Acquired dyslexia Flashcards

(35 cards)

1
Q

How might aphasia affect reading and writing?

A
  • some degree of impairment in reading and writing, in addition to difficulties in spoken language
  • acquired dyslexia and agraphia
  • small number have impairment spectific to this - pure dyslexia/agraphia
  • imp to consider prior literacy levels
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2
Q

What is necessary for skilled reading?

A

rapid decoding of orthographic information at word, sentence and text level

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3
Q

What are the different levels of reading and processing?

A
  • Text processing
  • Sentence processing
  • Single word processing
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4
Q

What does text processing require?

A
  • Rapid processing of visual information
  • Holding of earlier information in memory whilst simultaneously decoding more of text
  • Constantly updating interpretation of text
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5
Q

Why might text processing be difficult?

A

Complex, skilled reading requires accurate and timely interplay of visual, linguistic, and cognitive processes

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6
Q

What are the possible sentence level reading behaviours in aphasia?

A
  • slow processing/reading time
  • Repeated re-reading
  • A more ‘interactive’ reading strategy - 🡩 use of sentence context (Huck et al., 2017)
  • Reduced accuracy of reading comprehension
  • Difficulty ‘parsing’ the sentence – chunking a sentence into structurally salient units or thematic roles
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7
Q

What is the serial stage model for reading single words?

A
  • perceptual level
  • word recognition
  • word comp
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8
Q

what is the Patterson and Shewell (1987) model of single word reading?

A
  • written word
  • orthographic analysis
  • orthographic input lexicon
  • semantic system
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9
Q

What are the psycholinguistic variables impacting single word reading?

A
  • frequency
    -imageability
  • length
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10
Q

Describe how the perceptual level/orthographic analysis works

A
  • banks of visual feature detectors operating in parallel
  • Detector system fires when input matches their specification (e.g. a vertical line detector)
    -Combinations of features correspond to letters
  • Identify letter & word position
  • Word not recognised and meaning not activated at this point
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11
Q

How is perceptual level assessed?

A
  • form perception tests (recognition of graphemes)
  • basic level is matching of forms
  • abstract categorical level - different surface form but same category (e.g. palpa 18 and 19)
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12
Q

someone with impairment at the perceptual level will do what?

A

make misperception errors

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13
Q

Describe word recognition/orthographic input lexicon (OIL)

A
  • Stores of written words reader has encountered before and remembered
  • forms not meaning
  • frequency effect
  • associations between words with similar perceptual features: organised into form-based cohorts (sat – mat – pat – rat)
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14
Q

How is OIL assessed?

A
  • written lexical decision tests e.g. is ‘flud’ a word or a non-word? (e.g. PALPA 24 & 25)
  • can manipulate legality, frequency, length, imageability
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15
Q

What might you see if OIL impaired?

A
  • Low scores on tests of lexical decision
  • Mis-recognitions of forms e.g. symphony – sympathy
  • Low Frequency forms not recognised
  • Low scores on word comprehension tests
  • Homophone errors
  • in some cases a pattern of letter-by-letter reading
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16
Q

Describe word comp/semantic system

A
  • central system for all comp and retreival
  • Conceptual knowledge builds up over time through multi-modal experiences of a concept
  • impairment results in multimodal disruption
  • Associative links within semantic system develop between representations based on co-occurrence in the real world and in language (sheep – goats, but not sheep – coffee)
  • imageability imp variable
17
Q

What are the two types if damage to semantic sytem?

A
  • activation from OIL
  • damage to semantic system
18
Q

How can discriminate between two types if damage to semantic system?

A

comparing reading performance to other modalities

19
Q

What can damage to semantic system show as?

A
  • mis-comp/semantic errors
  • low imageability words more vulnerable to damage
20
Q

How to assess semantic processing?

A
  • Written word to picture matching with semantic distracters (e.g., PALPA 47/48)
  • Odd one out
  • Synonym judgement
  • reading aloud
21
Q

what are the dual reading routes?

A

1 - lexical route
2 - sublexical route (grapheme -> phoneme)

22
Q

What is the lexical reading route?

A

Follows the three stages
- orthographic analysis
- OIL
- semantic system

23
Q

What is the sublexical processing reading route?

A
  • Knowledge of links between graphemes and phonemes
  • new data can be transcoded to see if it matches a known form
  • every word is non-word when first encountered
  • non-words can only be read by Grapheme-Phoneme route
  • computationally demanding
  • if reading aloud, may be able to access semantics through auditory route
24
Q

How to assess grapheme-phoneme route?

A
  • reading aloud non words and irregular words
  • correct production relies on following regular spell sound correspondance
  • will observe regularisation errors
  • length effects may be observed
25
What can aquired dyslexia be divided into?
- peripheral - central
26
Define peripheral dyslexias
affect the initial processes in reading e.g., word perception
27
Define central dyslexia
affect the later processes in reading e.g., lexical and non/sublexical processing
28
What are the types of central dyslexia?
- surface - phonological - deep
29
What is Surface dyslexia?
- Impairment to lexical route at any/all levels: OIL, access to or within semantics. - Words read letter by letter via GP route
30
What are the signs of surface dyslexia?
- Regularising irregular spellings - Length effects - Able to read non-words - Errors on written lexical decision and word comprehension tasks - Tend to see partial rather than complete deficit
31
What is phonological dyslexia?
- Impairment of GP route relative to lexical route - Performance of reading non-words poor or at floor
32
What are the signs of phonological dyslexia?
- No effect of regularity (as not using GP route) - No Length effects - Lexical-semantic route may be somewhat impaired. If so: imageability effect, content words read better, no semantic errors
33
What is deep dyslexia?
- similar to phonological dyslexia but additional semantic impairment - Lexical-semantic route and GP route impaired
34
What are the signs of deep dyslexia?
- errors in reading (semantic, visual, morphological, visual + semantic) - unable to read non words - strong imeagability effect
35
What are the theories of deep dyslexia?
- lack of checking mechanism - central semantic impairment - right hemisphere involvement