Variability of the Clinical Picture of Broca's Agraphia during Implementation of Different Cultural Functions of Writing

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Abstract

The research is devoted to the study of writing errors in patients with Broca’s aphasia performing the human-specific writing tasks. The object of the study is writing, the subject – disorder of writing in Broca’s agraphia. The aim of the research was to identify the most specific types of errors in writing language, depending on the cultural and historical significance of the actualized functions of writing language in Broca’s aphasia. Used instruments include classical neuropsychological assessment as well as specially developed experimental tasks aimed at actualization of cultural-historical functions of writing (communicative, mnestic and regulatory functions). Nonparametric Chi-square Friedman and Wilcoxon T-criteria used for pairwise comparison of data and analtysis of the distribution of errors. The study involved 22 patients with organic brain damage due to ischemic stroke in the basin of the left middle cerebral artery. Shown that the most specific grammatical errors were syntactic errors such as breaking of the sentence boundaries, omissions of independent and functional words, disorders of concordance and execution. Diversity in the performance of writing tasks that are similar in neuropsychological component structure but differ in functional purposes are explained by the choice of different strategies of writing. However, the general pattern is the dominance of the semantic content of the text over its formal structuring, expressed in grammatical rules. The research confirms that when studying agraphia, it is important to consider both structural (speech act operations) and functional (cultural and historical specific) aspects of writing.

General Information

Journal rubric: Empirical Research

Article type: scientific article

DOI: https://doi.org/10.17759/cpse.2020090107

For citation: Ivanova E.G., Skvortsov A.A., Mikadze Y.V. Variability of the Clinical Picture of Broca's Agraphia during Implementation of Different Cultural Functions of Writing [Elektronnyi resurs]. Klinicheskaia i spetsial'naia psikhologiia = Clinical Psychology and Special Education, 2020. Vol. 9, no. 1, pp. 121–141. DOI: 10.17759/cpse.2020090107. (In Russ., аbstr. in Engl.)

References

  1. Assman J. Kulturnaya pamyat: pismo, pamyat o proshlom i politicheskaya identichnost v vysokih kulturah drevnosti [The Cultural Memory: Writing, Memory of the Past and Political Identity in the Ancient World Cultures] Moscow: LRC Publishing House, 2004. 368 p. (In Russ.)
  2. Akhutina T.V. Porozhdenie rechi: Nejrolingvisticheskij analiz sintaksisa [Language Production: Neurolinguistic Analysis of Syntax]. Moscow: Publ. of MSU, 1989. 215 p.
    (In Russ.)
  3. Akhutina T.V. Trudnosti pisma i ih nejropsihologicheskaya diagnostika [Difficulties of writing and their neuropsychological diagnostics]. Moscow: Publ. of MPSI, 2001. pp. 7−20. (In Russ.)
  4. Akhutina T.V., Inshakova O.B. Nejropsihologicheskaya diagnostika, obsledovanie pisma i chteniya mladshih shkolnikov [Neuropsychological diagnostics, inspection of the letter and reading younger school students]. Moscow: Sekachev, 2008. 128 p. (In Russ.)
  5. Brudny A.A. Semantika yazyika i psihologiya cheloveka: o sootnoshenii yazyika, soznaniya i dejstvitelnosti [Semantic Aspects of Language and Human Psychology: How Language, Consciousness and Reality Are Correlated]. Frunze: Ilim, 1972. 234 p. (In Russ.)
  6. Vlasenkov A.I., Rybchenkova L.M. Russkij yazyik: Grammatika. Tekst. Stili rechi: ucheb. dlya 10−11 kl. obshheobrazovat. uchrezhdenij. 8-e izd [Russian Language (as native): Grammar. Text. Style (sociolinguistics): textbook for high school students. 8th ed.]. Moscow: Prosveshcheniye, 2002. 350 p. (In Russ.)
  7. Vygotsky L.S. Psihologiya razvitiya cheloveka [Psychology of Human Development]. Moscow: Eksmo; Smysl, 2004. 1136 p. (In Russ.)
  8. Vygotsky L.S. Sobranie sochinenij: v 6 t. T. 3: Problemy razvitiya psihiki [The Collected Works of L.S. Vygotsky in 6 volumes. Vol. 3: Problems of Mental Development]. A.M. Matyushkin (Ed.). Moscow: Pedagogika, 1983.  369 p. (In Russ.)
  9. Glukhov V.P. Osnovy psiholingvistiki: ucheb. posobie dlya studentov pedvuzov [Fundamentals of Psycholinguistics: textbook for pedagogical university students]. Moscow: AST, Astrel, 2005. 351 p. (In Russ.)
  10. Jackson J.H. Izbrannye raboty po afazii [Selected Writings on Aphasia]. Saint-Petersburg: Niva, 1996. 72 p. (In Russ.)
  11. Doblhofer E., Friedrich J. Istoriya pisma. Evolyuciya pismennosti ot Drevnego Egipta do nashih dnej [Writing History. Evolution of Writing from Ancient Egypt up to Now]. Moscow: Eksmo, 2002. 400 p. (In Russ.)
  12. Jean G. Istoriya pismennosti i knigopechataniya [Writing: The Story of Alphabets and Scripts]. Moscow: AST, Astrel, 2005. 224 p. (In Russ.)
  13. Zinkovskaia N.Y. Yazyik. Pismennost. Kultura: ucheb. posobie [Language. Written Language. Culture: textbook]. Novosibirsk: Publ. of NSTU, 2005. 160 p. (In Russ.)
  14. Istrin V.A. Vozniknovenie i razvitie pisma [Creation and Development of Written Languages]. Moscow: Science, 1965. 600 p. (In Russ.)
  15. Klix F. Probuzhdayushheesya myshlenie. U istokov chelovecheskogo intellekta [Awakening Intellection: A Development History of Human Intelligence]. Moscow: Progress, 1983. 302 p. (In Russ.)
  16. Leontev A.N. Problemy razvitiya psihiki. 4-e izd [Problems of the Development of Mind. 4th ed.]. Moscow: Publ. of MSU, 1981. 584 p. (In Russ.)
  17. Likhachev D.S. Istoricheskie predposylki vozniknoveniya russkoj pismennosti i russkoj literatury [Genesis of Russian Writing and Russian Literature: Historical Background]. Voprosy istorii [Questions of History], 1951, no. 12. pp. 30–55. (In Russ.)
  18. Luria A.R. Vysshie korkovye funkcii cheloveka [Higher Cortical Functions in Man]. Saint-Petersburg: Piter, 2008. 621 p. (In Russ.)
  19. Luria A.R. Mozg cheloveka i psihicheskie processy [The Human Brain and Conscious Activity]. Moscow: Pedagogika, 1970. 496 p. (In Russ.)
  20. Luria A.R. Osnovy nejropsihologii: ucheb. posobie [Fundamentals of Neuropsychology: textbook]. Moscow: Publ. of MSU, 1973. 376 p. (In Russ.)
  21. Luria A.R. Ocherki psihofiziologii pisma [Essays on the Psychophysiology of Writing]. Moscow: Publ. of RSFSR Academy of Pedagogical Sciences, 1950. 84 p. (In Russ.)
  22. Luria A.R. Pismo i rech. Nejrolingvisticheskie issledovaniya [Writing and Speaking: Neurolinguistic Research]. Moscow: Akademia, 2002. 352 p. (In Russ.)
  23. Luria A.R. Travmaticheskaya afaziya. Klinika, semiotika i vosstanovitelnaya terapiya [Traumatic Aphasia: Its Syndromes, Psychology and Treatment]. Moscow: Publ. of USSR Academy of Medical Sciences, 1947. 367 p. (In Russ.)
  24. Liaudis V.Y., Negure I.P. Psihologicheskie osnovy formirovaniya pismennoj rechi u mladshih shkolnikov [Psychological Bases of Formation of Writing in Primary School Children]. Kishinev: Shtiints, 1983. 87 p. (In Russ.)
  25. Lyashevskaya O.N., Sharov S.A. Chastotniy slovar sovremennogo russkogo yazyika (na materialah Nacionalnogo korpusa russkogo yazyika) [Frequency Dictionary of Modern Russian Language (on materials of the Russian National Corpus)]. Moscow: Azbukovnik, 2009. 1087 p. (In Russ.)
  26. Mazunova L.K. Pismo kak sposob i sredstvo sohraneniya fenotipa «chelovek kulturnyj» [Writing as a Way and Means of Maintaining Phenotype “Man of the World”]. Moscow: Science, 2006. 302 p. (In Russ.)
  27. Mikadze Yu.V., Kozinceva E.G., Skvorcov A.A., et al. Effektivnost' vypolneniya razlichnyh pis'mennyh zadach u pacientov s sensornoj agrafiej [Effectiveness of different writing tasks performance in patients with sensory agraphia] [Electronic resource]. Psihologicheskie issledovaniya [Psychological Research], 2014, vol. 7, no.  33, p. 9. URL: http://www.psystudy.com/index.php/num/2014v7n33/935-mikadze33.html (Accessed 05.09.2019). (In Russ., Abstr. in Engl.).
  28. Khomskaia E.D. Nejropsihologiya [Neuropsychology]. Moscow: publ. of MSU, 1987. 288 p. (In Russ.)
  29. Tsvetkova L.S. Afaziologiya: sovremennye problemy i puti ih resheniya [Aphasiology: Current Problems and Their Solutions]. Moscow: publ. of MPSI, 2002. 640 p. (In Russ.)
  30. Tsvetkova L.S., Akhutina T.V., Pylaeva N.M. Metodika otsenki rechi pri afazii [Method for Evaluation Speech in Aphasia]. Moscow: publ. of MSU, 1981. 67 p. (In Russ.)
  31. Caramazza A. Some aspects of language processing revealed through the analysis of acquired aphasia: The lexical system. Annual Review of Neuroscience, 1988, vol. 11, no. 1, pp. 395–421. doi: 10.1007/978-94-011-3740-9_1
  32. Coltheart M., Caramazza A. Cognitive neuropsychology twenty years on. Cognitive neuropsychology, 2006, vol. 23, no. 1, pp. 3–12. doi: 10.1080/02643290500443250
  33. Gor K., Chrabaszcz A., Cook S. Processing of native and nonnative inflected words: Beyond affix stripping. Journal of Memory and Language, 2017, vol. 93, pp. 315–332.
    doi: 10.1016/j.jml.2016.06.014
  34. Lichteim L. On aphasia, Brain, 1885, vol. 7, no. 4, pp. 433–484.
    doi: 10.1093/brain/7.4.433
  35. Lukatela, G., Gligorijević, B., Kostić, A., & Turvey, M.T. Representation of inflected nouns in the internal lexicon. Memory & Cognition, 1980, vol. 8, no. 5, pp. 415–423.
    doi: 10.3758/BF03211138

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, 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

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