1. Introduction
Many studies have attempted to scrutinize sentential parsing in Broca’s patients. Despite these abundant reviews of literature, there has still been some controversy regarding both the nature and extent of the deficit. To explain this type of controversy, some important theoretical accounts have emerged. Some interactive views of agrammatism proposed a constraint-satisfaction model of sentence processing expressing that once a required syntactic, semantic, or morpho-syntactic condition is met, the person would commence automatically comprehending the sentence (
Frazier, 1995;
Grodzinsky & Finkel, 1998;
Omazic, 2008;
Seidenberg & MacDonald, 2001). For example, the trade-off hypothesis proposes that in some syntactic structures, the parser does not need to analyze the whole sentence from the first linguistic element to the last. For her, it is sufficient as long as the processing needs are in question, which could allow her to make an accurate or acceptable judgment. As a result, holding a very general account of the nature of the processing in Broca’s patients, they assign their deficit to the performance (
Evans, Hula & Starns, 2019;
Frazier & Friederici, 1991;
Ferrill et al., 2012;
Haarmann, 1993;
Haarmann & Kolk, 1991;
Kolk & Van Grunsven., 1985).
The second theoretical account unlike other views, the trace deletion hypothesis, which has a very narrow and restrictive explanation of the nature of the grammatical deficit in Broca’s aphasia, attributing the nature of the deficit to the malfunction of the grammatical module of the language and adopting some important theoretical notions from grammar and transformational theory of Noam Chomsky and more specifically his government and binding’s (GB) theory (
Chomsky, 1982,
1993). Grodzinsky and his proponents have attempted to attribute Broca’s aphasics’ inappropriate performance to their incapability of co-indexing traces and their original positions in the sentence holding the longer the chain and the sentence comprehension becomes more problematic. They emphasize that these lexical nodes co-indexed with their antecedents are either governed or bound (
Beretta & Munn, 1998;
Grodzinsky, 1983,
1995,
2000;
Grodzinsky, et al., 2000;
Hickok., et al., 1993).
However, the mapping hypothesis unlike the two former theories has proposed that neither pure competence nor a sheer performance model of syntactic processing could plausibly justify Broca’s patients’ behaviors in different tasks. That is, this model analyzes an individual’s parsing at two stages. At the first syntactic level, there seems to be no significant deficit in aphasics’ performance. However, in the second stage, subjects’ poor performance would evince while trying to assign semantic roles to the syntactic positions in the sentence. Henceforth, followers of this theory have claimed that their subjects would not have any problems in tasks entailing grammatical judgments of the sentences due to the involvement of less cognitive load. Yet, in tasks, in which particular mapping is required for the plausible interpretation of the sentence, namely, sentence-to-picture matching task, their problems would emerge (
Cho-Reyes & Thompson, 2012;
Dragoy & Bastiaanse, 2010;
Garraffa & Grillo, 2008;
Linebarger, 1995;
O’Grady & Lee, 2005;
Piñango, 2000;
Schwartz, et al., 1995;
Schwartz., et al., 1985).
This research, being the first in the Persian context, tried to investigate the performance of Persian-speaking Broca patients within the framework of the mapping hypothesis. Our motives for conducting this research are multifold:
First, having considered the existing controversy in the literature regarding the nature of deficit, this study attempted to analyze Broca’s performance on sentence parsing within the framework of the mapping hypothesis and in doing so, it aimed at testifying the validity of the predictions of the aforementioned model.
Second, unlike most former studies (
Byng, 1988;
Caplan et al., 2007;
Meyer & Thompson, 2012;
Wassenaar & Hagoort, 2007), adopting some methodological changes, this study combined two different grammatical judgment and sentence-to-picture matching tasks to increase the validity of the research and testify more efficiently the predictions of mapping hypothesis given its proposed double stage syntactic semantic model.
Third, it is noteworthy to mention that as of now although there have been only a few studies in the Persian context analyzing the performance of Broca’s aphasics in sentence comprehension (
Mehri, et al., 2016;
Nilipour, 2000;
Raghibdoust, 1999), they have neither attempted to utilize mapping hypothesis for the justification of subjects’ performance nor did they combine diverse tasks for the explanation of their subjects’ comprehension (
Salehnejad & Shekaramiz, 2016;
Shiani et al., 2019) casting doubt on the validity of their research. Given these considerations, the necessity of conducting this research in a Persian setting seems compulsory and essential to depict a more realistic picture of the nature of grammatical deficits in these patients.
Fourth, this study also tried to investigate the probable impact of language typology via testifying subjects’ performance on syntactic structures of Persian, which are mainly different from those of European languages. That is, in Persian as a so-called subject–object–verb (SOV) language, the dependent constituent precedes the verb in contrast with languages like English, in which the reverse concatenation pattern is the case. Moreover, unlike English and most European languages, bearing fixed syntactic structures, Persian has a rather floating structure meaning under certain circumstances for pragmatic and discoursal implications, the aforementioned SOV canonical order might change and another alternative category arrangement might be employed by the speakers (
Karimi, 2003,
2008). It could be predicted that variations in syntactic arrangements of the linguistic elements might unconsciously affect Broca’s patients’ performance even in tasks, in which canonical syntactic structures of Persian have been utilized for the purpose of analyzing aphasics’ comprehension. The significance of this typological difference would become more prominent, more specifically, in the mapping hypothesis as it is more vividly in this theory that the specific arrangement of linguistic elements would play a crucial role in subjects’ interpretation and its disruption would culminate in misinterpretation of the sentence.
Ultimately, regarding the scope of Broca’s aphasics in Iran, suffering comprehension problems, which would distort their interaction with healthy subjects, this research, having scrutinized the extent and nature of grammatical deficit in patients, attempted to provide some linguistic clues for the speech therapists or neuropsychologists whereby they could propose more effective styles of communication for the caregivers or patients’ relatives whereby they could more efficiently negotiate and interact with their patients and thereafter via designing a much more satisfactory style of living to boost their life expectancy.
2. Materials and Methods
Subjects
Having analyzed the neuropsychological profile of each of the patients and reviewed their medical records as exhibited by CT scan, Electroencephalogram (EEG), and other neuropsychological tests, four age-, education-, and age-matched aphasics and eight healthy individuals as our control group were recruited. Also, their auditory, tactile, and visual fields were reported to be normal. None of them was ambidextrous and they were neither left-handed nor had family background exhibited possessing these properties. Noteworthy to say, written consent proving patients’ satisfaction to participate in the tasks was taken. In
Table 1, the lesion descriptions of each patient are presented. Concerning our selected sample, it should be asserted that they were all male having an age range of 51 to 64 years. Moreover, for their educational background, they had achieved at least a diploma.
Our diagnostic tool for assessing aphasia type was Boston Diagnostic Aphasia Examination (
Goodglass and Caplan, 1972). Having translated and confirmed the test in Persian testifying its reliability and validity, we utilized it to screen our subjects’ aphasia type. Furthermore, the review of the neuroradiology of patients corroborates our evaluation demonstrating our classification was in line with the classical Broca’s type. The common characteristics of all patients were their effortful, telegraphic, and ungrammatical as well as their rather intact syntactic comprehension capabilities. This observation is not surprising given the fact that it has been scientifically proven that agrammatism is typically a syndrome of aphasia patients (Tesok & Code, 2008).
Noteworthy to mention, though the lesion site description of each Broca patient has been presented, as Ingram asserted no designated and compartmentalized lesion site could culminate in agrammatism and it has been scientifically attested that interaction of cell assemblies is involved in this syndrome. Thus, the properties of agrammatism could well be defined via psycholinguistic tests rather than clinical observations (
Ingram, 2007). Taking this important scientific consideration, we could understand more of the nature of agrammatism in Broca’s aphasia patients by conducting a syntactic comprehension test, and why administering such a test could be fruitful.
Procedure
Grammaticality Judgment task
Totally, a hundred and twenty sentences of six group types were presented to the subjects. The first type included those sentences, in which the subject is regarded as the agent of the sentence (agentive type). For example, “Ali sib ra xord” is rendered in English as “Ali ate the apple”. An important typological property worthy of consideration here is that Persian belongs to OV or head-final group of languages- unlike English categorized as a VO or head initial group of languages- meaning it is the object, which precedes the verb in the canonical syntactic structure. The second group of sentences included agentive passive structures, in which the semantic role of the patient or theme or logical object that occupies the initial subject position of the sentence and the original subject is moved to the preverbal position of the sentence “ketab (tavassote mard) neveʃte ʃod” rendered in English as “the book was written (by the man)”.
In Persian, unlike English, agentive by-phrase occurs in the pre-verbal position, which could also be optionally deleted. The third group of sentences includes subject cleft constructions, in which the main verb follows the subject observing the canonical syntactic structure. For example, “Ɂin doxtar bud ke sib ra xord” is rendered in English as “It was this girl who ate the apple”. The fourth group includes object cleft structure, in which unlike subject cleft, canonical linear syntactic structure is disrupted in a way that it is the object rather than the subject, which occupies the initial position of the sentence. For example, “Ɂin pesar bud ke doxtar donbalesh kard” is rendered in English as “It was the boy who the girl followed”. The fifth group includes the subject experiencer type. Possessing psychological predicates, these sentences encompass those structures, which unlike the default syntactic structure, in which it is common that the subject occupies the semantic role of agent, deviate from the norm in the way that the entity psychologically affected by a specific stimulus would occupy the subject position of the sentence. For example, “Kudak az gorbe tarsid” is rendered in English as “The baby feared the cat”. Finally, the last group includes object experiencer verbs. These structures, compared to the subject experience verbs, deviate even more from the canonical linear heuristics in the way that it is the less default and remote object in the syntactic structure, which substitutes for the subject. For example, “Mard zan ra tarsand” is rendered in English as “The man frightened the woman”.
Syntactic comprehension task
For the purpose of evaluating our subjects’ performance on the syntactic comprehension test and their capability to assign thematic roles to the noun phrases, a figurine act-out task was administered, based on which all subjects were expected to act out and sort a set of randomized toy figurines having heard a group of diverse sentences. Due to our patient’s requests, the testing sessions were conducted at their homes. The subjects were told that they should manipulate the toy figurines in a way that the action or the state expressed by the verb could be easily detected.
For the purpose of the subjects’ familiarity with the task, four practice trials were utilized initially. However, in case the subject demanded the experimenter to repeat the sentence, it was uttered for the second time. There was no particular time limit for the task until the experimenter was confident that the patient performed the task completely having understood the procedure. Noteworthy to mention is that all stimuli were presented to the patients in the same randomized order. Furthermore, following the procedure employed by
Linebarger et al. (1983), and also for the purpose of minimizing the impact of prosodic and intonation properties on patients’ performance, all stimuli were uttered by the same experimenter observing approximately similar intonation patterns.
3. Results
Syntactic comprehension task
For the purpose of detecting a possible pattern in subjects’ performance as well as investigating whether canonicity impact could be observed in their linguistic behaviors, each individual’s performance in diverse syntactic structures was reported.
In this respect, one-way repeated measures ANOVA for the six group types of sentences culminated in the main effect of sentence type (F(6, 38)=33.95, P<0.0001). The performance of our first subject on subject agent and subject cleft structures was 95% and 91% correct responses, respectively, significantly above the chance (subject agent: t(20)=3.91, P=0.0005; subject cleft: t(20)=3.48, P=0.001). As for agentive passive and object cleft constructions, his performance was at chance with 50% correct responses (t(20)=0.88, P=0.31) and 48% correct responses (t(20)=0.85, P=0.33), respectively. Yet, concerning both subject experience constructions (thirty percent correct responses, t(19)=-3.31, P=0.817) and object experiencer ones (25% correct responses, t(19)=-4.33, P=0.818), his performance was significantly below the chance.
Subject two (BR) performed above the chance at 86% of the subject agentive constructions (t(20)=2.92, P=0.005). Concerning his performance at subject cleft (86% correct responses), a similar observation was made (t(20)=2.76, P=0.005). As for agentive passive, he had a chance performance with 60% correct responses (t(20)=0.87, P=0.53). However, regarding object cleft constructions, he had below the chance performance with 47% correct responses (t(20)=1.43, P=0.818). Ultimately, concerning the psychological subject and object experiencer types, he had significantly below the chance performance with 29% correct responses in the former (t(20)=-3.32, P=0.819) and 24% correct responses in the latter (t(20)=-4.21, P=0.819). Subject three (SP) performed above the chance in both subject agentive (85% correct responses, t(20)=2.55, P=0.014) and subject cleft constructions (80%correct responses, t(20)=2.14, P=0.022). Concerning agentive passives with 52% correct responses (t(20)=0.97, P=0.33) and object cleft constructions with 41% correct responses (t(20)=0.083, P=0.45), his performance was at chance level. Yet, as with both types of psychological constructions, he had below chance performance with 31% correct responses (t(20)=2.00, P=0.166) in subject experiencer structures and 22% correct responses (t(20)=2.26, P=0.180) in object experiencer constructions. As for subject four (GL), again a similar pattern was observed with subjects performing above the chance at both, subject agent with 91 correct responses (t(20)=3.25, P=0.0005) and subject cleft with 86 correct responses (t(20)=3.18, P=0.0005). Although this subject had below the chance performance in object cleft constructions (t(20)=1.30, P=0.250), in agentive passive constructions, his performance was at chance level (t(20)=0.82, P=0.45). However, regarding both types of psychological predicate constructions, his performance was significantly below the chance. That is, in subject experiencer constructions, he had 24% correct responses (t(20)=-1.46, P=0.824) and in object experience constructions, he had just 19% correct responses (t(20)= -1.80, P=0.838). In contrast to agrammatic Broca’s patients, regarding the control group, one-way repeated measures ANOVA for the sentence types demonstrated no main effect of sentence type (F(6, 39)=0.87, P=0.43). They performed very well on all sentence types of subject agentive, agentive passive, object clefts, subject experiencer, and object experiencer types with 98%, 96%, 93%, 94%, and 90% correct responses, respectively.
Grammaticality judgment task
Subject 1 (MS) performed above the chance in all constructions, including subject agent with 96% correct responses (t(20)=3.87, P=0.005), subject cleft with 92% correct responses (t(20)=3.3, P=0.005), agentive passives with 88% correct responses (t(20)=3.26, P=0.005), object clefts with 91% correct responses (t(20)=3.26, P=0.005), subject experiencer with 84% correct responses (t(20)= 2.78, P=0.005), and ultimately, object experiencer with 75% correct responses (t(20)=1.817, P=0.005). Also, subject two (BR) performed above the chance in all syntactic constructions with 91%correct responses in subject agentive (t(20)=3.78, P=0.005), 89% correct responses in the subject cleft (t(20)=3.68, P=0.005), agentive passives with 85%correct responses (t(20)=2.87, P=0.005), object clefts with 93% correct responses (t(20)=3.27), subject experiencer with 80% correct responses (t(20)=2.71, P=0.005), and ultimately, object experiencer with 71% correct responses (t(20)=1.808, P=0.005).
Subject three (SP) had an intact performance on the subject agent with 98%correct responses (t(20)=4.21, P=0.005), subject cleft with 95%correct responses (t(20)=3.73, P=0.005), agentive passives with 89%correct responses (t(20)=2.92, P=0.005), object clefts with 85%correct responses (t(20)=3.15), subject experiencer with 88%correct responses (t(20)=2.79, P=0.005), and ultimately, object experiencer with 71%correct responses, t(20)=1.84, P=0.005). Subject four (GL) performed above the chance in subject agent with 92% correct responses (t(20)=3.82, P=0.005), in subject clefts with 89% correct responses (t(20)=3.168, P=0.005), in agentive passives with 82% correct responses (t(20)=3.166, P=0.005), in object cleft constructions with 87% correct responses (t(20)=3.22, P=0.005), in subject experiencer constructions with 76% correct responses (t(20)=1.88, P=0.005), and ultimately, in object experiencer constructions with 68%correct responses (t(20)=1.79. P=0.005).
4. Discussion
As observed, while our patients performed above the chance at both subject agentive and subject cleft constructions, in the syntactic comprehension task, they performed very poorly in some constructions, including agentive passives, object clefts, subject experiencer, and object experiencer constructions. This inconsistency in subjects’ performance could be accounted for in different ways:
First, it seems that in pro with the predictions of mapping hypothesis, in constructions where syntactic heuristics is observed, subjects would perform above the chance (
Berndt, Mitchum & Wayland, 1997;
Kolk & Weijts, 1996), explaining their good performance in subject agentive and subject cleft constructions. In other words, these two structures should be regarded as canonical syntactic forms because, in both, the semantic role of the agent was assigned or mapped to the syntactic role of the subject facilitating the subjects’ performance. In contrast, in all remaining constructions, including subject experiencer, object experiencer, object cleft, and agentive passive constructions, this canonicity impact was not observed in that the syntactic role of the subject or thematic role hierarchy was violated culminating in subjects’ poor performance in syntactic comprehension task. In this respect, our results are in pro with those of other researchers who attributed Broca’s aphasics’ poor performance in syntactic comprehension tasks to the disruption in the mapping capability of patients. Henceforth, our subjects’ performance could be explained well according to the predictions and framework of the mapping hypothesis. For example, in object cleft constructions, the hierarchical syntactic-semantic taxonomy is violated, in which it is the semantic role of the object rather than the subject, which occupies the initial position of the sentence demonstrating the influential role of syntactic heuristics in subjects’ interpretations. Also, the semantic role of the theme (patient) took over that of the agent. As mentioned earlier, an important note regarding the unique syntactic structure of Persian is that a pronominal clitic could be attached to the verb bearing the same semantic role. Although this property should have facilitated Broca’s patients’ performance, surprisingly, it did not have any influence on their comprehensive abilities. However, in agentive passive structures, again the linear concatenation of syntactic roles is disrupted, in which it is the object occupying the initial subject position. Moreover, this time, our noun phrase would bear the semantic role of the theme. Ultimately, psychological constructions violate canonical syntactic structures whether they assign the semantic role of experience to the subject (subject experiencer) or they attribute the semantic role of the experiencer to the object (object experiencer). As
Pinango (2000) asserted that while these two predicates are psycholinguistically interesting, the latter is more attractive, which plays a less agent-like semantic role (theme) in the subject position. In other words, the more remote semantic category in the canonical semantic hierarchy is promoted to the subject position, the more problems Broca’s patients would have comprehended the sentence. Broca’s patients’ poor comprehension of syntactically complex structures has already been corroborated in both processing (
Friederici & Frazier 1992;
Kolk, 1995; Wulfec, 1987; Wulfec, et al, 1991) as well as the representational account of agrammatism (
Bradley, et al., 1980;
Caplan, et al., 1988; Caramaza & Zurif, 1976).
In light of this research, it should be highlighted that it is not merely the number of predicates in a sentence that would make it more complex but also the type of predicates (psychological & agentive) that would play an outstanding role in its complexity. Moreover, subjects’ poor performance in the aforementioned structures demonstrates that semantic hierarchy violations and heuristics all by all could be envisaged as potential culprits for subjects’ poor performance. Yet, regarding the grammaticality judgment task as reported, all our patients performed above the chance demonstrating their rather intact syntactic abilities. This finding is in line with previous studies, which verified Broca’s patients’ intact performance in the aforementioned task (
Linebarger et al., 1983;
Linebarger, 1995; Wulfec et al., 1991) and is not consistent with other studies (
Kolk & Weijts, 1996;
Raghibdoust, 1999) emphasizing subjects’ poor performance on the task.
The pattern of dissociation in subjects’ performance- their intact performance on the grammaticality judgment task versus their poor performance on the syntactic comprehension task- could be explained within the framework of mapping hypothesis more conveniently. First, it seems that at the first level of syntactic parsing, agrammatic performs very well justifying their intact performance on the grammaticality judgment task; however, it is in the second stage that their semantic representation problems emerge, in which they are incapable of utilizing stored syntactic information to assign thematic roles to the syntactic categories explaining their poor performance on syntactic comprehension task (
Linebarger, 1995). Henceforth, agrammatics’ difficulty lies in the specifically designated deficit impeding them to assign thematic roles properly to their appropriate positions in the syntactic nodes (
Ingram, 2007).
As our ultimate comment, it should be emphasized that in order to detect the possible patterns of syntactic comprehension in agrammatic, more comprehensive studies with a larger sample in diverse languages utilizing diverse tasks and methodologies should be conducted. Moreover, the socio-demographic, as well as psychological characteristics of patients, should also be constrained. By meeting all these variables in various studies, we can more scientifically and systematically underpin the nature of their syntactic knowledge. This dissociation between our subjects’ performance on grammaticality judgment and syntactic comprehension tasks has already been attested in diverse studies (Wulfec, 1987; Wulfec et al., 1991). This incongruence between subjects’ performance on diverse tasks could be attributed to the recruitment of distinctive processing mechanisms activated at different levels of linguistic processing (
Grodzinsky, 1983; Wulfec, 1987).
5. Conclusion
Canonicity plays a fundamental role in the syntactic comprehension of aphasic patients. Consequently, as speech therapists, neuropsychologists, and caregivers recruit those structures which are in line with the principles of the mapping hypothesis, they could pave the way for more satisfactory communication of aphasic patients.
Ethical Considerations
Compliance with ethical guidelines
All ethical principles were considered in this article. The participants were informed about the purpose of the research and its implementation stages. They were also assured about the confidentiality of their information and were free to leave the study whenever they wished, and if desired, the research results would be available to them. Our research was was approved by the Research Ethics Committee of the University of Gonabad (permission number: 2020/52201/3820/230).
Funding
This research did not receive any grant from funding agencies in the public, commercial, or non-profit sectors.
Conflict of interest
The authors declare no conflict of interest.
Acknowledgments
We would like to express our sincerest thanks to our participants as well as their families for their warm cooperation in the study.
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