The effects of semantic and phonemic prestimulation cues on picture naming in aphasia.

In this study of auditory prestimulation cues, picture naming performances under phonemic and semantic conditions were compared to picture naming performance under a neutral condition. Twenty aphasic subjects named 324 pictures (108 pictures x 3 conditions) each. Responses were scored using a coding system adapted by the investigator from classification systems used by Williams and Canter (1982) and Kohn and Goodglass (1985). Results indicated that naming accuracy was facilitated by phonemic and semantic cues. An examination of the distribution of errors under the three conditions revealed systematic effects of phonemic and semantic cues on the frequency of occurrence of specific error types. Increases in semantic paraphasia proportion scores and decreases in unrelated word error proportion scores were associated with the semantic condition, while increases in phonemic paraphasia proportion scores were associated with the phonemic condition. The finding that naming performance of aphasic adults varies as a function of the type of information provided by the cue is discussed in relation to cascade visual confrontation naming models.