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Memory Deficits and Language Comprehension: Discourse Processing Following Severe Closed-head Injury

 Paul Whitney Ph.D and Maureen Schmitter-Edgecombe Ph.D
  
 

Abstract:
Abstract: Understanding anaphoric reference is central to discourse processing. For example, a passage might mention that a girl picked some tulips and then several sentences later refer to those tulips with the phrase, "the flowers." According to the memory-based text processing framework, deciphering such anaphoric references entails two sets of processes: (1) retrieval of relevant possible antecedents from memory, and (2) inhibition of incorrect antecedents activated in memory. In this study, we examined the ability of patients with severe closed-head injury (CHI) to perform these processes. Twenty severe CHI participants (> 1 year post-injury) and 20 matched controls read passages with an anaphoric reference to a target antecedent that shared features with another word elsewhere in the passage. The target antecedent either appeared early or late in the passage, with the related term appearing in the opposite part of the passage. The control group replicated a previous finding that a sentence referring to the early antecedent can facilitate access to that term. In contrast, the CHI group showed difficulty in retrieving the correct early antecedent from memory when cued by the reinstatement sentence. Nevertheless, the CHI group inhibited activation to the incorrect antecedent. Patients with severe CHI thus displayed intact inhibitory ability coupled with a memory retrieval deficit that impacted discourse processing.

 
 


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