Self-reported Inner Speech Relates to Phonological Retrieval Ability in People with Aphasia

Overview

Journal Conscious Cogn

Specialties Psychiatry
Psychology

Date 2019 Mar 29

PMID 30921682

Citations 7

Authors

Mackenzie E Fama

Mary P Henderson

Sarah F Snider

William Hayward

Rhonda B Friedman

Peter E Turkeltaub

Affiliations

Soon will be listed here.

Abstract

Many individuals with aphasia report the ability to say words in their heads despite spoken naming difficulty. Here, we examined individual differences in the experience of inner speech (IS) in participants with aphasia to test the hypotheses that self-reported IS reflects intact phonological retrieval and that articulatory output processing is not essential to IS. Participants (N = 53) reported their ability to name items correctly internally during a silent picture-naming task. We compared this measure of self-reported IS to spoken picture naming and a battery of tasks measuring the underlying processes required for naming (i.e., phonological retrieval and output processing). Results from three separate analyses of these measures indicate that self-reported IS relates to phonological retrieval and that speech output processes are not a necessary component of IS. We suggest that self-reported IS may be a clinically valuable measure that could assist in clinical decision-making regarding anomia diagnosis and treatment.

Citing Articles

Resting-state connectivity enhancement in Aphasia patients post-speech therapy: a localization model.

Feng T, Zhang C, Chen W, Zhou J, Chen L, Wang L Brain Imaging Behav. 2025; .

PMID: 39900770 DOI: 10.1007/s11682-025-00968-0.

Evidence from aphasia suggests a bidirectional relationship between inner speech and executive function.

Fama M, McCall J, DeMarco A, Turkeltaub P Neuropsychologia. 2024; 204:108997.

PMID: 39251107 PMC: 11527588. DOI: 10.1016/j.neuropsychologia.2024.108997.

Inner speech in the daily lives of people with aphasia.

Alexander J, Hedrick T, Stark B Front Psychol. 2024; 15:1335425.

PMID: 38577124 PMC: 10991845. DOI: 10.3389/fpsyg.2024.1335425.

Listening to Yourself and Watching Your Tongue: Distinct Abilities and Brain Regions for Monitoring Semantic and Phonological Speech Errors.

McCall J, DeMarco A, Mandal A, Fama M, van der Stelt C, Lacey E J Cogn Neurosci. 2023; 35(7):1169-1194.

PMID: 37159232 PMC: 10273223. DOI: 10.1162/jocn_a_02000.

Two types of phonological reading impairment in stroke aphasia.

Dickens J, DeMarco A, van der Stelt C, Snider S, Lacey E, Medaglia J Brain Commun. 2021; 3(3):fcab194.

PMID: 34522884 PMC: 8432944. DOI: 10.1093/braincomms/fcab194.

References

Oppenheim G, Dell G . Inner speech slips exhibit lexical bias, but not the phonemic similarity effect. Cognition. 2007; 106(1):528-37. PMC: 2435259. DOI: 10.1016/j.cognition.2007.02.006. View

Nozari N, Arnold J, Thompson-Schill S . The effects of anodal stimulation of the left prefrontal cortex on sentence production. Brain Stimul. 2014; 7(6):784-92. PMC: 4259853. DOI: 10.1016/j.brs.2014.07.035. View

Haley K, Jacks A, de Riesthal M, Abou-Khalil R, Roth H . Toward a quantitative basis for assessment and diagnosis of apraxia of speech. J Speech Lang Hear Res. 2012; 55(5):S1502-17. DOI: 10.1044/1092-4388(2012/11-0318). View

Jacks A, Haley K . Auditory Masking Effects on Speech Fluency in Apraxia of Speech and Aphasia: Comparison to Altered Auditory Feedback. J Speech Lang Hear Res. 2015; 58(6):1670-86. PMC: 4987030. DOI: 10.1044/2015_JSLHR-S-14-0277. View

Smith S, BROWN H . The lack of cerebral effects of d-tubocurarine. Anesthesiology. 2010; 8(1):1-14. DOI: 10.1097/00000542-194701000-00001. View

Tian X, Poeppel D . The effect of imagination on stimulation: the functional specificity of efference copies in speech processing. J Cogn Neurosci. 2013; 25(7):1020-36. DOI: 10.1162/jocn_a_00381. View

Levelt W . Spoken word production: a theory of lexical access. Proc Natl Acad Sci U S A. 2001; 98(23):13464-71. PMC: 60894. DOI: 10.1073/pnas.231459498. View

Rapp B, Goldrick M . Discreteness and interactivity in spoken word production. Psychol Rev. 2000; 107(3):460-99. DOI: 10.1037/0033-295x.107.3.460. View

Stark B, Geva S, Warburton E . Inner Speech's Relationship With Overt Speech in Poststroke Aphasia. J Speech Lang Hear Res. 2017; 60(9):2406-2415. DOI: 10.1044/2017_JSLHR-S-16-0270. View

10.

Levelt W . Monitoring and self-repair in speech. Cognition. 1983; 14(1):41-104. DOI: 10.1016/0010-0277(83)90026-4. View

11.

Fama M, Hayward W, Snider S, Friedman R, Turkeltaub P . Subjective experience of inner speech in aphasia: Preliminary behavioral relationships and neural correlates. Brain Lang. 2016; 164:32-42. PMC: 5179310. DOI: 10.1016/j.bandl.2016.09.009. View

12.

SCHWARTZ M, BRECHER A . A model-driven analysis of severity, response characteristics, and partial recovery in aphasics' picture naming. Brain Lang. 2000; 73(1):62-91. DOI: 10.1006/brln.2000.2310. View

13.

Langland-Hassan P, Faries F, Richardson M, Dietz A . Inner speech deficits in people with aphasia. Front Psychol. 2015; 6:528. PMC: 4419662. DOI: 10.3389/fpsyg.2015.00528. View

14.

Feinberg T, Gonzalez Rothi L, Heilman K . 'Inner speech' in conduction aphasia. Arch Neurol. 1986; 43(6):591-3. DOI: 10.1001/archneur.1986.00520060053017. View

15.

James L, BURKE D . Phonological priming effects on word retrieval and tip-of-the-tongue experiences in young and older adults. J Exp Psychol Learn Mem Cogn. 2001; 26(6):1378-91. DOI: 10.1037//0278-7393.26.6.1378. View

16.

Dell G, SCHWARTZ M, Martin N, Saffran E, Gagnon D . Lexical access in aphasic and nonaphasic speakers. Psychol Rev. 1997; 104(4):801-38. DOI: 10.1037/0033-295x.104.4.801. View

17.

Levelt W, Roelofs A, Meyer A . A theory of lexical access in speech production. Behav Brain Sci. 2001; 22(1):1-38; discussion 38-75. DOI: 10.1017/s0140525x99001776. View

18.

Tian X, Poeppel D . Dynamics of self-monitoring and error detection in speech production: evidence from mental imagery and MEG. J Cogn Neurosci. 2014; 27(2):352-64. PMC: 4465382. DOI: 10.1162/jocn_a_00692. View

19.

Peirce J . Generating Stimuli for Neuroscience Using PsychoPy. Front Neuroinform. 2009; 2:10. PMC: 2636899. DOI: 10.3389/neuro.11.010.2008. View

20.

Schwartz M, Wilshire C, Gagnon D, Polansky M . Origins of nonword phonological errors in aphasic picture naming. Cogn Neuropsychol. 2010; 21(2):159-86. DOI: 10.1080/02643290342000519. View