Review Attention and aphasia: theory, research and clinical implications

Over the past decade, there has been increasing interest in the integrity of attention in adults with aphasia. This review paper examines this issue by first introducing attention theory and associated terminology. Next, the paper summarizes the growing literature which documents that not only may adults with aphasia present with attention deficits, but also that their attention deficits may negatively a ect both their language comprehension and production skills. Lastly, the clinical implications of adopting an attentional model of aphasia are considered with respect to strategies for both the assessment and treatment of adults with aphasia.

[1]  Marcel Adam Just,et al.  Reduced resources and specific impairments in normal and aphasic sentence comprehension , 1995 .

[2]  A. Caramazza,et al.  Dissociation of algorithmic and heuristic processes in language comprehension: Evidence from aphasia , 1976, Brain and Language.

[3]  Kerry Kilborn,et al.  Selective impairment of grammatical morphology due to induced stress in normal listeners: Implications for aphasia , 1991, Brain and Language.

[4]  D. Benson,et al.  The neurology of thinking , 1994 .

[5]  Walter Schneider,et al.  Controlled and Automatic Human Information Processing: 1. Detection, Search, and Attention. , 1977 .

[6]  L. Murray,et al.  Accuracy monitoring and task demand evaluation in aphasia , 1997 .

[7]  H Pashler,et al.  Attentional limits in memory retrieval. , 1995, Journal of experimental psychology. Learning, memory, and cognition.

[8]  F. Thomas Eggemeier,et al.  Workload assessment methodology. , 1986 .

[9]  M. Posner,et al.  The attention system of the human brain. , 1990, Annual review of neuroscience.

[10]  M. Rizzo,et al.  The Effect of Focal Cerebral Lesions on Intramodal and Cross-modal Orienting of Attention , 1989 .

[11]  Walter Schneider,et al.  Controlled and automatic human information processing: II. Perceptual learning, automatic attending and a general theory. , 1977 .

[12]  L. Murray,et al.  Spoken language of individuals with mild fluent aphasia under focused and divided-attention conditions. , 1998, Journal of speech, language, and hearing research : JSLHR.

[13]  D. Gronwall Paced Auditory Serial-Addition Task: A Measure of Recovery from Concussion , 1977, Perceptual and motor skills.

[14]  D. Kahneman,et al.  Attention and Effort , 1973 .

[15]  U. Bellugi,et al.  Sensitivity to inflectional morphology in aphasia: A real-time processing perspective , 1992, Brain and Language.

[16]  M. McNeil,et al.  Resource allocation in auditory processing of emphatically stressed stimuli in aphasia , 1997 .

[17]  K. Willmes,et al.  Efficacy of a reaction training on various attentional and cognitive functions in stroke patients , 1991 .

[18]  Elizabeth Bates,et al.  Inducing Agrammatic Profiles in Normals: Evidence for the Selective Vulnerability of Morphology under Cognitive Resource Limitation , 1995, Journal of Cognitive Neuroscience.

[19]  M. Just,et al.  Aphasic Sentence Comprehension as a Resource Deficit: A Computational Approach , 1997, Brain and Language.

[20]  S. Galderisi,et al.  Evaluation of two new neuropsychological tests designed to minimize cultural bias in the assessment of HIV-1 seropositive persons: a WHO study. , 1993, Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists.

[21]  C. Tompkins Knowledge and strategies for processing lexical metaphor after right or left hemisphere brain damage. , 1990, Journal of speech and hearing research.

[22]  Pamela S. Tsang,et al.  Resource scarcity and outcome conflict in time-sharing performance , 1995, Perception & psychophysics.

[23]  L. Murray,et al.  Grammaticality judgements of mildly aphasic individuals under dual-task conditions , 1997 .

[24]  William F. Katz,et al.  An investigation of lexical ambiguity in Broca's aphasics using an auditory lexical priming technique , 1988, Neuropsychologia.

[25]  M. McNeil,et al.  Accuracy and Response Times for Semantic Judgements and Lexical Decisions with Left- and Right-Hemisphere Lesions , 1987 .

[26]  D. Broadbent Perception and communication , 1958 .

[27]  G. Waters,et al.  Aphasic disorders of syntactic comprehension and working memory capacity , 1995 .

[28]  McKay Moore Sohlberg,et al.  Introduction to cognitive rehabilitation : theory and practice , 1989 .

[29]  Daniel G Bobrow,et al.  On data-limited and resource-limited processes , 1975, Cognitive Psychology.

[30]  Daniel Gopher,et al.  On the Economy of the Human Processing System: A Model of Multiple Capacity. , 1977 .

[31]  M. Just,et al.  From the SelectedWorks of Marcel Adam Just 1992 A capacity theory of comprehension : Individual differences in working memory , 2017 .

[32]  C. Coelho,et al.  Word fluency tasks: A preliminary analysis of variability , 1991 .

[33]  P. Paquier,et al.  Cognition in global aphasia: indicators for therapy , 1992 .

[34]  L. Cupples,et al.  When task demands induce “asyntactic” comprehension: A study of sentence interpretation in aphasia , 1993 .

[35]  Aphasia: neurological considerations , 1983 .

[36]  L. Murray,et al.  Auditory processing in individuals with mild aphasia: a study of resource allocation. , 1997, Journal of speech, language, and hearing research : JSLHR.

[37]  Lyn Frazier,et al.  On deriving the properties of agrammatic comprehension , 1991, Brain and Language.

[38]  H. Pashler Dual-task interference in simple tasks: data and theory. , 1994, Psychological bulletin.

[39]  M. McNeil,et al.  Toward an Integrative Information-Processing Structure of Auditory Comprehension and Processing in Adult Aphasia , 1986 .

[40]  Myrna F. Schwartz,et al.  Sensitivity to grammatical structure in so-called agrammatic aphasics , 1983, Cognition.

[41]  I. Nimmo-Smith,et al.  The structure of normal human attention: The Test of Everyday Attention , 1996, Journal of the International Neuropsychological Society.

[42]  Gordon D. Logan,et al.  Dependence and independence in responding to double stimulation: A comparison of stop, change, and dual-task paradigms. , 1986 .

[43]  Harold Pashler,et al.  Do response modality effects support multiprocessor models of divided attention , 1990 .

[44]  J. Ponsford,et al.  The use of a rating scale of attentional behaviour , 1991 .

[45]  Sense of Effort During a Lexical Decision Task: Resource Allocation Deficits Following Brain Damage , 1995 .

[46]  C. Wickens,et al.  Dissociation of Performance and Subjective Measures of Workload , 1988 .

[47]  Christine R. Harris,et al.  Production of complex syntax in normal ageing and alzheimer's disease , 1995 .

[48]  S. Milekić,et al.  Comprehension of nonlexical categories in agrammatism , 1995, Journal of psycholinguistic research.

[49]  H. Pashler Dual-task interference and elementary mental mechanisms , 1993 .

[50]  J. C. Johnston,et al.  Chronometric Evidence for Central Postponement in Temporally Overlapping Tasks , 2003 .

[51]  D. Gopher,et al.  On the Psychophysics of Workload: Why Bother with Subjective Measures? , 1984 .

[52]  A. Friederici,et al.  Comprehension in aphasia: A cross-linguistic study , 1987, Brain and Language.

[53]  L. Gerstman,et al.  The relationship between, impersistence, intellectual function and outcome of rehabilitation in patients with left hemiplegia , 1968, Neurology.

[54]  C. Mateer,et al.  Effectiveness of an attention-training program. , 1987, Journal of clinical and experimental neuropsychology.

[55]  J. Corrigan,et al.  Agitation, cognition and attention during post-traumatic amnesia. , 1992, Brain injury.

[56]  H. Goodglass,et al.  Disorders in executive control functions among aphasic and other brain-damaged patients. , 1990, Journal of clinical and experimental neuropsychology.

[57]  Harold Goodglass,et al.  Picture-naming in aphasia , 1985, Brain and Language.

[58]  Robert H. Brookshire,et al.  Introduction to Neurogenic Communication Disorders , 1991 .

[59]  M. Just,et al.  Language comprehension: sentence and discourse processing. , 1995, Annual review of psychology.

[60]  David Caplan,et al.  Disorders of Syntactic Comprehension , 1988 .

[61]  C. Mateer,et al.  A Paradigm Shift in Memory Rehabilitation , 1988 .

[62]  C. Wickens,et al.  The Structural Constraints and Strategic Control of Resource Allocation , 1988 .

[63]  R. Reitan Validity of the Trail Making Test as an Indicator of Organic Brain Damage , 1958 .

[64]  H Pashler,et al.  Processing stages in overlapping tasks: evidence for a central bottleneck. , 1984, Journal of experimental psychology. Human perception and performance.

[65]  D. Navon Resources—a theoretical soup stone? , 1984 .

[66]  M. Just,et al.  A capacity approach to syntactic comprehension disorders: making normal adults perform like aphasic patients , 1994 .

[67]  M. Posner,et al.  Attention and cognitive control. , 1975 .

[68]  C. Wickens Attention and skilled performance. , 1989 .

[69]  Elizabeth Bates,et al.  Differential Sensitivity to Errors of Agreement and Word Order in Broca's Aphasia , 1991, Journal of Cognitive Neuroscience.

[70]  L. Lapointe,et al.  Auditory vigilance during divided task attention in aphasic individuals , 1991 .

[71]  D. Caplan,et al.  Syntactic determinants of sentence comprehension in aphasia , 1985, Cognition.

[72]  Andries F. Sanders,et al.  S-Oh-R: Oh Stages! Oh Resources! , 1984 .

[73]  S. Marshall,et al.  Attentional deficits in stroke patients: a visual dual task experiment. , 1997, Archives of physical medicine and rehabilitation.

[74]  Katharine H. Odell,et al.  Toward the Integration of Resource Allocation into a General Theory of Aphasia , 1991 .

[75]  D. Swinney,et al.  Online Examination of Language Performance in Normal and Neurologically Impaired Adults , 1998 .

[76]  K. Angquist,et al.  Memory dysfunction in mild aphasics. , 1996, Scandinavian journal of psychology.

[77]  Angela D. Friederici,et al.  Thematic analysis in agrammatic comprehension: Syntactic structures and task demands , 1992, Brain and Language.

[78]  A. Baumgaertner,et al.  Working memory and inference revision in brain-damaged and normally aging adults. , 1994, Journal of speech and hearing research.

[79]  R. Peach,et al.  A Topographic Event-Related Potential Analysis of the Attention Deficit for Auditory Processing in Aphasia , 1994 .

[80]  H. Kolk,et al.  On-line Sensitivity to Subject-Verb Agreement Violations in Broca′s Aphasics: The Role of Syntactic Complexity and Time , 1994, Brain and Language.

[81]  A. Allport Attention and control: have we been asking the wrong questions? A critical review of twenty-five years , 1993 .

[82]  W. Brouwer,et al.  Clinical Neuropsychology of Attention , 1994 .

[83]  Stephen D. Goldinger,et al.  Auditory Vigilance in Aphasic Individuals: Detecting Nonlinguistic Stimuli with Full or Divided Attention , 1996, Brain and Cognition.

[84]  B. Crosson,et al.  Selective attention and aphasia in adults: Preliminary findings , 1994, Neuropsychologia.

[85]  C. Tompkins,et al.  Automatic and effortful processing of emotional intonation after right or left hemisphere brain damage. , 1991, Journal of speech and hearing research.

[86]  Elizabeth Bates,et al.  An on-line study of grammaticality judgements in normal and aphasic speakers of Italian , 1997 .

[87]  H. Pashler,et al.  Graded capacity-sharing in dual-task interference? , 1994, Journal of experimental psychology. Human perception and performance.

[88]  I. Robertson,et al.  Motor recovery after stroke depends on intact sustained attention: a 2-year follow-up study. , 1997, Neuropsychology.

[89]  P. Milenkovic,et al.  An Investigation of Attention Allocation Deficits in Aphasia , 1993, Brain and Language.

[90]  C D Wickens,et al.  Causes of dissociation between subjective workload measures and performance ; Caveats for the use of subjective assessments. , 1986, Applied ergonomics.

[91]  M. Rizzo,et al.  Orienting attention in audition and between audition and vision: young and elderly subjects. , 1992, Journal of speech and hearing research.

[92]  Jeanine Blanc-garin Patterns of recovery from hemiplegia following stroke , 1994 .

[93]  William L. Derrick,et al.  Dimensions of Operator Workload , 1988 .