WEEK 10 LECTURE + TUTORIAL Flashcards
(12 cards)
What is language
-written, symbolic or gestural forms of communication
Aphasia definition
Difficulty producing or comprehending speech, not by deafness or motor deficit
- Human communication disorder, loss or impairment of language comprehension or production
Lateralisation of speech
Left is dominant for speech in 90% of the population
Right side is dominant in 27% of left-handed people and 15% ambidextrous but only 4% right handed people
Wernicke’s and Broca’s area
Wernicke = Speech comprehension
Broca = Language production
Bilingualism
-Majority of people in the world are bilingual or multilingual
-Different languages are processed by different areas of the brain
Phonagnosia
- A type of agnosia, or loss of knowledge, that involves a disturbance in the recognition of familiar voices and the impairment of voice discrimination abilities
Forms of Aphasia
- Broca’s Aphasia
- Conduction Aphasia
- Wernicke’s Aphasia
- Anomic Aphasia
Broca’s Aphasia
Damage to the inferior left frontal lobe and underlying subcortical white matter
Comprehension of speech is intact
Speech is slow, non fluent, costs effort
Loss of the production of complete sentence structures in speech and writing:
“content” words are still used (e.g., nouns, verbs)
“function” words are more difficult (e.g., a, the, in)
3 speech deficits in Broca’s
- Agrammatism: difficulty in use of grammatical constructions (e.g.,-ed, have) but also word order to decode sentence
- Anomia Word-finding difficulties (function words)
- Articulation problems Mispronunciations, often alter the sequence of sounds
Intact in Brocas
- Phases such as yes or no
- Curse words
3, Non-language emotional expression
Conduction Aphasia
Characterised by meaningful fluent speech and comprehension, but poor repetition
Extreme difficulties repeating lists of words (although related words may be repeated)
May replace word they are asked to repeat with another with the same meaning
Caused by damage to pathway between Broca and Wernicke area responsible for conveying sound – arcuate fasciculus
Instead, use second pathway which conveys meaning
Wernicke’s Aphasia
- Partial or total loss of the ability to understand what is being said or read
-Maintains the ability to speak, but speech may contain unnecessary or made up words
-Poor spoken language comprehension
-Lack ability to interpret meanings of words
-Inability to convert thoughts to words
-Production of meaningless speech
-Lack of self awareness