Functional Determination of Written Communication in Patients with Broca’s Aphasia

173

Abstract

The research is devoted to the study of the specificity of disorders of written speech in efferent motor agraphia, depending on the functional orientation of writing. The theoretical prerequisite for the work was the functionalist approach developed in the direction of cultural-historical psychology. The goal of the study: to reveal the variability of writing disorders in efferent motor agraphia in the conditions of different types of written speech performance in terms of functional orientation. The study used ecological tasks, which were developed in the culture of everyday writing activities, and traditional diagnostic tasks aimed at assessing separate writing operations. The study involved 22 patients with post-stroke efferent motor agraphia, 13 of them were men, the average age was 55,0±8,0 years. Nineteen patients had higher education, 3 — secondary education. The results of statistical calculations did not reveal significant differences in any of the types of errors at the level of individual words. The analyzed types of written errors were revised in favor of syntactic ones. Intraindividual analysis using nonparametric criteria revealed differences in 5 types of syntax errors. The obtained differences are explained by the choice of certain writing strategies that meet the written task assigned to the patient. The analysis shows the need to take into account not only the various instrumental components of speech and structural units of the language, in particular, syntax, but also functional changes manifested at the level of pragmatics.

General Information

Keywords: agraphia, aphasia, functional communication, syntax errors

Journal rubric: Empirical Research

Article type: scientific article

DOI: https://doi.org/10.17759/cpse.2021100306

Funding. The reported study was funded by RFBR according to the research project № 19-013-00841\20.

For citation: Ivanova E.G., Skvortsov A.A., Mikadze Y.V. Functional Determination of Written Communication in Patients with Broca’s Aphasia [Elektronnyi resurs]. Klinicheskaia i spetsial'naia psikhologiia = Clinical Psychology and Special Education, 2021. Vol. 10, no. 3, pp. 84–105. DOI: 10.17759/cpse.2021100306. (In Russ., аbstr. in Engl.)

References

  1. Vygotskii L.S. Psikhologiya razvitiya cheloveka [Psychology of human development]. Moscow: Eksmo; Smysl, 2004. 1136 p. (In Russ.).
  2. Dzhekson Dzh.Kh. Izbrannye raboty po afazii [Selected writings on aphasia]. Saint- Petersburg: Niva, 1996. 72 p. (In Russ.).
  3. Ivanova E.G., Skvortsov A.A., Mikadze Yu.V. Variativnost' klinicheskoi kartiny efferentnoi motornoi agrafii pri realizatsii razlichnykh kul'turnykh funktsii pis'mennoi rechi [Variability of the clinical picture of Broca's agraphia during implementation different cultural functions of writing]. Klinicheskaya i special'naya psihologiya=Clinical Psychology and Special Education, 2020, vol. 9, no. 1, pp. 121–141. DOI: 10.17759/cpse.202009010 (In Russ., abstr. in Engl.).
  4. Kozintseva E.G. Variativnost' narushenii rechi pri agrafii v usloviyakh vypolneniya raznykh vidov pis'mennykh zadach. Diss. kand. psikhol. nauk. [Variability of speech disorders in agraphia under performing different types of writing tasks. PhD (Psychology) diss.]. Moscow, 2014. 157 p. (In Russ.).
  5. Luriya A.R. Vysshie korkovye funktsii cheloveka [Higher cortical functions in man]. Saint-Petersburg: Piter, 2008. 621 p. (In Russ.).
  6. Luriya A.R. Mozg cheloveka i psikhicheskie protsessy [The Human Brain and Conscious Activity]. Moscow: Pedagogika, 1970. 496 p. (In Russ.).
  7. Luriya A.R. Yazyk i soznanie [Language and consciousness]. Saint-Petersburg: Piter, 2019. 336 p. (In Russ.).
  8. Markashova E.I., Skvortsov A.A., Baulina M.E. et al. Meeting in the middle: Luria’s approach and cognitive approach to spoken language impairment in aphasia. Papeles del Psicologo, 2021, vol. 42, no. 2, pp. 1–6.
  9. Khomskaya E.D. Neiropsikhologiya [Neuropsychology]. Saint-Petersburg: Piter, 2021. 496 p. (In Russ.).
  10. Tsvetkova L.S. Afaziologiya: sovremennye problemy i puti ikh resheniya [Aphasiology: Current problems and their solutions]. Moscow: Publ. of MPSI, 2002. 640 p. (In Russ.).
  11. Tsvetkova L.S. Vosstanovitel'noe obuchenie pri lokal'nykh porazheniyakh mozga [Restorative training in local brain lesions]. Moscow: Pedagogika, 1972. 272 p. (In Russ.).
  12. Bates E., Hamby S., Zurif E. The effects of focal brain damage on pragmatic expression. Canadian Journal of Psychology, 1983, vol. 37, no. 1, pp. 59–84. DOI: 10.1037/h0080695
  13. Bates E., Wulfeck B. Crosslinguistic studies of aphasia. In B. McWhinney, E. Bates (eds.), The Crosslinguistic Study of Sentence Processing. New York: Cambridge University Press, 1989, pp. 328–371.
  14. Coltheart M., Caramazza A. Cognitive neuropsychology twenty years on. Cognitive Neuropsychology, 2006, vol. 23, no. 1, pp. 3–12. DOI: 10.1080/02643290500443250
  15. Coltheart M., Rastle K., Perry C. et al. DRC: A dual route cascaded model of visual word recognition and reading aloud. Psychological Review, 2001, vol. 108, no. 1, pp. 204– 256. DOI: 10.1037/0033-295X.108.1.204
  16. Dresang H.C., Warren T., Hula W.D. et al. Rational adaptation in using conceptual versus lexical information in adults with aphasia. Frontiers in Psychology, 2021, vol. 12, Article ID 589930. DOI: 10.3389/fpsyg.2021.589930
  17. Geschwind N. Disconnexion syndromes in animals and man: Part I. Brain, 1965, vol. 88, no. 2, pp. 237–294. DOI: 10.1093/brain/88.2.237
  18. Kolk H. Disorders of syntax in aphasia. In H. Whitaker, B. Stemmer (eds.), Handbook of Neurolinguistics. San Diego: Academic Press, 1998, pp. 240–260.
  19. Kolk H. The malleability of agrammatic symptoms and its implications for therapy. In E. Visch-Brink, R. Bastiaanse (eds.), Linguistic Levels in Aphasiology. London: Singular Publishing Group, 1998, pp. 193–210.
  20. Kolk H., Heeschen C. Agrammatism, paragrammatism and the management of language. Language and Cognitive Processes, 1992, vol. 7, no. 2, pp. 89–129. DOI: 10.1080/01690969208409381
  21. Lukatela G., Gligorijević B., Kostić A. et al. Representation of inflected nouns in the internal lexicon. Memory & Cognition, 1980, vol. 8, no. 5, pp. 415–423. DOI: 10.3758/BF03211138.
  22. Menn L., Obler L. Cross-language agrammatic source book. Amsterdam: John Benjamins, 1990. 1985 p.
  23. Wernicke C. The symptom-complex of aphasia. In A. Church (ed.), Diseases of the Nervous System. New York: Appleton, 1908, pp. 265–324.

Information About the Authors

Elena G. Ivanova, PhD in Psychology, Associate Professor, Chair of Clinical Psychology, Pirogov Russian National Research Medical University, medical psychologist of Center for Speech Pathology and Neurorehabilitation; medical psychologist of Federal Center of Brain and Neurotechnology, Moscow, Russia, ORCID: https://orcid.org/0000-0002-2370-7020, e-mail: ekozintseva@gmail.com

Anatoliy A. Skvortsov, PhD in Psychology, Associate Professor, Faculty of Social Sciences, School of Psychology, National Research University Higher School of Economics, Moscow, Russia, ORCID: https://orcid.org/0000-0002-0471-4217, e-mail: skwortsow@mail.ru

Yuri V. Mikadze, Doctor of Psychology, Professor, Professor, Chair of Neuro- and Pathopsychology, Lomonosov Moscow State University, Leading Research Associate, Federal State Budgetary Institution «Federal center of brain and neurotechnologies»; Professor, Chair of Clinical Psychology, Pirogov Russian National Research Medical University, Moscow, Russia, ORCID: https://orcid.org/0000-0001-8137-9611, e-mail: ymikadze@yandex.ru

Metrics

Views

Total: 535
Previous month: 8
Current month: 0

Downloads

Total: 173
Previous month: 5
Current month: 0