but SAND outperformed CaGi in discriminating among PPA variants. FDG-PET imaging revealed a shared metabolic involvement of temporal areas associated with lexico-semantic processing, encompassing anterior fusiform, temporal pole, and extending to posterior fusiform in sv-PPA. Concluding, a picture naming test with response time limit and items which are less frequent and acquired later in life, as SAND, may be effective at highlighting subtle distinctions between PPA variants, improving the diagnosis. Conversely, a naming test without time limit for the response, as CaGi, may be useful for a better characterization of the nature of the naming impairment at the behavioural level, eliciting more naming errors than anomia, possibly helping in the development of rehabilitation protocols.

The Semantic Association Test (SAT): normative data from healthy Italian participants and a validation study in aphasic patients

The Semantic Association Test assesses several aspects of Semantic Memory (Categorical, Encyclopedic, Functional, and Visual Encyclopedic associations: CAs, EAs, FAs and VEAs), using a picture-to-picture matching paradigm. Normative data were collected from a group of 329 healthy participants (178 females) with mean 51.1 (range 20-90) years of age and mean 11.89 (range 5-19) years of education. Raw scores of healthy participants, pre-calculated correction factors for age and educational level, and Equivalent Scores are provided. The SAT was validated in a sample of 139 left brain-damaged persons with aphasia (PWA). Both groups (healthy participants and PWA) scored worse in the CA and EA conditions. The performance of the PWA group was overall defective, and global aphasics scored worse than persons with other types of aphasia. However, several PWA did not show impairments in the SAT. Dissociations were also found, with individual PWA showing defective performance confined to a single category. These results present the SAT as a tool that is useful to detect impairments of visual Semantic Memory, providing normative data from healthy participants and a validation study in PWA.

Stimulus- and Person-Level Variables Influence Word Production and Response to Anomia Treatment for Individuals With Chronic Poststroke Aphasia

PURPOSE

The impact of stimulus-level psycholinguistic variables and person-level semantic and phonological processing skills on treatment outcomes in individuals with aphasia requires further examination to inform clinical decision making in treatment prescription and stimuli selection. This study investigated the influence of stimulus-level psycholinguistic properties and person-level semantic and phonological processing skills on word production accuracy and treatment response.

METHOD

This retrospective analysis included 35 individuals with chronic, poststroke aphasia, 30 of whom completed typicality-based semantic feature treatment. Mixed-effects logistic regression models were used to predict binary naming accuracy (a) at baseline and (b) over the course of treatment using stimulus-level psycholinguistic word properties and person-level semantic and phonological processing skills as predictors.

RESULTS

In baseline naming, words with less complex lexical-semantic and phonological properties showed greater predicted accuracy. There was also an interaction at baseline between stimulus-level lexical-semantic properties and person-level semantic processing skills in predicting baseline naming accuracy. With treatment, words that were more complex from a lexical-semantic standpoint (vs. less complex) and less complex from a phonological standpoint (vs. more complex) improved more. Individuals with greater baseline semantic and phonological processing skills showed a greater treatment response.

CONCLUSIONS

This study suggests that future clinical research and clinical work should consider semantic and phonological properties of words in selecting stimuli for semantically based treatment. Furthermore, future clinical research should continue to evaluate baseline individual semantic and phonological profiles as predictors of response to semantically based treatment.

SUPPLEMENTAL MATERIAL

https://doi.org/10.23641/asha.21256341.

Penguins, Birds, and Pilot Knowledge: Can an Overlooked Attribute of Human Cognition Explain Our Most Puzzling Aircraft Accidents?

OBJECTIVE

We extend the theory of conceptual categories to flight safety events, to understand variations in pilot event knowledge.

BACKGROUND

Experienced, highly trained pilots sometimes fail to recognize events, resulting in procedures not being followed, damaging safety. Recognition is supported by typical, representative members of a concept. Variations in typicality ("gradients") could explain variations in pilot knowledge, and hence recognition. The role of simulations and everyday flight operations in the acquisition of useful, flexible concepts is poorly understood. We illustrate uses of the theory in understanding the industry-wide problem of nontypical events.

METHOD

One hundred and eighteen airline pilots responded to scenario descriptions, rating them for typicality and indicating the source of their knowledge about each scenario.

RESULTS

Significant variations in typicality in flight safety event concepts were found, along with key gradients that may influence pilot behavior. Some concepts were linked to knowledge gained in simulator encounters, while others were linked to real flight experience.

CONCLUSION

Explicit training of safety event concepts may be an important adjunct to what pilots may variably glean from simulator or operational flying experiences, and may result in more flexible recognition and improved response.

APPLICATION

Regulators, manufacturers, and training providers can apply these principles to develop new approaches to pilot training that better prepare pilots for event diversity.

Investigating the influence of semantic factors on word retrieval: Reservations, results and recommendations

There is consensus that word retrieval starts with activation of semantic representations. However, in adults without language impairment, relatively little attention has been paid to the effects of the semantic attributes of to-be-retrieved words. This paper, therefore, addresses the question of which item-inherent semantic factors influence word retrieval. Specifically, it reviews the literature on a selection of these factors: imageability, concreteness, number of semantic features, typicality, intercorrelational density, featural distinctiveness, concept distinctiveness, animacy, semantic neighbourhood density, semantic similarity, operativity, valence, and arousal. It highlights several methodological challenges in this field, and has a focus on the insights from studies with people with aphasia where the effects of these variables are more prevalent. The paper concludes that further research simultaneously examining the effects of different semantic factors that are likely to affect lexical co-activation, and the interaction of these variables, would be fruitful, as would suitably scaled computational modelling of these effects in unimpaired language processing and in language impairment. Such research would enable the refinement of theories of semantic processing and word production, and potentially have implications for diagnosis and treatment of semantic and lexical impairments.

Effect of Working Memory Load and Typicality on Semantic Processing in Aphasia

PURPOSE

This study evaluated the effects of a linguistic characteristic, typicality, and a processing variable, working memory on the abilities of people with aphasia (PWA) and neurologically intact adults to process semantic representations. This was accomplished using a newly developed assessment task, the Category Typicality Test, which was created for the Temple Assessment of Language and Short-Term Memory in Aphasia.

METHOD

A post hoc quasi-experimental design was used. Participants included 27 PWA and 14 neurologically intact adults who completed the picture and word versions of the Category Typicality Test, which required them to determine if two items are in the same category. Memory load was altered by increasing the number of items to be compared, and the typicality of items was altered to increase linguistic complexity.

RESULTS

A four-way mixed analysis of covariance was conducted. There was a significant interaction between working memory load and category typicality with performance accuracy decreasing as working memory load increased and category typicality decreased. There was also a significant interaction for typicality and stimuli with better performance in the picture condition and a significant interaction for working memory and group with lower performance accuracy for PWA. Post hoc pairwise comparisons revealed differences between memory load, typicality, stimuli conditions, and group. PWA also showed greater magnitude of change than neurologically intact adults when comparing high and low working memory load conditions, but not typicality conditions.

DISCUSSION

Increasing working memory load had the most substantial impact on the accuracy of category judgments in PWA, but the interaction between increased working memory load and decreased category typicality of items to be compared resulted in reduced accuracy in both groups. These findings suggest that manipulation of processing and linguistic variables in assessment will provide insight into the nature of linguistic breakdown in aphasia. Supplemental Material https://doi.org/10.23641/asha.14781996.

Effects of semantic variables on word production in aphasia

Words differ in the complexity of their semantic representations and their relationships to other words and these differences can be operationalised as a variety of semantic variables. The research presented here investigates how word production in aphasia is influenced by six feature-based semantic variables (number of near semantic neighbours, semantic similarity, number of semantic features, typicality, intercorrelational density, and distinctiveness). Previous research has reported inconsistent findings for some of the semantic variables, while others have not been previously studied in aphasia. Spoken picture naming data from a large group of individuals with aphasia with mixed spoken word production impairments (n = 175) and a sub-group who produced few phonological errors (n = 60) was analysed. We examined effects of the semantic variables on overall naming accuracy and on the occurrence of different error types (semantic errors overall, coordinate errors, omissions), while controlling for other psycholinguistic variables using generalised linear mixed effects models and Bayesian correlations. Across analyses, number of semantic features was the most important predictor with a facilitatory main effect on naming accuracy in the sub-group analysis. Number of semantic features, along with typicality and semantic similarity, also predicted error types and in some analyses these effects depended on the integrity of semantic processing. Effects of the semantic variables and their theoretical explanations and implications are discussed in light of previous research and models of word production.

Typicality-based semantic treatment for anomia results in multiple levels of generalisation

This study investigated the effects of typicality-based semantic feature analysis (SFA) treatment on generalisation across three levels: untrained related items, semantic/phonological processing tasks, and measures of global language function. Using a single-subject design with group-level analyses, 27 persons with aphasia (PWA) received typicality-based SFA to improve their naming of atypical and/or typical exemplars. Progress on trained, untrained, and monitored items was measured weekly. Pre- and post-treatment assessments were administered to evaluate semantic/phonological processing and overall language ability. Ten PWA served as controls. For the treatment participants, the likelihood of naming trained items accurately was significantly higher than for monitored items over time. When features of atypical items were trained, the likelihood of naming untrained typical items accurately was significantly higher than for untrained atypical items over time. Significant gains were observed on semantic/phonological processing tasks and standardised assessments after therapy. Different patterns of near and far transfer were seen across treatment response groups. Performance was also compared between responders and controls. Responders demonstrated significantly more improvement on a semantic processing task than controls, but no other significant change score differences were found between groups. In addition to positive treatment effects, typicality-based SFA naming therapy resulted in generalisation across multiple levels.

Effects of semantic neighbourhood density on spoken word production

When producing words, it is generally agreed that semantically related words are activated along with the target. However, relatively little is known about the extent to which the number of such semantically related words affects the production of spoken words. The research presented here explores, in detail, the influence of semantic neighbourhood density—the number of words of similar meaning in the lexicon—on picture naming performance in both unimpaired speakers and a large group of individuals with aphasia. In Experiment 1, six different semantic neighbourhood density measures were compared using principal component analysis. Four different semantic neighbourhood density components were identified: feature-based, context-based, association-based, and distant. In Experiment 2, these new measures were used as predictors in an analysis of picture naming data from unimpaired English speakers: no significant effects of semantic neighbourhood factors were observed on either latency or accuracy. Finally, Experiment 3 reports an analysis of picture naming responses of a large group of individuals with aphasia ( n = 193), examining the influence of the semantic neighbourhood density measures. Effects of the feature-based semantic neighbourhood measure on accuracy varied across participants with no overall main effect. This same measure increased the probability of a coordinate error compared with a correct response but also compared with an omission. Results are best accommodated by theories of word production that incorporate mechanisms by which semantically related concepts can both facilitate and inhibit target production.

Taking Sides: An Integrative Review of the Impact of Laterality and Polarity on Efficacy of Therapeutic Transcranial Direct Current Stimulation for Anomia in Chronic Poststroke Aphasia

Anomia is a frequent and persistent symptom of poststroke aphasia, resulting from damage to areas of the brain involved in language production. Cortical neuroplasticity plays a significant role in language recovery following stroke and can be facilitated by behavioral speech and language therapy. Recent research suggests that complementing therapy with neurostimulation techniques may enhance functional gains, even amongst those with chronic aphasia. The current review focuses on the use of transcranial Direct Current Stimulation (tDCS) as an adjunct to naming therapy for individuals with chronic poststroke aphasia. Our survey of the literature indicates that combining therapy with anodal (excitatory) stimulation to the left hemisphere and/or cathodal (inhibitory) stimulation to the right hemisphere can increase both naming accuracy and speed when compared to the effects of therapy alone. However, the benefits of tDCS as a complement to therapy have not been yet systematically investigated with respect to site and polarity of stimulation. Recommendations for future research to help determine optimal protocols for combined therapy and tDCS are outlined.