scholarly journals Demonstrating the Qualitative Differences between Semantic Aphasia and Semantic Dementia: A Novel Exploration of Nonverbal Semantic Processing

2013 ◽  
Vol 26 (1-2) ◽  
pp. 7-20 ◽  
Author(s):  
Krist A. Noonan ◽  
Peter Garrard ◽  
Elizabeth Jefferies ◽  
Sheeba Eshan ◽  
Matthew A. Lambon Ralph

Semantic dementia (SD) implicates the anterior temporal lobes (ATL) as a critical substrate for semantic memory. Multi-modal semantic impairment can also be a feature of post-stroke aphasia (referred to here as “semantic aphasia” or SA) where patients show impaired regulatory control accompanied by lesions to the frontal and/or temporo-parietal cortices, and thus the two patient groups demonstrate qualitatively different patterns of semantic impairment [1]. Previous comparisons of these two patient groups have tended to focus on verbal receptive tasks. Accordingly, this study investigated nonverbal receptive abilities via a comparison of reality decision judgements in SD and SA. Pictures of objects were presented alongside non-real distracters whose features were altered to make them more/less plausible for the semantic category. The results highlighted a number of critical differences between the two groups. Compared to SD patients, SA patients: (1) were relatively unimpaired on the two alternative forced choice (2AFC) decisions despite showing a comparable degree of semantic impairment on other assessments; (2) showed minimal effects of the plausibility manipulation; (3) were strongly influenced by variations in the regulatory requirements of tasks; and (4) exhibited a reversed effect of familiarity–i.e., better performance on less commonly encountered items. These results support a distinction between semantic impairments which arise from impaired regulatory processes (e.g., SA) versus those where degraded semantic knowledge is the causal factor (e.g., SD). SA patients performed relatively well because the task structure reduced the requirement for internally generated control. In contrast, SD patients performed poorly because their degraded knowledge did not allow the fine-grained distinctions required to complete the task.

2011 ◽  
Vol 23 (5) ◽  
pp. 1125-1135 ◽  
Author(s):  
Faye Corbett ◽  
Elizabeth Jefferies ◽  
Matthew A. Lambon Ralph

Semantic cognition, which encompasses all conceptually based behavior, is dependent on the successful interaction of two key components: conceptual representations and regulatory control. Qualitatively distinct disorders of semantic knowledge follow damage to the different parts of this system. Previous studies have shown that patients with multimodal semantic impairment following CVA—a condition referred to as semantic aphasia (SA)—perform poorly on a range of conceptual tasks due to a failure of executive control following prefrontal and/or temporo-parietal infarction [Jefferies, E., & Lambon Ralph, M. A. Semantic impairment in stroke aphasia versus semantic dementia: A case-series comparison. Brain, 129, 2132–2147, 2006]. Although a deficit of core semantic control would be expected to impair all modalities in parallel, most research exploring this condition has focused on tasks in the verbal domain. In a novel exploration of semantic control in the nonverbal domain, therefore, we assessed eight patients with SA on two experiments that examined object use knowledge under different levels of task constraint. Patients exhibited three key characteristics of semantic deregulation: (a) difficulty using conceptual knowledge flexibly to support the noncanonical uses of everyday objects; (b) poor inhibition of semantically related distractor items; and (c) improved object use with the provision of more tightly constraining task conditions following verbal and pictorial cues. Our findings are consistent with the notion that a neural network incorporating the left inferior prefrontal and temporo-parietal areas (damaged in SA) underpins regulation of semantic activation across both verbal and nonverbal modalities.


2006 ◽  
Vol 18 (2) ◽  
pp. 169-183 ◽  
Author(s):  
Karalyn Patterson ◽  
Matthew A. Lambon Ralph ◽  
Elizabeth Jefferies ◽  
Anna Woollams ◽  
Roy Jones ◽  
...  

On the basis of a theory about the role of semantic knowledge in the recognition and production of familiar words and objects, we predicted that patients with semantic dementia would reveal a specific pattern of impairment on six different tasks typically considered “pre-” or “non-” semantic: reading aloud, writing to dictation, inflecting verbs, lexical decision, object decision, and delayed copy drawing. The prediction was that all tasks would reveal a frequency-by-typicality interaction, with patients performing especially poorly on lower-frequency items with atypical structure (e.g., words with an atypical spelling-to-sound relationship; objects with an atypical feature for their class, such as the hump on a camel, etc). Of 84 critical observations (14 patients performing 6 tasks), this prediction was correct in 84/84 cases; and a single component in a factor analysis accounted for 87% of the variance across seven measures: each patient's degree of impairment on atypical items in the six experimental tasks and a separate composite score reflecting his or her degree of semantic impairment. Errors also consistently conformed to the predicted pattern for both expressive and receptive tasks, with responses reflecting residual knowledge about the typical surface structure of each domain. We argue that these results cannot be explained as associated but unrelated deficits but instead are a principled consequence of a primary semantic impairment.


1996 ◽  
Vol 2 (6) ◽  
pp. 511-524 ◽  
Author(s):  
John R. Hodges ◽  
Karalyn Patterson

AbstractTwo patients with nonfluent progressive aphasia, who have been studied longitudinally, are contrasted with a group of 5 patients with fluent progressive aphasia or semantic dementia. The most prominent feature of the nonfluent syndrome is the severe distortion of speech output with phonological errors and agrammatic sentence structure. This contrasts with the fluent, well articulated and syntactically correct, but empty, anomic speech found in semantic dementia. Performance on tests of comprehension separates the patient groups: The nonfluent patients show normal single-word comprehension, but marked impairment on tests of syntactic comprehension, while those with semantic dementia demonstrate the opposite pattern. Category fluency is severely defective in semantic dementia, but initial letter-based fluency is more impaired in the nonfluent syndrome. Performance on nonverbally mediated tests of semantic knowledge is impaired in semantic dementia only. The 2 forms of progressive aphasia have in common the sparing of perceptual and visuospatial skills, nonverbal problem solving abilities, and day-to-day (episodic) memory. Neuroradiological investigations have shown marked selective and striking inferolateral left temporal lobe atrophy in all 5 patients with semantic dementia. The changes in nonfluent progressive aphasia appear to be less focal and involve left perisylvian structures more diffusely. These 2 forms of progressive aphasia are, we argue, distinct in their manifestations. (JINS, 1996, 2, 511–524.)


2010 ◽  
Vol 22 (7) ◽  
pp. 1597-1613 ◽  
Author(s):  
Krist A. Noonan ◽  
Elizabeth Jefferies ◽  
Faye Corbett ◽  
Matthew A. Lambon Ralph

Semantic cognition—semantically driven verbal and nonverbal behavior—is composed of at least two interactive principal components: conceptual representations and executive control processes that regulate and shape activation within the semantic system. Previous studies indicate that semantic dementia follows from a progressive yet specific degradation of conceptual knowledge. In contrast, multimodal semantic impairment in aphasic patients (semantic aphasia [SA]) reflects damage to the control component of semantic cognition [Jefferies, E., & Lambon Ralph, M. A. Semantic impairment in stroke aphasia versus semantic dementia: A case-series comparison. Brain, 129, 2132–2147, 2006]. The purpose of the present study was to examine the nature of the semantic control deficits in SA in detail for the first time. Seven patients with SA were tested on four comprehension and naming tasks that directly manipulated the requirement for executive control in different ways. In line with many theories of cognitive control, the SA patients demonstrated three core features of impaired control: (i) they exhibited poor on-line manipulation and exploration of semantic knowledge; (ii) they exhibited poor inhibition of strongly associated distractors; and (iii) they exhibited reduced ability to focus on or augment less dominant aspects of semantic information, although the knowledge itself remained and could be successfully cued by external constraints provided by the examiner. Our findings are consistent with the notion that the anterior temporal lobes are crucial for conceptual knowledge whereas the left prefrontal and temporo-parietal cortices, damaged in patients with SA, play a critical role in regulating semantic activation in a task-appropriate fashion.


2019 ◽  
Vol 31 (6) ◽  
pp. 791-807 ◽  
Author(s):  
Valentina Borghesani ◽  
Marianna Riello ◽  
Benno Gesierich ◽  
Valentina Brentari ◽  
Alessia Monti ◽  
...  

Previous evidence from neuropsychological and neuroimaging studies suggests functional specialization for tools and related semantic knowledge in a left frontoparietal network. It is still debated whether these areas are involved in the representation of rudimentary movement-relevant knowledge regardless of semantic domains (animate vs. inanimate) or categories (tools vs. nontool objects). Here, we used fMRI to record brain activity while 13 volunteers performed two semantic judgment tasks on visually presented items from three different categories: animals, tools, and nontool objects. Participants had to judge two distinct semantic features: whether two items typically move in a similar way (e.g., a fan and a windmill move in circular motion) or whether they are usually found in the same environment (e.g., a seesaw and a swing are found in a playground). We investigated differences in overall activation (which areas are involved) as well as representational content (which information is encoded) across semantic features and categories. Results of voxel-wise mass univariate analysis showed that, regardless of semantic category, a dissociation emerges between processing information on prototypical location (involving the anterior temporal cortex and the angular gyrus) and movement (linked to left inferior parietal and frontal activation). Multivoxel pattern correlation analyses confirmed the representational segregation of networks encoding task- and category-related aspects of semantic processing. Taken together, these findings suggest that the left frontoparietal network is recruited to process movement properties of items (including both biological and nonbiological motion) regardless of their semantic category.


2021 ◽  
Vol 11 (8) ◽  
pp. 998
Author(s):  
Siobhán R. Shaw ◽  
Hashim El-Omar ◽  
Siddharth Ramanan ◽  
Olivier Piguet ◽  
Rebekah M. Ahmed ◽  
...  

Semantic dementia (SD) is a younger-onset neurodegenerative disease characterised by progressive deterioration of the semantic knowledge base in the context of predominantly left-lateralised anterior temporal lobe (ATL) atrophy. Mounting evidence indicates the emergence of florid socioemotional changes in SD as atrophy encroaches into right temporal regions. How lateralisation of temporal lobe pathology impacts the hedonic experience in SD remains largely unknown yet has important implications for understanding socioemotional and functional impairments in this syndrome. Here, we explored how lateralisation of temporal lobe atrophy impacts anhedonia severity on the Snaith–Hamilton Pleasure Scale in 28 SD patients presenting with variable right- (SD-R) and left-predominant (SD-L) profiles of temporal lobe atrophy compared to that of 30 participants with Alzheimer’s disease and 30 healthy older Control participants. Relative to Controls, SD-R but not SD-L or Alzheimer’s patients showed clinically significant anhedonia, representing a clear departure from premorbid levels. Overall, anhedonia was more strongly associated with functional impairment on the Frontotemporal Dementia Functional Rating Scale and motivational changes on the Cambridge Behavioural Inventory in SD than in Alzheimer’s disease patients. Voxel-based morphometry analyses revealed that anhedonia severity correlated with reduced grey matter intensity in a restricted set of regions centred on right orbitofrontal and temporopolar cortices, bilateral posterior temporal cortices, as well as the anterior cingulate gyrus and parahippocampal gyrus, bilaterally. Finally, regression and mediation analysis indicated a unique role for right temporal lobe structures in modulating anhedonia in SD. Our findings suggest that degeneration of predominantly right-hemisphere structures deleteriously impacts the capacity to experience pleasure in SD. These findings offer important insights into hemispheric lateralisation of motivational disturbances in dementia and suggest that anhedonia may emerge at different timescales in the SD disease trajectory depending on the integrity of the right hemisphere.


2021 ◽  
Author(s):  
Wei Wu ◽  
Paul Hoffman

Recent studies suggest that knowledge representations and control processes are the two key components underpinning semantic cognition, and are also crucial indicators of the shifting cognitive architecture of semantics in later life. Although there are many standardized assessments that provide measures of the quantity of semantic knowledge participants possess, normative data for tasks that probe semantic control processes are not yet available. Here, we present normative data from more than 200 young and older participants on a large set of stimuli in two semantic tasks, which probe controlled semantic processing (feature-matching task) and semantic knowledge (synonym judgement task). We verify the validity of our norms by replicating established age- and psycholinguistic-property-related effects on semantic cognition. Specifically, we find that older people have more detailed semantic knowledge than young people but have less effective semantic control processes. We also obtain expected effects of word frequency and inter-item competition on performance. Parametrically varied difficulty levels are defined for half of the stimuli based on participants’ behavioral performance, allowing future studies to produce customized sets of experimental stimuli based on our norms. We provide all stimuli, data and code used for analysis, in the hope that they are useful to other researchers.


Author(s):  
Elizabeth Jefferies ◽  
Xiuyi Wang

Semantic processing is a defining feature of human cognition, central not only to language, but also to object recognition, the generation of appropriate actions, and the capacity to use knowledge in reasoning, planning, and problem-solving. Semantic memory refers to our repository of conceptual or factual knowledge about the world. This semantic knowledge base is typically viewed as including “general knowledge” as well as schematic representations of objects and events distilled from multiple experiences and retrieved independently from their original spatial or temporal context. Semantic cognition refers to our ability to flexibly use this knowledge to produce appropriate thoughts and behaviors. Semantic cognition includes at least two interactive components: a long-term store of semantic knowledge and semantic control processes, each supported by a different network. Conceptual representations are organized according to the semantic relationships between items, with different theories proposing different key organizational principles, including sensory versus functional features, domain-specific theory, embodied distributed concepts, and hub-and-spoke theory, in which distributed features are integrated within a heteromodal hub in the anterior temporal lobes. The activity within the network for semantic representation must often be controlled to ensure that the system generates representations and inferences that are suited to the immediate task or context. Semantic control is thought to include both controlled retrieval processes, in which knowledge relevant to the goal or context is accessed in a top-down manner when automatic retrieval is insufficient for the task, and post-retrieval selection to resolve competition between simultaneously active representations. Control of semantic retrieval is supported by a strongly left-lateralized brain network, which partially overlaps with the bilateral network that supports domain-general control, but extends beyond these sites to include regions not typically associated with executive control, including anterior inferior frontal gyrus and posterior middle temporal gyrus. The interaction of semantic control processes with conceptual representations allows meaningful thoughts and behavior to emerge, even when the context requires non-dominant features of the concept to be brought to the fore.


2019 ◽  
Vol 30 (5) ◽  
pp. 2997-3014 ◽  
Author(s):  
Benjamin Kowialiewski ◽  
Laurens Van Calster ◽  
Lucie Attout ◽  
Christophe Phillips ◽  
Steve Majerus

Abstract An influential theoretical account of working memory (WM) considers that WM is based on direct activation of long-term memory knowledge. While there is empirical support for this position in the visual WM domain, direct evidence is scarce in the verbal WM domain. This question is critical for models of verbal WM, as the question of whether short-term maintenance of verbal information relies on direct activation within the long-term linguistic knowledge base or not is still debated. In this study, we examined the extent to which short-term maintenance of lexico-semantic knowledge relies on neural activation patterns in linguistic cortices, and this by using a fast encoding running span task for word and nonword stimuli minimizing strategic encoding mechanisms. Multivariate analyses showed specific neural patterns for the encoding and maintenance of word versus nonword stimuli. These patterns were not detectable anymore when participants were instructed to stop maintaining the memoranda. The patterns involved specific regions within the dorsal and ventral pathways, which are considered to support phonological and semantic processing to various degrees. This study provides novel evidence for a role of linguistic cortices in the representation of long-term memory linguistic knowledge during WM processing.


2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Elia Benhamou ◽  
Charles R. Marshall ◽  
Lucy L. Russell ◽  
Chris J. D. Hardy ◽  
Rebecca L. Bond ◽  
...  

Abstract The selective destruction of large-scale brain networks by pathogenic protein spread is a ubiquitous theme in neurodegenerative disease. Characterising the circuit architecture of these diseases could illuminate both their pathophysiology and the computational architecture of the cognitive processes they target. However, this is challenging using standard neuroimaging techniques. Here we addressed this issue using a novel technique—spectral dynamic causal modelling—that estimates the effective connectivity between brain regions from resting-state fMRI data. We studied patients with semantic dementia—the paradigmatic disorder of the brain system mediating world knowledge—relative to healthy older individuals. We assessed how the effective connectivity of the semantic appraisal network targeted by this disease was modulated by pathogenic protein deposition and by two key phenotypic factors, semantic impairment and behavioural disinhibition. The presence of pathogenic protein in SD weakened the normal inhibitory self-coupling of network hubs in both antero-mesial temporal lobes, with development of an abnormal excitatory fronto-temporal projection in the left cerebral hemisphere. Semantic impairment and social disinhibition were linked to a similar but more extensive profile of abnormally attenuated inhibitory self-coupling within temporal lobe regions and excitatory projections between temporal and inferior frontal regions. Our findings demonstrate that population-level dynamic causal modelling can disclose a core pathophysiological feature of proteinopathic network architecture—attenuation of inhibitory connectivity—and the key elements of distributed neuronal processing that underwrite semantic memory.


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