Abstract
In this paper, we describe in detail the performance on a variety of tests of language processing of a patient (PS) w ho shows a strong effect of imageability in auditory repetition. Unlike deep dysphasic patients (e.g. Franklin, Howard, & Patterson, 1994, 1995; Valdois, Carbonnel, David, Rousset, & Pellat, 1995), who also show effects of imageability, PS does not make semantic errors in auditory repetition. Instead, he makes a preponderance of phonological errors on words of low imageability when repeating w ords aloud. PS also makes phonological errors on a wide range of tasks that involve spoken word production including picture naming, which suggests that he has suffered damage to the lexical-semantic route at the level of the representations in the phonological output lexicon. Results from tests of nonw ord repetition suggests that PS has also suffered damage to the nonlexical repetition route. We argue that the critical difference betw een PS and patients who make semantic errors is that PS's nonword repetition impairment appears to be somewhat less severe than that found in deep dysphasia. Although they are both impaired, it appears that the lexical and nonlexical routes can work together to improve PS's repetition performance and prevent semantic errors, consistent w ith Hillis and Caramazza's (1991) summation hypothesis. When the semantic route is unavailable, as appears to be the case for many words of low imageability, then PS's repetition performance depends entirely on the nonlexical route, resulting in a large number of phonological errors.
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