scholarly journals Theoretical Considerations for Understanding “Understanding” by Adults With Right Hemisphere Brain Damage

Author(s):  
Connie A. Tompkins

Abstract This article reviews and evaluates leading accounts of narrative comprehension deficits in adults with focal damage to the right cerebral hemisphere (RHD). It begins with a discussion of models of comprehension, which explain how comprehension proceeds through increasingly complex levels of representation. These models include two phases of comprehension processes, broad activation of information as well as pruning and focusing interpretation of meaning based on context. The potential effects of RHD on each processing phase are reviewed, focusing on factors that range from relatively specific (e.g., how the right versus the left hemisphere activate word meanings; how the right hemisphere is involved in inferencing) to more general (the influence of cognitive resource factors; the role of suppression of contextually-irrelevant information). Next, two specific accounts of RHD comprehension difficulties, coarse coding and suppression deficit, are described. These have been construed as opposing processes, but a possible reconciliation is proposed related to the different phases of comprehension and the extent of meaning activation. Finally, the article addresses the influences of contextual constraint on language processing and the continuity of literal and nonliteral language processing, two areas in which future developments may assist our clinical planning.

Author(s):  
Anastasia M. Raymer ◽  
Leslie J. Gonzalez Rothi

Neurologic damage affecting the left cerebral hemisphere leads to impairments in comprehension and expression of language in the verbal modality (aphasia) and in the written modality (dyslexia and dysgraphia). Impairment patterns take various forms, differing in the fluency/nonfluency of verbal output and integrity of auditory comprehension, repetition, and word retrieval abilities. The divergent classifications of aphasia allow reflection on neural and psychological correlates of specific aspects of language processing in verbal and written modalities. Neurologic damage affecting the right cerebral hemisphere can lead to changes in social and prosodic communication, speaking to the role of the right hemisphere in language processing. Patterns of language breakdown following neurologic injury have implications for assessment and intervention for affected individuals. Whereas perspectives vary on interpretation of the language breakdown across disciplines, this volume’s purpose is to facilitate interactions across disciplines to improve the lives of those with aphasia and related communication disorders.


2013 ◽  
Vol 7 (2) ◽  
pp. 155-163
Author(s):  
Juliana de Lima Müller ◽  
Jerusa Fumagalli de Salles

ABSTRACT The role of the right cerebral hemisphere (RH) associated with semantic priming effects (SPEs) must be better understood, since the consequences of RH damage on SPE are not yet well established. Objective: The aim of this article was to investigate studies analyzing SPEs in patients affected by stroke in the RH through a systematic review, verifying whether there are deficits in SPEs, and whether performance varies depending on the type of semantic processing evaluated or stimulus in the task. Methods: A search was conducted on the LILACS, PUBMED and PSYCINFO databases. Results: Out of the initial 27 studies identified, 11 remained in the review. Difficulties in SPEs were shown in five studies. Performance does not seem to vary depending on the type of processing, but on the type of stimulus used. Conclusion: This ability should be evaluated in individuals that have suffered a stroke in the RH in order to provide treatments that will contribute to their recovery.


Author(s):  
Angela D. Friederici ◽  
Noam Chomsky

An adequate description of the neural basis of language processing must consider the entire network both with respect to its structural white matter connections and the functional connectivities between the different brain regions as the information has to be sent between different language-related regions distributed across the temporal and frontal cortex. This chapter discusses the white matter fiber bundles that connect the language-relevant regions. The chapter is broken into three sections. In the first, we look at the white matter fiber tracts connecting the language-relevant regions in the frontal and temporal cortices; in the second, the ventral and dorsal pathways in the right hemisphere that connect temporal and frontal regions; and finally in the third, the two syntax-relevant and (at least) one semantic-relevant neuroanatomically-defined networks that sentence processing is based on. From this discussion, it becomes clear that online language processing requires information transfer via the long-range white matter fiber pathways that connect the language-relevant brain regions within each hemisphere and between hemispheres.


Author(s):  
Norman D. Cook

Speech production in most people is strongly lateralized to the left hemisphere (LH), but language understanding is generally a bilateral activity. At every level of linguistic processing that has been investigated experimentally, the right hemisphere (RH) has been found to make characteristic contributions, from the processing of the affective aspects of intonation, through the appreciation of word connotations, the decoding of the meaning of metaphors and figures of speech, to the understanding of the overall coherency of verbal humour, paragraphs and short stories. If both hemispheres are indeed engaged in linguistic decoding and both processes are required to achieve a normal level of understanding, a central question concerns how the separate language functions on the left and right are integrated. This chapter reviews relevant studies on the hemispheric contributions to language processing and the role of interhemispheric communications in cognition.


1994 ◽  
Vol 78 (3) ◽  
pp. 971-978 ◽  
Author(s):  
Robert Geheb ◽  
Keith E. Whitfield ◽  
Linda Brannon

The present study of gender differences in hemispheric processing involved identification of tachistoscopically presented images of varying complexity. A computerized tachistoscopic program was administered to 24 men and 34 women. Time to identify contour and detailed pictures presented to the left or right cerebral hemisphere was recorded. Mean reaction time for contour pictures was significantly faster than for detailed pictures, and mean reaction time to the right hemisphere was significantly faster than that to the left hemisphere. The mean reaction time for men to identify pictures exposed to the left hemisphere was significantly slower than that for exposure to the right hemisphere for women. The mean reaction time for both men and women to identify contour pictures exposed to the right hemisphere was significantly faster than the mean time to identify detailed pictures presented to the left hemisphere. The interaction of gender, hemisphere, and complexity was also significant in that mean reaction times for men to identify detailed pictures presented to the left hemisphere were slower than the times for women to identify contour pictures presented to the right hemisphere. The results are discussed in relation to theories about hemispheres, gender, and differences in picture features.


2002 ◽  
Vol 14 (7) ◽  
pp. 994-1017 ◽  
Author(s):  
Alice Mado Proverbio ◽  
Barbara Čok ◽  
Alberto Zani

The aim of the present study was to investigate how multiple languages are represented in the human brain. Event-related brain potentials (ERPs) were recorded from right-handed polyglots and monolinguals during a task involving silent reading. The participants in the experiment were nine Italian monolinguals and nine Italian/Slovenian bilinguals of a Slovenian minority in Trieste; the bilinguals, highly fluent in both languages, had spoken both languages since birth. The stimuli were terminal words that would correctly complete a short, meaningful, previously shown sentence, or else were semantically or syntactically incorrect. The task consisted in deciding whether the sentences were well formed or not, giving the response by pressing a button. Both groups read the same set of 200 Italian sentences to compare the linguistic processing, while the bilinguals also received a set of 200 Slovenian sentences, comparable in complexity and length, to compare the processing of the two languages within the group. For the bilinguals, the ERP results revealed a strong, left-sided activation, reflected by the N1 component, of the occipito-temporal regions dedicated to orthographic processing, with a latency of about 150 msec for Slovenian words, but bilateral activation of the same areas for Italian words, which was also displayed by topographical mapping. In monolinguals, semantic error produced a long-lasting negative response (N2 and N4) that was greater over the right hemisphere, whereas syntactic error activated mostly the left hemisphere. Conversely, in the bilinguals, semantic incongruence resulted in greater response over the left hemisphere than over the right. In this group, the P615 syntactical error responses were of equal amplitude on both hemispheres for Italian words and greater on the right side for Slovenian words. The present findings support the view that there are inter- and intrahemispheric brain activation asymmetries when monolingual and bilingual speakers comprehend written language. The fact that the bilingual speakers in the present study were highly fluent and had acquired both languages in early infancy suggests that the brain activation patterns do not depend on the age of acquisition or the fluency level, as in the case of late, not-so-proficient L2 language learners, but on the functional organization of the bilinguals' brain due to polyglotism and based on brain plasticity.


1998 ◽  
Vol 172 (2) ◽  
pp. 142-146 ◽  
Author(s):  
Matthias Weisbrod ◽  
Sabine Maier ◽  
Sabine Harig ◽  
Ulrike Himmelsbach ◽  
Manfred Spitzer

BackgroundIn schizophrenia, disturbances in the development of physiological hemisphere asymmetry are assumed to play a pathogenetic role. The most striking difference between hemispheres is in language processing. The left hemisphere is superior in the use of syntactic or semantic information, whereas the right hemisphere uses contextual information more effectively.MethodUsing psycholinguistic experimental techniques, semantic associations were examined in 38 control subjects, 24 non-thought-disordered and 16 thought-disordered people with schizophrenia, for both hemispheres separately.ResultsDirect semantic priming did not differ between the hemispheres in any of the groups. Only thought-disordered people showed significant indirect semantic priming in the left hemisphere.ConclusionsThe results support: (a) a prominent role of the right hemisphere for remote associations; (b) enhanced spreading of semantic associations in thought-disordered subjects; and (c) disorganisation of the functional asymmetry of semantic processing in thought-disordered subjects.


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