Disorders of Syntax and MorphologyMajor Language AreasAgrammatismAgrammatism vs. ParagrammatismOmission vs. DeletionBroca’s AphasiaVerbal short-term memory deficit (in Broca aphasia)Subtypes of Broca aphasiaAgrammatism: an early observation (1819)Example of agrammatic speechSome features of agrammatismProblems in the study of agrammatismSyntaxStability of word order in agrammatismReading and writing in agrammatismVariation among agrammatics (Goodglass 1993:107)Loss of the use of relational markers in receptive agrammatism (118)Linguistic structure in the cortex: What we learn from agrammatismReceptive processing in Broca’s aphasia?Receptive agrammatism in Broca’s aphasia Two avenues to explanationFor perspective, A related problem: ImageryVisual ImageryAuditory ImageryHow Imagery OperatesAnatomical consequencesBidirectional ProcessingBidirectional ConnectionsBidirectional Processing in Frontal Lobe?Bidirectional connections in frontal lobeAttempts to explain agrammatismCaution in interpretingPhonological factorsMore evidence on relational markers (119f)Nouns and Verbs: Back Brain & Front Brain (?)Proceed with Caution!A patient with non-fluent aphasiaVerb deficit and agrammatism: Why?Noun-Verb vis-à-vis Speech & Writing (908b)More on H.W. & S.J.D. Noun-Verb vis-à-vis Speech-Writing (Rapp & Caramazza 908-9)Broca’s Area: A closer lookSubdivisions of Broca’s areaFrontal OperculumSlide 43Slide 44Left hemi-sphere, showing middle cerebral arteryA closer look at Broca’s aphasiaMore recent findingsBroca’s area and Broca aphasiaThree subtypes in Alexander studyTo be continued …Disorders of Syntax and MorphologyLing 411 – 08Goodglass 1993: Chapter 6Major Language AreasSuperior parietal lobuleExner’s areaBroca’s areaWernicke’s area Angular gyrus(Geschwinds’s area) Supramarginal gyrus (Goldstein’s area)AgrammatismUsually associated with Broca’s aphasiaGenerally present in Broca’s aphasiaBut other aphasics also have grammatical dysfunctions•Paragrammatism – common in Wernicke aphasiaA lot of variation among different patientsAgrammatism vs. ParagrammatismParagrammatism – too much speech•Normal or excessive fluency•Use of inappropriate words•Neologisms•No lack of function words and inflectionsBut not always used appropriately•Common in Wernicke’s aphasiaAgrammatism – not enough speech•Lack of fluency•Omission (NOT deletion!) of function words and inflections•Common in Broca’s aphasiaOmission vs. DeletionGoodglass (106): •Sentences with a deleted main verb (“Joan and I . . . Coffee”) may continue to appear.•. . . misuse or deletions of morphology . . . Is he talking about deletion or omission?Deletion implies that it was first there, and then removedOmission – it wasn’t put in at allGoodglass is following a practice that was common among linguists at the time he wrote the bookBroca’s AphasiaDamage to frontal lobe•Mainly, inferior frontal gyrusLargely intact comprehensionNonfluent, agrammatic speech“Telegraphic speech” – •Abundance of content words (e.g., nouns) •Lack of function words (e.g. prepositions)Impaired verb processing•Bates, Chen, Tzeng, Li & Opie, 1991; Damasio & Tranel, 1993; Daniele, Giustolisi, Silveri, Colosimo & Gainotti, 1994; Lamb & Zhang, 2010; Shapiro & Caramazza, 2003Verbal short-term memory deficit(in Broca aphasia)Patients can readily point to individual objects or body parts named by the examinerBut when asked to point to the same items in a specific sequence they often fail at the level of only two or three itemsBenson & Ardila 124How to explain?Subtypes of Broca aphasiaType I•A.k.a. little Broca aphasia•Milder defects•Less extensive damage•Better prognosisType II •Symptoms worse•More extensive damageThese are not distinct, but variations•Two spans along a scaleAgrammatism: an early observation (1819)Deleuze (1819), referring to a French-speaking patient: The patient “used exclusively the infinitive of verbs and used no pronouns. … She produced absolutely no conjugated verb.” Goodglass 1993: 104Example of agrammatic speechExaminer: Can you tell me about why you came back to the hospital?Patient: yes … eh … Monday … eh … dad … Peter Hogan and dad … hospital. Er … two … er … doctors … and … er … thirty minutes … and ... er … yes … hospital. And … er … Wednesday … Wednesday. Nine o’clock. And … er … Thursday, ten o’clock … doctors … two … two … doctors… and … er … teeth … fine.E: Not exactly your teeth … your g-P: Gum … gum …E: What did they do to them?P: And er … doctor and girl … and er … and er gum …Goodglass 1993: 107Some features of agrammatismTelegraphic speech•Short utterances•Omission of grammatical functorsRelative abundance of substantivesVerbs are uncommon, rare in some patients•When present, uninflected or –ing formFor French aphasics, infinitive formUse of word order is generally sparedComprehension is impaired for complex sentencesProblems in the study of agrammatismMust be distinguished from paragrammatismGrammatical aberrations – even among Broca aphasics – vary from patient to patientLinguistics has not (yet) provided clear answers to important basic questions: •What normal grammatical functions are •How they operateSyntaxFirst, we need to dispel the notion that syntax is one capacity, that can be lost (or spared) as a unitSyntax can be understood as a set of constructions•Learned by children (and others) one by oneLike vocabulary•Some can be lost, others spared, in aphasiaIt is a label of the grammarian for multiple thingsWord order is often spared in Broca’s aphasia while a lot of syntax is lostStability of word order in agrammatismAgrammatic patients can usually handle word order in both production and comprehensionEvidence (comprehension)•passive sentences misconstrued•The horse was kicked by the dogBroca’s aphasic: horse as kickerPassive marker not apprehended•Canonical word order guides the interpretationPossibly aided by conceptual knowledgeReading and writing in agrammatismAgrammatic difficulties are also seen in•Oral reading•Writing to dictation•Repetition But: •Some patients are agrammatic in speech but not in writing (Goodglass 1993: 110)•Some can repeat correctly•How to explain?Menn &
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