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In the present article, we present a "Levels of Explanation" (LoE) approach to auditory verbal hallucinations (AVHs) in schizophrenia. Mental phenomena can be understood at different levels of explanation, including cultural, clinical, cognitive, brain imaging, cellular, and molecular levels. Current research on AVHs is characterized by accumulation of data at all levels, but with little or no interaction of findings between levels. A second advantage with a Levels of Explanation approach is that it fosters interdisciplinarity and collaboration across traditional borders, facilitating a real breakthrough in future research. We exemplify a Levels of Explanation approach with data from 3 levels where findings at 1 level provide predictions for another level. More specifically, we show how functional neuroimaging data at the brain level correspond with behavioral data at the cognitive level, and how data at these 2 levels correspond with recent findings of changes in neurotransmitter function at the cellular level. We further discuss implications for new therapeutic interventions, and the article is ended by suggestion how future research could incorporate genetic influences on AVHs at the molecular level of explanation by providing examples for animal work.

Laterality for language processing can be assessed by auditory and visual tasks. Typically, a right ear/right visual half-field (VHF) advantage is observed, reflecting left-hemispheric lateralization for language. Historically, auditory tasks have shown more consistent and reliable results when compared to VHF tasks. While few studies have compared analogous tasks applied to both sensory modalities for the same participants, one such study by Voyer and Boudreau [(2003). Cross-modal correlation of auditory and visual language laterality tasks: a serendipitous finding. Brain Cogn, 53(2), 393-397] found opposite laterality for visual and auditory language tasks. We adapted an experimental paradigm based on a dichotic listening and VHF approach, and applied the combined language paradigm in two separate experiments, including fMRI in the second experiment to measure brain activation in addition to behavioural data. The first experiment showed a right-ear advantage for the auditory task, but a left half-field advantage for the visual task. The second experiment, confirmed the findings, with opposite laterality effects for the visual and auditory tasks. In conclusion, we replicate the finding by Voyer and Boudreau (2003) and support their interpretation that these visual and auditory language tasks measure different cognitive processes.

In this article, we review research in our laboratory from the last 25 to 30 years on the neuronal basis for laterality of speech perception focusing on the upper, posterior parts of the temporal lobes, and its functional and structural connections to other brain regions. We review both behavioral and brain imaging data, with a focus on dichotic listening experiments, and using a variety of imaging modalities. The data have come in most parts from healthy individuals and from studies on normally functioning brain, although we also review a few selected clinical examples. We first review and discuss the structural model for the explanation of the right-ear advantage (REA) and left hemisphere asymmetry for auditory language processing. A common theme across many studies have been our interest in the interaction between bottom-up, stimulus-driven, and top-down, instruction-driven, aspects of hemispheric asymmetry, and how perceptual factors interact with cognitive factors to shape asymmetry of auditory language information processing. In summary, our research have shown laterality for the initial processing of consonant-vowel syllables, first observed as a behavioral REA when subjects are required to report which syllable of a dichotic syllable-pair they perceive. In subsequent work we have corroborated the REA with brain imaging, and have shown that the REA is modulated through both bottom-up manipulations of stimulus properties, like sound intensity, and top-down manipulations of cognitive properties, like attention focus., (Copyright © 2015 Elsevier Ltd. All rights reserved.)

Several studies analyzing the ontogenetic origin of cerebral lateralization provide evidences for a genetic foundation of handedness in humans that is modulated by environmental influences. Since other forms of behavioral lateralization are less investigated, it is unclear as to how far different functions display similar heritability. But deeper knowledge is necessary to understand if and how developmental coupling of different functions is based on a shared genetic background or on the impact of environmental influences. Here, we investigated the heritability of language lateralization assessed with the dichotic listening task, as well as the heritability of cognitive control processes modulating performance in this task. Overall, 103 families consisting of both parents and offspring were tested with the non-forced, as well as the forced-right and forced-left condition of the forced attention dichotic listening task, implemented in the iDichotic smartphone app, developed at the University of Bergen, Norway. The results indicate that the typical right ear advantage in the dichotic listening task shows weak and non-significant heritability (h 2 =0.003; p=0.98). In contrast, cognitive factors, like attention focus (forced right condition: h 2 =0.36; p<0.01; forced left condition: h 2 =0.28; p<0.05) and cognitive control (Gain forced right: h 2 =0.39; p<0.01; Gain forced left: h 2 =0.49; p<0.01) showed stronger and significant heritability. These findings indicate a variable dependence of different aspects of a cognitive function on heritability and implicate a major contribution of non-genetic influences to individual language lateralization., (Copyright © 2016 Elsevier Inc. All rights reserved.)

The present study was specifically designed to investigate the prevalence of auditory verbal hallucinations (AVH) in the general population, and sought to compare similarities and differences regarding socio-demographics, mental health and severe life events between individuals who have never experienced AVH with those who had. The study also aimed to compare those who sought professional help for their experience of AVH with those who had not sought help. Through a postal questionnaire, 2,533 participants ages 18 and over from a national survey completed the Launay-Slade Hallucinations Scale and other measures examining AVH characteristics and other areas related to AVH. In total, 7.3% of the sample reported a life-time prevalence of AVH. Those with AVH were more likely to be single and unemployed, reported higher levels of depression and anxiety, and experienced a higher number of severe life events compared with those without AVH. Only 16% of those who experienced AVH in the general population sought professional help for these experiences. Compared to those who did not seek professional help, participants that had were more likely to experience AVH with a negative content, experience them on a daily basis, undergo negative reactions when experiencing AVH, and resist AVH. In conclusion, the prevalence of AVH was found to be relatively high. The results also revealed higher levels of reduced mental health for individuals who sought professional help, followed by those who did not, compared with those who had never experienced AVH., (© 2015 The Authors. Scandinavian Journal of Psychology published by Scandinavian Psychological Associations and John Wiley & Sons Ltd.)

The ability to use cognitive-control functions to regulate speech perception is thought to be crucial in mastering developmental challenges, such as language acquisition during childhood or compensation for sensory decline in older age, enabling interpersonal communication and meaningful social interactions throughout the entire life span. Although previous studies indicate that cognitive control of speech perception is subject to developmental changes, its exact developmental trajectory has not been described. Thus, examining a sample of 2,988 participants (1,119 women) with an age range from 5 to 89 years, the aim of the present cross-sectional study was to examine the development of cognitive control of speech perception across the life span using age as continuous predictor. Based on data collected with the forced-attention consonant-vowel dichotic listening paradigm, the data analysis revealed an inverted U-shaped association of age and performance level: A steep increase in performance level was seen throughout childhood and adolescence, reaching highest performance in the early 20s, and was followed by a monotonous, continuous decline into late adulthood. Thus, cognitive control of speech perceptions shows similar life span developmental trajectories as observed regarding cognitive-control functions in other domains, for example, as assessed in the visual domain., ((c) 2015 APA, all rights reserved).)

Functional hemispheric differences for speech and language processing have been traditionally studied by using verbal dichotic-listening paradigms. The commonly observed right-ear preference for the report of dichotically presented syllables is taken to reflect the left hemispheric dominance for speech processing. However, the results of recent functional imaging studies also show that both hemispheres - not only the left - are engaged by dichotic listening, suggesting a more complex relationship between behavioral laterality and functional hemispheric activation asymmetries. In order to more closely examine the hemispheric differences underlying dichotic-listening performance, we report an analysis of functional magnetic resonance imaging (fMRI) data of 104 right-handed subjects, for the first time combining an interhemispheric difference and conjunction analysis. This approach allowed for a distinction of homotopic brain regions which showed symmetrical (i.e., brain region significantly activated in both hemispheres and no activation difference between the hemispheres), relative asymmetrical (i.e., activated in both hemispheres but significantly stronger in one than the other hemisphere), and absolute asymmetrical activation patterns (i.e., activated only in one hemisphere and this activation is significantly stronger than in the other hemisphere). Symmetrical activation was found in large clusters encompassing temporal, parietal, inferior frontal, and medial superior frontal regions. Relative and absolute left-ward asymmetries were found in the posterior superior temporal gyrus, located adjacent to symmetrically activated areas, and creating a lateral-medial gradient from symmetrical towards absolute asymmetrical activation within the peri-Sylvian region. Absolute leftward asymmetry was also found in the post-central and medial superior frontal gyri, while rightward asymmetries were found in middle temporal and middle frontal gyri. We conclude that dichotic listening engages a bihemispheric cortical network, showing a symmetrical and mostly leftward asymmetrical pattern. The here obtained functional (a)symmetry map might serve as a basis for future studies which - by studying the relevance of the here identified regions - clarify the relationship between behavioral laterality measures and hemispheric asymmetry., (© 2013 Elsevier Inc. All rights reserved.)

Functional hemispheric asymmetries of speech production and perception are a key feature of the human language system, but their neurophysiological basis is still poorly understood. Using a combined fMRI and tract-based spatial statistics approach, we investigated the relation of microstructural asymmetries in language-relevant white matter pathways and functional activation asymmetries during silent verb generation and passive listening to spoken words. Tract-based spatial statistics revealed several leftward asymmetric clusters in the arcuate fasciculus and uncinate fasciculus that were differentially related to activation asymmetries in the two functional tasks. Frontal and temporal activation asymmetries during silent verb generation were positively related to the strength of specific microstructural white matter asymmetries in the arcuate fasciculus. In contrast, microstructural uncinate fasciculus asymmetries were related to temporal activation asymmetries during passive listening. These findings suggest that white matter asymmetries may indeed be one of the factors underlying functional hemispheric asymmetries. Moreover, they also show that specific localized white matter asymmetries might be of greater relevance for functional activation asymmetries than microstructural features of whole pathways., (© 2013.)

It is well known that the planum temporale (PT) area in the posterior temporal lobe carries out spectro-temporal analysis of auditory stimuli, which is crucial for speech, for example. There are suggestions that the PT is also involved in auditory attention, specifically in the discrimination and selection of stimuli from the left and right ear. However, direct evidence is missing so far. To examine the role of the PT in auditory attention we asked fourteen participants to complete the Bergen Dichotic Listening Test. In this test two different consonant-vowel syllables (e.g., "ba" and "da") are presented simultaneously, one to each ear, and participants are asked to verbally report the syllable they heard best or most clearly. Thus attentional selection of a syllable is stimulus-driven. Each participant completed the test three times: after their left and right PT (located with anatomical brain scans) had been stimulated with repetitive transcranial magnetic stimulation (rTMS), which transiently interferes with normal brain functioning in the stimulated sites, and after sham stimulation, where participants were led to believe they had been stimulated but no rTMS was applied (control). After sham stimulation the typical right ear advantage emerged, that is, participants reported relatively more right than left ear syllables, reflecting a left-hemispheric dominance for language. rTMS over the right but not left PT significantly reduced the right ear advantage. This was the result of participants reporting more left and fewer right ear syllables after right PT stimulation, suggesting there was a leftward shift in stimulus selection. Taken together, our findings point to a new function of the PT in addition to auditory perception: particularly the right PT is involved in stimulus selection and (stimulus-driven), auditory attention.

We report evidence that auditory verbal hallucinations (AVH) in schizophrenia patients are perceptual distortions lateralized to the left hemisphere. We used a dichotic listening task with repeated presentations of consonant-vowel syllables, a different syllable in the right and left ear. This task produces more correct reports for the right ear syllable in healthy individuals, indicative of left hemisphere speech processing focus. If AVHs are lateralized to the left hemisphere language receptive areas, then this should interfere with correct right ear reports in the dichotic task, which would result in significant negative correlations with severity of AVHs. We correlated the right and left ear correct reports with the PANSS hallucination symptom, and a randomly selected negative symptom, in addition to the sum total of the positive and negative symptoms, in 160 patients with schizophrenia. The results confirmed the predictions with significant negative correlations for the right ear scores with the PANSS hallucination item, and for the sum total of positive symptoms, while all other correlations were close to zero. The results are unambiguous evidence for AVHs as aberrant speech perceptions originating in the left hemisphere., (Copyright © 2012 Elsevier B.V. All rights reserved.)

Event-related magnetic fields (ERFs) were measured with magnetoencephalography (MEG) in fifteen healthy right-handed participants listening to sequences of consonant-vowel syllable pairs delivered dichotically (one syllable presented to the left ear and another syllable simultaneously to the right ear). The participants were instructed to press a response button to occurrences of a particular target syllable. In a condition with no other instruction (the non-forced condition, NF), they showed the well-known right-ear advantage (REA), that is, the participants responded more often to target syllables delivered to the right ear than to targets delivered to the left ear. The same was true in the forced-right (FR) condition, where the participants were instructed to attend selectively to the right-ear syllables and respond only to targets among them. In the forced-left (FL) condition, where they were instructed to respond only to left-ear targets, they responded more often to targets in this ear than to targets in the right ear. At 300-500 ms from syllable pair onset, a sustained field (SF) in ERFs to the syllable pairs was stronger in the left auditory cortex than in the right auditory cortex in the NF and FR conditions, while the opposite was true in the FL condition. Thus selective attention during dichotic listening leads to stronger processing of speech sounds in the auditory cortex contralateral to the attended direction. Our results also suggest that the REA observed for dichotic speech may involve a bias of attention to the right side even when there is no instruction to do so. This supports Kinsbourne's (1970) model of attention bias as a general principle of laterality., (Copyright © 2012 Elsevier B.V. All rights reserved.)

Several reports of premotor cortex involvement in speech perception have been put forward. Still, the functional role of premotor cortex is under debate. In order to investigate the functional role of premotor cortex, we presented parametrically varied speech stimuli in both a behavioral and functional magnetic resonance imaging (fMRI) study. White noise was transformed over seven distinct steps into a speech sound and presented to the participants in a randomized order. As control condition served the same transformation from white noise into a music instrument sound. The fMRI data were modelled with Dynamic Causal Modeling (DCM) where the effective connectivity between Heschl's gyrus, planum temporale, superior temporal sulcus and premotor cortex were tested. The fMRI results revealed a graded increase in activation in the left superior temporal sulcus. Premotor cortex activity was only present at an intermediate step when the speech sounds became identifiable but were still distorted but was not present when the speech sounds were clearly perceivable. A Bayesian model selection procedure favored a model that contained significant interconnections between Heschl's gyrus, planum temporal, and superior temporal sulcus when processing speech sounds. In addition, bidirectional connections between premotor cortex and superior temporal sulcus and from planum temporale to premotor cortex were significant. Processing non-speech sounds initiated no significant connections to premotor cortex. Since the highest level of motor activity was observed only when processing identifiable sounds with incomplete phonological information, it is concluded that premotor cortex is not generally necessary for speech perception but may facilitate interpreting a sound as speech when the acoustic input is sparse., (Copyright © 2010 Elsevier Inc. All rights reserved.)

The present fMRI study attempts to identify brain areas that may underlie the effect of different background noises on functional brain asymmetry in a dichotic listening task. Previous studies have shown that the prominent right ear advantage in dichotic listening to consonant-vowel syllables is affected by background noise. To explore the underlying neuronal processes, haemodynamic brain responses using fMRI were recorded while participants performed the dichotic listening task in two different noisy backgrounds (conversational "babble" and traffic noise). The behavioural results showed a reduction of the right ear advantage in the background noise conditions, especially in the traffic noise condition. The behavioural results are discussed in terms of alertness-attentional mechanisms. The effects of background noise on brain activation involved significant activations in a speech-processing network. Specifically the changes in activations in the peri-Sylvian region of the superior temporal gyrus and in the temporo-parietal junction part in the left hemisphere, as well as in the superior temporal gyrus/sulcus area in the right hemisphere may mirror the effects of noise on behavioural performance. The effects of noise on brain activation are discussed with regard to pre-activation mechanisms.

Recent studies indicate that the effect of voicing on the ear advantage in dichotic listening might serve as indicator of the development of speech processing abilities in children. In the present longitudinal study, we tested this idea by applying dichotic listening with voiced and unvoiced consonant-vowel syllables. In 35 boys and girls, tested at the age of 5, 6, 7, and 8 years, we found that the effect of voicing increases with age, and that girls were more affected by the voicing characteristics than boys. These results indicate a sex difference in the development of speech processing abilities.

We present data related to the role of working memory in dichotic-listening studies of speech lateralization using consonant-vowel syllable stimuli. A working-memory procedure was actually used in the pioneering dichotic-listening studies by Doreen Kimura in 1960, a fact that was forgotten in later dichotic-listening studies, exclusively focusing on the perceptual aspects of speech sound lateralization. Capitalizing on the original Kimura (1961a, 1961b) studies, we hypothesized that an increase in working-memory load leads to an amplified right-ear advantage (REA) in the dichotic-listening task. A total of 30 participants completed a dichotic-listening task including three working-memory load conditions, each consisting of trials of 3, 4, and 5 dichotically presented letter pairs. Results confirmed an enhanced REA as working-memory load increased. This right-ear effect increased significantly from 3 to 4 stimulus pairs and leveled off with the 5th pair. In addition, the assumption was tested that, within a single load condition, the REA appears mainly in late serial input positions. A detailed analysis of the results revealed that only late positions contributed to the overall REA. However, the highest load condition (5 letter pairs) also produced significant ear differences in the early part of the input position curve. The mechanisms likely to be responsible for these results are discussed in terms of top-down and bottom-up processes in hemispheric asymmetry.

Contrary to the classical view, recent neuroimaging studies claim that phonological processing, as part of auditory speech perception, is subserved by both the left and right temporal lobes and not the left temporal lobe alone. This study seeks to explore whether there are variations in the lateralization of response to verbal and nonverbal sounds by varying spectral complexity of those sounds. White noise was gradually transformed into either speech or music sounds using a "sound morphing" procedure. The stimuli were presented in an event-related design and the evoked brain responses were measured using fMRI. The results demonstrated that the left temporal lobe was predominantly sensitive to gradual manipulation of the speech sounds while the right temporal lobe responded to all sounds and manipulations. This effect was especially pronounced within the middle region of the left superior temporal sulcus (mid-STS). This area could be further subdivided into a more posterior area, which showed a linear response to the manipulation of speech sounds, and an anteriorly adjacent area which showed the strongest interaction between the speech and music sound manipulations. Such a differential and selective response was not seen in other brain areas and not when the sound "morphed" into a music stimulus. This gives further experimental evidence for the assumption of a posterior-anterior processing stream in the left temporal lobe. In addition, the present findings support the notion that the left mid STS area is more sensitive to speech signals compared to the right homologue.

The midsagittal corpus callosum is topographically organized, that is, with regard to their cortical origin several subtracts can be distinguished within the corpus callosum that belong to specific functional brain networks. Recent diffusion tensor tractography studies have also revealed remarkable interindividual differences in the size and exact localization of these tracts. To examine the functional relevance of interindividual variability in callosal tracts, 17 right-handed male participants underwent structural and diffusion tensor magnetic resonance imaging. Probabilistic tractography was carried out to identify the callosal subregions that interconnect left and right temporal lobe auditory processing areas, and the midsagittal size of this tract was seen as indicator of the (anatomical) strength of this connection. Auditory information transfer was assessed applying an auditory speech perception task with dichotic presentations of consonant-vowel syllables (e.g., /ba-ga/). The frequency of correct left ear reports in this task served as a functional measure of interhemispheric transfer. Statistical analysis showed that a stronger anatomical connection between the superior temporal lobe areas supports a better information transfer. This specific structure-function association in the auditory modality supports the general notion that interindividual differences in callosal topography possess functional relevance.

It has previously been shown that the right ear advantage in dichotic listening to consonant-vowel syllables is affected if a background noise is presented at the same time as the dichotic stimuli. What is not known is, however, if there is also an effect of varying the intensity level of the background noise. We therefore presented conversation or traffic noise background noise simultaneously with the dichotic syllable stimuli to healthy adult subjects. The intensity of the background noises varied between 50-65 dB in steps of 5 dB. The results showed that the right ear correct reports decreased, while left ear correct reports increased as a consequence of increasing background noise intensity. The effects were also stronger for the right ear, and for the traffic background noise condition, particularly at the two highest intensity levels. The results are discussed in terms of alertness and attentional mechanisms.

The influence of age on attentional control of bottom-up processing was investigated with a dichotic-listening paradigm. The typical right-ear-advantage (REA) without specific attentional instructions was used as a measure of bottom-up processing (non-forced condition). Top-down attentional control was evaluated by instructing subjects to report only the right or left ear stimulus of the dichotic pair (forced-right, forced-left conditions). Both young and old participants showed a REA in the non-forced condition and an increased REA in the forced-right condition. The old group failed, however, to use attention to modulate the REA to the same degree as the younger participants in the forced-left condition. Only the young group showed a significant left ear advantage (LEA). The results are discussed in relation to cognitive decline in normal aging and in early stages of dementia.

We tested the hypothesis that children with Tourette syndrome (TS) would exhibit aberrant brain lateralization compared to a healthy control (HC) group in an attention-modulation version of a verbal dichotic listening task using consonant-vowel syllables. The modulation of attention to focus on the right ear stimulus in the dichotic listening situation is thought to involve the same prefrontal attentional and executive functions that are involved in the suppression of tics, whereas, performance when focusing attention on the left ear stimulus additionally involves a callosal transfer of information. In light of presumed disturbances in transfer of information across the corpus callosum, we hypothesized that children with TS would, however, have difficulty modulating the functional lateralization that ensues through a shift of attention to the left side. This hypothesis was tested by exploring the correlations between CC size and left ear score in the forced-left condition. Twenty boys with TS were compared with 20 age- and handedness-matched healthy boys. Results indicated similar performance in the TS and HC groups for lateralization of hemispheric function. TS subjects were also able to shift attention normally when instructed to focus on the right ear stimulus. When instructed to focus attention on the left ear stimulus, however, performance deteriorated in the TS group. Correlations with CC area further supported the hypothesized presence of deviant callosal functioning in the TS group.

Purpose: In order to examine auditory lateralization of prelexical speech processing, a dichotic listening task was performed with concurrent EEG measurement., Methods: Subjects were tested with dichotic pairs of six consonant-vowel (CV) syllables that initially started with a voiced (/ba/, /da/, /ga/) or a voiceless stop consonant (/pa/, /ta/, /ka/). Electrophysiological correlates were analyzed by a low resolution electromagnetic tomography (LORETA) approach to estimate the sources of N1 event-related potentials (ERP) in the 3D brain., Results: Behavioral and electrophysiological measures revealed different ear advantages and ERP amplitude measures for voiced and voiceless syllables. Fronto-central N1 amplitudes were larger for syllables with voiced than voiceless initial consonants. LORETA source estimates revealed a lateralization effect, with stronger leftward lateralization for voiced than voiceless CV syllables., Conclusions: The present study demonstrates that auditory lateralization is affected by temporal cues in CV syllables. The lateralization effect suggests that functional hemispheric differences exist at an early prelexical level of speech processing.

By employing visual lexical decision and functional MRI, we studied the neural correlates of morphological decomposition in a highly inflected language (Finnish) where most inflected noun forms elicit a consistent processing cost during word recognition. This behavioral effect could reflect suffix stripping at the visual word form level and/or subsequent meaning integration at the semantic-syntactic level. The first alternative predicts increased activation for inflected vs. monomorphemic words in the left occipitotemporal cortex while the second alternative predicts left inferior frontal gyrus and/or left posterior temporal activation increases. The results show significant activation effects in the latter areas. This provides support for the second alternative, i.e., that the morphological processing cost stems from the semantic-syntactic level.

Previous neuroimaging studies have consistently reported bilateral activation to speech stimuli in the superior temporal gyrus (STG) and have identified an anteroventral stream of speech processing along the superior temporal sulcus (STS). However, little attention has been devoted to the possible confound of individual differences in hemispheric dominance for speech. The present study was designed to test for speech-selective activation while controlling for inter-individual variance in auditory laterality, by using only subjects with at least 10% right ear advantage (REA) on the dichotic listening test. Eighteen right-handed, healthy male volunteers (median age 26) participated in the study. The stimuli were words, syllables, and sine wave tones (220-2600 Hz), presented in a block design. Comparing words > tones and syllables > tones yielded activation in the left posterior MTG and the lateral STG (upper bank of STS). In the right temporal lobe, the activation was located in the MTG/STS (lower bank). Comparing left and right temporal lobe cluster sizes from the words > tones and syllables > tones contrasts on single-subject level demonstrated a statistically significant left lateralization for speech sound processing in the STS/MTG area. The asymmetry analyses suggest that dichotic listening may be a suitable method for selecting a homogenous group of subjects with respect to left hemisphere language dominance.

Dichotic listening (DL) is the most frequently used method to study language lateralization. The current study investigated the effect of voice-onset-time (VOT) in dichotic listening with consonant-vowel (CV) syllables. Eighty-nine subjects with normal hearing and overall right-ear-advantage (REA) were tested with a PC version of the DL test. Voiced and unvoiced stop-consonants were used in combination with the vowel /a/. This produced three syllables with short VOT /ba, da, ga/ and three syllables with long VOT /pa, ta, ka/. There were, therefore, four possible combinations of VOTs when the syllables were presented as dichotic pairs. These were short-long (SL), i.e. syllable-pairs with a short VOT in the left ear and a syllable with a long VOT in the right ear; and similarly long-short (LS), short-short (SS), and long-long (LL). The results showed that syllable pairs with long VOT presented in the right ear and short VOT simultaneously presented in the left ear, produced the largest REA. This was followed by the LL and SS conditions. The LS condition produced a significant left-ear-advantage (LEA). These results demonstrate that VOT significantly affects ear-advantage as observed in the DL test and suggest that VOT may be a more powerful determinant of DL performance than the classic REA effect. The findings are discussed within the framework of different hypotheses about speech laterality.

A problem in current studies of brain activation in speech perception is that most studies use stimuli that are sampled from different categories. This study presents a new approach in creating acoustic stimuli by filtering real words in different ways, thus this enables one to 'morph' the sounds gradually from something like tones to real words while preserving temporal characteristics ("soundmorphing"). This will make it possible to explore steps between tone and speech processing on a gradual scale. This study aimed to investigate more closely the network, involved in the perception of speech and the decoding of auditory (speech-)stimuli. Sets of auditory stimuli were created by dividing real words into several frequency-bands and creating a randomised rearrangement of these components. Four different sets of stimuli were used, containing 1, 2, 3 or 4 frequency bands (total range: 0-2500 Hz). Only the latter one contained intelligible words. During the fMRI session, these four trial types were presented pseudo-randomised. In all conditions, significant activations of auditory cortex were observed. The number of activated voxels and their significance increased over the four trial types. In addition, Broca's area, SMA, left thalamus, and right cerebellum were activated in the most complex and most speech-like condition. Comparing these complexes with the tone-like trials, only the left auditory cortex, left SMA, and cingulate gyrus became significant. These activations reflect the bilateral processing of the auditory stimuli, but only the left temporal areas demonstrated an increasing BOLD response with an increasing number of presented frequency components.

The functional organization of the human auditory cortex is still not well understood with respect to speech perception and language lateralization. Especially, there is comparatively little data available in the brain imaging literature focusing on the timing of phonetic processing. We recorded auditory-evoked potentials (AEP) from 27 scalp and additional EOG channels in 12 healthy volunteers performing a free report dichotic listening task with simple speech sounds (CV syllables: [ba], [da], [ga], [pa], [ta], [ka]). ERP analysis employed independent components analysis (ICA) wavelet denoising for artifact reduction and improvement of the SNR. The main finding was a 15-ms shorter average latency of the N1-AEP recorded from the scalp approximately overlying the left supratemporal cortical plane compared to the N1-AEP over the homologous right side. Corresponding N1 amplitudes did not differ between these sites. The individual AEP latency differences significantly correlated with the ear advantage as an index of speech/language lateralization. The behaviorally relevant difference in N1 latency between the hemispheres indicates that an important key to understanding speech perception is to consider the functional implications of neuronal event timing.

The objective of this study was to investigate phonological processing in the brain by using sub-syllabic speech units with rapidly changing frequency spectra. We used isolated stop consonants extracted from natural speech consonant-vowel (CV) syllables, which were digitized and presented through headphones in a functional magnetic resonance imaging (fMRI) paradigm. The stop consonants were contrasted with CV syllables. In order to control for general auditory activation, we used duration- and intensity-matched noise as a third stimulus category. The subjects were seventeen right-handed, healthy male volunteers. BOLD activation responses were acquired on a 1.5-T MR scanner. The auditory stimuli were presented through MR compatible headphones, using an fMRI paradigm with clustered volume acquisition and 12 s repetition time. The consonant vs. noise comparison resulted in unilateral left lateralized activation in the posterior part of the middle temporal gyrus and superior temporal sulcus (MTG/STS). The CV syllable vs. noise comparison resulted in bilateral activation in the same regions, with a leftward asymmetry. The reversed comparisons, i.e., noise vs. speech stimuli, resulted in right hemisphere activation in the supramarginal and superior temporal gyrus, as well as right prefrontal activation. Since the consonant stimuli are unlikely to have activated a semantic-lexical processing system, it seems reasonable to assume that the MTG/STS activation represents phonetic/phonological processing. This may involve the processing of both spectral and temporal features considered important for phonetic encoding.

Using 12 participants we conducted an fMRI study involving two tasks, word reversal and rhyme judgment, based on pairs of natural speech stimuli, to study the neural correlates of manipulating auditory imagery under taxing conditions. Both tasks engaged the left anterior superior temporal gyrus, reflecting previously established perceptual mechanisms. Engagement of the left inferior frontal gyrus in both tasks relative to baseline could only be revealed by applying small volume corrections to the region of interest, suggesting that phonological segmentation played only a minor role and providing further support for factorial dissociation of rhyming and segmentation in phonological awareness. Most importantly, subtraction of rhyme judgment from word reversal revealed activation of the parietal lobes bilaterally and the right inferior frontal cortex, suggesting that the dynamic manipulation of auditory imagery involved in mental reversal of words seems to engage mechanisms similar to those involved in visuospatial working memory and mental rotation. This suggests that reversing spoken items is a matter of mind twisting rather than tongue twisting and provides support for a link between language processing and manipulation of mental imagery.

We report on enhanced processing of speech sounds in congenitally and early blind individuals compared with normally seeing individuals. Two different consonant-vowel (CV) syllables were presented via headphones on each presentation. We used a dichotic listening (DL) procedure with pairwise presentations of CV syllables. The typical finding in this paradigm is a right ear advantage, indicating better processing of the CV-syllable stimuli in the left hemisphere. The dichotic listening procedure involved three different conditions, with instructions to pay attention to the right ear stimulus, the left ear stimulus or no specific instruction. The participants were 14 congenitally or early blind Finnish-speaking individuals that were compared with 129 normal seeing Finnish-speaking individuals. The blind participants reported overall significantly more correct syllables than seeing control subjects. When instructed to pay attention to the left ear stimulus and only report from the attended channel, they were again significantly better than the seeing control subjects. These findings indicate effects of hemispheric reorganization in blind individuals at both the sensory and cognitive levels of information processing in the auditory sensory modality.

The aim of the present study was to investigate differences in brain activation in a family with SLI as compared to intact individuals with normally developed language during processing of language stimuli. Functional magnetic resonance imaging (fMRI) was used to monitor changes in neuronal activation in temporal and frontal lobe areas in 5 Finnish family members with specific language impairment (SLI) and 6 individuals in an intact control group. Magnetic resonance (MR) image acquisitions were made while the participants listened to series of isolated vowel sounds, pseudowords, and real words. The stimuli were digitized single Finnish vowel sounds, 3-phoneme pseudowords, and 3- and 4-phoneme real words. MR scanning was made with a 1.5 T Siemens Vision Plus scanner, and the auditory stimuli were presented according to an event-related fMRI design. The results showed significant differences between the family with SLI and the intact control group with regard to brain activation in areas in the temporal and frontal lobes. Temporal lobe activation differences were most pronounced in the middle temporal gyrus bordering the superior temporal sulcus. The control participants also activated an area in the inferior frontal lobe in BA 44. It is concluded that individuals with SLI showed reduced activation in brain areas that are critical for speech processing and phonological awareness. The present functional brain imaging data fit well with other recent imaging data that also showed structural abnormalities in the same and neighboring areas.

The present study used fMRI to investigate the relationship between stimulus presentation mode and attentional instruction in a free-report dichotic listening (DL) task with consonant-vowel (CV) syllables. Binaural and dichotic CV syllables were randomly presented to the subjects during four different instructional conditions: a passive listening instruction and three active instructions where subjects listened to both ears, right ear and left ear, respectively. The results showed that dichotic presentations activated areas in the superior temporal gyrus, middle and inferior frontal gyrus and the cingulate cortex to a larger extent than binaural presentations. Moreover, the results showed that increase of activation in these areas was differentially dependent on presentation mode and attentional instruction. Thus, it seems that speech perception, as studied with the DL procedure, involves a cortical network extending beyond primary speech perception areas in the brain, also including prefrontal cortex.

Hemisphere lateralization for speech perception was investigated in a Finnish family with specific language impairment. We used dichotic presentations of consonant-vowel (CV) syllables, consisting of the six stop-consonants paired with the vowel /a/, under three different attentional instructions. The dichotic listening technique means that two different speech stimuli are presented simultaneously, one in each ear. Left hemisphere dominance for speech perception is assessed from a preference for the right ear stimulus. Response accuracy was compared in five members, over three generations, of a family with SLI with 5 healthy control subjects. The dichotic listening task was performed under three different instructions, to attend only to the right ear stimulus, to attend only to the left ear stimulus, or with no instruction about attention. The subjects indicated orally which of the six CV-syllables they heard on each trial. There were 36 dichotic presentations of the CV-syllables for each instruction. The CV-syllables were played from a CD with digitized stimuli. The results showed no difference between the groups during the no instruction condition, indicating normal speech lateralization in the SLI group. However, the SLI group was deficient in modifying the ear advantage through focused attention to the left ear, thus indicating an attentional/executive deficit in addition to a deficit in left hemisphere lateralization. It is concluded that individuals with specific language impairment may have a cognitive deficit related to attention in addition to a language processing deficit related to left hemisphere function.

Focusing of attention to a specific speech source plays an important role in everyday speech perception. However, little is known of the neuronal substrates of focused attention in speech perception. Thus, the present study investigated the effects on neuronal activation of directed attention to auditory stimuli that differed in semantic content. Using an event-related fMRI protocol, single vowels, three-phoneme pseudowords and three- and four-phoneme real nouns and words were randomly presented to the subjects during four different instructional conditions. One condition was passive listening without any specific instructions of focusing of attention. The other conditions were attention focused on either the vowels, the pseudowords or the words. Thus, the acoustic stimulation was constant across conditions. The subjects were 13 healthy adults. Functional MRI was performed with a 1.5 T scanner, using an event-related design. During passive listening, there were significant activations bilaterally in the superior temporal gyrus. Instruction to attend to the pseudowords caused activation in middle temporal lobe areas, extending more anterior compared to the activations seen during passive listening. Instruction to attend to the vowel sounds caused an increase in activation in the superior/medial temporal lobe, with a leftward asymmetry. Instruction to attend to the words caused a leftward asymmetry, particularly in the middle and superior temporal gyri. It is concluded that attention plays a modulatory role in neuronal activation to speech sounds, producing specific activations to specific stimulus categories that may act to facilitate speech perception.

In the present paper we report on speech perception in left (n=16) and right (n=10) frontal lobe nonaphasic patients compared with healthy controls (n=26). The patients were inpatients of the University Clinic of Neurology, Innsbruck, Austria, who participated in a prospective neuropsychological study dealing with several aspects of lateralized functioning. The patients were tested with dichotic presentations of consonant-vowel syllables, which allows for specific probing of speech perception in the left and right hemisphere, respectively. The task was to report which syllable they heard best on each trial, emphasizing single answers on each trial. There were 36 dichotic trials with pairs of CV syllables made up of the six stop consonants /p/, /t/, /k/, /b/, /d/, /g/, all paired with the vowel /a/. There were always two different syllables presented on each trial, one in each ear. The results showed significant differences between the left and right lesioned patients in their performance on the dichotic listening test. While the right lesioned patients and the control subjects had a normal and expected right ear advantage, the left lesioned patients performed almost at random with regard to the right and left ear stimulus. The right lesioned patients and the control group showed a right ear advantage of the same magnitude, although the overall performance was somewhat impaired in the right lesioned group compared to the healthy control group. The left lesioned patients showed no ear advantage at all, and particularly their right ear scores were impaired compared to both the control group and the right lesioned patient group. The results are discussed in terms of the role played by the left frontal cortex in speech perception and language asymmetry.

Twelve sleep-deprived and 13 non-deprived Navy cadets were tested with the dichotic listening procedure for effects of sleep deprivation on hemispheric asymmetry and sustained attention. Consonant-vowel syllables were presented to the subjects in three different conditions, a divided (non-forced) attention condition, a forced right ear and a forced left ear attention condition. In the two forced attention conditions the subjects were instructed to focus attention only on the right or left ear stimulus. The results showed an expected right ear advantage for both groups during the non-forced and forced right attention conditions, indicating superior left hemisphere processing. During the forced left attention condition, the sleep-deprived subjects showed no ear advantage at all, while the non-deprived subjects showed an expected left ear advantage. The results are discussed within a theoretical framework of a dual process model, where sleep deprivation disrupts the ability to sustain attention, caused by a temporary failure of the right hemisphere's top-down (instruction-driven) processing to override the left hemisphere's bottom-up (stimulus-driven) processing.

Background: It has been claimed that children with dyslexia show a general impairment in the processing of rapid auditory stimuli. However, most previous studies in this field have focused on children with language impairment or children who do not meet accepted criteria for dyslexia., Methods: In the present study, the processing of rapid non-verbal auditory stimuli (complex tones) was examined in a population-based sample of 24 children with dyslexia, 10 to 12 years of age, and a matched control group., Results: The dyslexia group showed reduced tone processing relative to the control group, with significant main effects of tone duration, inter-stimulus interval and task complexity. The deficit was not specific for temporal order errors, and could not be explained by differences in short-term memory or verbal IQ. However, correlations between tone processing and reading ability were generally low or absent., Conclusion: Although a general processing deficit for rapid auditory stimuli in dyslexia was confirmed, its relevance for reading problems and hence for treatment programmes for dyslexia is questioned.

Impaired functional brain asymmetry has been shown in schizophrenic patients, in addition to attentional deficits related to this laterality impairment. However, it has usually been shown in older patients with frequent positive symptoms. This is a matter of concern because previous studies have suggested that such deficits interact with subgroup characteristics, especially positive symptoms like hallucinations and age/duration of the illness. Thus, in this study, we tested a homogeneous group of young and stabilised schizophrenic patients. We used a verbal dichotic listening test with consonant-vowel syllables to study brain asymmetry and attentional modulation. Nineteen patients were compared with healthy subjects with the same age, handedness and gender distribution. All subjects were tested during a divided and two focused attention conditions. The patient and reference group showed the same performance pattern. This indicates that young and stabilised patients show normal functional brain asymmetry and normal ability to modulate attention. It is suggested that impairments in functional asymmetry and attentional modulation may follow a continuum related to symptomatology and age/duration of illness.

Background: Transcranial direct current stimulation (tDCS) is used as treatment for auditory verbal hallucinations (AVH). The theory behind the treatment is that tDCS increases activity in prefrontal cognitive control areas, which are assumed to be hypoactive, and simultaneously decreases activity in temporal speech perception areas, which are assumed to be hyperactive during AVH. We tested this hypofrontal/hypertemporal reversal theory by investigating anatomical, neurotransmitter, brain activity, and network connectivity changes over the course of tDCS treatment. Methods: A double-blind, randomized controlled trial was conducted with 21 patients receiving either sham or real tDCS treatment (2 mA) twice daily for 5 days. The anode was placed over the left dorsolateral prefrontal cortex (DLPFC) and the cathode over the left temporo-parietal cortex (TPC). Multimodal neuroimaging as well as clinical and neurocognitive functioning assessment were performed before, immediately after, and three months after treatment. Results: We found a small reduction in AVH severity in the real tDCS group, but no corresponding neuroimaging changes in either DLPFCD or TPC. Limitations: The study has a small sample size. Conclusion: The results suggest that the currently leading theory behind tDCS treatment of AVH may need to be revised, if confirmed by studies with larger N. Tentative findings point to the involvement of Broca's area as a critical structure for tDCS treatment. [ABSTRACT FROM AUTHOR]

Dichotic listening along with the right-ear advantage (REA) has been a standard method of investigating auditory laterality ever since it was first introduced into neuropsychology in the early 1960s. Beginning in the 1980s, authors reported that it was possible to modulate the bottom-up driven perceptual REA by instructing subjects to selectively attend to and report only from the right or left ear. In the present study, we investigated neuronal correlates of both the bottom-up and top-down modulation of the REA through two fMRI analysis approaches: a traditional region approach and a network connectivity approach. Blood-Oxygenation-Level-Dependent (BOLD) fMRI data were acquired while subjects performed the standard forced-attention paradigm. We asked two questions, could the behavioral REA be replicated in unique brain markers, and second if the profound instruction-induced modulation of the REA found in behavioral data would correspond to a similar modulation of brain activation, both region- and network-specific modulations. The subjects were 70 healthy adult right-handers, about half men and half women. fMRI data were acquired in a 3T MR scanner, and the behavioral results replicated previous findings with a REA in the non-forced (NF) and forced-right (FR) conditions, and a tendency for a left-ear advantage (LEA) in the FL-condition. The fMRI data showed unique activations in the speech perception areas of the left temporal lobe when directly contrasted with activations in the homologous right side. However, there were no remaining unique activations when the FR- and FL-conditions were contrasted against each other, and with the NF-condition, using a conservative significance thresholding. The fMRI results are conceptualized within a network connectivity frame of reference, especially with reference to the extrinsic mode network (EMN). The EMN is a generalized task-positive network that is upregulated whenever the task demands exceed a certain threshold irrespective of the specifics and demands of the task. This could explain the similarity of activations for the FR- and FL-conditions, despite the clear differences in behavior. [ABSTRACT FROM AUTHOR]

To differentiate between stop-?-consonants, the auditory system has to detect subtle place of articulation (PoA) and voice onset time (VOT) differences between stop-?-consonants. How this differential processing is represented on the cortical level remains unclear. The present functional magnetic resonance (fMRI) study takes advantage of the superior spatial resolution and high sensitivity of ultra high field 7T MRI. Subjects were attentively listening to consonant-?-vowel syllables with an alveolar or bilabial stop-?- consonant and either a short or long voice-?-onset time. The results showed an overall bilateral activation pattern in the posterior temporal lobe during the processing of the consonant-?-vowel syllables. This was however modulated strongest by place of articulation such that syllables with an alveolar stop-?-consonant showed stronger left lateralized activation. In addition, analysis of underlying functional and effective connectivity revealed an inhibitory effect of the left planum temporale onto the right auditory cortex during the processing of alveolar consonant-?-vowel syllables. Further, the connectivity result indicated also a directed information flow from the right to the left auditory cortex, and further to the left planum temporale for all syllables. These results indicate that auditory speech perception relies on an interplay between the left and right auditory cortex, with the left planum temporale as modulator. Furthermore, the degree of functional asymmetry is determined by the acoustic properties of the consonant-?-vowel syllables. [ABSTRACT FROM AUTHOR]

Abstract: Auditory verbal hallucinations (AVHs) are speech perceptions that lack an external source, phenomenologically experienced as “hearing voices”. A perceptual origin of an AVH experience in patients with schizophrenia can however not explain why the “voices” drain the attentional and cognitive capacity of the patients, making them unable to direct attention away from the “voices” and to cognitively suppress the experience. We recently reported how AVHs interfere with the perception of speech sounds, using a dichotic listening experimental paradigm. We now extend this finding by reporting on the interference caused by AVHs on attention and cognitive control, using a slight variation of the same dichotic listening paradigm. The patients (N=148) were instructed to pay attention to and report from either the right or left ear syllable of the dichotic pair. We then correlated their PANSS score for the hallucination item (P3) with the performance score on the dichotic listening task. The results showed that AVHs interfered with the ability to report the right ear syllable when instructed to pay attention to the right side, which is a marker of inability to attend to an external speech stimulus. When instructed to pay attention to the left side, AVHs interfered with the ability to report the left ear syllable, which is a marker of inability to use cognitive control to suppress attending to the “voices”. The corresponding correlations for the emotional withdrawal (N2) negative symptom were all non-significant. The correlations were substantiated in an ANOVA with corresponding significant group differences between high versus low symptom score groups. The results thus extend our previous findings of a perceptual origination for AVHs by showing that AVHs interfere with the ability to attend to the outer world around the patient, and the ability to inhibit, or suppress, the “voices” once they occur. Future research should pin down the neuronal basis of both the origination and the attentional and cognitive control aspects of AVHs. [Copyright &y& Elsevier]

Abstract: In studies on auditory speech perception, participants are often asked to perform active tasks, e.g. decide whether the perceived sound is a speech sound or not. However, information about the stimulus, inherent in such tasks, may induce expectations that cause altered activations not only in the auditory cortex, but also in frontal areas such as inferior frontal gyrus (IFG) and motor cortices, even in the absence of an explicit task. To investigate this, we applied spectral mixes of a flute sound and either vowels or specific music instrument sounds (e.g. trumpet) in an fMRI study, in combination with three different instructions. The instructions either revealed no information about stimulus features, or explicit information about either the music instrument or the vowel features. The results demonstrated that, besides an involvement of posterior temporal areas, stimulus expectancy modulated in particular a network comprising IFG and premotor cortices during this passive listening task. [Copyright &y& Elsevier]

Auditory hallucination is a key characteristic of schizophrenia that seriously debilitates the patient, with consequences for social engagement with others. Hallucinatory experiences are also observed in healthy individuals in the general population who report “hearing voices” in the absence of an external acoustic input. A view on auditory hallucinations and “hearing voices” is presented that regards such phenomena as perceptual processes, originating from speech perception areas in the left temporal lobe. Healthy individuals “hearing voices” are, however, often aware that the experience comes from inner thought processes, which is not reported by hallucinating patients. A perceptual model can therefore, not alone explain the difference in the phenomenology of how the “voices heard” are attributed to either an inner or outer cause. An expanded model is thus presented which takes into account top-down cognitive control, localized to prefrontal cortical areas, to inhibit and re-attribute the perceptual mis-representations. The expanded model is suggested to be empirically validated using a dichotic listening speech perception paradigm with instructions for top-down control of attention focus to either the right or left side in auditory space. It is furthermore suggested to use fMRI to validate the temporal and frontal lobe neuronal correlates of the cognitive processes involved in auditory hallucinations. [ABSTRACT FROM AUTHOR]

Abstract: The right-ear advantage (REA) is typically observed in verbal dichotic listening, indicating a left hemisphere superiority for speech processing. The REA could be thought of as a bottom–up, stimulus-driven laterality effect, caused by the preponderance of the contralateral neural fibers from the right ear to the auditory/speech processing areas in the left temporal lobe. The REA can, however, be modified by explicitly requiring the listeners to focus their attention alternatively on the left or right-ear stimuli, thus either countering or enhancing the bottom–up processes through top–down attentional control. In the present study, we manipulated the strength of the bottom–up REA by inducing an intensity difference between the right-ear and left-ear speech inputs in order to make the REA either weaker (left-ear input>right-ear input) or stronger (left-ear input

The authors used voxel-based morphometry (VBM) to study GM volume differences in the whole brain volume between a group of patients with schizophrenia and a healthy control group. There were 12 patients and 12 control subjects. The subjects were scanned in a 1.5 T MR scanner. The patients had all been evaluated by a senior psychiatrist on the brief psychiatric rating scale (BPRS). The VBM data was correlated with reports of rate and frequency of hallucinations based on their scores on the BPRS hallucination item. There were significant grey matter volume reductions in the schizophrenia patient group in the left superior (transverse) temporal gyrus, the left middle frontal gyrus, and in the right cuneus. Areas of grey matter volume reduction that correlated negatively with hallucinations were found in the left superior (transverse) temporal gyrus, left thalamus, and left and right cerebellum. This article proposes that significant reductions in grey matter volume may be instrumental in generating spontaneous neuronal activity that is associated with speech perception experiences in the absence of an external acoustic stimulus that may cause hallucinations. [ABSTRACT FROM AUTHOR]

Abstract: This year celebrates 50years of research in auditory laterality and hemispheric asymmetry, using a dichotic listening approach. The discovery of the “right ear advantage” in 1961 by Doreen Kimura to dichotic presentations of phonetic stimuli paved the way for new studies of how speech perception and related language processes are lateralized in the human brain. The articles in this special issue, celebrating the first 50years of dichotic listening research, reveal both the breadth and depth of current research, with contributions spanning from basic research to clinical applications, from behavioral studies to studies using advanced neuroimaging techniques, and with contributions from all over the world. It is my hope as Guest Editor that the next 50years will be as productive as the first 50years. [Copyright &y& Elsevier]

Multitalker situations confront listeners with a plethora of competing auditory inputs, and hence require selective attention to relevant information, especially when the perceptual saliency of distracting inputs is high. This study augmented the classical forced-attention dichotic listening paradigm by adding an interaural intensity manipulation to investigate developmental differences in the interplay between perceptual saliency and attentional control during auditory processing between early and middle childhood. We found that older children were able to flexibly focus on instructed auditory inputs from either the right or the left ear, overcoming the effects of perceptual saliency. In contrast, younger children implemented their attentional focus less efficiently. Direct comparisons of the present data with data from a recently published study of younger and older adults from our group suggest that younger children and older adults show similar levels of performance. Critically, follow-up comparisons revealed that younger children's performance restrictions reflect difficulties in attentional control only, whereas older adults' performance deficits also reflect an exaggerated reliance on perceptual saliency. We conclude that auditory attentional control improves considerably from middle to late childhood and that auditory attention deficits in healthy aging cannot be reduced to a simple reversal of child developmental improvements. [ABSTRACT FROM AUTHOR]

Abstract: Dichotic listening (DL) is one of the most frequently used paradigms to study hemispheric asymmetry and has been employed in several neuroimaging studies. The classic behavioral DL paradigm requires the subject to give a verbal response on each trial, which may cause image artifacts due to head movements when applied to an imaging environment. In order to avoid such artifacts most studies have used modified versions of the classic DL paradigm, where no verbal response is required. The purpose of the present study was to test a new DL paradigm, specifically developed for the fMRI environment, which is based on collecting verbal responses and thus being as close as possible to the classic DL behavioral task. By employing a sparse-sampling EPI acquisition schema we attempted to limit the negative impact of overt speech on image quality. A 5-s ‘silent gap’ allowed for stimulus presentation and collection of a verbal response to occur between subsequent image acquisitions and served as a high-pass filter that was optimized to detect activations of interest. Hence, the contribution of response-related activations to the measured signal was reduced. Twelve healthy volunteers (six males and six females) participated in the study. In order to obtain a measure of reliability, all participants went through the classic DL paradigm three times. The results, based on the estimation of the intraclass correlation coefficient, functional probability maps as well as on laterality maps, showed consistent activation in the right and left superior temporal gyrus, left middle temporal gyrus, and right inferior temporal gyrus, thus replicating previous results with visual display and motor response DL paradigms. It is concluded that an fMRI DL paradigm based on overt verbal responses is feasible and could have general implications for future fMRI studies of speech perception and product in general. [Copyright &y& Elsevier]