Publications

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.

Abstract

Background

Forced switching between languages poses demands on control abilities, which may be difficult to meet for bilinguals with aphasia. Freely choosing languages has been shown to increase naming efficiency in healthy bilinguals, and lexical accessibility was found to be a predictor for language choice. The overlap between bilingual language switching and other types of switching is yet unclear.

Aims

This study aimed to examine the benefits of free language choice for bilinguals with aphasia and to investigate the overlap of between- and within-language switching abilities.

Methods & Procedures

Seventeen bilinguals with aphasia completed a questionnaire and four web-based picture naming tasks: single-language naming in the first and second language separately; voluntary switching between languages; cued and predictable switching between languages; cued and predictable switching between phrase types in the first language. Accuracy and naming latencies were analysed using (generalised) linear mixed-effects models.

Outcomes & Results

The results showed higher accuracy and faster naming for the voluntary switching condition compared to single-language naming and cued switching. Both voluntary and cued language switching yielded switch costs, and voluntary switch costs were larger. Ease of lexical access was a reliable predictor for voluntary language choice. We obtained no statistical evidence for differences or associations between switch costs in between- and within-language switching.

Conclusions

Several results point to benefits of voluntary language switching for bilinguals with aphasia. Freely mixing languages improved naming accuracy and speed, and ease of lexical access affected language choice. There was no statistical evidence for overlap of between- and within-language switching abilities. This study highlights the benefits of free language choice for bilinguals with aphasia.

Abstract

Previous research examining the factors that determine language choice and voluntary switching mainly involved early bilinguals. Here, using picture naming, we investigated language choice and switching in late Dutch–English bilinguals. We found that naming was overall slower in cued than in voluntary switching, but switch costs occurred in both types of switching. The magnitude of switch costs differed depending on the task and language, and was moderated by L2 proficiency. Self-rated rather than objectively assessed proficiency predicted voluntary switching and ease of lexical access was associated with language choice. Between-language and within-language switch costs were not correlated. These results highlight self-rated proficiency as a reliable predictor of voluntary switching, with language modulating switch costs. As in early bilinguals, ease of lexical access was related to word-level language choice of late bilinguals.