Rethinking the neural basis of prosody and non-literal language: Spared pragmatics and cognitive compensation in a bilingual with extensive right-hemisphere damage. 2019

Rethinking the neural basis of prosody and non-literal language: Spared pragmatics and cognitive compensation in a bilingual with extensive right-hemisphere damage. 2019

AUTORES

Calvo N, Abrevaya S, Martínez Cuitiño M, Steeb B, Zamora D, Sedeño L, Ibáñez A & García AM

2019
JOURNAL Frontiers in Psychology 10, 570
VOLUMEN Marzo, 2019
ABSTRACT Above and beyond the critical contributions of left perisylvian regions to language, the
neural networks supporting pragmatic aspects of verbal communication in native and
non-native languages (L1s and L2, respectively) have often been ascribed to the right
hemisphere (RH). However, several reports have shown that left-hemisphere activity
associated with pragmatic domains (e.g., prosody, indirect speech, figurative language)
is comparable to or even greater than that observed in the RH, challenging the proposed
putative role of the latter for relevant domains. Against this background, we report
on an adult bilingual patient showing preservation of pragmatic verbal skills in both
languages (L1: Spanish, L2: English) despite bilateral damage mainly focused on the RH.
After two strokes, the patient sustained lesions in several regions previously implicated
in pragmatic functions (vast portions of the right fronto-insulo-temporal cortices, the
bilateral amygdalae and insular cortices, and the left putamen). Yet, comparison of
linguistic and pragmatic skills with matched controls revealed spared performance on
multiple relevant tasks in both her L1 and L2. Despite mild difficulties in some aspects
of L2 prosody, she showed no deficits in comprehending metaphors and idioms, or
understanding indirect speech acts in either language. Basic verbal skills were also
preserved in both languages, including verbal auditory discrimination, repetition of
words and pseudo-words, cognate processing, grammaticality judgments, equivalent
recognition, and word and sentence translation. Taken together, the evidence shows
that multiple functions of verbal communication can be widely spared despite extensive 
Diversos modelos clásicos en neurolingüística proponen que las funciones pragmáticas se asociarían de modo crítico con el hemisferio derecho. Sin embargo, como mostramos en este estudio, múltiples funciones pragmáticas (desde la prosodia hasta el procesamiento de lenguaje figurativo) pueden verse preservadas tanto en la lengua materna como la extranjera incluso cuando el hemisferio derecho presenta lesiones extendidas en regiones frontales, temporales y parietales. Estos resultados invitan a repensar el rol de cada hemisferio en el procesamiento de funciones vitales para la comunicación verbal.
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