Almagro Y, Sánchez-Casas R M, García-Albea J E
Departamento de Psicología, Universitat Rovira i Virgili, Tarragona, Spain.
Rev Neurol. 2005;40(6):369-80.
We present a review the issue of agrammatism in order to examine its symptoms, the regularity with which they are observed, and the proposals suggested within the framework of Cognitive Neuropsychology to account for them.
First, we focus on the debate regarding the status of agrammatism as an aphasic category with both theoretical and clinical validity, presenting two confronted views. On the one hand, the view that argues against the category of agrammatism due the variable performance of agrammatic patients in linguistic tasks. On the other hand, we present the view of those authors who defend, despite the variability, the notion of agrammatism as an aphasic syndrome. In the second section of the paper, we discussed the different symptoms that, on the basis of the available evidence, have been associated to agrammatism and the proposed explanations. We start by discussing the symptoms that agrammatic patients present in language production; in particular, we highlight the following: a) problems related to grammatical morphemes; b) a reduced sentence length; c) a noun-verb dissociation, with a better performance with nouns; d) difficulties in sentence construction, and finally, e) alteration in word order. Then, we discuss the symptoms that agrammatic patients have shown in language comprehension.
In general, on the basis of the different agrammatic symptoms we have discussed, we favour the view of agrammatism as multicomponential syndrome rather than unitary one, with deficits in both morpholexical and syntactic language components.
我们对语法缺失问题进行综述,以研究其症状、出现的规律,以及认知神经心理学框架内为解释这些症状而提出的建议。
首先,我们聚焦于关于语法缺失作为一种具有理论和临床有效性的失语症类别的地位的争论,呈现两种对立观点。一方面,由于语法缺失患者在语言任务中的表现多变,有一种观点反对语法缺失这一类别。另一方面,我们呈现那些作者的观点,他们尽管存在变异性,但仍捍卫语法缺失作为一种失语症综合征的概念。在本文的第二部分,我们讨论了基于现有证据与语法缺失相关联的不同症状以及提出的解释。我们首先讨论语法缺失患者在语言产出中呈现的症状;特别地,我们强调以下几点:a)与语法语素相关的问题;b)句子长度缩短;c)名词 - 动词分离,名词表现更好;d)句子构建困难,最后,e)词序改变。然后,我们讨论语法缺失患者在语言理解中表现出的症状。
总体而言,基于我们所讨论的不同语法缺失症状,我们支持将语法缺失视为一种多成分综合征而非单一成分综合征的观点,其在形态词汇和句法语言成分上均存在缺陷。