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CONCEPTUAL AND LEXICAL ASPECTS OF GESTURE: EVIDENCE FROM APHASIA
U. Hadar and S. Yadlin-GedassyDepartment of PsychologyTela Aviv UniversityRamat Aviv 69978
Israel
Short Title: Gesture in aphasia
-Gesture in Aphasia-
Published in the Journal of Neurolinguistics,8,57-65, 1994Abstract
The patterns of speech-related ('coverbal') gestures were investigated in two
right-handed aphasic patients, one (PA) with a primary deficit in pre-
linguistic, conceptual processing and one (AU) with a primary deficit in
lexical retrieval. For reference, one healthy subject was also studied. Body
movement during speech was monitored and analysed with an advanced,
computerised technique (CODA 3). The physical properties and timing in relation
to speech of gestures of the right arm was used to grade gestures for
specificity of ideational content. Both patients produced a relatively large
amount of gestures, with relatively many content-bearing gestures. The patient
with primarily lexical deficits (AU) produced gestures of greater semantic
specificity than the patient with primarily conceptual deficits (PA). We
conclude that the gestures produced by the patients had different processing
origins according to locus of deficits: PA produced more gestures originating
in conceptual processing and AU more gestures originating in lexical
processing. By inference, we argue, gesture reflects an effort to facilitate
processing in the impaired components.
2
-Gesture in Aphasia-
Introduction
After a fairly long history of ascribing to coverbal gestures primarily
communicative functions (clarifying messages, regulating speaking turns,
communicating attitudes, etc.), recent approaches argue that most gestures
originate in processes of language and speech production (Krauss et al., 1991;
Rime & Schiaratura, 1991). Such gestures are 'speech focused' (Freedman, 1972)
in the sense of being coordinated with either speech rhythm ('beats') or speech
content ('ideational gestures'). However, within approaches that view speech
production as the origin of most gestures, opinions still vary as to the
precise nature of this origin. For example, beats, to which a motor origin was
ascribed by Hadar (1989), were seen as originating in semantic (and sometimes
syntactic) marking by McNeill (1992). Similarly, ideational gestures were seen
as originating in 'motor cognition' by Rime (1983), in conceptual processes by
McNeill (1985) and in lexical processes by Butterworth & Beattie (1978), who
noted that ideational gestures tended to occur during a hesitation pause, just
prior to a content word. It has recently been suggested that ideational
gestures do not have a single processing origin: McNeill (1992) suggested that,
since speech processing is done in parallel, virtually every aspect of
processing may be reflected in gestural behavior. Hadar & Butterworth (in
press), who hold that processing components are fairly separable, suggested
that ideational gestures may originate either early in processing, when the
message to be conveyed is prepared for linguistic formulation ('conceptual
3
-Gesture in Aphasia-
gestures'), or later, when linguistic processes are fairly advanced, on
occasions in which the retrieval of lexical items momentarily fails ('lexical
gestures').
Another controversial issue among speech productive approaches to gesture
regards their function. While Dittman & Llewellyn (1969) and Dittman (1972)
suggested that gestures dissipated excess energy, Rime (1983) suggested that
gesture facilitated the cognitive processes that underlie speech by allowing
'motor cognition' to process some of the material required for message
construction. McNeill (1985) argued that gestures operated in parallel to
speech (implying no facilitative role of any kind) while Morrel Samuels &
Krauss (1992) suggested that gestures facilitated lexical retrieval by a kind
of motor/conceptual priming. Butterworth & Hadar (1989) and Hadar & Butterworth
(in press) suggested that gesture reflected the facilitation of lexical
retrieval on conceptual, semantic and phonological levels. In their view
gesture was a byproduct of cognitive facilitation taking place in way of
imagistic activation.
Evidence from aphasia may, prima facie, be pertinent to the recent processing
approaches: if gestures are linked to linguistic and speech processes then,
surely, the disturbance of these processes should have implications for gesture
production. Indeed, aphasia studies were cited by the various approaches in
support of their ideas. Cicone et al. (1979) brought evidence which suggested
4
-Gesture in Aphasia-
that gestures and speech operate in parallel: the impairment of one was
associated with impairment in the other. They claimed, for example, that
Broca's aphasics, who have a reduced fluency, also showed reduced incidence of
gesture. Similarly, McNeill (1985) also noted reduced gesture rate in Broca's
aphasia and developed further the idea that gestures and speech are processed
in parallel. Feyereisen (1983), however, showed that this reduced incidence
only held when measured against time. Measured against speech rate, Broca's
aphasics actually had higher incidence than healthy controls. Feyereisen's
(1983) observation was supported by Hadar (1991b). It appeared that, viewed in
relation to speech, the data from Broca's aphasia actually suggested a
compensatory increase in gesture production. The compensatory nature of gesture
production in Broca's aphasia was also supported by Hanlon et al. (1990), where
the production of gestures specifically facilitated the retrieval of words.
Cicone et al. (1979) also suggested that impaired semantics in speech
production was associated with impaired processing of gesture semantics. They
found that while in Broca's aphasia gestures were judged to clearly show in
their form aspects of speech content, this was not the case in Wernicke's
aphasia, where semantic processing was impaired. This point was again supported
in studies reported by McNeill (1992) who argued that paralleleity of
processing did not apply only to incidence, but also to semantics: semantic
impairment in speech was associated with semantic impairment in the shaping of
gestures. Here, again, controversy developed. Impaired processing of verbal
5
-Gesture in Aphasia-
semantics may, on its own, create mis-matches between speech content and
gesture form (Feyereisen & Lannoy, 1991). It is clearly possible that gesture
production processes are intact despite a lack of congruity between gesture
form and speech content (Butterworth & Hadar, 1989).
Hadar & Butterworth (in press) suggested that ideational, content bearing
gestures may originate either early in processing, during pre-linguistic
message construction (to use Garrett's (1984) terminology) or late in
processing, during lexical search. They argued that the two kinds of ideational
gestures (conceptual and lexical) could be distinguished in a number of ways.
First, by contrast to beats, which tend to be short and simple, ideational
gestures were wide and complex. Complexity was defined as the number of linear
components making up the gesture. Second, ideational gestures originating in
conceptual processes tended to occur at phrase initial positions, while
gestures originating in lexical search tended to occur immediately before the
lexical item to which they affiliate. The reason for this was that gestures
were initiated immediately following their computation. When this happened
during conceptual processing the related linguistic structure (phrase or
sentence, on most current accounts, but see Garrett, 1984) was not yet ready
for articulation and could only be articulated later in time. Gestures of
lexical origin, on the other hand, were computed immediately prior to the
production of the searched-for word and so would start at that point in time.
Thirdly, gestures of lexical origin tended to occur during a hesitation pause,
6
-Gesture in Aphasia-
just prior to a content word, while gestures of conceptual origins did not. In
both cases, the argument went, gesture reflected the facilitation of
processing, but since conceptual construction was not in a one-to-one relation
with articulation (much of it was done off line), processing difficulties did
not necessarily show in a hesitation pause (rather than low rate or inaccurate
formulation). Difficulties in lexical retrieval, on the other hand, did occur
on-line and therefore showed in a hesitation pause prior to a content word.
The above characterisation of the difference between the two types of
ideational gestures may be tested by evidence from aphasia. Conceptual
deficits, we argue, should result in compensatory increases in conceptual
gestures. They should therefore associate with a relatively high incidence of
ideational gestures occurring in the middle of speech and not necessarily prior
to content words. By contrast, lexical deficits should result in compensatory
increases in lexical gesture, that is, be associated with ideational gestures
occurring in proximity to a hesitation pause, just prior to a content word.
These points were tested in the present study.
Methods
Subjects: Subjects were two right-handed aphasic patients with CVA affecting
the left middle cerebral artery, whose CT scans showed damage in temporo-
7
-Gesture in Aphasia-
parietal regions. Both patients had 12 years of education. AU was a 73 year old
woman and was 17 months post CVA at the time of the experimental session. PA
was a 58 year old man, 13 months post CVA. For reference, we also present data
taken from MA, a 59 year old, right-handed, healthy woman whose speech rate and
level of gesture production was midway between AU and PA (see 'Results' below).
The aphasic patients underwent language assessment which started about 2 months
prior to the experimental session, and continued for about one month after it.
The performance of AU on language input tests showed intact input processing.
She succeeded in 30 of 30 items in a test of phonological discrimination,
requiring the determination of whether or not two spoken words were identical.
AU succeeded in 44 of 47 items in a test requiring the matching of one of four
written words to a spoken word, where all written words were phonologically
close to the target, but only one matched it. She succeeded in 40 of 40 items
in a test requiring the matching of a picture to a spoken word. In a test of
lexical semantics, requiring the identification of the odd word out of four,
three of which belonged to the same semantic category while the fourth did not,
AU succeeded in 18 of 20 items. She performed correctly in 59 of 60 items in a
test requiring the determination of whether stimuli sentences, presented in
spoken form, were acceptable ('acceptability judgement'). Sentences could be
rejected on either syntactic ('John will leaving tomorrow') or semantic ('the
shoe painted the house') grounds. On the test for the recognition of grammar
(TROG), which is a subtle sentence comprehension test (Bishop & Byng, 1984), AU
8
-Gesture in Aphasia-
succeeded in 77 of 80 items.
The performance of AU on language tests involving speech production showed
selective deficits. She repeated correctly 20 of 20 spoken words, and 17 of 20
spoken non-words. In a task requiring the production of a word which rhymes
with a spoken target AU succeeded in only 19 of 30 items. On a test of
spoonerism, requiring to exchange the first phoneme in two words (eg, respond
with 'lail mist' to the target 'mail list'), AU succeeded in 6 of 20 items. In
a test of semantic word fluency, requiring the production within 90 sec of as
many words as possible in a given category, AU produced 20 animal names, 17
place names and 16 food names. In a phonological word fluency test, which is
similar to the above test, but where the task is specified by first sound, AU
produced 10 words starting with /S/, 9 starting with /M/ and 8 starting with
/K/.
On the Boston Naming Test (Borod et al, 1980), requiring the naming of pictures
of different difficulty, AU succeeded in 36 of 60 items. For the 24 items she
failed to name in her first attempt, AU was given a phonemic cue (the first
sound of the target name) and this resulted in correct naming in 13 items. In 7
of the 11 remaining items, AU produced a semantic approximation of the target
(eg, 'handle' for 'knocker', 'bolt' for 'latch', etc.), and in the remaining
4 items she made phonemic errors on 1-2 phonemes. On a picture naming test for
highly familiar words, AU succeeded in 86 of 100 items. Eight of her 14 errors
9
-Gesture in Aphasia-
were phonemic, and 6 were semantic approximations. On a sentence completion
test, requiring the production of a familiar word that completed a short spoken
sentence (eg, 'Snow usually falls in the' ... 'winter'), AU succeeded in 20 of
20 items.
The above profile of linguistic performance, which may also be seen in Table 1,
where her language performance is summed up and juxtaposed to PA's language
performance, clearly suggests that the primary deficit in AU's language
processing dwells in word retrieval: she showed no language input deficit on
either phoneme, word or sentence levels, but had clear picture naming problems.
These problems, it seems, originate in phonological processing: she performed
poorly on the rhyming test, failed to produce spoonerisms, and was weaker on
the phonological than on the semantic word fluency test. She often produced
phonemic errors in naming, and always indicated that she accessed the semantics
of the target word. Her success on the sentence completion test is also
consistent with context effects which often characterise anomia of a
phonological origin (Hadar et al., 1987).
{Table 1 about here}
The performance of PA on language input tests showed selective deficits. While
he showed normal, if less than perfect performance on phoneme and word levels,
he showed clear deficits on sentence and passage levels. On the test of
10
-Gesture in Aphasia-
phonological discrimination PA succeeded in 25 of 30 items; on the test of word
picture matching he succeeded in 37 of 40 items; however, on the TROG he
succeeded on only 33 of 80 items (and 12 of the 33 successes were word-level
items). On a test that reverses the TROG, when one of 3 sentences describing a
simple scene has to be matched with a picture, PA succeeded in 17 of 30 items.
On the sentence acceptability test PA succeeded in 38 of 60 items, making both
false positive and false negative errors, as well as both semantic and
syntactic errors. On a test of associations based on knowledge of the world,
where he was asked to match one of two pictures with a target picture
('Pyramids and Palm Trees'), PA succeeded in 51 of 52 items.
PA showed deficits on all output tests, though these were more marked on
sublexical than on lexical levels. On word repetition, PA succeeded in 9 of 20
items and on non-word repetition he succeeded in 6 of 20 items, his errors
being phonemic in more than 90% of cases. In reading words he succeeded on 15
of 20 items, but in reading non-words he succeeded on 3 of 20 items, again
making primarily phonemic errors. In spontaneous speech, however, PA made only
few extensive phonemic errors: in telling the Cinderella story he produced only
6 non-words as compared with a total production of 169 words. On the Boston
Naming Test, PA succeeded in 26 of 60 items, again making primarily phonemic
errors (he failed to retrieve any word in 12 of his failures, and made phonemic
errors in 22 of his failures).
11
-Gesture in Aphasia-
The above profile of linguistic performance suggests that PA's deficits
originate primarily in two stages of processing: sentence level semantics and
sublexical phonology, with lexical level processing being relatively preserved.
Thus, on input tasks, PA succeeded in over 80% of test items in phonemic
discrimination and word-picture matching, but in less than 65% of items in
acceptability judgement and less than 40% in sentence comprehension.
Nevertheless, he had well preserved semantic associations (based on knowledge
of the world). While impairment was seen in all of PA's output tasks, these
were relatively low on lexical level: his naming, word reading and word
repetition were over 40% correct, while his non-word reading and repetition
were under 30% correct. Moreover, most of PA's lexical level errors were
phonemic (though quite extensive at times).
Apparatus: Subjects's coverbal movement was monitored and analysed with a
computerised system called CODA-3. The movement monitoring system located small
lightweight prismatic markers attached to the subjects by tape, computed their
3-D position by triangulation and output this data at 300 Hz. No physical
connections between the subjects and the signal processing apparatus were
required, but a clear light-path to each marker was necessary (Mitchelson,
1975).
A 640K IBM XT microcomputer (PC) with a 20 megabyte hard disk, enhanced color
graphics and math co-processor acted as CODA-3 controller as well as user
12
-Gesture in Aphasia-
control interface, loading software programs from discs and in EPROM memory to
the microprocessors of CODA-3. The PC received and stored data from CODA-3, as
well as determined such parameters of the stored data as temporal and spatial
resolution, point of reference, threshold values, etc. The PC can analyze the
stored data: display graphs of coordinates against time, coordinate against
coordinate and stick diagrams of joined markers against time. It also allows
selection by movable cursor of any point on display and can print its time
relative to onset, position relative to a selected reference, acceleration and
velocity.
To be able to obtain data from both arms, subjects were viewed from behind,
with the target markers placed on each upper arm and the back of the head
(Hadar et al., 1989a). An analogue form of the output of the marker located on
the head was stored on a 4-channel instrumentation recorder (Tandberg series
100) alongside and in synchrony with speech. Digital output was stored on the
hard disk at 100 Hz in 64K files, each file representing 13 sec. in real time.
The beginning of each file was marked on the analog record.
Procedure: An experimental session was conducted, in which subjects sat on a
classroom chair with no arms support, about 4m away from CODA-3. They sat with
their back to CODA-3, facing the interviewer who sat at a distance of about 2m
from them. A microphone was placed at chest level, about 20 cm in front of the
subject's knees, and was directed toward the subject (Hadar et al., 1991a).
13
-Gesture in Aphasia-
The markers were attached and the subjects were encouraged to move their arms
and head to enhance habituation. Subjects were told that the experiment was
designed to monitor their movements during an interview. They were asked to
offer generous verbal responses to the interviewer's questions. An interview
was then conducted on low emotionality issues, where subjects were asked
informative questions about their work, family, hobbies etc. Interviews lasted
20 to 30 minutes.
Data Analysis: For analysis, movement in one plane was plotted against time on
the computer's monitor. A preliminary investigation (Hadar, 1991a) showed that
movement as reflected in the X coordinate (horizontal plane) highly correlated
with that of the Y axis (vertical plane) and was usually of greater amplitude.
Therefore the X coordinate was chosen for the purpose of this research. A
vectorial component (VC) was defined as the segment of movement bounded by 2
extrema (points of change of direction, seen in the chart as a peak or a
trough). A movement was defined as a set of VCs bounded by, but not containing,
VCs of smaller velocity than 10 mm/sec. This value was found to distinguish
voluntary movement from involuntary postural sway in preliminary studies
(Hadar, 1991a).
Analyses were performed on a sample of 4.2 min, stored on 20 successive
computer files, each covering 13 sec of conversation. Files selected contained
14
-Gesture in Aphasia-
periods of listening whose cumulative duration was less than 5 sec, that is,
they consisted of at least 60% speaking time. Across files, speaking time was
at least 80%. Potentially ideational movements (PIMs) were defined as right-arm
gestures having at least one VC of greater amplitude than 10 mm (and, from the
definition of 'movement', of greater velocity than 10 mm/sec). This value was
found to distinguish narrow from wide movements (Hadar, 1991a). The 4.2 min
records produced an average of 30-40 PIMs, that is, the incidence of PIM was 7-
10 per min.
The recorded PIMs were sub-divided into two groups: 1) those in which the
movement pattern of the right arm was different from that of the left arm or
the head and consisted of two or more VCs; 2) those which showed similar
patterns between the left and the right upper arms, and/or possessed only one
VC. These criteria were considered to represent the distinctness and complexity
of PIMs (respectively). In accordance with the considerations of the
Introduction (above), the distinct and complex PIMs (group 1) were thought
highly probable of having ideational content. They were therefore called
'ideational gestures' (IGs).
The speech of the subjects during the 4.2 sec sample was transcribed on paper
from tape recordings of the interview. The transcription included false starts,
truncated words, hesitation pauses and their duration, etc. As a result it was
possible to reconstruct not only the text of the subjects' talk, but also the
15
-Gesture in Aphasia-
related prosodic and phrase structure (boundary, continuity, repetition and
other phrase level parameters).
The timing of IGs in relation to speech was determined and classified into one
of the following categories: a- 'lexical' were IGs which started during a pause
just prior to a content word (verb, noun, adjective, etc.); b- 'conceptual'
were IGs starting during fluent speech or during a pause adjacent to a function
word; c- 'indeterminate' were IGs which could not be classed in any of the
above (e.g., during a pause followed by a circumlocution).
Results
In the following account, the number of degrees of freedom for computing
significance values is assumed to be 1, unless otherwise stated. The first set
of research hypotheses concerned the rates of movement of patients relative to
the control subject. The motivation for choosing MA as control was that her
verbal production was midway between PA and AU and overall incidence of
movement was similar to that of PA and AU, as seen in a previous study (Hadar,
1991b). Indeed, the total verbal production over the sampled data was 522 words
in MA, 715 in PA and 401 in AU. The total number of words was greater in PA
than in both of the other subjects [X2(PA,MA)= 30.11, p<0.001; X2(PA,AU)=88.35,
p<0.001] and smaller in AU than in MA [X2(AU,MA)=15.86, p<0.005]. This is
16
-Gesture in Aphasia-
clearly consistent with patients' diagnosis (in terms of locus of language
deficit). The incidence of movements, across body parts and planes, was 73.8
VCs/min in MA, 75.9 VCs/min in PA and 83.6 VCs/min in AU. Since incidence
(Hadar, 1991b) ranged from 43.4 to 107.6 VCs/min in a group of 6 healthy
controls (mean=70.6 VCs/min), our subjects were well within the normal range,
though somewhat above the mean. Specifically, the incidence of right-arm VCs in
the X axis was 71.7 VCs/min for PA, 102.1 VCs/min for AU and 76.9 VCs/min for
MA. These values were again mid-range, since the 6 healthy controls gave a
range of 41.2-114.7 VCs/min in the X plane of the right arm. Here again, the
present subjects showed somewhat higher incidence than the mean of the controls
(71.2 VCs/min). At the above rates, the total right-arm production over the
sampled data ('total number of VCs' in Table 2) showed greater values for AU
than for the other two subjects, who were not different between them
[X2(AU,MA)=14.01, p<0.001; X2(AU,PA)=21.12, p<0.001; X2(MA,PA)=0.74, NS].
{Table 2 about here}
We now wanted to see whether the picture would change when short movements
(probably beats) were taken out, leaving only movements that were potentially
ideational (PIMs). As can be seen in Table 2, the total number of PIMs largely
reflected the total production rates, with AU showing higher incidence than
both of the other subjects, who were not different between them
[X2(AU,MA)=5.88, p<0.025; X2(AU,PA)=5.03, p<0.025; X2(MA,PA)=0.03, NS]. However,
17
-Gesture in Aphasia-
the complexity of PIMs (measured by VCs per movement) was markedly higher in PA
(2.8 VCs/PIM) than in either AU (1.7 VCs/PIM) or MA (1.8 VCs/PIM). This was
reflected in the percentage of VCs-in-PIMs in total VCs, which was higher in PA
than in both of the other subjects, who were not different between them
[X2(PA,MA)=6.45, p<0.025; X2(PA,AU)=5.06, p<0.025; X2(AU,MA)=0.09, NS]. The
combined effect of highly complex PIMs in PA and high incidence PIMs in AU was
that the total production of right-arm movement ('number of VCs-in-PIMs' in
Table 2) was lower in the control subject than in both patients, who were not
significantly different between them [X2(AU,MA)=7.94, p<0.005; X2(PA, MA)=14.51,
p<0.001; X2(AU,PA)=1.02, NS].
The rate of gesture production relative to linguistic production (measured in
VCs-in-PIMs per word, Table 2) was higher in the anomic patient (AU) than in
both other subjects, who were not significantly different between them
[X2(AU,MA)=24.60, p<0.001; X2(AU,PA)=17.41, p<0.001; X2(PA,MA)=1.77, NS]. The
ratio of VCs in PIMs per minute was higher in both aphasic patients than in MA
[X2(PA,MA)=7.94, p<0.05; X2(AU,MA)=14.54, p<0.01], but not significantly
different between the patients [X2(AU,PA)=1.02].
Following the above investigation, data related to putative semantic and
pragmatic functions of gestures were analysed according to both the physical
features of movement and its timing relative to speech. This data is presented
in Table 3. AU had significantly more IGs than both the other subjects, but MA
18
-Gesture in Aphasia-
had more IGs than PA [X2(AU,MA)=5.33, p<0.025; X2(AU,PA)=15.36, p<0.001;
X2(MA,PA)=2.81, NS]. This was reflected in the percentage of IGs in PIMs, which
was significantly higher in both AU and MA than in PA [X2(AU,PA)=6.90, p<0.005;
X2(MA,PA)=5.66, p<0.01] and similar between AU and MA [X2(AU,MA)=0.06, NS].
Table 3 also shows that AU had the greatest number of lexical IGs, whereas PA
had the smallest and MA an intermediate number [X2(AU,MA)=11.52, p<0.001;
X2(AU,PA)=24.03, p<0.001; X2(MA,PA)=3.77, p<0.06]. These differences become even
more marked when the proportion of lexical in total IGs is examined
[X2(AU,MA)=8.69, p<0.005; X2(AU,PA)=24.39, p<0.001; X2(MA,PA)=4.91, p<0.05].
Since the number of indeterminate IGs was very small, the picture regarding
conceptual IGs is the inverse of the above, with PA showing the highest
proportions, AU the lowest and MA intermediate proportions (Table 3).
Discussion
Given that the overall level of movement of our subjects was within the normal
range, though somewhat above average, the crucial data regarding the research
hypotheses concerned the intrinsic distribution of these movements. The picture
regarding PIMs was rather mixed: AU showed higher incidence, but this only
reflected her overall higher level of movement. PA, on the other hand, had
distinctly more complex PIMs, so that when the level of production of PIMs was
19
-Gesture in Aphasia-
measured in number of VCs, both patients gave higher values than our control.
Although this pattern was sustained when VCs-in-PIMs were measured against
time, we must conclude that the data regarding incidence and proportion of PIMs
did not show a clear pattern of dissociations. The picture changed, though,
when PIMs were measured against linguistic production. Here AU showed markedly
higher proportion of PIMs per word than both of the other subjects, which
offered the first clear indication of a relationship between problems in word
retrieval and the production of PIMs. This indication was amplified and
specified as the ideational nature of the movements was focused upon.
AU had a greater number (and a higher proportion relative to PIMs) of IGs than
both of the other subjects, and MA showed greater values than PA. This suggests
that difficulties in word retrieval are more likely to generate IGs than
conceptual difficulties, an issue which remained open in Hadar & Butterworth
(in press), but is in line with the position held by Butterworth & Beattie
(1978) and Butterworth et al. (1981). Compatible with the present hypotheses is
the relative incidence of lexical and conceptual IGs: AU produced a markedly
higher proportion of lexical IGs than PA, while the converse held for
conceptual IGs, with MA showing intermediate proportions. This offers probably
the strongest support for the thesis of differential origins for the two kinds
of ideational gestures, as well as to the thesis of processing facilitation.
We find it remarkable that MA held intermediate values along the lexical-
20
-Gesture in Aphasia-
conceptual continuum. This implies, in the present line of thought, that she
produced both lexical and conceptual gestures, each facilitating the processes
in which they respectively originate. While a single control subject does not
determine a norm, MA was matched with our two patients and gives a combination
of results that supports the internal validity of her choice as control.
The mechanism through which ideational gestures facilitate processing is not,
of course, constrained by the present results. We still have the possibility of
either motor-semantic priming (Morrel Samuels & Krauss, 1992) or imagistic
activation (Hadar & Butterworth, in press) or both. The idea of motor-semantic
priming has the advantage of building upon a mechanism which is well researched
in the study of lexical processing, namely, semantic priming (e.g., Forester,
1990). This idea is supported by findings showing that action verbs are
particularly likely to be accompanied by gestures (Krauss, 1992), though more
data are required to confirm this observation. However, there are some
difficulties with the motor-semantic priming hypothesis. Firstly, it is not
clear which kind of representation actually acts as a prime. There are two
possibilities here, one of abstract motor schemata (Schmidt, 1975) and one of
kinesthetic/proprioceptic representations. The crucial evidence for deciding
between these possibilities is whether the gesture actually has to be performed
for facilitation to occur: if it does, than the likely prime is
kinesthetic/proprioceptic, while if it does not, the likely prime is the
abstract action schema. The relevant evidence, gleaned primarily from studies
21
-Gesture in Aphasia-
on the effects of immobilization on the content of speech, is still
inconclusive (Rime & Schiaratura, 1991). Secondly, it is not obvious how
motor/semantic priming could apply to lexical gestures, which are probably
triggered after the semantic selection has been performed (Butterworth & Hadar,
1989). Indeed, Rime (1983) ascribes the activation of motor-semantic
representations a primarily conceptual, probably pre-linguistic, function.
Still, it is possible that gestures are only triggered on those cases in which
the lexical failure initiates a search for a different word. In this case,
gesture could facilitate the semantic-lexical selection of the substitute word.
The testing of this possibility could be attempted if a way could be found to
separate retrieval failures which force semantic re-selection from those that
do not. It could then be determined whether cases in which the retrieved word
was different from the original target correlate better with ideational
gestures.
Imagistic activation, as Hadar & Butterworth (in press) suggest, could act
post-semantically as well as conceptually, especially if it transpires that in
selected cases images may be associated with phonological forms. In this
approach, gesture is an artifact of imagistic activation (just as lip movement
is an artifact of reading) and therefore immobilisation should not affect
either the content or the lexical fluency of speech. Also, this mechanism
should equally implicate action verbs, shape names and concrete (object) names,
so failure in selection of any of these should have equal probability of
22
-Gesture in Aphasia-
producing a gesture.
Evidence from brain damaged person could help decide between these competing
mechanisms. If facilitation involves motor-semantic priming, then disorders
affecting gestures, such as limb apraxia (Feyereisen & Lannoy, 1991), should
also affect word retrieval in spontaneous speech (by increasing the length of
hesitation pauses). However, word search in patients with selectively impaired
visual imagery (see, for example, Kosslyn, 1990) should not be affected. The
converse, of course, should hold if the mechanism producing gestures is
mediated by visual imagery. Future research along these lines may help resolve
this issue.
23
-Gesture in Aphasia-
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Table 1: Summary of performance of AU and PA on those language tests which they
both performed, presented as number of correct responses/total number of test
items and, in brackets, % correct of total items.
Test AU PA
Phonological discrimination 30/30 (100%) 25/30 (83.3%)
Word-picture matching 40/40 (100%) 37/40 (92.5%)
Acceptability judgement 59/60 (98.3%) 38/60
(63.3%)
TROG (exclusive of single-word items) 65/68 (95.5%) 21/68
(30.9%)
Repetition of words 20/20 (100%) 9/20 (45.0%)
Repetition of non-words 17/20 (85.0%) 6/20
(30.0%)
Naming 36/60 (60.0%) 26/60 (43.3%)
29
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Table 2: Overall movement rates and proportions specified by subjects and
movement categories. Data presented are totals over the sampled data (4.2 min
of speech).
S U B J E C T S
Movement variable MA PA AU
Number of PIMs 57 59 86
Total number of VCs 307 286 407
Number of VCs in PIMs 105 168 150
Number of VCs per PIM 1.8 2.8 1.7
The proportion of VCs-in-PIMs in total VCs 34.2% 58.7% 36.8%
The ratio of VCs-in-PIMs per word 0.201 0.235 0.374
VCs-in-PIMs per minute (rounded) 25 41 36
30
-Gesture in Aphasia-
Table 3: Ideational gestures (IGs) and their timing in relation to speech.
S U B J E C T S
Movement variable MA PA AU
Number of PIMs 57 59 86
Number of IGs 42 28 66
The proportion of IGs in PIMs 73.7% 47.5% 76.8%
Conceptual IGs 30 23 29
Lexical IGs 10 3 32
Indeterminate IGs 2 2 5
The proportion of lexical in total IGs 23.7% 10.7% 48.8%
31