Retrieving familiar people's names in patients with severe closed-head injuries.

Patients with closed-head injury frequently complain about difficulties with retrieving the names of familiar people, but very few studies have investigated these complaints by objective measurements. Three experiments are reported that compared personal name retrieval in patients with severe closed-head injuries and normal controls. The patients more frequently failed to produce the names of famous persons, and had longer naming latencies than the controls. Accuracy of recognizing familiar persons was normal in the patients, even though they were slower in this task than the controls. The patients' main problem appeared to involve a disturbance in activating the stored name information. The patients' response pattern shows clear resemblance with simulations of the effects of brain damage in models for person naming.     

Proper name anomia in poststroke aphasics: evidence from a multiple-case study

We aimed to characterize difficulties in famous face naming in three poststroke aphasic patients with a lesion limited to the left mid-posterior temporal language regions, sparing the anterior temporal lobe. The patients did not present semantic deficits specific to known people. Nonetheless, they showed difficulties naming famous buildings in addition to famous faces, but they were comparable to healthy controls in generating proper names. Our results support the critical role of the mid-posterior temporal language regions in the lexical retrieval of proper names, namely from pictorial stimuli, in absence of semantic impairments.     

Retrieving Familiar People's Names in Patients with Severe Closed-Head Injuries

Patients with closed-head injury frequently complain about difficulties with retrieving the names of familiar people, but very few studies have investigated these complaints by objective measurements. Three experiments are reported that compared personal name retrieval in patients with severe closed-head injuries and normal controls. The patients more frequently failed to produce the names of famous persons, and had longer naming latencies than the controls. Accuracy of recognizing familiar persons was normal in the patients, even though they were slower in this task than the controls. The patients' main problem appeared to involve a disturbance in activating the stored name information. The patients' response pattern shows clear resemblance with simulations of the effects of brain damage in models for person naming.     

Anomia for common names and geographical names with preserved retrieval of names of people: a semantic memory disorder

This paper describes the case of an anomic patient (FH) who is impaired at naming pictures of objects but has no difficulties in recalling the names of familiar people. Even though his performance on McKenna's (1997) Category Specific Naming Test was at the first percentile, he consistently recalled the names of familiar people as successfully as controls. It is argued that the pattern of performance displayed by FH represents a much clearer double dissociation with proper name anomia than any case previously reported (Cipolotti et al., 1993; Semenza and Sgaramella, 1993). FH is unable to provide detailed semantic information about many of the objects that he cannot name, even though he can recall semantic information about familiar people. Consequently his case appears to represent the mirror image of the proper name anomic patient (APA) described by Miceli et al. (2000) who was unable to recall detailed semantic information about many of the people she was unable to name. Further investigation of FH's anomia revealed impairments in retrieving both common nouns and verbs, and difficulties in retrieving and comprehending geographical names. It is argued that FH's preserved ability to name and recall biographical information about people supports the view that knowledge about familiar people may be subserved by its own dedicated neural subsystem (Kay and Hanley, 1999; Miceli et al., 2000; Gentileschi et al., 2001).     

The cognitive psychology and neuroscience of naming people

The use of proper names enables us to designate entities, including people, at a very specific level of categorization: the unique entity or the individual. The paper presents a general overview of psychological/cognitive and neuroscientific studies that have compared the production of proper names, in particular people’s names, with the production of common nouns during the last thirty years. The search for specific brain correlates of proper naming included single-case and group studies of patients with brain lesions, and studies utilizing functional neuroimaging or brain electrical stimulation with healthy participants. These studies have led neuroscientists to hypothesize that the recall of proper names involves a rather complex network including mainly left frontal and temporal regions. Behavioural evidence supports the view that proper names are more difficult to recall than common names, and scientists have proposed different explanations for this relative difficulty. Finally, several new directions for future research are proposed to improve our understanding of both cognitive processes and their brain correlates involved during proper name recall.     

Proper and common names: a double dissociation

Proper name anomia and proper name sparing are unusual disorders characterized by a selective inability, or sparing, to retrieve proper names as opposed to common names. They may eventually demonstrate that these two categories of names are independently processed in the brain at the semantic or lexical/orthographic level. Yet, differences in patient assessment make comparison between cases difficult to interpret and raise alternative explanations to those dissociations, such as that they may be accounted for by the level of difficulty of test stimuli. We describe two individuals, of identical age, gender and cultural background, with a complementary pattern of impairment of name retrieval following a left hemisphere stroke. ACB had an aphasic disorder with impaired naming, sparing proper names, while JFJ had normal language abilities and semantic knowledge about people, but a marked anomia for people's names. Patients were studied using the same material, thus overcoming methodological constraints pointed to previous work. These cases provide evidence of a double dissociation between proper and common names at the lexical access level. In addition, JFJ had a normal ability to retrieve historical and religious names suggesting that either these names are less difficult to retrieve or that they may segregate within the proper name lexicon. Lesion of the left temporal pole was also dissociated. It was damaged in ACB but spared in JFJ, contradicting its crucial role in proper name processing.     

Naming and the Role of the Uncinate Fasciculus in Language Function

In this paper, an overview of the studies relating naming to the uncinate fasciculus is reported. With the introduction of contemporary neuroimaging techniques, namely of diffusion tensor imaging, white matter tracts have been investigated more thoroughly and possible changes in the uncinate fasciculus integrity have been correlated to different neuropsychological deficits. Although previous research has proposed a role of the left uncinate fasciculus on action and object naming or in semantic processing, a more recent study has suggested that naming famous people could be the most relevant task in which this bundle is involved, the semantic component being intact. The uncinate fasciculus connects the orbitofrontal cortex, involved in face encoding and in processing famous names, to the temporal pole, which is crucial in naming people. This conclusion is supported by the fact that tip-of-the-tongue states in older adults with reduced integrity of the uncinate fasciculus mainly concern proper names.     

Improved proper name recall by electrical stimulation of the anterior temporal lobes

People's names have an embarrassing propensity to be forgotten. This problem is exacerbated by normal aging and by some kinds of dementia. As evidence from neuroimaging and neuropsychology suggest that portions of the anterior temporal lobes play a role in proper name retrieval, we hypothesized that transcranial direct current stimulation (tDCS), a technique that modulates neural transmission, to the anterior temporal lobes would alter the retrieval of proper names. Fifteen young adults received left anodal, right anodal, or sham stimulation of the anterior temporal lobes while naming pictures of famous individuals and landmarks. Right anterior temporal lobe stimulation significantly improved naming for people but not landmarks. These findings are consistent with the notion that the anterior temporal lobes are critically involved in the retrieval of people's names.     

Naming of objects, faces and buildings in mild cognitive impairment

Accruing evidence suggests that the cognitive deficits in very early Alzheimer's Disease (AD) are not confined to episodic memory, with a number of studies documenting semantic memory deficits, especially for knowledge of people. To investigate whether this difficulty in naming famous people extends to other proper names based information, three naming tasks – the Graded Naming Test (GNT), which uses objects and animals, the Graded Faces Test (GFT) and the newly designed Graded Buildings Test (GBT) – were administered to 69 participants (32 patients in the early prodromal stage of AD, so-called Mild Cognitive Impairment (MCI), and 37 normal control participants). Patients were found to be impaired on all three tests compared to controls, although naming of objects was significantly better than naming of faces and buildings. Discriminant analysis successfully predicted group membership for 100% controls and 78.1% of patients. The results suggest that even in cases that do not yet fulfil criteria for AD naming of famous people and buildings is impaired, and that both these semantic domains show greater vulnerability than general semantic knowledge. A semantic deficit together with the hallmark episodic deficit may be common in MCI, and that the use of graded tasks tapping semantic memory may be useful for the early identification of patients with MCI.     

Processing proper nouns in aphasia: Evidence from assessment and therapy

Background: Dissociations between proper and common names following brain damage have frequently been reported (see Yasuda, Nakamura, & Beckman, 2000, for review) and suggest that these different word classes are processed by distinct mechanisms. The dissociations are often observed in people with relatively pure impairments, but might also be expected more generally in aphasia. There is the further possibility that the different vocabulary groups require different therapy approaches. Yet, to our knowledge, no study has explored whether treatments that are known to be successful with common nouns are also successful with proper nouns. Aims: This study had two main aims: to compare the comprehension and production of common and proper nouns in 20 people with aphasia; and to investigate whether semantic naming therapy is equally effective for common and proper nouns. Methods & Procedures: A total of 20 people with aphasia were tested in their ability to comprehend and produce matched sets of proper and common nouns. The stimuli comprised: 20 famous people, 20 famous places, 20 high‐familiarity common nouns, and 20 low‐familiarity common nouns. Participants were also tested with personally relevant proper names, such as the names of family members. In the second phase of the study 10 of the original participants were given semantic therapy for both common and proper nouns. Experimental measures explored effects on treated and untreated words. Outcomes & Results: Initial testing found that comprehension scores were generally high, with no word class effect. In production, proper nouns were significantly more difficult to name than the matched common nouns. However, this finding excluded personally relevant proper nouns, which were the most successfully named items. Results from the second phase showed that semantic therapy was equally effective in improving naming of both common and proper nouns. As in many previous studies, effects were almost entirely confined to treated items. Conclusions: Our findings suggest that proper nouns induce more naming failures in aphasia than common nouns. However, despite this, they seem equally amenable to therapy. Clinical and theoretical implications are discussed.     

Testing for nominal dysphasia.

In this paper we have described the construction of a graded naming test that makes the distinction between object and proper names. This distinction was prompted by a single case study of a patient who showed a specific naming impairment for a particular class of proper names. Naming vocabulary was found to be highly correlated with other measures of verbal intelligence and we have discussed the use of the graded naming test as a tool for clinical assessment and diagnosis. The results of the naming test of the left hemisphere group showed that category-specific naming impairment along the object/proper name distinction is relatively uncommon in any gross form. Object naming was most impaired in patients with lesions of the temporal lobe.     

Proper name anomia after right-hemispheric lesion: a case study

This study describes the case of CH, a 68-year-old left-handed woman who suffered a right temporo-parieto-occipital infarct in the territory of the middle cerebral artery and who exhibits severe proper name anomia. During the acute stage, CH was diagnosed with severe amnestic aphasia (Aachen Aphasia Test). Her lesion mirrors those of left hemisphere impairing the processing proper names, without an aphasic language disorder in general. Seven weeks later, language improved to a mild amnestic aphasia that currently does not interfere with her daily life. However, the use of proper names in both the visual and auditory modalities was still impaired and showed no improvement after 6 months of speech therapy. While not being able to name family members or familiar persons, she was, however, still able to describe the persons’ backgrounds along with some additional semantic information. Furthermore, in a simple semantic design test, CH was selectively impaired in correctly classifying proper names into their respective word classes. Conversely, she was able to correctly name and classify other word categories (e.g., common nouns). In the subsequent study, we assessed the modalities “auditory comprehension,” “picture naming,” and “reading comprehension” and classified her responses in the categories “correctly named,” “correctly classified,” “correctly described attributes” (e.g., occupation) and “falsely named.” The results were compared with those of an age-matched healthy control group. In the visual task, CH correctly named 80% of the visualized objects, 3% of the familiar persons and 15% of the familiar city views.     

Neural correlates of naming newly learned objects in MCI

Our objective was to study the neural correlates of naming of newly learned unfamiliar objects in subjects with mild cognitive impairment (MCI) and in age-matched controls, by using positron emission tomography (PET). Prior to the PET scanning, each subject underwent a 4-day long training period in which 40 names of rare unfamiliar objects were taught. The stimuli consisted of five categories: unfamiliar objects for which both the name and the definition (=semantic support) were given during training, unfamiliar objects with only the name given, unfamiliar objects with no information given, familiar objects and visual noise patterns. The unfamiliar objects mainly represented ancient domestic tools unknown to modern-day people. When naming newly learned objects trained without semantic support, the MCI group showed increased activation in the anterior cingulate when compared with the controls. Our results suggest that the naming of newly learned objects posed additional executive and attentional demands on the patients.     

Cross-modal recognition disorders for persons and other unique entities in a patient with right fronto-temporal degeneration

We describe a patient (CD), with a right fronto-temporal degeneration, who showed massive defects in the recognition of familiar people and severe behavioural disorders. CD scored in the normal range on tests of episodic memory, attention and visual-spatial abilities, and obtained mildly abnormal scores on naming and executive functions tests. CD was then studied and matched with a left brain-damaged patient (IG), comparable to her as for education, naming score and general cognitive impairment, on several tasks, exploring recognition of familiar people and of other instances of 'unique entities'. On specific tasks of face recognition, she obtained normal results on perceptual tests, but highly pathological scores on mnesic-associative tasks. A similar defect was found when identification was based on the person's voice or on a verbal definition. The cross-modal nature of CD's disorder was confirmed by results of a test, in which person-specific information available from photographs and from names was directly compared. In order to evaluate if CD's recognition disorder: (a) was the consequence of a general semantic defect, (b) was specific for people, or (c) also concerned other instances of 'unique entities', we matched her capacity to name and recognize the pictures of items belonging to various categories of knowledge with those concerning famous monuments and famous people. CD identified items belonging to semantic categories much better than those considered as 'unique entities' and, within the latter, obtained slightly better results with famous monuments than with famous persons. MRI showed a bilateral atrophy of the antero-inferior parts of the temporal lobes, more pronounced in the right side. About 2 years after the onset of the symptomatology, CD became untestable, due to the development of a severe motor neuron disease.     

Sparing of country names in the context of phonological impairment

Many single case studies have reported selective impairment of proper or common names in anomic speakers, providing evidence for a categorical organisation of the lexical-semantic network. These dissociations have been observed in oral and/or written naming and sometimes in comprehension. Here we report the case of an aphasic patient with severely impaired phonological encoding presenting a dissociation between proper and common names. Superior production of countries and nationalities was observed in all output tasks (naming, reading and repetition). The interest of a preservation of proper name categories in the context of phonological impairment lies in the question of the propagation of categorical organisation to the processes of phonological encoding. We suggest that the observed dissociation can be explained by relative sparing of countries and nationalities at lexical-semantic level as in previous reported cases and that this organisation spreads beyond lexical selection, to phonological encoding.     

Anomia for people names in DAT--evidence for semantic and post-semantic impairments

Proper name anomia is a frequent finding among patients in the early stages of Alzheimer's disease. The present study investigates naming of famous persons in a group of DAT patients, a group of persons with mild cognitive impairment (MCI) and healthy controls. The study is aimed at distinguishing the relative contributions of semantic and post-semantic factors to difficulties in proper name retrieval. As shown by a significantly lower score in answering semantic questions, DAT patients retrieve less biographical knowledge related to famous persons than healthy elderly subjects and persons with mild cognitive impairment. This finding is in line with the frequent observation of semantic deficits in early and moderate DAT. The high number of Tip-of-the-Tongue (TOT) answers in DAT found in relation to few spontaneously named items shows that post-semantic deficits are as important as semantic deficits in determining anomia for people names in DAT. Moreover, DAT patients were less sensitive to phonological cueing than healthy persons or persons with mild cognitive impairment. These findings suggest that proper name anomia in DAT is not only due to semantic deficits, but also to problems in accessing the phonological representation, as well as to a degradation of phonological representations. Thus, naming deficits in DAT differ not only quantitatively, but also qualitatively from the difficulties of healthy elderly persons. No significant differences were found between persons with mild cognitive impairment and healthy controls in proper name retrieval.     

The Accuracy,Consistency, and Speed of Odor and Picture Naming

Introduction

Odor identification, the ability to select the correct odor from a list of names, is a common method of measuring sense of smell in humans. Performance on such tasks depends upon a variety of factors, but can be quite good. On the other hand, people find it very difficult to generate names for odors in the absence of contextual cues. Picture identification and naming, by contrast, are much easier. Two questions remain about odor naming: (1) Do people attempt to name odors, even when they are unfamiliar or uncommon, and are they consistent in naming? and (2) What is the latency to name odors compared to pictures?

Method

The current study examined people’s ability and attempts to name common and uncommon odors and pictures, as well as the speed and consistency (some stimuli were presented twice) of their responses.

Results

Participants provided names for most odors and pictures, even though some were uncommon. Participants were able to name less than half of the common odors accurately, but provided names for almost all of the (even uncommon) pictures. Common pictures were named with perfect accuracy and consistency and in about a second, but naming of uncommon pictures and common and uncommon odors was not consistent and required several seconds.

Conclusion

The results confirm and extend our understanding of the difficulty of naming odors, particularly relative to the ease of naming pictures.

Implications

These results suggest that odor naming is a laborious process that may have little ecological value.

     

Convergence of distinct functional networks supporting naming and semantic recognition in the left inferior frontal gyrus

Naming individual objects is accompanied with semantic recognition. Previous studies examined brain‐networks responsible for these operations individually. However, it remains unclear how these brain‐networks are related. To address this problem, we examined the brain‐networks during a novel object‐naming task, requiring participants to name animals in photographs at a specific‐level (e.g., “pigeon”). When the participants could not remember specific names, they answered basic names (e.g., “bird”). After fMRI scanning during the object‐naming task, the participants rated familiarity of the animals based on their sense of knowing. Since participants tend to remember specific names for familiar objects compared with unfamiliar objects, a typical issue in an object‐naming task is an internal covariance between the naming and familiarity levels. We removed this confounding factor by adjusting the familiarity/naming level of stimuli, and demonstrated distinct brain regions related to the two operations. Among them, the left inferior frontal gyrus triangularis (IFGtri) contained object‐naming and semantic‐recognition related areas in its anterior‐ventral and posterior‐dorsal parts, respectively. Psychophysiological interaction analyses suggested that both parts show connectivity with the brain regions related to object‐naming. By examining the connectivity under control tasks requiring nonlexical semantic retrieval (e.g., animal's body color), we found that both IFGtri parts altered their targeting brain areas according to the required memory attributes, while only the posterior‐dorsal part connected the brain regions related to semantic recognition. Together, the semantic recognition may be processed by distinct brain network from those for voluntary semantic retrievals including object‐naming although all these networks are mediated by the posterior‐dorsal IFGtri.     

Anatomical segregation of representations of personally familiar and famous people in the temporal and parietal cortices

Person recognition has been assumed to entail many types of person-specific cognitive responses, including retrieval of knowledge, episodic recollection, and emotional responses. To demonstrate the cortical correlates of this modular structure of multimodal person representation, we investigated neural responses preferential to personally familiar people and responses dependent on familiarity with famous people in the temporal and parietal cortices. During functional magnetic resonance imaging (fMRI) measurements, normal subjects recognized personally familiar names (personal) or famous names with high or low degrees of familiarity (high or low, respectively). Effects of familiarity with famous people (i.e., high-low) were identified in the bilateral angular gyri, the left supramarginal gyrus, the middle part of the bilateral posterior cingulate cortices, and the left precuneus. Activation preferentially relevant to personally familiar people (i.e., personal-high) was identified in the bilateral temporo-parietal junctions, the right anterolateral temporal cortices, posterior middle temporal gyrus, posterior cingulate cortex (with a peak in the posterodorsal part), and the left precuneus; these activation foci exhibited varying degrees of activation for high and low names. An equivalent extent of activation was observed for all familiar names in the bilateral temporal poles, the left orbito-insular junction, the middle temporal gyrus, and the anterior part of the posterior cingulate cortex. The results demonstrated that distinct cortical areas supported different types of cognitive responses, induced to different degrees during recognition of famous and personally familiar people, providing neuroscientific evidence for the modularity of multimodal person representation.