Psycholinguistic, cognitive, and neural implications of bimodal bilingualism.

Bimodal bilinguals, fluent in a signed and a spoken language, exhibit a unique form of bilingualism because their two languages access distinct sensory-motor systems for comprehension and production. Differences between unimodal and bimodal bilinguals have implications for how the brain is organized to control, process, and represent two languages. Evidence from code-blending (simultaneous production of a word and a sign) indicates that the production system can access two lexical representations without cost, and the comprehension system must be able to simultaneously integrate lexical information from two languages. Further, evidence of cross-language activation in bimodal bilinguals indicates the necessity of links between languages at the lexical or semantic level. Finally, the bimodal bilingual brain differs from the unimodal bilingual brain with respect to the degree and extent of neural overlap for the two languages, with less overlap for bimodal bilinguals.