Semin Speech Lang 2017; 38(01): 040-051
DOI: 10.1055/s-0036-1597257
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Working Memory in Aphasia: Considering Discourse Processing and Treatment Implications

Amy Henderson
1   Department of Communication Sciences and Disorders, East Carolina University, Greenville, North Carolina
,
Hana Kim
1   Department of Communication Sciences and Disorders, East Carolina University, Greenville, North Carolina
,
Stephen Kintz
1   Department of Communication Sciences and Disorders, East Carolina University, Greenville, North Carolina
,
Nicole Frisco
1   Department of Communication Sciences and Disorders, East Carolina University, Greenville, North Carolina
,
Heather Harris Wright
1   Department of Communication Sciences and Disorders, East Carolina University, Greenville, North Carolina
› Author Affiliations
Further Information

Publication History

Publication Date:
15 February 2017 (online)

Abstract

Evidence suggests that persons with aphasia (PWAs) present with working memory impairments that affect a variety of language tasks. Most of these studies have focused on the phonological loop component of working memory and little attention has been paid to the episodic buffer component. The episodic buffer, as a limited capacity, multimodal system that binds and integrates information from the phonological loop, visuospatial sketchpad, and long-term memory would likely be involved in discourse processing. The purposes of this article were to (1) review discourse level deficits associated with aphasia, (2) describe how a deficit at the level of the episodic buffer could cause such deficits, (3) to review discourse treatment approaches for PWAs, and (4) present preliminary results from a novel discourse treatment study for PWAs.

 
  • References

  • 1 Baddeley A. The episodic buffer: a new component of working memory?. Trends Cogn Sci 2000; 4 (11) 417-423
  • 2 Baddeley A. Working memory: looking back and looking forward. Nat Rev Neurosci 2003; 4 (10) 829-839
  • 3 Baddeley A. Working Memory, Thought, and Action. New York, NY: Oxford University Press; 2007
  • 4 Friedmann N, Gvion A. Sentence comprehension and working memory limitation in aphasia: a dissociation between semantic-syntactic and phonological reactivation. Brain Lang 2003; 86 (1) 23-39
  • 5 El Hachioui H, Visch-Brink EG, Lingsma HF , et al. Nonlinguistic cognitive impairment in poststroke aphasia: a prospective study. Neurorehabil Neural Repair 2014; 28 (3) 273-281
  • 6 Lee B, Pyun SB. Characteristics of cognitive impairment in patients with post-stroke aphasia. Ann Rehabil Med 2014; 38 (6) 759-765
  • 7 McNeil MR, Hula WD, Sung JE. The role of memory and attention in aphasic language performance. In: Guendouz J, Loncke F, Williams MJ, , eds. The Handbook of Psycholinguistic and Cognitive Processes: Perspectives in Communication Disorders. New York, NY: Psychology Press; 2011: 551-578
  • 8 Ween JE, Verfaellie M, Alexander MP. Verbal memory function in mild aphasia. Neurology 1996; 47 (3) 795-801
  • 9 Laures-Gore J, Marshall RS, Verner E. Performance of individuals with left hemisphere stroke and aphasia and individuals with right brain damage on forward and backward digit span tasks. Aphasiology 2011; 25 (1) 43-56
  • 10 Rönnberg J, Larsson C, Fogelsjöö A, Nilsson LG, Lindberg M, Angquist KA. Memory dysfunction in mild aphasics. Scand J Psychol 1996; 37 (1) 46-61
  • 11 Wright HH, Downey RA, Gravier M, Love T, Shapiro LP. Processing distinct linguistic information types in working memory in aphasia. Aphasiology 2007; 21 (6–8): 802-813
  • 12 Wright HH, Shisler RJ. Working memory in aphasia: theory, measures, and clinical implications. Am J Speech Lang Pathol 2005; 14 (2) 107-118
  • 13 Yasuda K, Nakamura T, Beckman B. Comprehension and storage of four serially presented radio news stories by mild aphasic subjects. Brain Lang 2000; 75 (3) 399-415
  • 14 Wright HH, Fergadiotis G. Conceptualising and measuring working memory and its relationship to aphasia. Aphasiology 2012; 26 (3–4): 258-278
  • 15 Repovs G, Baddeley A. The multi-component model of working memory: explorations in experimental cognitive psychology. Neuroscience 2006; 139 (1) 5-21
  • 16 Rudner M, Rönnberg J. The role of the episodic buffer in working memory for language processing. Cogn Process 2008; 9 (1) 19-28
  • 17 Alloway TP, Gathercole SE, Willis C, Adams A-M. A structural analysis of working memory and related cognitive skills in young children. J Exp Child Psychol 2004; 87 (2) 85-106
  • 18 Baddeley A, Wilson BA. Prose recall and amnesia: implications for the structure of working memory. Neuropsychologia 2002; 40 (10) 1737-1743
  • 19 Germano C, Kinsella GJ, Storey E, Ong B, Ames D. The episodic buffer and learning in early Alzheimer's disease. J Clin Exp Neuropsychol 2008; 30 (6) 627-638
  • 20 Gooding PA, Isaac CL, Mayes AR. Prose recall and amnesia: more implications for the episodic buffer. Neuropsychologia 2005; 43 (4) 583-587
  • 21 Kittler P, Krinsky-McHale SJ, Devenny DA. Semantic and phonological loop effects on verbal working memory in middle-age adults with mental retardation. Am J Ment Retard 2004; 109 (6) 467-480
  • 22 Rudner M, Fransson P, Ingvar M, Nyberg L, Rönnberg J. Neural representation of binding lexical signs and words in the episodic buffer of working memory. Neuropsychologia 2007; 45 (10) 2258-2276
  • 23 Foldi NS. Getting the hang of it: preferential gist over verbatim story recall and the roles of attentional capacity and the episodic buffer in Alzheimer disease. J Int Neuropsychol Soc 2011; 17 (1) 69-79
  • 24 Kintsch W, van Dijk TA. Toward a model of text comprehension and production. Psychol Rev 1978; 85 (5) 363-394
  • 25 Wilson BA, Cockburn J, Baddeley AD. The Rivermead Behavioural Memory Test. Suffolk, England: Thames Valley Test Company; 1985
  • 26 Folstein MF, Folstein SE, Fanjiang G. Mini-Mental State Examination: Clinical Guide. Lutz, FL: Psychological Assessment Resources, Inc.; 2000
  • 27 Wechsler D. Wechsler Memory Scale—Revised. San Antonio, TX: Psychological Corporation; 1987
  • 28 Wechsler D. Weschler Adult Intelligence Scale—Revised. New York, NY: The Psychological Corporation; 1981
  • 29 Barsalou LW. Perceptual symbol systems. Behav Brain Sci 1999; 22 (4) 577-609 , discussion 610–660
  • 30 Martin A. The representation of object concepts in the brain. Annu Rev Psychol 2007; 58 (1) 25-45
  • 31 Pulvermüller F. Brain mechanisms linking language and action. Nat Rev Neurosci 2005; 6 (7) 576-582
  • 32 Jefferies E. The neural basis of semantic cognition: converging evidence from neuropsychology, neuroimaging and TMS. Cortex 2013; 49 (3) 611-625
  • 33 Goodglass H. Stages of lexical retrieval. Aphasiology 1998; 12 (4–5): 287-298
  • 34 Coelho CA, Liles BZ, Duffy RJ, Clarkson JV, Elia D. Longitudinal assessment of narrative discourse in a mildly aphasic adult. Clin Aphasiology 1994; 22: 145-155
  • 35 Chapman SB, Ulatowska HK. Discourse in aphasia: integration deficits in processing reference. Brain Lang 1989; 36 (4) 651-668
  • 36 Bond SL, Ulatowska HK, Macaluso-Haynes S, May EB. Discourse production in aphasia: relationship to severity of impairment. The Aphasia Archive. 1983. Available at: http://aphasiology.pitt.edu/archive/00000778/ . Accessed June 2, 2016
  • 37 Gleason JB, Goodglass H, Obler L, Green E, Hyde MR, Weintraub S. Narrative strategies of aphasic and normal-speaking subjects. J Speech Hear Res 1980; 23 (2) 370-382
  • 38 Wright HH, Capilouto GJ. Considering a multi-level approach to understanding maintenance of global coherence in adults with aphasia. Aphasiology 2012; 26 (5) 656-672
  • 39 Fergadiotis G, Wright HH. Global discourse coherence in normal and aphaisic discourse. Paper presented at: New Trends in Experimental Psycholinguistics; September 29-30, 2011; Madrid, Spain
  • 40 Osiejuk E. Discourse exercises in aphasia therapy: a case study. Aphasiology 1991; 54 (4–5): 443-446
  • 41 Goodglass H, Kaplan E, Barresi B. Boston Diagnostic Aphasia Examination. 3rd ed. Upper Saddle River, NJ: Pearson Inc.; 2000
  • 42 Peach RK, Reuter KA. A discourse-based approach to semantic feature analysis for the treatment of aphasic word retrieval failures. Aphasiology 2010; 24 (9) 971-9909
  • 43 Antonucci SM. Use of semantic feature analysis in group aphasia treatment. Aphasiology 2009; 23 (7–8): 854-866
  • 44 Davis GA. PACE revisited. Aphasiology 2005; 19 (1) 21-38
  • 45 Cameron RM, Wambaugh JL, Wright SM, Nessler CL. Effects of a combined semantic/phonologic cueing treatment on word retrieval in discourse. Aphasiology 2006; 20 (2–4): 269-285
  • 46 Avent J, Austermann S. Reciprocal scaffolding: a context for communication treatment in aphasia. Aphasiology 2003; 17 (4) 397-404
  • 47 Penn C, Jones D, Joffe V. Hierarchical discourse therapy: a method for the mild patient. Aphasiology 1997; 11 (6) 601-613
  • 48 Frisco N. Discourse processing treatment for adults with aphasia. . Available at: http://search.proquest.com.jproxy.lib.ecu.edu/docview/1693997872?accountid=10639 . Accessed May 4, 2016
  • 49 Marini A, Andreetta S, del Tin S, Carlomagno S. A multi-level approach to the analysis of narrative language in aphasia. Aphasiology 2011; 25 (11) 1372-1392
  • 50 Marini A, Boewe A, Caltagirone C, Carlomagno S. Age-related differences in the production of textual descriptions. J Psycholinguist Res 2005; 34 (5) 439-463
  • 51 Kertesz A. Western Aphasia Battery—Revised. New York, NY: Grune & Stratton; 2007
  • 52 Lomas J, Pickard L, Bester S, Elbard H, Finlayson A, Zoghaib C. The communicative effectiveness index: development and psychometric evaluation of a functional communication measure for adult aphasia. J Speech Hear Disord 1989; 54 (1) 113-124
  • 53 Biggs JB, Collis KF. Evaluating the Quality of Learning: The SOLO Taxonomy (Structure of the Observed Learning Outcome). Cambridge, MA: Academic Press; 2014
  • 54 Beeson PM, Robey R. Evaluating single-subject treatment research: Lessons learned from the aphasia literature. Neuropsychol Rev 2006; 16 (4) 161-169