Ms. Hough et al., INFLUENCE OF PRIOR PICTORIAL CONTEXT ON SENTENCE COMPREHENSION IN OLDER VERSUS YOUNGER APHASIC SUBJECTS, Aphasiology, 11(3), 1997, pp. 235-247
Deficits in language comprehension have been observed in older individ
uals, particularly affecting comprehension of complex syntactic constr
ucts such as passive sentences. Aphasic adults display a qualitatively
similar pattern, with passive constructions being more difficult to c
omprehend than active constructs. Various types of context have been f
ound to influence auditory comprehension in aphasia, including the com
prehension of passive constructions. In particular, visual stimulation
has been observed to facilitate the comprehension of complex spoken m
essages for many aphasic adults. However, it is unclear whether presen
ting visual stimuli prior to auditory stimuli is more facilitative tha
n initially presenting auditory stimuli. Furthermore, in light of repo
rted age-related declines in comprehension of passive constructions, i
t is unknown whether age affects the influence of visual stimulation a
nd, if so, when these effects are more facilatory. In this investigati
on the influence of pictorial stimulation on sentence comprehension wa
s examined for 12 older and 10 younger aphasic adults. The two aphasic
groups were tested on the comprehension of reversible active and pass
ive sentences presented in isolation or in paragraphs. Subjects heard
the stimuli prior to or after seeing accompanying pictures which were
black-and-white line drawings depicting the two possible subjects-obje
ct relations presented in the reversible sentences. The older aphasic
subjects were significantly more accurate than the younger subjects in
the post-exposed visual condition, as well as on isolated passive sen
tences in which there was no paragraph context. In both of these condi
tions the availability of contextual information (visual-pictorial or
auditory-linguistic) was minimized. In the other conditions in which s
upportive visual-pictorial or auditory-linguistic context was provided
prior to the presentation of the target sentences, the older and youn
ger groups demonstrated similar levels of impaired performance. The re
sults are discussed relative to the ageing process, allocation of reso
urces, and working memory capacity.