LINGUISTICS LINGUISTICS Linguistics is the study of language. There are many different kinds of linguistics studies—each with its own theoretical perspectives and methodologies. Some of these adopt a neuroscience approach and use the case study method; the researchers study the language-related deficits of patients who have suffered brain damage. Others implement various network models of how language information is represented and processed. Some linguists take on a developmental orientation: they examine how language ability grows and changes with time during the development of the individual. Still others who study linguistics are philosophers who ask questions about the nature of language and of the relationship between language and thought. LINGUISTICS The psychological study of language is often known as psycholinguistics. The person most responsible for providing insight into the intricacy of language as a system is Noam Chomsky, the linguist who revolutionized the study of language and who has been making major theoretical contributions to linguistics over the last forty years (Chomsky, 1957, 1965, 1981, 1986). A crucial insight was that people routinely produce and understand utterances that are completely new to them, ones they have never said before or had said to them. LINGUISTICS This creativity that characterises language must imply that language users have a set of rules which allow them to tackle any sentence that comes along. It is this set of rules, known as the grammar, that linguists like Chomsky set out to discover. Psychologists have been interested in the grammars developed by linguists because of the possibility that they will help in understanding what goes on in speaking and listening. DISORDERS OF SPEECH AND LANGUAGE SPEECH DISORDERS A speech disorder is a problem with fluency, voice, and/or how a person says speech sounds. Common speech disorders are: DEVELOPMENTAL VERBAL DYSPRAXIA Developmental verbal dyspraxia refers specifically to a motor speech disorder. This is a neurological disorder. Individuals suffering from developmental verbal apraxia encounter difficulty saying sounds, syllables, and words. The difficulties are not due to weakness of muscles, but rather on coordination between the brain and the specific parts of the body. APRAXIA Apraxia of speech is the acquired form of verbal dyspraxia caused by brain injury, stroke or dementia. DYSARTHRIA Dysarthria is a motor speech disorder that results from a neurological injury. Some stem from central damage, while other stem from peripheral nerve damage. SPEECH SOUND DISORDER Speech sound disorders may be of two varieties: Articulation(production of sounds)- may take the form of substitution, omission, addition, or distortion of normal speech sounds. Phonological processes(sound patterns)- may involve more systematic difficulties with the production of particular types of sounds, such as those made in the back of the mouth, like “k” and “g”. STUTTERING Stuttering is a disruption in the fluency of an individual’s speech, which begins in childhood and may persist over a lifetime. Stuttering is a form of disfluency. Disfluencies may be due to unwanted repetitions of sounds, or extension of speech sounds, syllables, or words. Disfluencies also Incorporate unintentional pauses in speech, in which the individual is unable to produce speech sounds. LANGUAGE DISORDERS Since ancient times it was known that damage to the brain could affect language functioning but a major breakthrough occurred in 1861 when Paul Broca, a surgeon and anthropologist in Paris reported an autopsy he had carried out on the brain of a man who had had severe loss of language for more than twenty years. The man’s nickname was ‘Tan’ because, although he could answer some questions with gestures, all he could say were a few swear words and the syllable ‘tan’. Broca found that an infection had left ‘Tan’s’ brain with a large abscess in the left frontal lobe. Based on this case and on others he subsequently studied, Broca concluded that the two hemispheres of the brain were not identical in function and that the left hemisphere was the one involved in language. Loss of speech was localized in the left frontal lobe, more specifically in the posterior portion of the lower frontal lobe, the area believed to be at least partly responsible for language production capacity, now known as Broca’s area. While Tan’s language impairment appears to have been a very severe one, the language of patients with Broca’s aphasia is usually described as being slow, laborious and non-fluent; speech is produced in short phrases with little variation in intonation and with frequent mispronunciations. People with this disorder often seem to grope for words but the words they do manage to come out with are usually meaningful. They produce what is called “agrammatic speech.” They generate strings of nouns and some verbs, but without any of the filler words such as “the” or “is.” They also fail to make words plural or to use verb tenses. Their sentences are short and broken up by many pauses, which has sometimes earned this kind of speech the nickname “telegraphic” or “nonfluent” speech. An example of a brief exchange with a man with Broca’s aphasia reported by Gardner(1977): ‘What happened to make you lose your speech?’ ‘Head, fall, Jesus Christ, me no good, str…str…Oh Jesus…stroke.’ ‘I see. Could you tell me, Mr Ford, what you’ve been doing in the hospital?’ ‘Yes, sure. Me go, er, uh, P.T. nine o’cot, speech…two times…read…wr …ripe, er, write…practice…getting better.’ ‘And have you been going home on weekends?’ Why yes…Thursday, er, er, er, no, er, Friday…Barbara…wife…and, oh, car…drive…purnpike…you know…rest and… tee-vee.’ ‘Are you able to understand everything on televsion?’ ‘Oh, yes, yes…well…almost.’ Within a few years Carl Wernicke had noticed that some forms of language disturbance present a different picture and not all involve Broca’s area. He described a form of aphasia now known as Wernicke’s aphasia in which the person’s speech is fluent but has little informational value and in which there is poor comprehension of language. This type of speech sounds normal in the sense that its rate, intonations, and stresses are correct, but it is lacking in content or meaning. These patients have major problems with comprehending speech and also demonstrate difficulty in reading and writing. This form of aphasia is associated with damage in the upper part of the left temporal lobe. The following excerpt (again from Gardner, 1977) demonstrates why this form of language disorder is sometimes known as ‘fluent aphasia’: ‘What brings you to the hospital?’ I asked the 72-yearold retired butcher four weeks after his admission to the hospital. ‘Boy, I’m sweating, I’m awful nervous, you know, once in a while I get caught up, I can’t mention the tarripoi, a month ago, quite a little, I’ve done a lot well, I impose a lot, while, on the other hand, you know what I mean, I have to run around, look it over, trebbin and all that sort of stuff.’ Wernicke (1874) also theorised about the neurological organisation for language, basing his ideas on a model in which Broca’s area contained motor memories, memories of the sequences of motor movements needed to articulate words and thus was responsible for speech output. Wernicke suggested that the area that now bears his name recognises the sounds of words, being the location that holds memories of the sound patterns of words. Wernicke also speculated about what might happen if the connecting pathways between Broca’s area and Wernicke’s area should be damaged, but the areas themselves remain intact. He suggested that comprehension of language and production of speech would not be impaired but there would be a difficulty in repeating back what had just been heard, because sound images received by Wernicke’s area could not be transmitted forward to Broca’s area to be produced. More recently it has been established that some people with aphasia do fit this picture, a pattern of aphasia which is referred to as conduction aphasia (Geschwind,1965). When asked to repeat back a sentence these people often make phonological errors, leave out words, substitute other words or may have extreme difficulty in saying anything. A large tract of fibres, known as the arcuate fasciculus, does connect Broca’s area with Wernicke’s area and damage to this tract and surrounding tissues is indeed found in cases of conduction aphasia. Wernicke’s model was elaborated on by Lichtheim (1885), who argued that there was a third centre for language processing, a ‘concept centre’ which stores the mental representations of objects and associates them with words. Geschwind (1972) more recently postulated the location of such a centre in an area of the parietal lobe known as the angular gyrus. Disruption could occur not only because of damage to Broca’s area and Wernicke’s area and to the fibres linking them, but also, it was thought, to the fibres linking the concept centre with Broca’s and with Wernicke’s areas. It was postulated that if there was disruption to the connections between the concept centre and Broca’s area then the person’s speech would be very disrupted. However, they should still be able to repeat back language they have heard if the connection from Wernicke’s area to Broca’s area is still intact. Such a pattern of language disorder has been found and is known as transcortical motor aphasia. The person has the same impairment of speech as in Broca’s aphasia but is able to repeat what has just been said; in fact that person often seems to have a compulsion to repeat back what is heard, a characteristic known as echolalia. Using similar reasoning, if there was disruption to the links between Wernicke’s area, where the sounds of words are processed, and the concept centre, but the links from Wernicke’s area to Broca’s area were intact, then the effect might be that the person could not interpret the meaning of words but could still repeat back what had been said. Again, such a pattern of language disorder has been observed and is known as transcortical sensory aphasia. The person with this type of disorder has a similar disruption to the ability to understand language as someone with Wernicke’s aphasia, but is able to repeat back language and shows echolalia. Another particularly striking pattern of language disruption in aphasia is one that has been found to occur in rare cases where Broca’s area, Wernicke’s area and the connection between them are intact, but they are essentially cut off from the rest of the brain. In these cases the ‘ring’ of tissue that surrounds those areas becomes starved of oxygen, being relatively far from the main artery which supplies it. Lung disease and some toxins, including carbon monoxide poisoning, can cause this loss of oxygen and of other nutrients causing the ring of tissue to become permanently damaged. The effect of such ‘isolation of the language zone’ (Geschwind et al., 1968; Caplan, 1992) is that the person loses the ability both to understand and to produce speech beyond a few stereotyped expressions but has some preservation of the ability to repeat sentences back verbatim. Some ability to recognize words must therefore be preserved but the person is unable to understand the meaning of what he or she hears and repeats. Other important types of language disorder are those of acquired dyslexia (also known as ‘alexia’) where the person experiences loss of the ability to read after brain injury, and dysgraphia (also known as ‘agraphia’) where the person loses the ability to write. What actually occurs in these disorders is essentially that the visual areas of the brain become disconnected from the language areas because of damage to the angular gyrus, an association area in the brain that is important for the association of visual stimuli with linguistic symbols. SPEECH DISORDERS