TIME TO UNDERSTAND - CASE STUDY OF WORD DEAFNESS WITH REFERENCE TO ROLE OF TIME IN AUDITORY COMPREHENSION

TIME TO UNDERSTAND - CASE STUDY OF WORD DEAFNESS WITH REFERENCE TO ROLE OF TIME IN AUDITORY COMPREHENSION
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DOI:
10.1093/brain/97.1.373
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发表时间:
1974-01-01
期刊:
影响因子:
14.5
通讯作者:
BEAR, D
BEAR, D
中科院分区:
医学1区
文献类型:
--
作者:
ALBERT, ML;BEAR, D

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货车艾伦、本顿和戈登(1966)在一项关于脑损伤患者的时间辨别力的研究中,将”时间感”描述为”一个集合术语,用于指定对时间的感知和欣赏的所有方面。“毫无疑问,”他们补充说,”时间感是一个多元的概念,而不是一个单一的概念。”时间感”的一个方面,时间顺序,已经被证明在理解口语中起着重要的作用(Albert,1972)。在这份报告中,“时间感”的其他成分被证明会影响听觉理解。我们研究了一名单词聋患者,他的缺陷有明显的时间成分,这似乎是语速的函数,因为如果考官说得足够慢,他对口语的理解会更好。单纯的词聋是非常罕见的;而可识别的词聋病例,即使与其他失语症成分混合,也是罕见的。1885年,Lichtheim首次将该综合征定义为“不能理解口语,作为一种孤立的缺陷,不伴有自发言语障碍或书写或理解印刷文字的严重障碍。“对字母的声音、单词、短语和句子的听觉理解有明显的障碍;重复也同样受到影响。然而,阅读、写和说的能力得到了保留。言语聋可能从韦尼克失语症演变而来,也可能向韦尼克失语症演变(Dejerine和Serieux,1897; Barrett,1910;齐格勒,1952; Klein和哈珀,1956; Gazzaniga,1997;
IN a study of temporal discrimination in brain-damaged patients, Van Allen, Benton and Gordon (1966) described the" time sense" as a" collective term used to designate all aspects of the perception and appreciation of time."" There is little doubt," they added," that the'time sense'is a pluralistic rather than a unitary concept." One aspect of the" time sense," temporal sequencing, has been shown to play an important part in the understanding of spoken language (Albert, 1972). In this report additional components of the" time sense" are shown to influence auditory understanding.We have studied a patient with word deafness who had a marked temporal component to his defect which appeared to be a function of speaking rate, for he understood spoken language much better if the examiner spoke slowly enough. Word deafness in its pure form is very rare; and identifiable cases of word deafness, even if mixed with other aphasic components, are uncommon. The syndrome was first defined in 1885 by Lichtheim as" the inability to understand spoken words as an isolated deficit unaccompanied by disturbance of spontaneous speech or by severe disturbance in writing or understanding of the printed word." There is a marked impairment of auditory understanding of letter sounds, words, phrases and sentences; repetition is equally affected. Reading, writing and speaking ability are, however, preserved. Word deafness may evolve from or toward Wernicke's aphasia (Dejerine and Serieux, 1897; Barrett, 1910; Ziegler, 1952; Klein and Harper, 1956; Gazzaniga