Table Of ContentAnomia
Neuroanatomical and Cognitive
Correlates
Edited by
Harold Goodglass
Arthur Wingfield
Foundations of
Neuropsychology Series
Contributors
‘Numbers iz parentheses indicts he pager on which she eons cont
cations begin
‘Martin L. Albert 163) Medical Resunech Serv:ce, Dupartsrent of Veterans
[Afi Medical Cant, Bost. Marsochnectts si Apasin Resoaech
Center, Deparment of Nevroligy, Hosien University Seo of Medi=
‘ca, Dorion, Massechusiis 213?
Bhoda Au (5651 Delon tof Nearehygy, Bestar Dae
Mastic, Byte, Vases OLS
(Christine Barth 163) ly dwhogy Departmnt, Univemsity of Canton,
‘Shun, Conmerticut M20
Sha
AIanna Damas (55) Depariment of Newry Division ot Cogntve
‘Nactascence, Universit of Toes Callege of Meine, lene Cig Tow
S221, nd Them Testa, Lei. Celioerta 92097
‘Antonia R, Hamasiy (65) epottnent eth eusa.cgy, sisi of Capen
‘Retruscenee, Unirendty of lora College of Mecca, lnsa City Loss
52242, and The Salk teste, a Jv, Calioonia S237
De Bloser 63) Fasnlinguist ex Togo Newesinguigties,Tnsie2 ol
“Lesguitics, Dawensty of Ptedam, D-LM-5 Posi, Gury
Harold Guodglate 3. 208 Aplusis Reneact: Conver, Depavtmunt af Nise
Tollogy, Unsion University Son] i Metiine, WA. Made, Cones
Bowon, Messachuselle 22°
Baney Gardon (31) Depurtmenty of Neurology on Copisive Scion, ane
he Zane! vague Mine Gri strate, (he Johns Hepans Univer
ty Balter, Mnyland 2-205
Nancy leim-Fstabraeks (191) Department ol Neurology, Bosten Univer
sity Schoo of Medicine. Benin, Mascachuselis2:31,anc Nesonal Ce
ser for Reurogeste Communication Diserders, Univerty 0! Anara
Tucson, Arizona 5121
Paula Menyuk (137} Lisulopmental Studies, Boston Crises Basie,
aveachiet (21
Masjorie Nicholas (15) Vesleel Rewath Service, Depart ant af eter
ones Beal Cle, Reston, Masarhunetls C2199
| orsine K, Ubler (16s) City Lnivermny of New Vere Gasiant Seal New
‘York, Kew York IW21, ad Macca Neseazeh Service, Dupartost a
‘eretans Ataits Medical Comte Boston, Massachusetts 213)
Carla Semon (115) 2a
Pade Ia
yurtment of Psychology Cnizissty ol Padova,
Daniel Tanel (58) Deparment ol Newology, Division of Cognitive Ne
reese, Leiveriy al losa llega Medicine, aera iy va $2282
Anthur Wingfield (2,209) Pvsartmert of Paschulogs, and Vblon National
‘Center for Complex Sesteme, Urandlls Unsverity, slr, Mlasachtt
pe
Preface
Te emengence of Su abit to saane vine among the wa e896
ureplistunens in the development of guage othe aang ll Daz
ing tha seeord threxzgh tha fours years il. new words ae acquis at
the :roe offen Io Int a cay. AlThouph the tae ane exe oF ORNL EE
pie arekeneen tacoma sols ane -ual ah 1g Mheeapaeiy 1
Inf scabip stor concepts name ass ea Seder capi Be
very nemvlogically inact x8 well before shal 22
(Gn the othe side of this ot, the impairment or this ability san slmast
contant nding in fndSviduale ch slruccural inary (othe langnage ote
ft the Jt heminpare, wih ssulL.ng apace, Anca eels ta ve Saale
fy ingore yvizan nacre ebjertoos other conceps in aphasie plants
teh soul atherasae ives ween ations Fait 0 rade Iv
eum of they could he menial. ehua the clit to accse erect ramos
fa selectively mpaized despite nomal campeenensisa and Avec proce
Hon of sentence forms, a pant le ac Le have nomic apnea
‘Our gaa. in IVs eolume i allora ate-chlhsears eviews ol dsoaders
teaming, eppnaeclsl frre bot val aed theoncigl view peels. The
olin heging Ph avovercew ofcaminzand aphasia by headers The
ssucecedrg chapters were prcpared by asknowleaged experts who provice
‘emarchersive itetalure eviews sutncneiesal reevaaticioizen dito
interpretive ingratkrs oh snk in ea: hele oonain, Tit ot
the fost devine entvely by nung edi ister: Taladed ate
su pinmof advaruvsae cugutive audytseael zion Ruygstesi-en
(ection sap and dinical obscreatins thas eusie nothuvehuen weit
feat sears ago, Webeliwe this bona wi be wel terenaers i tae cy
isinlincsievolved in tee stay 0 lmgurge, uding tow in cogritice
‘Reararcence neuralegy. ¢peerh patholegs and gai.
We aie gratetul far ihe supa ané slcvalin tha: see have gained
from qur aang dlscwseiaes of naceing with gos ees At Ee Boston
Univorsiy cplusia Rescue Centura the Bassory and Cexation Tale
bonvtury sf Bmineeis Undvursity, We aekmaw lie te upp dor wn
‘ecarch om Reshonal iesitutesot alt Ginny DNL ed AGLEST?
fed upp rom the W. M, Kerk Founda
Harold Goodgiass
Arthur Wnglisld
. Chapter
Word-Finding Deficits in
Aphasia: Brain—Behavior
Relations and Clinical
Symptomatology
avokd Ganesan Arthur Wingh
pluie « geuer tem for 3 layguape impairment futon beam
‘Gamage, Su mpaizments con take the oom uf ful i et pas
“endive of connetect speech te. Diba aphasia impatrelopecch cm
prehension (Wernicke's aphasia) aurea citiculy in eading alexa;
‘ering iagraphia), epetiion (condition aphasia’, any carabinazion®
st theee qr athee coum rurstivesyeaeares
Tanghnige deficits arse endsrarily frou Kone it the eft Jeph in
suzeguit}uincul uetorony by the shied funtal convolution, posteriorly tu
toueargula paras the pavietel obe. and weal fre the inferior or
peal gyms tothe supramarginal gyras. This ane. generally srt dig
fhe Spivian fisuredtheperisician rp) hehsen prcpeny called thea
phage rane (cor Figure 1) Tastons bile of RK ama ete praeane
SIs oFangaenge. whereas damage vsthin tis ar usualy oe
‘Lest hunisphere wterlty 4 language hunctons is oy ar the over:
wheleing rile in vighthanders, Buseptiens may oacut, particulary in
ron-rigarhanders. An interesting onvetage ol acomales of lntara.ty i
‘uch case is provided by Alexander, Feat and Fiecher (98
The waritls of spc ets that app in aychasa anw many,
cluding eFcoltnsclted othe expression oFeyntex (grarantsin eae
‘Se urna caleulaion Escala) and wo forth. Of the symptom set =
sted with aphasia, none are mere pervasive than swans ifieue in
Findinghigh information words, beth in fluent dizcourse, and when cll
‘upor. o iMentfy at oojct ot askon be nase,
ee)
Vaiuilinian
pan tara
AG Aepate ye
8h Sigur Tarpox Qiu
nig ace copter Col
AS romamer fst oseumia w that the sure the pase erable 50
a anean- of lot “nom mentory. patient cnableteproctasthe esi
ame mals may eel ies the cojct by aaanting 0 i when is
rans spoken 1 oF she map recognize whether oe La ofared name
15 the cenrect name af the objec, a he palighl may preatue hs come
xeam@ after Being prompted why ity invial sound. Rythor than by,
‘raced om hsleviean, itn mare aucerstes0 say Ps Wee wae its coe
ret phenology, marcas le tonenieval, This sa sormce of sent or
xepatnt ands explanation bas long epresentesanatellcrnalpazaie
n cagiitive nearopeschalogy
= Sc oR Oia eget
pate . CoN
S — poser tot
A. QUESTION OF DLFINITION
As indica alone, we fing: arenas Nhe Seay Ue tiene che
names for sancepSs hl previously were sse'y avail iow speaker
Wille gous secs, tis out uses eidentand with Penis al
hence wit a escontin ths language voncofthe brain Lule, vet a
Inaividnals wfering torn apasia hava some degree of wore-retsiyal
probleens, whit. may range trom absa‘ute fallin, ta vie impairment
Patients who have largely receverad Com apas a tellesing # brat
Sar may haves peer steol eon tiwlng dltclty a thle only 9 dal
lec
‘Nthough the bounces ofthe comeepe of anomtis ave not abate
lineal if probably i not properly ansigmed to the sporadic dlscclis
invecrieving particular words ase names that ave a somemion comalaky of
lee: pecplete.g, Bivke, MacKay, Wonley de Wade, HON}. Thase nam
ane probably 2 be distinguished fenm ihe valensive ins 91 access 0 €
Sahulary couced Sv patents with Aldichmee's dics, The anamia
apes dorset malta tam epee She Tame ester By =
Tess, sugetanalyhe shade ror ave ie hy paca lth
“Alzheimer’s disease (Chertkow & Bub, 1998) relate the éslunes of these
[patients ts eensice lng uf atinantg nang ta the concepts hey fail
To mnne. The perfics oF Eus wscarc elle dnetased in Chaplet 7 be
Boch ota, this volume, but they inaicate hat gow probly ca listie
pale word-finding penblemsutAlaeaner > patents fre: me of =
‘The normal acquisition of naming la chien, developmental abnor
ruliliggobse veel in tsatacnce uf uc aries, and response tour
te luuguage aon after specd has Bue aeyidee a pooe challenging,
‘questions to siden, of Drain-acguage relaonships, Becase of Wein
plosicitym the ently deveinpment of larghage es rinky to attempt 29
Diy anadullanetomvtanct inna temple io understand etic” csr
Sera. Some of the cinies agersatigns are! “heomival aveuunts of devel
Pppmenti Goren a cating ml Be clisrnael in The Chapa 5 by
ongulk, this vuhume
Ab-nough the tem 20m may be used synanymously with word nd
ing lity, both at these lems have «strict meaning: they met ta
intpaised reel 4° winla that have a aonceplilflerant thy nome
Ioeta inet b ynaluce Beogrmumoticl morplismoco re language,
aor the lity 48 prose aricelate speech r genera
CLINICAL FORMS OF ANOMIA
‘Much uf the dinioan’s sence that angel fakes many difirent fr
arives Gum dhe secompouiying dsticie and adoptntuns geile to pa-
tients wich diferent forms of aphasia. Anomia may bei. the forreu
‘afte symplamatnlogy ot may beacershadewedly other problem. The
Ielativepravrinenoea the anomia, gwieshose, ished cacessad Bed
Ib aentaolute severly of de wanteatraeed a Pull
‘Bena sagt, whe unos sce dificaly i 1 nating wok ne
teeing acteultory production. esmaly havea tissu vacate
In free concerto, hy rely prefoanimanty an nouns te covey ino
lation mn short, grammatically defer we werd groups.
esmptea a peaiouly praia Ra's api
Feaminer: Whal rey gv. he hapa
Patient Ys, Mariay Dai. Pal H. name dele
vod) amdiladUbepital. vo. ar cor shiny
‘rte minutes... yes... Heepital archer. esa. Wie
diay... ine o'dock... and. er... Thursday --- ten otaku
tora. we. tw. - dmors
‘anne eerey sere gan
(amulet: What work were you
Palient: Foreman,
Fine?
Pe Yooh
Can you tll ne what you had to do?
wn. perviee...superviae cnn’... eerues ..:3cor’s
paper
E Reveds?
Pein. .sin . thaseall. Mung kinds ufweeh, bul that’s al
Te Flow lng hal you been cong that?
t-One year... ad plover ir years plone:
Erin what?
PleTivn gba... pla
That did tu: comast uf?
Time. amoton saci.
eae:
ong belare you got sick?
tiroca'saphasics scars i wads i lian move ailed free oxen
{tan than oh tsting i ea, Tey a fied am some WOES
Iyheing penvide sera Gargpening sounds Range Baws aphstrs may
ave seven aeticotor dic tis tee wanageerts ea leh anyon
Ly articaitory simgyle and distion. They misname objets eccsicea
ly neu use onesie eualocutins when were retieval eils Lvirab
solute level of naraing Frpairment may range fem e=pletefilure ts
Il eduction in sped of re eal
Wirustes ates’ annals snay be overshadowed af thelr tluent but
connuhurcet (parssranceai) spesch vutfut ‘he pot of Car message
tat bea ubseurec by misused word that specific tances of wed Bs
ingfailune may bina te identi Severe Wernicke's apbasios reels se
‘eres anamiron esting sith ibis, and le ancenia may abate oni
erably an Ie cohewensie apn pees
Fromple ofa sory scare tyne’ ace ith yon eatin
Fellow ace yaa today?
{Lue very ll Mr hearing, writing boen day we things that
‘Leola bear hry thee words Cuped tobe aoe te work gn
elles didi t know hove: The pay | didn't knows ova. Lean vite,
chheslereol fr cise tcnty ae Loan write i Chose, | nese
Mahl Tean ste
nomic aaa puse sorcerof wend resievl in the cuntust of well
formed sentences, with Ite or to taisune ef words omic apbosie
8 Seon i
pallens very oosiderahly aso how they cope wth ter frequent wor
Finding falas, ich sully ae he ncaa ante thar thes par of
spel Soue patents lacy iss buss, povidng secumlavatians 9
they speak, wheres uthers perchuate thee istourst wilh ecmasions.a
feustation and impatience. vet, in zbsna level, arena wpsis Ay
srore with ary rail mpalemenis ea slandard naming tte Dhe pewi=
hence oF thai ltrulty arses fom hei othenee Nuent normal spec
cand hee ffs io use spuutic worl
sone fa sean nent ph:
ECan You tel me abl fo Mnese2
PleThad a. Tia. oneantwnirvee.. Theresome... tha
ils have Miser par et
1 Nowe pointing to the operate cm your chest?
Die Yee.ctbagawae.aloed. aves. leabmpesoe same
bate.
EAvaie?
Dui Right cf Tuecnsoe. thy the... Paar ae three or ou
LEFlonet thing they onl a in
Te Rit th aot eae?
Me Deal
And twas after the opealfon?
PU Stihl. Ani say late while r24 unde wehatehamnoeal
ReAneshnn?
Pe No, Under where Shy put yu ust tor Mie pepe 2
vex stayin hae fora comple days
Uli the intensive care?
PE High AC that Kime | got the senbe
Conder lave duet arama anger ave culpa pune=
ured by Muy epee uf suing astray onthe solettin ied vdeҤ OF
the sound ofa wend ptiono nga paraphasa eal as gol ton
thecenstructinn utassmens. nea yppesoterioes ead te comune
fore. They characteiscally, make repealed uneuccesshul attempts 19
‘ernighie1 oul Ihe choice and eden solindsof ond Phonnogical paca
pPhasiazan moa kel India ho nae, aoa may be compounded,
Sertharven unlit dificult Eyothor is Lanecs sppearseleae thet
‘he ptent effort ar based emarvacenzate oy poke rent af rons
‘phonology anal oat the problent = entraly one uf provictin
TE Mal i abl shat’ ino a Hi pur.
POW sss 'sou tpt teres cost HEA 48. 388
