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40 Cards in this Set

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Describe

Human Language
open language system (evolves w/new needs & concepts) so not just genetically pre-wired
What is the difference between

LANGUAGE and SPEECH
Speech- motor output for verbal expression only

Language - logical structure of thought & expression
What is the difference between

PHONOLOGY and SEMANTICS
Phonology - sounds used for expression

Semantics - meaning of what is said
What is the difference between

CONTENT and FORM
Form- style in which words are expressed

Content- literal words used
What is the difference between

LOGICAL STRUCTURE and PROSODY
Logical Structure = semantics; what is said

Prosody - emotional and melodic qualities; how it is said
Name the brain parts involved in communication (8)
1. Inner ear transduction thru 8th CN
2. Medial geniculate of thalamus
3. Heschel's Gyrus
4. 2ndary Cortex
5. Wernicke's Area
6. Arcuate fasciculus
7. Lateral prefrontal cortex
8. Broca's area
Describe the Wernicke-Geschwind Model of Language
Linear, structure to structure, literally org'd
defines:
- Broca's aphasia (expressive/speech)
- Wernicke's aphasia (receptive; understanding)
-Conduction aphasia (arcuate; verbal repetition of heard speech)

Problems - doesn't consider subcortical components of lang
Which cranial nerve facilitates orientation, attention, and converts vibration into perceivable sound?
acoustic nerve (CN 8)
What role does the MEDIAL GENICULATE NUCLEUS of the THALAMUS play in communication?
Left Hemisphere

Initial processing, attention, direction, focus
What role does HESCHEL'S GYRUS play in communication?
Primary Auditory Cortex
Detection
Frequency Analysis
Wernicke - Geschwind Model of Language (Image)
What is the 2ndary Auditory Cortex in charge of?
word recognition
separation of words
Describe Wernicke's Area
-posterior language area
-word meaning recognition/perception & interpretation
(in abstract tertiary cortex)
What is the lateral geniculate of the thalamus in charge of? The medial?
Lateral - visual attention

Medial - auditory attention
Describe BROCA's AREA
Secondary Motor Cortex

In charge of word selection & production

**also contributes to comprehending some of the semantic (if, when, over) components of speech
Where in the brain are words ID'd and separated
Secondary Cortex; tells you where one word stops and another begins
Where is memory involved in language?
Beginning in the secondary cortex and then in the tertiary cortex
Arcuate Fasiciculus - describe it
connects one cortex to another (wernicke's area to broca's area in the frontal lobes)
What does the lateral prefrontal cortex determine?
how you should respond to information (the conceptualization of your response)
What sensory loss has a person experienced if they are getting information thru the post central gyrus?
vision or hearing, so they've lost touch.
Which is more impairing - Wernicke's aphasia or Broca's aphasia?
Wernicke's because you can't think whereas Broca's is just speech

May be misinterpreted as Schizophrenia or Brief Psychotic Disorder and medicated
If Wernicke's area is intact does someone know what they are thinking?
NO; ape like awareness of the world
If the Broca's area is not intact what can you expect
a lot of anger, depression, & frustration b/c they know they can't talk and they hear themselves not talking but can't do anything about it. Also can't type or write.

- most end up w/sleep problems & pain
-weakness in the right side
Conduction aphasia - describe
produces word finding difficulties & repeating statements
more common in elderly women
What are the sex diffs in language structures?
Females
-cog functions aren't as lateralized
-smaller posterior lang areas
- dvlp lang abilities earlier
- aphasias more common w/anterior left quadrant (Broca's type)
-Wernicke's aphasia more common

Men
-greater risk of developing lang probs w/injury or stroke
-lisps, stuttering, VLDs more common
Is language processed in more parallel or linear organization?
Parallel in that many areas need to work together simultaneously.
What are the subcortical structures that influence language?
Thalamus -Posterior, dorsolateral, pulvinar (motor integration & final output control)

Limbic System
Basal Ganglial structures
Cerebellar structures
What is the diff between

APHASIA and DYSPHASIA?
dys= alteration

a= total loss
What is an Expressive Aphasia?
Broca's; "non-fluent aphasia"
What is a Receptive Aphasia?
Wernicke's; "fluent aphasia"; can't understand others or self
What is Global Aphasia?
combination of expressive, receptive, and/or conduction aphasias

-usually acute & reversible (e.g. swelling) but person will have impairments
What role do the limbic, basal ganglial, and cerebellar structures play in language?
contribute to memory, attitudinal
What cranial nerves are necessary for final speech output?
CN 5, 7,8, 9, 11, 12
Trigeminal (sensory on face)
Acoustic
facials
auditory/vestibocchlear
glossopharyngeal
spinal accessory
hypoglossal
What is Prosody in language?
-emotional component in speech (loudness, bluntness, pacing, melodic, sarcasm)
-not explicit but still conveys info
-follows same pathways as lang in R hemisphere
What are the aprosodias?
Prosody errors
Types:
Expressive (improper inflection)
Receptive (can't read intonation)
Scanning Speech (choppy speech)
Pseudo-accent speech (emph on wrong syllable or slurring)
What is an articulation dysfunction?
the ability to form sounds into words
When you read a word that is misspelled, what part of the brain interprets it correctly?
posterior cortex

secondary visual cortex
What are Word Finding difficulties:
More common w/women;
restricted access to needed words
What do the lateral convexities (arcuate connections) process?
External Context

Hemispheres:
Left - what? who? the details
Right - deals w/the bigger picture
What do the orbital medial convexities process?
awareness & insight