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Relating Naming Latency and Covert Processing in Pure Alexia

 T. J. McKeeff and M. Behrmann
  
 

Abstract:
The convention for characterizing the reading deficit displayed by patients with pure alexia (also referred to as letter-by-letter readers) is to plot their naming latency as a function of string length. This, however, does not fully illustrate the extent of their residual reading abilities since many patients demonstrate varying levels of unconscious, covert word processing. One possible view is that deficit severity, as characterized by naming difficulty shown in increased reaction times in naming latency, should predict the extent of residual covert processing. To examine this relationship, two letter-by-letter readers, EL and DK, were administered naming latency tasks and also several tasks which measure residual covert word processing. Both patients showed similar naming latency performance yet varied significantly on tasks which measured covert word processing. EL was able to make binary semantic classifications and lexical decisions of briefly presented letter strings at a rate significantly higher than chance. EL also showed word interference in incongruent conditions in two Stroop-like tasks. One task required determining the ink color of words and the other, the spatial position of words. DK, however, failed to show covert word processing as measured by any of these tasks. The results suggest that naming latency does not predict covert word processing abilities and that both factors should be considered when describing the reading pattern of these patients.

 
 


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