Colour-naming defects in dysphasic patients. A qualitative analysis

An analysis of the performance of 20 dysphasic subjects and 14 patients with cerebral lesions but with no dysphasia in a variety of colour-naming tasks was undertaken. In addition the performance of a group of blind subjects in tests requiring the verbalization of colour names in response to verbal commands is presented, in order to evaluate the significance of the use of colour names derived exclusively from verbal associations. The results show that the dysphasic subjects differ from non-dysphasic subjects in three aspects of colour naming behaviour, namely in their ability to name unstructured colours, coloured drawings of objects and in the number of colour names that can be cited spontaneously in a limited time. The findings also show that the dysphasic subjects have greater difficulty in naming coloured objects than they have in naming unstructured colours objects alone. Some theoretical interpretations of the findings are discussed.     

Anomia: a doubly typical signature of semantic dementia

This study was designed to explore the nature of the anomia that is a defining feature of semantic dementia. Using a pool of 225 sets of picture naming data from 78 patients, we assessed the effects on naming accuracy of several characteristics of the target objects or their names: familiarity, frequency, age of acquisition and semantic domain (living/non-living). We also analysed the distribution of different error types according to the severity of the naming deficit. A particular focus of the study was the impact on naming of a previously unconsidered variable: the typicality of an object within its semantic category. This factor had a major influence both on naming success and on the proportions of different error types. Moreover, and increasingly so with declining naming accuracy, the patients' single-word incorrect responses were more typical than the target names. The observed effects of typicality sit well within models of semantic memory that represent concepts in terms of patterns of co-occurrence of constituent features. The results add to a growing body of evidence that, throughout the progressive deterioration of conceptual knowledge that characterises semantic dementia, both accuracy of performance and the nature of error responses are increasingly determined by the domain-specific aspects of typicality relevant to the task in question.     

Selective impairment of semantic memory after temporal lobectomy

The impairment of semantic memory in patients with unilateral anterior temporal lobectomy was examined 1–21 yr after operation. Patients were asked to classify line drawings of objects or object names that appeared at a rate of one every 0.75 sec. Patients with left temporal removals were impaired at classifying objects as living or man-made, regardless of whether the objects were represented by drawings or by words. Classification of objects as larger or smaller than a chair was not impaired. The patients were also asked to name line drawings of objects presented at a similar rate, with or without a letter cue. Left temporal patients were impaired at naming uncued drawings. Patients with right temporal removals showed no deficits. The results were interpreted as suggesting that semantic memory is dissociable into verbal-amodal and non-verbal pictorial components, the former being impaired following left temporal lobectomy.     

The selective preservation of colour naming in semantic dementia

This paper documents a series of seven patients with semantic dementia who showed a selective preservation in colour naming. This was in the context of a pervasive impairment in naming nouns across a wide range of other semantic categories. To our knowledge, this is the first series of patients with semantic dementia documenting a selective preservation of colour naming. These findings are discussed in the light of current theoretical accounts of category-specific effects and the possible contribution of imageability to this selective preservation of colours.     

Colour recognition at large visual eccentricities in normal observers and patients with low vision

When we look at our spatial environment we have the feeling that the whole visual field is coloured, yet the density of cone photoreceptors decreases considerably as eccentricity increases. We investigated colour perception (coloured/noncoloured), colour naming and whether colour helps object recognition at eccentricities varying from 0 degrees to 80 degrees in healthy observers and patients with low vision. We found that colours can be perceived and even identified above chance at very large eccentricities (60 degrees). When asked to categorize coloured and grey level objects as edible/nonedible, both healthy observers and patients with low vision showed better performance for coloured edible objects at 50 degrees suggesting that colour is used for object recognition in conditions of degraded form perception.     

Real object use facilitates object recognition in semantic agnosia

In the present paper we show that, in patients with poor semantic representations, the naming of real objects can improve when naming takes place after patients have been asked to use the objects, compared with when they name the objects either from vision or from touch alone, or together. In addition, the patients were strongly affected by action when required to name objects that were used correctly or incorrectly by the examiner. The data suggest that actions can be cued directly from sensory-motor associations, and that patients can then name on the basis of the evoked action.     

Frontal lobe damage impairs process and content in semantic memory: Evidence from category-specific effects in progressive non-fluent aphasia

Portions of left inferior frontal cortex have been linked to semantic memory both in terms of the content of conceptual representation (e.g., motor aspects in an embodied semantics framework) and the cognitive processes used to access these representations (e.g., response selection). Progressive non-fluent aphasia (PNFA) is a neurodegenerative condition characterized by progressive atrophy of left inferior frontal cortex. PNFA can, therefore, provide a lesion model for examining the impact of frontal lobe damage on semantic processing and content. In the current study we examined picture naming in a cohort of PNFA patients across a variety of semantic categories. An embodied approach to semantic memory holds that sensorimotor features such as self-initiated action may assume differential importance for the representation of manufactured artifacts (e.g., naming hand tools). Embodiment theories might therefore predict that patients with frontal damage would be differentially impaired on manufactured artifacts relative to natural kinds, and this prediction was borne out. We also examined patterns of naming errors across a wide range of semantic categories and found that naming error distributions were heterogeneous. Although PNFA patients performed worse overall on naming manufactured artifacts, there was no reliable relationship between anomia and manipulability across semantic categories. These results add to a growing body of research arguing against a purely sensorimotor account of semantic memory, suggesting instead a more nuanced balance of process and content in how the brain represents conceptual knowledge.     

Can disorganisation of semantic memory account for the abnormalities of thought in schizophrenia-a controlled experimental study

Background: Disorganisation of semantic memory could provide a cognitive explanation for the disturbances of thinking and reasoning in schizophrenia. In this study, we directly test this explanation by identifying patients with disorganised semantic categories and then examine how they use their knowledge about these same categories in an inductive reasoning task. Method: Experiment 1 utilised a semantic category-sorting task to identify patients with disorganisation of semantic memory. In Experiment 2, the patients with disorganised categories carried out a category-based inductive reasoning task. Accurate performance on this task requires access to well-organised semantic knowledge about the objects and categories used in Experiment 1. Results: Patients with disorganised semantic categories in Experiment 1 did not demonstrate any difficulties or unusual responses when reasoning about the same categories in Experiment 2. Conclusion: Disorganisation of semantic memory may not be the primary cause of disturbed reasoning or thought in schizophrenia. Patients with schizophrenia tend to generate ad hoc categories, which are unsuited to the current context. Impaired performance on semantic memory tasks can arise from a misunderstanding of social context.     

Re-acquisition of person knowledge in semantic memory disorders

Semantic memory impairment, from either non-progressive or neurodegenerative brain injury, has a significant impact on day-to-day functioning. Few studies have investigated the best methods for supporting relearning of new semantic knowledge in semantically-impaired individuals, even though these investigations also provide an opportunity to explore how the hippocampal and temporal neocortical systems interact in the acquisition of semantic facts. In the current study, four participants (three who had suffered from herpes simplex viral encephalitis and one with a diagnosis of semantic dementia) were asked to learn new facts about famous people using mnemonic and errorless learning paradigms. Home practice was also encouraged. Training resulted in significant improvements to all participants' naming of the individual and recall of a semantic fact about the famous person. Learning was maintained when home practice ceased. Learning also generalised to naming of a different photograph in three individuals, although generalisation of naming to a different semantic fact was less robust. This study confirms that errorless learning paradigms can be used to help boost naming and semantic knowledge in semantically-impaired individuals. This finding supports theoretical accounts in which different temporal structures are capable of supporting acquisition of new semantic facts independently, albeit less efficiently than when both systems are available.     

Emergence and progression of ‘non-semantic’ deficits in semantic dementia

Although semantic dementia (SD) is defined as a selective disruption of conceptual knowledge, a number of group studies have now demonstrated that SD patients also show impaired performance on tasks not usually considered to have a high semantic load (e.g., reading words aloud and lexical or object decision). The aim of the current study was to document the relative deterioration, over time, of a number of semantic and so-called ‘non-semantic’ tasks in LF, a single case of SD for whom - by virtue of his work as a published cartoonist - we also have extensive data regarding his pre-morbid linguistic and drawing skills.In five testing rounds over a period of five years we administered semantic tests of object naming and object definition (on both of which LF was progressively impaired, as expected for a diagnosis of SD), plus verbal and non-verbal ‘non-semantic’ tasks of reading aloud, spelling, object and lexical decision, and delayed copy drawing.Initially, his only striking ‘non-semantic’ deficit was in the domain of spelling - a pronounced surface dysgraphia in an individual with demonstrably superior pre-morbid spelling skill. Over time, and in line with his declining semantic system, LF's performance gradually deteriorated on all of the ‘non-semantic’ tasks. The most vulnerable items on most tasks were those with low frequency and an atypical form.This report adds to the growing body of evidence that a number of cognitive processes not usually considered to be ‘semantic’ in their demands rely on the integrity of semantic knowledge for successful execution. Furthermore, it provides the first indication that these non-semantic deficits might emerge in an order predictable from the typicality structure of the relevant domain.     

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.     

Does sex influence the age of acquisition of common names? A contrast of different semantic categories

The literature reports a sex-related asymmetry in the ability to process different semantic categories: women are more proficient with biological categories and men with man-made objects. The origin of this asymmetry is still debated. In this study, we directly checked whether the acquisition of names belonging to different semantic categories differs according to sex. We carried out our inquiry on 202 children aged 3-5 years, who were given a coloured picture naming task using a battery of 60 stimuli belonging to different semantic categories. Boys differed from girls only on naming of stimuli belonging to the categories of tools and vehicles, where they showed an earlier name acquisition. No sex differences were found for animals or plant life, notwithstanding evidence in the literature of an overrepresentation of males among patients affected by biological categories impairment. Our findings suggest that the male advantage for tools and vehicles reported in the literature on verbal fluency and naming tasks is strongly related to the earlier age in males of name acquisition for these categories, and possibly to their higher familiarity. On the contrary, the female advantage for plant life knowledge, which becomes evident later in life, has a still undefined nature and only a dubious relationship to familiarity, although it is sufficient to cause an overrepresentation of males among patients affected by a category specific impairment of biological categories, especially of plant life knowledge.     

Semantic memory in object use

We studied five patients with semantic memory disorders, four with semantic dementia and one with herpes simplex virus encephalitis, to investigate the involvement of semantic conceptual knowledge in object use. Comparisons between patients who had semantic deficits of different severity, as well as the follow-up, showed that the ability to use objects was largely preserved when the deficit was mild but progressively decayed as the deficit became more severe. Naming was generally more impaired than object use. Production tasks (pantomime execution and actual object use) and comprehension tasks (pantomime recognition and action recognition) as well as functional knowledge about objects were impaired when the semantic deficit was severe. Semantic and unrelated errors were produced during object use, but actions were always fluent and patients performed normally on a novel tools task in which the semantic demand was minimal. Patients with severe semantic deficits scored borderline on ideational apraxia tasks. Our data indicate that functional semantic knowledge is crucial for using objects in a conventional way and suggest that non-semantic factors, mainly non-declarative components of memory, might compensate to some extent for semantic disorders and guarantee some residual ability to use very common objects independently of semantic knowledge.     

Instantiation of semantic categories in sentence comprehension by Alzheimer patients.

This study examined whether Alzheimer patients can make elaborative inferences based on the semantic context provided by a sentence. More specifically, if presented with the name of a category in a sentence do they, like normals, infer (instantiate) the particular member of that category most appropriate to the meaning of the sentence (e.g., if a sentence mentions a container of juice, do they infer it is a bottle). Patients were presented with a sentence containing the name of a concrete category. The sense of the sentence was consistent with a low-dominant member of that category. Patients were then shown drawings of four members of that category and asked to select the one appropriate to the sentence. They were later asked to name the drawings. If semantic information is degraded in Alzheimer patients for those objects Alzheimer patients cannot name (as has been claimed), then AD patients should be unable to carry out the type of elaborative semantic inference required to instantiate. Results showed that Alzheimer patients were highly accurate at instantiating even objects they could not name. This is consistent with a relative preservation of semantic knowledge about concrete objects in Alzheimer patients.     

Limitations of attentional orienting. Effects of abrupt visual onsets and offsets on naming two objects in a patient with simultanagnosia

It has been proposed that the underlying deficit for some simultanagnosics is the inability to bilaterally orient attention in space due to parietal damage. In five experiments, we examine the performance of a patient with simultanagnosia secondary to bilateral occipito-parietal lesions, IC, in naming pairs of line-drawings. With simultaneous presentation and disappearance of objects (Experiment 1), IC typically named a single object. IC's performance dramatically improved when the two drawings alternated every 500 ms (Experiment 2). This improvement was not due to the abrupt onset of the second drawing "capturing attention", as indicated by the results of Experiment 3. Experiments 4 and 5 demonstrated that the crucial factor in improving IC's performance with simultaneous presentation of visual objects was the offset of one of the two stimuli. We propose that IC's impairment in naming two objects is attributable to the inability to "unlock" attention from the first object detected to other objects in the array. Visual offset of the first object disengages attention from the first object, allowing it to be allocated to the second object.     

Neural correlates of implicit object identification

The present study sought to assess neural correlates of implicit identification of objects by means of fMRI, using tasks that require matching of the physical properties of objects. Behavioural data suggests that there is automatic access to object identity when observers attend to a physical property of the form of an object (e.g. the object's orientation) and no evidence for semantic processing when subjects attend to colour. We evaluated whether, in addition to neural areas associated with decisions to specific perceptual properties, areas associated with access to semantic information were activated when tasks demanded processing of the global configuration of pictures. We used two perceptual matching tasks based on the global orientation or on the colour of line drawings. Our results confirmed behavioural data. Activations in the inferior occipital cortex, fusiform and inferior temporal gyri in both tasks (orientation and colour) account for perceptual and structural processing involved in each task. In contrast, activations in the posterior and medial parts of the fusiform gyrus, shown to be involved in explicit semantic judgements, were more pronounced in the orientation-matching task, suggesting that semantic information from the pictures is processed in an implicit way even when not required by the task. Thus, this study suggests that cortical regions usually involved in explicit semantic processing are also activated when implicit processing of objects occurs.     

Dissociations between Object Knowledge and Everyday Action

We report the case of a patient, MC, with Alzheimer’s disease, who showed poor ability to name visually presented objects and poor visual access to the concepts of objects relative to a group of control patients (also with dementia). She performed well when words instead of objects were used in the various tasks. The data suggest that she has impaired access to semantic knowledge from vision. Surprisingly, she performed well when asked to perform everyday tasks with the same objects that had proved problematic in tests of visual naming and semantics. MC’s pattern of performance is consistent with there being a direct route from vision to action and with the proposal that chaining between actions allows the development of action schemas which may operate even when there is impaired access to semantic knowledge.     

Dissociations between object knowledge and everyday action

We report the case of a patient, MC, with Alzheimer's disease, who showed poor ability to name visually presented objects and poor visual access to the concepts of objects relative to a group of control patients (also with dementia). She performed well when words instead of objects were used in the various tasks. The data suggest that she has impaired access to semantic knowledge from vision. Surprisingly, she performed well when asked to perform everyday tasks with the same objects that had proved problematic in tests of visual naming and semantics. MC's pattern of performance is consistent with there being a direct route from vision to action and with the proposal that chaining between actions allows the development of action schemas which may operate even when there is impaired access to semantic knowledge.