Word-finding difficulties observed in some patients with anemia have been a
ttributed to an insufficient activation of phonology by semantics. There ar
e, however, few direct tests of this hypothesis. This paper reports the cas
e of FR, who presented with anemic aphasia following temporal lobe epilepsy
and a cavernoma in the left superior temporal lobe. His anemic deficit was
characterised by: (1) no apparent associated semantic impairment; (2) item
consistency for accuracy and errors across different administrations; (3)
accuracy strongly correlated with word Frequency; and (4) a partial, albeit
weak, knowledge of the gender of unnamed items. We conducted a naming expe
riment in which target pictures were implicitly primed by briefly presented
masked words. Results showed that the prior presentation of the written ta
rget name improved accuracy. When compared with unprimed trials, the presen
ce of the primes also increased phonological errors and decreased semantic
errors. We argue that automatic phonological activation derived directly fr
om the implicit written primes interacted with the remaining phonological i
nput from the picture's semantic representation leading to increased accura
cy and a change in the balance of error types. (C) 2001 Academic Press.