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Mooijman, S., Schoonen, R., Goral, M., Roelofs, A., & Ruiter, M. B. (2025). Why do bilingual speakers with aphasia alternate between languages? A study into their experiences and mixing patterns. Aphasiology. Advance online publication. doi:10.1080/02687038.2025.2452928.
Abstract
Background
The factors that contribute to language alternation by bilingual speakers with aphasia have been debated. Some studies suggest that atypical language mixing results from impairments in language control, while others posit that mixing is a way to enhance communicative effectiveness. To address this question, most prior research examined the appropriateness of language mixing in connected speech tasks.
Aims
The goal of this study was to provide new insight into the question whether language mixing in aphasia reflects a strategy to enhance verbal effectiveness or involuntary behaviour resulting from impaired language control.
Methods & procedures
Semi-structured web-based interviews with bilingual speakers with aphasia (N = 19) with varying language backgrounds were conducted. The interviews were transcribed and coded for: (1) Self-reports regarding language control and compensation, (2) instances of language mixing, and (3) in two cases, instances of repair initiation.
Outcomes & results
The results showed that several participants reported language control difficulties but that the knowledge of additional languages could also be recruited to compensate for lexical retrieval problems. Most participants showed no or very few instances of mixing and the observed mixes appeared to adhere to the pragmatic context and known functions of switching. Three participants exhibited more marked switching behaviour and reported corresponding difficulties with language control. Instances of atypical mixing did not coincide with clear problems initiating conversational repair.
Conclusions
Our study highlights the variability in language mixing patterns of bilingual speakers with aphasia. Furthermore, most of the individuals in the study appeared to be able to effectively control their languages, and to alternate between their languages for compensatory purposes. Control deficits resulting in atypical language mixing were observed in a small number of participants. -
Jongman, S. R., Roelofs, A., Scheper, A., & Meyer, A. S. (2017). Picture naming in typically developing and language impaired children: The role of sustained attention. International Journal of Language & Communication Disorders, 52(3), 323-333. doi:10.1111/1460-6984.12275.
Abstract
Children with specific language impairment (SLI) have problems not only with language performance but also with sustained attention, which is the ability to maintain alertness over an extended period of time. Although there is consensus that this ability is impaired with respect to processing stimuli in the auditory perceptual modality, conflicting evidence exists concerning the visual modality.
Aims
To address the outstanding issue whether the impairment in sustained attention is limited to the auditory domain, or if it is domain-general. Furthermore, to test whether children's sustained attention ability relates to their word-production skills.
Methods & Procedures
Groups of 7–9 year olds with SLI (N = 28) and typically developing (TD) children (N = 22) performed a picture-naming task and two sustained attention tasks, namely auditory and visual continuous performance tasks (CPTs).
Outcomes & Results
Children with SLI performed worse than TD children on picture naming and on both the auditory and visual CPTs. Moreover, performance on both the CPTs correlated with picture-naming latencies across developmental groups.
Conclusions & Implications
These results provide evidence for a deficit in both auditory and visual sustained attention in children with SLI. Moreover, the study indicates there is a relationship between domain-general sustained attention and picture-naming performance in both TD and language-impaired children. Future studies should establish whether this relationship is causal. If attention influences language, training of sustained attention may improve language production in children from both developmental groups. -
Roelofs, A., & Shitova, N. (2017). Importance of response time in assessing the cerebral dynamics of spoken word production: Comment on Munding et al. Language, Cognition and Neuroscience, 32(8), 1064-1067. doi:10.1080/23273798.2016.1274415.
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Shitova, N., Roelofs, A., Schriefers, H., Bastiaansen, M., & Schoffelen, J.-M. (2017). Control adjustments in speaking: Electrophysiology of the Gratton effect in picture naming. Cortex, 92, 289-303. doi:10.1016/j.cortex.2017.04.017.
Abstract
Accumulating evidence suggests that spoken word production requires different amounts of top-down control depending on the prevailing circumstances. For example, during Stroop-like tasks, the interference in response time (RT) is typically larger following congruent trials than following incongruent trials. This effect is called the Gratton effect, and has been taken to reflect top-down control adjustments based on the previous trial type. Such control adjustments have been studied extensively in Stroop and Eriksen flanker tasks (mostly using manual responses), but not in the picture-word interference (PWI) task, which is a workhorse of language production research. In one of the few studies of the Gratton effect in PWI, Van Maanen and Van Rijn (2010) examined the effect in picture naming RTs during dual-task performance. Based on PWI effect differences between dual-task conditions, they argued that the functional locus of the PWI effect differs between post-congruent trials (i.e., locus in perceptual and conceptual encoding) and post-incongruent trials (i.e., locus in word planning). However, the dual-task procedure may have contaminated the results. We therefore performed an EEG study on the Gratton effect in a regular PWI task. We observed a PWI effect in the RTs, in the N400 component of the event-related brain potentials, and in the midfrontal theta power, regardless of the previous trial type. Moreover, the RTs, N400, and theta power reflected the Gratton effect. These results provide evidence that the PWI effect arises at the word planning stage following both congruent and incongruent trials, while the amount of top-down control changes depending on the previous trial type. -
Shitova, N., Roelofs, A., Schriefers, H., Bastiaansen, M. C. M., & Schoffelen, J.-M. (2017). Control adjustments in speaking: Electrophysiology of the Gratton effect in picture naming. Cortex, 92, 289-303. doi:10.1016/j.cortex.2017.04.017.
Abstract
Accumulating evidence suggests that spoken word production requires different amounts of top-down control depending on the prevailing circumstances. For example, during Stroop-like tasks, the interference in response time (RT) is typically larger following congruent trials than following incongruent trials. This effect is called the Gratton effect, and has been taken to reflect top-down control adjustments based on the previous trial type. Such control adjustments have been studied extensively in Stroop and Eriksen flanker tasks (mostly using manual responses), but not in the picture–word interference (PWI) task, which is a workhorse of language production research. In one of the few studies of the Gratton effect in PWI, Van Maanen and Van Rijn (2010) examined the effect in picture naming RTs during dual-task performance. Based on PWI effect differences between dual-task conditions, they argued that the functional locus of the PWI effect differs between post-congruent trials (i.e., locus in perceptual and conceptual encoding) and post-incongruent trials (i.e., locus in word planning). However, the dual-task procedure may have contaminated the results. We therefore performed an electroencephalography (EEG) study on the Gratton effect in a regular PWI task. We observed a PWI effect in the RTs, in the N400 component of the event-related brain potentials, and in the midfrontal theta power, regardless of the previous trial type. Moreover, the RTs, N400, and theta power reflected the Gratton effect. These results provide evidence that the PWI effect arises at the word planning stage following both congruent and incongruent trials, while the amount of top-down control changes depending on the previous trial type. -
Shitova, N., Roelofs, A., Coughler, C., & Schriefers, H. (2017). P3 event-related brain potential reflects allocation and use of central processing capacity in language production. Neuropsychologia, 106, 138-145. doi:10.1016/j.neuropsychologia.2017.09.024.
Abstract
Allocation and use of central processing capacity have been associated with the P3 event-related brain potential amplitude in a large variety of non-linguistic tasks. However, little is known about the P3 in spoken language production. Moreover, the few studies that are available report opposing P3 effects when task complexity is manipulated. We investigated allocation and use of central processing capacity in a spoken phrase production task: Participants switched every second trial between describing pictures using noun phrases with one adjective (size only; simple condition, e.g., “the big desk”) or two adjectives (size and color; complex condition, e.g., “the big red desk”). Capacity allocation was manipulated by complexity, and capacity use by switching. Response time (RT) was longer for complex than for simple trials. Moreover, complexity and switching interacted: RTs were longer on switch than on repeat trials for simple phrases but shorter on switch than on repeat trials for complex phrases. P3 amplitude increased with complexity. Moreover, complexity and switching interacted: The complexity effect was larger on the switch trials than on the repeat trials. These results provide evidence that the allocation and use of central processing capacity in language production are differentially reflected in the P3 amplitude. -
Jongman, S. R., Roelofs, A., & Meyer, A. S. (2015). Sustained attention in language production: An individual differences investigation. Quarterly Journal of Experimental Psychology, 68, 710-730. doi:10.1080/17470218.2014.964736.
Abstract
Whereas it has long been assumed that most linguistic processes underlying language production happen automatically, accumulating evidence suggests that some form of attention is required. Here, we investigated the contribution of sustained attention, which is the ability to maintain alertness over time. First, the sustained attention ability of participants was measured using auditory and visual continuous performance tasks. Next, the participants described pictures using simple noun phrases while their response times (RTs) and gaze durations were measured. Earlier research has suggested that gaze duration reflects language planning processes up to and including phonological encoding. Individual differences in sustained attention ability correlated with individual differences in the magnitude of the tail of the RT distribution, reflecting the proportion of very slow responses, but not with individual differences in gaze duration. These results suggest that language production requires sustained attention, especially after phonological encoding. -
Jongman, S. R., Meyer, A. S., & Roelofs, A. (2015). The role of sustained attention in the production of conjoined noun phrases: An individual differences study. PLoS One, 10(9): e0137557. doi:10.1371/journal.pone.0137557.
Abstract
It has previously been shown that language production, performed simultaneously with a nonlinguistic task, involves sustained attention. Sustained attention concerns the ability to maintain alertness over time. Here, we aimed to replicate the previous finding by showing that individuals call upon sustained attention when they plan single noun phrases (e.g., "the carrot") and perform a manual arrow categorization task. In addition, we investigated whether speakers also recruit sustained attention when they produce conjoined noun phrases (e.g., "the carrot and the bucket") describing two pictures, that is, when both the first and second task are linguistic. We found that sustained attention correlated with the proportion of abnormally slow phrase-production responses. Individuals with poor sustained attention displayed a greater number of very slow responses than individuals with better sustained attention. Importantly, this relationship was obtained both for the production of single phrases while performing a nonlinguistic manual task, and the production of noun phrase conjunctions in referring to two spatially separated objects. Inhibition and updating abilities were also measured. These scores did not correlate with our measure of sustained attention, suggesting that sustained attention and executive control are distinct. Overall, the results suggest that planning conjoined noun phrases involves sustained attention, and that language production happens less automatically than has often been assumed. -
Piai, V., Roelofs, A., Rommers, J., & Maris, E. (2015). Beta oscillations reflect memory and motor aspects of spoken word production. Human brain mapping, 36(7), 2767-2780. doi:10.1002/hbm.22806.
Abstract
Two major components form the basis of spoken word production: the access of conceptual and lexical/phonological information in long-term memory, and motor preparation and execution of an articulatory program. Whereas the motor aspects of word production have been well characterized as reflected in alpha-beta desynchronization, the memory aspects have remained poorly understood. Using magnetoencephalography, we investigated the neurophysiological signature of not only motor but also memory aspects of spoken-word production. Participants named or judged pictures after reading sentences. To probe the involvement of the memory component, we manipulated sentence context. Sentence contexts were either constraining or nonconstraining toward the final word, presented as a picture. In the judgment task, participants indicated with a left-hand button press whether the picture was expected given the sentence. In the naming task, they named the picture. Naming and judgment were faster with constraining than nonconstraining contexts. Alpha-beta desynchronization was found for constraining relative to nonconstraining contexts pre-picture presentation. For the judgment task, beta desynchronization was observed in left posterior brain areas associated with conceptual processing and in right motor cortex. For the naming task, in addition to the same left posterior brain areas, beta desynchronization was found in left anterior and posterior temporal cortex (associated with memory aspects), left inferior frontal cortex, and bilateral ventral premotor cortex (associated with motor aspects). These results suggest that memory and motor components of spoken word production are reflected in overlapping brain oscillations in the beta band.Additional information
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Piai, V., Roelofs, A., & Roete, I. (2015). Semantic interference in picture naming during dual-task performance does not vary with reading ability. Quarterly Journal of Experimental Psychology, 68(9), 1758-68. doi:10.1080/17470218.2014.985689.
Abstract
Previous dual-task studies examining the locus of semantic interference of distractor words in picture naming have obtained diverging results. In these studies, participants manually responded to tones and named pictures while ignoring distractor words (picture-word interference, PWI) with varying stimulus onset asynchrony (SOA) between tone and PWI stimulus. Whereas some studies observed no semantic interference at short SOAs, other studies observed effects of similar magnitude at short and long SOAs. The absence of semantic interference in some studies may perhaps be due to better reading skill of participants in these than in the other studies. According to such a reading-ability account, participants' reading skill should be predictive of the magnitude of their interference effect at short SOAs. To test this account, we conducted a dual-task study with tone discrimination and PWI tasks and measured participants' reading ability. The semantic interference effect was of similar magnitude at both short and long SOAs. Participants' reading ability was predictive of their naming speed but not of their semantic interference effect, contrary to the reading ability account. We conclude that the magnitude of semantic interference in picture naming during dual-task performance does not depend on reading skill. -
Shao, Z., Roelofs, A., Martin, R., & Meyer, A. S. (2015). Selective inhibition and naming performance in semantic blocking, picture-word interference, and color-word stroop tasks. Journal of Experimental Psychology: Learning, Memory, and Cognition, 41, 1806-1820. doi:10.1037/a0039363.
Abstract
In two studies, we examined whether explicit distractors are necessary and sufficient toevoke selective inhibition in three naming tasks: the semantic blocking, picture-word interference, and color-word Stroop task. Delta plots were used to quantify the size of the interference effects as a function of reaction time (RT). Selective inhibition was operationalized as the decrease in the size of the interference effect as a function of naming RT. For all naming tasks, mean naming RTs were significantly longer in the interference condition than in a control condition. The slopes of the interference effects for the longest naming RTs correlated with the magnitude of the mean interference effect in both the semantic blocking task and the picture-word interference task, suggesting that selective inhibition was involved to reduce the interference from strong semantic competitors either invoked by a single explicit competitor or strong implicit competitors in picture naming. However, there was no correlation between the slopes and the mean interference effect in the Stroop task, suggesting less importance of selective inhibition in this task despite explicit distractors. Whereas the results of the semantic blocking task suggest that an explicit distractor is not necessary for triggering inhibition, the results of the Stroop task suggest that such a distractor is not sufficient for evoking inhibition either.
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