Grammatical pronoun production more impaired in speech of people with agrammatic aphasia

A study of the use of pronouns by French speakers with agrammatic aphasia shows that grammatical pronouns are significantly more impaired in speech than lexical ones. The findings support a new theory of grammar which suggests that grammatical elements contain secondary information that speakers with limited cognitive resources can omit from their speech and still make sense.

Some individuals with brain damage have difficulty producing grammatically correct sentences - a phenomenon known as agrammatic aphasia. But why are people with brain damage omitting grammatical elements from their speech?

A new usage-based theory of what grammar is suggests that people with agrammatic aphasia need to prioritize their limited resources and thus concentrate on the primary and core elements of an utterance, the so-called lexical elements such as full verbs, nouns and adjectives. Grammatical elements like inflections and auxiliary verbs, however, only convey secondary information and are therefore dispensable.

In a recent study published in Journal of Neurolinguistics as part of Byurakn Ishkhanyan's PhD thesis Grammar-Lexicon Distinction in a Neurocognitive Context, spontaneous speech collected from six French speakers with agrammatic aphasia and nine non-injured controls were used to test the theory.

"Prior to the speech analyses, we categorized 137 French pronouns as either lexical or grammatical based on whether they could stand alone or not - grammatical elements like auxiliary verbs or inflections cannot stand alone but will always need other elements to attach themselves to," says University of Copenhagen linguist Byurakn Ishkhanyan and continues:

"As the usage-based theory predicts, four out of six speakers produced significantly fewer grammatical pronouns than the non-injured group. The two remaining individuals spoke more fluently than the others, which may explain why they did not differ significantly from the control group. So we can conclude that grammatical pronoun production is indeed more impaired in agrammatic production."

Results also indicate adaptive strategies

Not only did the study show that grammatical pronoun production was significantly impaired in agrammatic speech, it also showed that the impairment pattern can be different from individual to individual - which other studies have corroborated. This may be an indication that individuals with agrammatic aphasia employ unique adaptive strategies to cope with the linguistic deficit caused by brain damage.

"The two individuals whose speech did not differ significantly from the control group in terms of pronoun production may have found a way to cope with the agrammatism that allows them to produce some grammatical elements. This adaptive strategy is predicted by Professor Jesper Mogensen's REF-model which offers a novel view of neurocognitive reorganization and suggests a mechanism for recovery after a brain injury," Byurakn Ishkhanyan explains.

"The REF-model can thus account for the variety in agrammatic production that we find across individuals and tasks not only in this but many similar studies. The current study is a starting point for investigating the patterns of language recovery after stroke in relation to the REF-model. Longitudinal data are necessary to further explore the REF-model in terms of post-injury recovery and to construct the steps each individual with agrammatism takes to build a new grammar."