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Deictic pronouns refer directly to the extralinguistic world (as in Stop her!), while anaphoric pronouns refer to elements introduced in discourse (as in My best friend is Mary. John adores her.). The distinction is central to linguistic theory and may be central also for understanding aphasia. This paper compares the production of deictic and anaphoric pronouns in fluent aphasia and non-fluent aphasia. It does so both for English and for Tagalog, which allows extensive omission of pronominal arguments. For both languages, the results show a dissociation between deictic and anaphoric pronouns. Non-fluent aphasic speech displays a lower proportion of anaphoric pronouns to non-pronouns than non-brain-damaged speech, while the proportion of deictic pronouns to non-pronouns is either not different (Tagalog) or higher (English). In contrast, fluent aphasic speech displays a higher proportion of deictic pronouns to non-pronouns, while the proportion of anaphoric pronouns is either not different (Tagalog) or lower (English). [ABSTRACT FROM AUTHOR]

IntroductionAims of the studyMethodsResultsDiscussionAphasia assessments in languages other than English are scarce. In the case of Spanish, this scarcity includes a need for assessments with linguistic and cultural adaptations that consider dialectal varieties and cultural traits across Spanish-speaking populations.This study discusses the linguistic and cultural adaptation of the Comprehensive Aphasia Test (CAT) to Spanish (SP-CAT), a version that can be used in Spain and Spanish-speaking Latin American countries, and provide pilot results assessing whether performance is comparable across samples.For the linguistic adaptation, we discuss considerations such as typological differences between English and Spanish, Spanish varieties, gender cues, spelling-sound regularities, transparency, and other syntax-related aspects. For the cultural adaptation, we discuss considerations such as culturally relevant items and images, and covering different Spanish varieties within the SP-CAT. The pre-testing of items for the SP-CAT included controlling variables such as name agreement of visual stimuli (examined in n=237 healthy participants), imageability (examined in n=244 healthy participants), and lexical frequency (from the Corpus of Reference of Current Spanish). We also conducted a pilot study of the SP-CAT with 82 healthy participants from Chile, Colombia, and Spain to assess differences in performance within tasks between the included countries; analysis of such differences was completed within a Bayesian framework.The SP-CAT provides a linguistic and cultural adaptation of the original English CAT. Item pre-testing included name agreement, lexical frequency, and imageability tests to ensure comparability with the English original version. Our pilot study confirmed that there are no clinically significant differences in performance within tasks between the included countries in healthy participants, a necessary step towards the final validation of a test for the Spanish-speaking world.The SP-CAT responds to a need to develop linguistically and culturally sensitive adaptations of assessments for Spanish-speaking people with aphasia to be used in clinical practice. Pilot results indicate that the adaptation meets the criteria to be used across Spanish varieties. In light of promising pilot results, the next phase of this study will assess the validity and reliability of the SP-CAT, providing normative data for its administration. [ABSTRACT FROM AUTHOR]

Background: Word retrieval skills change across the lifespan. Permanent alterations in the form of decreased accuracy or increased response time can be a consequence of both normal ageing processes or the presence of acquired and neurodegenerative disorders (e.g., aphasia and dementia). Despite the extensive literature exploring the neuroanatomical underpinnings of word retrieval, psycholinguistic, biolinguistic and theoretical explanations, and the vast amount of evidence from primary and secondary language disorders, the best approach to consistently capture these changes is yet to be discovered. Aims: The goal of this paper is to determine which method(s) stand(s) as the most suitable candidate(s) to provide an accurate picture of word retrieval in the oral production of different groups of adult speakers, including cases of healthy ageing, preclinical Alzheimer's disease (AD), mild cognitive impairment (MCI), aphasia and dementia. Methods & Procedures: Using an integrative review of recent peer‐reviewed journal articles, we provide an overview of the different behavioural methods traditionally used to measure oral naming skills in research‐oriented and clinical protocols and discuss their main advantages and limitations. Main Contribution: Most existing studies are based on the results of people with diagnosed language disorders. Despite the growing interest, the reliability of the majority of the tasks to detect subtle changes associated with healthy ageing, MCI and preclinical AD are yet to be demonstrated, and the delicate balance between informativeness and efficiency (especially in terms of administration time and variable control) in experimental protocols is yet to be achieved. In this article we propose the pursuit of an integrative overarching methodology to characterize all naming deficits (from anecdotal to permanent) and all adult populations (from healthy to pathological ageing). Conclusions & Implications: A combination of spontaneous speech data and results from structured tasks stands as the best approach to capture changes in word retrieval skills of adult speakers with and without observable deficits. This review can guide future reflections on the necessary prerequisites of purpose‐oriented, sensitive and reliable protocols for the detection of incipient word retrieval problems, thus contributing to the early diagnosis and the design of personalized multicomponent treatments. WHAT THIS PAPER ADDS: What is already known on this subject: Word retrieval skills change during adulthood as a consequence of the neurological degradation associated with ageing. These changes are more dramatic in the event of acquired and neurodegenerative disorders. Numerous studies based on people with observable language disorders have addressed the multiplicity of factors involved in word retrieval and provided evidence of potential loci of impairment from a neuroanatomical, cognitive and/or (psycho‐)linguistic perspective. What this paper adds to existing knowledge: This study focuses on methodological strategies to assess naming skills and provides a reflection on generally accepted good practices and unresolved challenges to inform task selection, emphasizing the necessity for a combination of methods to best capture the actual problems and needs of people confronting word retrieval difficulties in their daily lives. Task selection, variable control and administration time stand as key concepts to adjust to the requirements of research and clinical contexts. What are the potential or actual clinical implications of this work?: The results of this review can orient future research towards the creation of sensitive, reliable and (ecologically) valid materials for the (early) detection of word retrieval deficits and for the customization of treatment protocols to alleviate or palliate their effects. [ABSTRACT FROM AUTHOR]

Background: Languages of the world have several ways of expressing time reference. Many languages such as those in the Indo-European group express time reference through tense. Languages such as Chinese and Standard Indonesian express time reference through aspectual adverbs, while Akan does so through grammatical tone. Previous studies have found that time reference is selectively impaired, with reference to the past being more impaired than reference to the non-past. The PAst DIscourse LInking Hypothesis (PADILIH) posits that pastime reference is difficult because it requires discourse linking. Aims: The goal of this study was first to examine whether pastime reference is impaired also in languages that do not use grammatical affixes but rather tone, to make time reference. Second, this study aims to decouple the effect of tone from the effect of temporal reference on Akan verbs. Method and Procedures: Ten Akan agrammatic speakers and 10 non-brain-damaged speakers (NBDs) participated in this study. An Akan adapted version of the Test for Assessing Reference of Time (African TART), for both production and comprehension was used. The TART focuses on the future, present (habitual) and the pastime frames. Additionally, five of the agrammatic speakers performed two tonal discrimination tasks: a non-linguistic and a linguistic (lexical) one. Outcomes and Results: While the NBDs scored at ceiling, the agrammatic speakers made errors, and these affected past more than present and the future time references, in both comprehension and production tasks. However, the comprehension data showed a dissociation between the present habitual and the future. The substitution error analysis revealed a preference for the present. The five agrammatic speakers showed an intact performance on non-linguistic tonal discrimination task. Conclusion: The conclusion is that regardless of how time reference is expressed, whether through inflectional morphology or grammatical tone, reference to the past is problematic for individuals with agrammatic aphasia. The fact that the agrammatic speakers could perceive the non-linguistic tonal differences demonstrates that it is not tone in general that is disrupted, but rather time reference, particularly reference to the past, as predicted by the PADILIH. [ABSTRACT FROM AUTHOR]

Functional and usage-based theories of language are gaining increasing influence in linguistics. These theories understand language structure as underpinned by domain-general neurocognitive capacities and as shaped by usage patterns and the function of language as a means for communication. Accordingly, they entail an approach to aphasia which differs markedly from established ones based on formal theories. Based on an outline of central claims in functional and usage-based theories, we aim to show how such theories can cast new light on aphasia. We focus on two strands of functional and usage-based aphasiological research: 1) research on frequency effects in aphasic speech, 2) and research on the grammatical-lexical distinction and its significance for the description of aphasic speech and the understanding of the causes of aphasia. We review available studies that fall within the two aforementioned strands of research, assessing their strengths and limitations. Usage-based methodologies are currently being developed that allow for fast quantification of the degree of formulaicity of a language sample and may thus be helpful in ascertaining the role of fossilized multiword expressions in aphasia. In line with central claims in usage-based linguistics, the first results of studies employing these methodologies have shown that frequency and collocation strength facilitate the retrieval of multiword expressions in a way that resembles the way in which lexical frequency facilitate retrieval of isolated words. A recent functional and usage-based theory understands the grammatical-lexicon distinction as a means for prioritizing parts of complex linguistic messages. Defining grammatical items as items that are discursively secondary (background) and dependent on host items, this theory entails an account of grammatical deficits which bridges the gap between existing structure-oriented and processing-oriented accounts. The theory entails word-class general criteria that allow fine-grained classification of linguistic items as grammatical or lexical. Cross-linguistic studies of verb, pronoun and preposition production show that this classification is significant for the description of aphasic language. Functional and usage-based studies of aphasia are still sparse, but show promising results. This approach seems especially qualified for understanding 1) the neurocognitive causes of various types of aphasia, 2) the variability across languages, communicative settings (including tasks and modalities), groups of individuals and individuals, which is characteristic of aphasic speech, and 3) the link between aphasia symptoms and the basic need and challenge for people with aphasia: to remain a social being by communicating with other social beings. [ABSTRACT FROM AUTHOR]

Background: Polysynthetic languages can be roughly defined as languages which have an extreme morphological complexity. They present a range of challenges to linguistic and neurolinguistics theories that are based on standard average European languages. Yet, no studies exist on aphasia in such languages, and the communities that speak them have little or no access to assessment and language therapy. Aims: The aim of this paper is to provide a first attempt at a characterisation of aphasia in a polysynthetic language, West Greenlandic. Methods and procedures: We recorded semi-spontaneous speech from five participants with aphasia and compared their speech on several parameters with that of matched non-brain-damaged control participants. These parameters included standard production measures, measures of morphological complexity, and measures of syntactic complexity. Outcomes and results: Our findings indicate that non-fluent aphasia in West Greenlandic is not associated with morphological impairment; instead, participants with aphasia produce shorter utterances, and there are trends indicating lower complexity across measures of syntax. Conclusions: While somewhat surprising from the point of view of research on aphasia in standard average European languages, our findings align well with findings from other languages with complex morphology such as Finnish, Turkish, and Japanese. Our study highlights the need for a diverse range of crosslinguistic studies to inform linguistic and neurolinguistic theories. [ABSTRACT FROM AUTHOR]

The lexical-grammatical divide has been a widely addressed topic in aphasia. Speech parts are generally classified as either belonging to a lexical or a grammatical category based on the frequency of acquisition of new members in their paradigms (open vs. closed classes), thus neglecting heterogeneity within categories. Such an approach has led to contradictory findings. First, prepositions form closed classes, but are classically taken as lexical items. Pronouns, also belonging to a closed class, are analyzed as grammatical elements. Second, both within the group of prepositions and pronouns, forms with different syntactic and semantic properties co-exist. Following the theoretical notions granted by a usage-based theory of grammar, the ProGram theory, and taking focalizability as the classification criteria, we hypothesize that individuals with non-fluent aphasias will experience more severe problems with grammatical prepositions and pronouns, given that these elements are secondary and dependent, whereas informants in the fluent group will experience more severe trouble with lexical forms, potentially primary and independent. We focused on the performance of nine Spanish-speaking individuals with aphasia from the Rosell (2005) corpus. Samples of 300 words were transcribed and analyzed. As predicted, grammatical prepositions were found to be more severely compromised in the speech output of individuals with deficits of motor predominance, whereas lexical prepositions are more severely affected in individuals with deficits of sensory predominance. Although less conclusively, the same tendency holds in the case of pronouns. Our results, consistent with previous findings, confirm the heterogeneity of prepositions and pronouns, which should no longer be analyzed en bloc. [ABSTRACT FROM AUTHOR]