ABSTRACT THE PERFORMANCE OF AUDITORY PERCEPTUALLY HANDICAPPED CHILDREN ON TEMPORALLY DISTORTED SENTENTIAL APPROXIMATIONS AND NORMAL SENTENCES By Gail Ann Overholt The effect of temporal characteristics on the intel- ligibility of the signal has been of interest to researchers and clinicians in recent years. Several investigators have found that distortion of these temporal characteristics increases the load placed on short-term memory resulting in decreased accurate perception of the stimulus. One such method of investigation is to control stimulus duration and vary the silent interstimulus interval using sentential stimuli controlled for length and syntactic and semantic contstraints. Current theories of perceptual abilities in children with auditory perceptual handicaps suggest that these chil- dren do not process auditory stimuli in the same manner as normal children. In turn, children'with perceptual prob- lems may demonstrate perceptual strategies different from those used by normal children on a task designed to over- load auditory short-term memory and affect information pro- cessing strategies. Gail Ann Overholt The purpose of this investigation was to study the effect of sentence length, order of sentential approxima- tion, and modified interstimulus interval upon linguistic processing by children with auditory perceptual handicaps. The results were compared to data obtained with the same task on normal children. In order to increase syntactic and semantic complexity, ten three—word and ten five-word first order sentential approximations, ten three-word and ten five-word second or- der sentential approximations, and ten three-word and ten five-word normal sentences were constructed. The sentential approximations and normal sentences were read by a male speaker from a Second Level standardized reading list of monosyllabic words. These forty sentential approximations and twenty normal sentences were placed into three experi- mental conditions, each condition with a specific silent in- terstimulus interval size. Word duration remained constant (normal speaking rate), but three interstimulus interval sizes (a normal interstimulus interval, 200 msec, and " #00 msec) were used. Twelve elementary school students enrolled in the Re- medial Reading Center at Michigan State University served as subjects. All children had normal hearing as assessed by audiological evaluation. Each subject was presented with twenty sentences of each interstimulus interval, twen- ty sentences of each order of sentential approximation, i.e. synthetic sentences (first order, second order, and normal Gail Ann Overholt sentences), and thirty sentences of each sentence length (three-word and five-word), for a total of 60 sentences per subject. The tape recorded material was presented under earphones to each subject in a two—room, double-walled, sound treated booth. Examination of responses consisted of the percent cor- rect words recalled. Words substituted for, omitted, or repeated in the wrong order were considered errors. The results of this investigation demonstrated that auditory perceptually impaired children depended upon sentence length, order of sentential approximation, and interstimulus inter- val size in processing Speech and language. Recall accuracy scores decreased as sentence length increased from three words to five words, as order of sen- tential approximation decreased from normal sentences to second order and first order approximations, and as the size of the interstimulus interval increased from a normal con- dition to 200 and #00 msec, respectively. Interactions of the experimental conditions revealed that for three—word sequences, recall accuracy varied only slightly with increasing sentential approximations and in- terstimulus intervals. However, there were substantial differences in recall scores for five-word sequences as sen- tential approximation and interstimulus interval increased. Also, for normal sentences, temporal alteration in either form of increasing sentence length or increasing Gail Ann Overholt interstimulus interval size did not affect recall accuracy, which was near 100 percent. These findings were discussed in terms of theories of speech and language perception in normal and auditory per- ceptually impaired children. Particularly important were implications to auditory diagnosis of and language deve10p- ment in auditory perceptually handicapped children. THE PERFORMANCE OF AUDITORY PERCEPTUALLY HANDICAPPED CHILDREN ON TEMPORALLY DISTORTED SENTENTIAL APPROXIMATIONS AND NORMAL SENTENCES By Gail Ann Overholt A THESIS ' Submitted to Michigan State University in partial fulfillment of the requirements for the degree of MASTER OF ARTS Department of Audiology and Speech Sciences 1976 ACKNOWLEDGMENTS I would like to thank the members of my committee who contributed to this thesis with their knowledge and exper- ience in their various areas of specialty: Ms. Janis For— bord in diagnostic audiology, Dr. Frank Brfino in learning disabilities, and Dr. Daniel S. Beasley, committee chairman, in speech perception. My sincerest appreciation goes to Dr. Beasley, who gave me the impetus to begin this study and the guidance to finish it, for the confidence and assuredness he has instilled in me during my education at Michigan State. I would also like to express my thanks to Dr. Byron van Roekel, director of the Remedial Reading Center, for his cooperation and interest in obtaining subjects; and to the children who served as subjects and their parents, who took the time from their busy schedules to participate in this study. Ifd also like to thank my good friend Dr. Barry Freeman for the time and effort he took in assisting me in this work and in my career. Finally, I'd like to thank my mother for the long hours she Spent typing and trying to understand this work. 11 TABLE OF CONTENTS LIST OF TABLESOOOOO0.0.000...OOOOOOOOOOOOOOOOOOOOOO LIST OF FIGUESOIOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO CHAPTER I. II. III. INTRODUCTIONOOOOOOOOOOO00......O.000...... A Model of Short-Term Memory............. Sentential Stimuli....................... Distorted Speech Stimuli................. Auditory Perception in Children.......... Learning Disabled Children............... Statement of the Problem................. EXPERIMENTAL PROCEDURES.OOOOOOOOOOOOOOOCOO subJeCtSOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOIOO Stimuli.................................. Recording and Stimulus Generation Procedures.......................... Counter-Balancing and Randomization Procedures.......................... Presentation Procedures.................. Analysis................................. mSULTS..0...00......OOOOOOOOOOOOOOOOOOOOO Effect of Sentence Length................ Effect of Order of Sentential Approximation....................... Effect of Interstimulus Interval......... DISCUSSIONOO00......OOOOOOOOOOOCOOOOOOOOOO Comparison of Trends to Previous Investigations...................... Comparison of Interactions to Previous Investigations...................... Types of Errors.......................... Theoretical Implications................. Implications for Audiology...............‘ Implications for Language Development.... Implications for Future Research......... 111 A0 A2 A6 #7 #8 A9 V , «AI—5' CHAPTER V. SUMMARY AND CONCLUSIONS................... APPENDICES APPENDIX A Criteria for Normal Hearing.............. APPENDIX B Revised Word List Basal vocabulary On We Go Houghton Mifflin (1966).... APPENDIX C Standardized Verbal Instructions......... APPENDIX D Response Forms........................... APPENDIX E Mean Percent Correct Scores.............. APPENDIX F Ranges of Subjects' Percent correCt scoreSOOOOOOOOOOQOOOO0...... LIST OF REFEmNCESOOOOOOOOOOOOOOOOOOOOOOOO0.0.0.... iv 50 53 SH 55 56 62 6A 55 TABLE LIST OF TABLES Mean percent correct scores of normal reading (NR-BAP) and reading impaired children (RI—BAF) in the Freeman and Beasley (1976) study and of subjects in this study (RI-GAO) for the main effects of sentence length (three- word (3) and five-word (5)) and sen- tential approximation (first order (1), second order (2), and normal sentences (N))........................... Mean percent correct scores for inter- stimulus interval by order of senten- tial approximation and sentence length... Mean percent correct scores for senten- tial approximation by interstimulus interval and sentence length............. Ranges of subjects' correct scores for sentential approximation by inter- stimulus interval and sentence length.... Ah FIGURE 1. 2. 3A. 3B. in. AB. SA. SB. LIST OF FIGURES Experimental deSignO000......00000000000000 Main effects of sentence length, sen- tential approximation, and interstim- ulus intervalOOOOOOOOOOOOOOOOOOOOOOOOOOO Mean percent correct scores per sentence length and sentential approximation (3- first order;[§- second order; E] - normal sentence)...00.000000000000000 Mean percent correct scores per sentence length and interstimulus interval (3- normal interval;[§- 200 msec;[] - 400 msec)............................ Mean percent correct scores per senten- tial approximation and sentence length «3- three words;[j- five words)......... Mean percent correct scores per senten- tial approximation and interstimulus interval «3- normal interval; A. 200 msec;[]- uoo msec)............... Mean percent correct scores per inter- stimulus interval and sentence length (3- three wordsij- five words).......... Mean percent correct scores per inter- stimulus interval and sentential approximation «3— first order;A- second orderij- normal sentence)........ Mean percent correct scores per inter- stimulus interval, sentence length (open symbols - three words; filled symbols - five words), and sentential approximation (circles — first order; triangles - second order; squares - normal sentence)........................ vi 23 32 .33 33 35 35 37 37 39 CHAPTER I .INTRODUCTION Several investigators have shown that the auditory per- ception of Speech is at least in part dependent upon the tem- poral characteristics of the stimuli (Aaronson, 1967; Beasley and Shriner, 1973; Hirsh, 1959; Shriner and Daniloff, 1970; Speaks and Jerger, 1965). These temporal characteristics in- clude rate and duration, and interact with stimulus frequency and intensity, as well as with the listener's perceptual stra- tegies and memory storage capacities and abilities. The in- teraction of these several factors affect the intelligibility of the signal, which is necessary before the message can be perceived and comprehended adequately. It has been found that the perceptual abilities of child- ren are different from those of adults, and that these abil- ities are develOpmental in nature (Beasley and Flaherty-Rin- telmann, 1976; Beasley, Maki, and Orchik, 1976; King and Wes- ton, 197“; Thompson, 1973). Further, there are some children whose auditory perception is not like that of the majority of children (Katz, 1971; Manning, Johnston, and Beasley, 1975; Lerner, 1971; Rosenthal,‘l97u). The children in this latter catagory have been labeled auditory perceptually handicapped or specific learning disabled. It has been hypothesized that 2 . the difficulties in auditory perception these children en— counter may be due to problems of short-term memory storage (Bryan, 1972; Manning, Johnston, and Beasley, 1975; Senf and Fruendl, 1971). If this is the case, these children would show results that varied from normative data on a test pur- ported to assess short-term memory function. The purpose of this study was to investigate the performance of learning disabled children characterized by auditory perceptual prob- lems on a measure purported to reflect upon the functioning of short-term memory, in which sentence length, word sequence, and interstimulus interval were covaried. This data was compared to data obtained with the same measure on a group of normal children. A Model of Short-Term Memory In order for a message (stimulus) to be perceived, it must first enter into a memory storage system of some type. Most current theories of short-term memory discuss the idea that perception occurs in at least two stages (Aaronson,1967; Broadbent, 1958). The first stage, the sensory stage, is a .parallel processor, whereby more than one stimulus can be dealt with at one time. Characteristic of this stage is its parallel processing capabilities, large capacity, and rapid storage decay. The second stage, the perceptual stage, is characterized by series processing (that is, stimulus items can enter this stage only one at a time), small capacity, and long storage decay time. Broadbent (1958) hypothesized that stimulus items first enter into the sensory system at a 3. rapid rate, and then are transferred to the perceptual system at a slower rate. This second stage is believed to occur at higher perceptual levels. Based on this theory, it may be hypothesized that problems in perception arise if items are delayed in the first stage (sensory system) for too long a period of time, since this is a rapid decay system, or if items arrive at the second stage (perceptual system) at too fast a rate to be processed accurately. Aaronson (1967) reviewed literature which suggested that the temporal aSpects of the message have an important effect in short-term memory tasks. From this review she revised Broadbent's short-term memory model. It appeared that vary- ing the stimulus duration alone resulted in fewer number of items being correctly recalled in a listening task. However, when the rate of the message was changed by keeping stimulus duration constant and varying only the interstimulus interval, order of the stimulus items was less correctly perceived for shorter interstimulus intervals. Aaronson, therefore, sug- gested that the physical qualities of the stimulus were pro- -cessed in the first stage of short-term memory, simultaneous with stimulus presentation; however, the order in which the stimuli are recalled were processed in the second stage. This second stage was believed to be dependent in part upon the length of the interstimulus interval. Aaronson, Markowitz, and Shapiro (1971) studied this phenomenon. They kept presentation rate constant, but com- pressed the stimulus duration by 33%, thereby increasing the a length of the interstimulus interval. Aaronson et al.(l971), found that the number of item errors for the normal stimulus duration condition was similar to the number of item errors in the compressed stimulus duration condition. However, for the normal condition, which had a smaller interstimulus in- terval, the number of order errors was significantly larger. Miscik, Smith, Hamm, Deffenbacher, and Brown (1972) also found that an increased interstimulus interval elicited increased recall in a short-term memory task for digits. In another experiment, Miscik et al. again studied the effect of interstimulus interval upon perceptual processing, as well as the type of encoding process used by the subject. They found' that when subjects were asked to combine digits into digit pairs and triplets, recall accuracy increased. The authors hypothesized that combining digits in such a manner decreased the number of areas in the central auditory nervous system where this information was stored, and that retrieval from this reduced number of areas was easier than from a larger number of areas. Some limitations on the capacity of short-term memory were discussed by Miller (1956). He reported that human sub- jects were able to accurately recall approximately seven pre- sented items or units. When more items were presented, re- call accuracy declined. However, even though short-term memory limits could not be extended beyond these seven units, Miller discovered that memory for items could be increased by combining and increasing the item information per unit. He labeled this perceptual strategy "chunking". Miscik 5 et al. (1972) stated, "Error in short—term recall may be due not only to forgetting caused by inadequate rehersal, for example, but also to inadequacies in the encoding process (p. 151)." Sentential Stimuli Assessment of auditory processing abilities using con- ventional methods has not resulted in adequate measurement of the functioning of the central auditory system. The use of pure tones, clicks, digits, and undistorted word lists ap- pears to be too simple a task for the detection of lesions in the patient with a central auditory problem (Bocca and Calearo, 1963; Calearo and Lazzaroni, 1957; Jerger, 1960; Willeford, 1967). These nonsentential stimuli principally reflect peripheral mechanism functioning, while leaving the. central auditory mechanism essentially unassessed. Bocca and Calearo (1963) and Willeford (1967) concluded that pure tones, even when used in a difficult listening situation, were not adequate for the purpose of localization of the site of lesion in a central auditory disorder. They concluded that speech signal tests were more efficient in central audi- tory functioning assessment. In identifying the type of stimuli that will adequately assess the central auditory system's functioning, Jerger (1960) discussed two principles. The first is the "sublety principle," that is, as the lesion becomes more centrally located in the central auditory system, the stimuli needed to detect this lesion must necessarily become more complex. The Ali lllillI. 6. second principle eSpoused by Jerger was the "bottleneck principle." He suggested that speech signals encounter a bottleneck in the region of the VIIIth nerve and the lower brain stem. Consequently, if the lesion occurs in this location, or more centrally, the patient will tend to show normal responses to pure tones and clicks, but his ability to understand speech will be dramatically limited. Intrinsic redundancy refers to the continual crossing and interaction of neuronal networks in the auditory path- way. In this way, a lesion of the central auditory system would have to be quite severe before any noticable problem in communication would occur. Indeed, it has been stated that an entire temporal lobe could be removed or destroyed, and the effect that this would have on perception would be unnoticed unless a complex auditory task was used to detect the lesion (Willeford, 1967). Extrinsic redundancy refers to the redundancy of the Speech message per se. Harris (1960) defined this as the syntactic and contextual cues of the message, the "....func- tions of language organization (p. 228)." For example, three or four words may not be heard, but the listener will compre- hend the message because he knows the syntactic and semantic constraints of the language. Related to extrinsic redun- dancy is the concept of multiple-cueing. Multiple-cueing relates to the physical characteristics of the message. In a complex message, such as speech, there are several characteristics present, including frequency, 7. intensity, and duration. These characteristics, individual- ly, have a broad range of values that may be present or ab- sent from the Speech signal. It is these cues and the in- teractions of these cues relative to the whole message that are processed by the central auditory system. Distortion or disruption of the physical characteristics of the speech signal would not significantly reduce the intelligibility of the message unless the signal was greatly degenerated (Harris, 1960). When extrinsic redundancy and the effects of multi- ple-cueing are combined, it becomes possible to process a less than perfect message if the central auditory system is intact. Distorted Speech Stimuli The patient with a central auditory lesion (reduced intrinsic redundancy) is able to process speech because of extrinsic redundancy and multiple-cueing. However, when extrinsic redundancy and multiple-cueing are decreased in the speech stimuli, these subjects may Show reduced message com- prehension. Investigators have found several ways to reduce re- dundancy and multiple-cueing. Bocca and Calearo (1963) stated that one method used to reduce redundancy (multiple-cueing) was to filter the Speech with high-pass or low-pass filters. Matzker (1962) devised a test in which a high-pass filtered message was presented to one ear and the same message, low- pass filtered, was presented to the Opposite ear. The person with an intact brain stem could integrate and understand the message, whereas the patient with a brain stem lesion could not. Another method of reducing redundancy is via time-com- pressed Speech. Calearo and Lazzaroni (1957) described three techniques for altering the temporal characteristics of language: \ (l) have a Speaker talk faster. (2) play a magnetic tape recording back at a higher Speed than was used in the recording process. (3) use a Special device that accelerates Speech with- out changing frequency. Calearo and Lazzaroni discussed the ability of patients with confirmed temporal lobe desions to comprehend these three types of time—compressed Speech. They hypothesized these patients would Show an abnormal breakdown in intelligibility of the signal in the ear contralateral to the lesion because the decreased number of interneuronal connections would be insufficient to process information in the message in which redundancy was reduced. Indeed, this effect has been shown to occur (Kurdziel and Noffsinger, 1973). Speaks and Jerger (1965) discussed the importance of temporal characteristics in the assessment of auditory func- tioning. They suggested that it was important to use test stimuli of sufficient duration to permit alteration of the temporal characteristics of the speech signal. They conclud- ed that single words were of too short a duration to permit these changes. Speaks and Jerger controlled for sentence length and informational content by devising synthetic 5V0 9 sentences, i.e., sentential approximations. In this way, extrinsic redundancy (as defined by Harris, 1960) was re- duced. Syntactic and sematic cues were eliminated because each word in the sequence was chosen with varying degrees of probability of following the previous word. The authors found that as the synthetic sentences approached normal sentences, subjects were more able to accurately recall the approximations. . Beasley and Shriner (1973) reduced extrinsic redundan- cy by using first and second order sentential approximations. They also varied the amount of time allowed for perception of the stimuli by independently varying the stimulus (word) duration and the length of the interstimulus interval. Using normal adult subjects, they found that the effect of word duration, interstimulus interval size, and order of sen- tential approximation were independently Significant. As the word duration was increased from 200 msec to ”00 msec in 100 msec intervals, recall accuracy increased. As interstimulus interval increased in 100 msec steps from 100 msec to AOO msec, recall accuracy increased. Recall accuracy also in- creased as the order of sentential approximations approached normal sentences (i.e., first order and second order senten- tial approximations). The authors also found a significant interaction between word duration and interstimulus interval length, and between word duration and order of approximation. The greatest difference between first and second order sen- tential approximations was in the 300 msec word duration 10 condition, suggesting that, beyond #00 msec and 200 msec, increases or decreases in word duration, respectively, would result in only minimal changes in recall accuracy. The com- plex interaction between word duration and interstimulus interval was significant, suggesting that the important factor in speech perception was not either the stimulus du- ration or interstimulus interval, but rather, the overall~ rate of Speech. Beasley and Shriner found no significant interaction between the length of the interstimulus interval and the order of sentential approximation. Other investigators have studied the effect of vary- ing interstimulus intervals in sentential stimuli and have obtained results that are consistent with that of Beasley and Shriner. Kuhl and Speaks (1972) compared two kinds of distorted Speech stimuli. In comparing time-compressed Speech with interrupted Speech, the authors found that, at rates of less than 2 words per second, recall accuracy was similar for both conditions.. However,at rates of 2 words or more per second, compressed Speech was more difficult to understand than interrupted speech. One of Kuhl and Speaks' hypotheses as to why this might occur was that the silent intervals in the interrupted stimuli provided time for the eliminated portions of the signal to be processed, whereas the compressed stimuli provided no interval for processing the deleted portions of the message. It appears that the length of interstimulus interval influences the accuracy of recall. Aaronson et a1. (1971) \l..ul (I) . a I» : ll and.Miscik et a1. (1972) found increased recall for digits with increased interstimulus interval. Beasley and Shriner (1973) and Kuhl and Speaks (1972) found this same effect with sentential stimuli. Apparently the interstimulus in- terval enhanced the possibility for accurate perceptual processing (Broadbent's second stage of Short-term memory) to occur. That is, the increased interstimulus interval provided more time for the stimuli to be perceived, result- ing in greater recall accuracy. Auditory Perception in Children Several investigations have been designed to study aud- itory perception in children. Beasley, Maki, and Orchik . (1976) studied children's perception of time-compressed speech using two measures of speech discrimination: The WOrd Intelligibility by Picture Identification (WIPI) and the Phonetically Balanced Kindergarten lists (PBK's). Their results were compared with data obtained by Beasley, Schwim— mer and Rintelmann (1972) and Beasley, Fbrman and Rintel- mann (1972) for adults using time-compressed Northwestern University Auditory Test Number Six monosyllabic word lists (NU#6'S). Beasley et al.(l976) found that children tended to Show decreased performance at lower levels of time-com- pression eSpecially when an Open message set response task, such as the PBK'S was used. Children showed a major break- down in scores at 60% time-compression, whereas adults did not show a significant decline until the point at which 70% time-compression was employed. When a closed message set 12 was used (the WIPI), there was also a breakdown at 60%, how- ever, it was not as dramatic as with the PBK lists. Hodgson (197“) found that the closed message set reSponse task of the WIPI makes up, in part, for the limited linguistic capa- bilities of children, thereby explaining the WIPI-PBK dis- crepancy that Beasley et al. found. Other investigators have studied short—term memory processing of children using sentential stimuli. The effects of time-compressed and time-eXpanded sentences on sentence discrimination using a closed message set were studied by Thompson (1973). She found that by decreasing presentation rate, the recall accuracy of children increased. However, as age increased, the effect of presentation rate became less significant. She found that younger children tended to perform better under conditions of time-expansion, in- dicating that younger children need more time to process linguistic information. . Another approach to investigating perception in child- ren has been to study the effect of varying interstimulus interval while keeping stimulus duration constantu Shriner and Daniloff (1970) varied the amount of time between phon- emes arranged in meaningful and meaningless CVC units.‘ Per- formance by children in both first- and third—grades on mean- ingless stimuli was poorer than their performance on meaning- ful stimuli. While the children of both grades performed Similarly on the meaningless stimuli, for the meaningful stimuli, third-grade children tended to perform better at all \I' 13 interstimulus intervals. The authors hypothesized this effect was due to increased linguistic capabilities pos- sessed by the older children. Shriner and Daniloff found an interstimulus interval of about 200 msec to be a pivot point. That is, resynthesis of meaningless stimuli remained con- stant for increasing intervals until 200 msec, at which point, increasing the interstimulus interval brought about a decrease in correct reSponses. For meaningful stimuli, percentage correct responses declined as the interstimulus interval increased to 200 msec, after which scores remained at the same level for longer interstimulus intervals. The results of Shriner and Daniloff may be applied to‘ Miller's "chunking" hypothesis (1956), as discussed by Beas- ley and Beasley (1973). Beasley and Beasley postulated that ’stimuli with an interphonemic interval of less than 200 msec was processed as a single word. With the slight increase in scores observed at the A00 msec interphonemic interval condi— tion, Beasley and Beasley hypothesized the CVC units were processed as three separate phonetic units. At interphon- emic intervals of intermediate duration (greater than 100 msec but less than A00 msec), it was difficult for the child- ren to decide whether the stimuli should be processed as one unit or as three separate units; therefore, scores were depressed. Beasley and Beasley used this same measure to compare short-term memory functioning of Black and White children from an inner-city environment. They obtained results 1“. similar to those of Shriner and Daniloff (1970); that is, third-grade children performed better than first-grade child- ren on the meaningful stimuli, although there was no grade difference on the meaningless stimuli. Beasley and Beasley also found a major breakdown in the 200 msec interphonemic interval condition. Since the results of Beasley and Beasé ley did not differ from those of Shriner and Daniloff, the former authors concluded that short-term memory functioning was not culturally based. Beasley and Flaherty-Rintelmann (1976) assessed short- term memory functioning in children by varing sentence length (three-word and five—word), order of sentential ap- proximation (first order, second order, and normal sen- tences), interstimulus interval (an unaltered interval, and 200 msec, and A00 msec), and grade level (second-grade and fourth-grade). Using a recall task, results indicated that fourth-grade children were better able to recall the sen- tences than second-grade children. As sentence length in- creased from three words to five words, the number of errors increased, except in the normal condition, where accuracy in both three- and five-word recall was near 100 percent over all interstimulus interval and sentence length conditions. As a general trend, recall accuracy increased as order of sentential approximation increased, whereby first order sen- tential approximations showed the greatest number of recall errors and normal sentences showed the least number of re- call errors. Greatest recall accuracy was obtained with an 15. unaltered interstimulus interval, which was determined to be the shortest interstimulus interval. The A00 msec condition produced the largest number of recall errors. The interme- diate condition of 200 msec was Shown to have an effect on recall accuracy somewhere between the unaltered condition and the A00 msec condition; Beasley and Flaherty-Rintelmann stated that temporal characteristics such as the interstim- ulus interval might be important in the processing of audi- tory stimuli at lower, more peripheral neural centers. As the stimuli became more linguistically meaningful, it was analyzed at higher levels of the central auditory system and temporal alteration of the stimuli did not affect recall accuracy. All of these studies dealing with auditory processing capabilities of children have tended to show two main char- acteristics of the children's ability to process information: (1) auditory perception in children tends to be differ- ent from that of adults. In general, they are not able to process temporally distorted stimuli as well as adults. (2) auditory perception appears to be developmental in nature. Ability to use linguistic strategies and to chunk stimulus items increases with age, thereby increasing short-term memory recall accuracy. 16 Learning Disabled Children Senf and Freundl (1971) investigated short-term memory function in learning disabled children. Three visual-audi- tory digit pairs were presented in a simultaneous condition and in two alternating conditions, the visual digit being presented first in both conditions. Subjects, eighteen learning disabled males matched for age and intelligence quotient with eighteen children who did not possess learning problems, were directed to recall the digits in one of two manners: (l) directed pair: subjects were to recall the digits in their order of arrival, beginning with the first visual digit. (2) directed modality: subjects were to recall the digits by modality; that is, the three visual digits first, followed by the three auditory digits. Both gross number of errors and order errors were analyzed. For the directed pair conditions, there was no difference among conditions (simultaneous or alternating presentation). The learning disabled children differed from the control group of children, Showing poorer recall scores in the au- ditory error analysis, while performing Similarly to the control group with the visually presented digits. For the. directed modality condition (recall by modality), learn- ing disabled children performed significantly lower than the control group on all conditions (visual and auditory 17 modality, Simultaneous and alternating conditions, and gross number and order errors). Presentation conditions showed a significant difference only with visual gross errors. The authors concluded that these results were not due to prob- lems in cross-modal integration (from visual to auditory stimuli and vice versa), but rather, to inadequate higher~ order (short-term memory) functioning in the learning dis- abled children. Rosenthal (197A) proposed a theory based on his re- search of auditory perceptual difficulties in children with language disorders. In his theory, Rosenthal stated that the Specific perceptual disorder, whether it be auditory or visual, interferes with accurate processing of incoming linguistic stimuli. If the disorder is an auditory percep- tual impairment, then the incoming signal is speech, and, because the Speech signal is not perceived accurately, the child is not able to internalize language. The consequence is delayed language develOpment.. McCrosky and Thompson (1973) studied the effect of time-compression, time-expansion, and a normal presentation rate using children from the ages of 5 through 17 years who demonstrated difficulty in understanding Spoken messages, but whose auditory sensitivity was within normal limits. The authors time-compressed and time—eXpanded simple declar- ative sentences and presented them in a discrimination task. Significant differences were obtained only for the younger grade-school-age children. What was found was that as 18 presentation rate decreased (that is, as the Speech message was expanded) the accuracy of performance of these children increased, suggesting that those children with auditory per- ceptual handicaps needed more time to process incoming in- formation. The older children showed no differences in perception of the varied presentation rates. This may be because their knowledge of linguistic rules was such that they were able to obtain enough information from the syntac- tic and semantic constraints, ignoring the temporal factors involved. The inability of auditory perceptually handicapped children to adequately process time-compressed stimuli was also studied by Manning, Johnston, and Beasley (1975). They found that these children tended to Show decreased accuracy scores at a lower sensation level and percent level of time- compresSion than children without auditory processing prob- 1ems (Beasley et al., 1976). Using time-compressed PBK'S, a Speech discrimination measure, Manning et al. found that scores of the impaired children agreed with those of the normal children at 0% and at 60%; however, at 30% time- compression, the impaired children showed significantly lower scores. This would again suggest that auditory perceptually impaired children process Speech at a slower fate than normal children. Freeman, Beasley, and Overholt (1975) found this same effect with a learning disabled population using the WIPI speech discrimination test. Again, the learning disabled 19 children performed more poorly at lower sensation levels and lower levels of time-compression than normal children. As well, Freeman et a1. studied the performance of learning disabled children in recalling sentential stimuli of vary; ing word length, order of sentential approximation, and in- terstimulus interval size.. Results indicated that learning disabled children had more difficulty than normal children (Beasley and Flaherty-Rintelmann, 1976) in processing temporally altered first and second order sentential approx- imations. Also, those learning disabled children with audi- tory perceptual problems did Significantly worse than learn- ing disabled children without auditory perceptual problems, whose performance agreed with the normative data. As Broadbent's theory of Short-term memory is stated, by decreasing presentation rate, more time is available to process the stimuli, thereby increasing recall accuracy. Research results have shown that in children with learning disabilities short-term memory functioning is inferior to that of normal children. Since these children cannot ade- quately process linguistic stimuli until these stimuli are presented at a Slower rate, they may be having problems transferring information from Broadbent's sensory processing stage of short-term memory to the perceptual stage. Statement of the Problem It has been found that the temporal characteristics of the Speech signal play an important role in auditory percep- tion of speech. Normative data has been obtained on a task 20 that varies interstimulus interval, as well as controlling for grammaticalness, for both adults (Beasley and Shriner, 1973) and children (Beasley and Flaherty-Rintelmann, 1967). Theories as to how children who are labeled Specific learning disabled process speech stimuli have.been postulat- ed. Although there is a paucity of research in this area, it is generally believed that these children demonstrate a breakdown in the Speech processing mechanisms of the central auditory pathways (Willeford, 197A). If this is true, per- formance by these children on a Speech processing task that purports to measure a major characteristic of the function- ing of the central auditory system should Show a significant difference from responses of normal children. This differ- ence may be important in the detection and subsequent remediation of children with auditory perceptual problems. The purpose of this investigation was to determine the perceptual processing strategies of auditory perceptually handicapped children using a task of sentential stimuli, controlling for syntactic and sematic constraints, and sentence length. The effects of modifying the sentence length, order of sentential approximation, and interstimu- lus interval size on auditory perception of children with auditory perceptual problems were investigated. Specifically, the following questions were asked: (1) what effect would variations in sentence length have on recall accuracy of auditory perceptually handicapped children? (2) (3) (A) (5) 21 what effect would various orders of sentential approximation and normal sentences have on recall accuracy of these children? what effect would varying interstimulus intervals of a normal condition, 200 msec, and A00 msec have on recall accuracy of the stimuli by these children? what would be the effect of interactions of the above factors on recall accuracy of auditory per- ceptually handicapped children? how would the performance of auditory perceptually handicapped children compare with the performance' of children without such handicaps? CHAPTER II EXPERIMENTAL PROCEDURES Twelve reading impaired children were presented with a temporally altered linguistic test. There were four sub- jects per condition of sentence length by sentential ap- proximation by interstimulus interval, for a total of 36 subjects for each sentence length (three-word and five-word), 2A for each order of sentential approximation (first order, second order, and normal sentences), and 2A for each inter- stimulus interval (a normal condition, 200 msec, and A00 msec). (See Figure 1.) Subjects Twelve children with an age range of 8.5 years to 11.7 years and a mean age of 10.1 years who were enrolled in the Remedial Reading Center at Michigan State University served as subjects. These children were chosen as subjects because theories have been postulated (Norman, 1969; Mattingly, 1972) and research has shown (Birch and Belmont, 1965;. McGrady and Olsen, 1970) that visual stimuli are processed auditorilly. Therefore, children who indicate reading dif— ficulties would likely also manifest auditory perceptual problems (de Hirsch, 1973; Freeman and Beasley, 1976; Stark, 1975). None of the children evidenced any other known 22 23 .m._. seesaw .aecez fiestas. =e_~.e_...aa¢ _._u=..=om 400 200 Interval Interstimulus (msec) Experimental design. ~Figure 1. 2A. handicaps. All children received a thorough audiologic evaluation and exhibited normal hearing. (See Appendix A.) Each subject was presented 20 first order sentential approximations (ten three-word and ten five-word), 20 second order sentential approximations (ten three-word and ten five- word), and 20 normal sentences (ten three-word and ten five- word). Also, each subject received 20 sentential stimuli (ten three-word and ten five-word) with an unaltered inter- stimulus interval (an interstimulus interval of normal Speak- ing rate), 20 sentential stimuli (ten three-word and ten five-word) with a 200 msec interstimulus interval, and 20 sentenial stimuli (ten three-word and ten five-word) with a A00 msec interstimulus interval.‘ The two experimental con- ditions of sentential approximation and interstimulus interval were counterbalanced to minimize possible inter— actions and randomized to reduce any effect that might be due to learning. Stimuli The stimulus materials used here were taken directly from those used by Beasley and Flaherty-Rintelmann (1976) in a previous investigation of Short-term memory function in second- and fourth-grade children. The stimuli consisted of three separate experimental conditions: (1) order of approximation: 20 first order sentential approximations (ten three-word and ten five-word), 20 second order sentential approximations (ten three—word and ten five-word), and twenty normal 25 sentences (ten three-word and ten five—word). (2) interstimulus interval: all sixty sentential approximations and sentences produced with a 200 msec interstimulus interval, a A00 msec inter- stimulus interval, and an unaltered interstimulus interval (normal Speaking rate). (3) sentence length: ten first order sentential approximations, ten second order sentential approx- imations, and ten normal sentences, each consist- ing of three words, as well as ten first order sentential approximations, ten second order sentential approximations, and ten normal sen— tences of five-word length. The sentential approximations to full grammaticality were constructed in a manner similar to a procedure described by Speaks and Jerger (1965), based on the probability of one word following another in a normal sentence. The words used in the sentential approximations for this investigation were taken from the Basal Vocabulary of the primary reader work- book, ON WE GO (Teacher Edition) (Second Level) (Houghton Mifflin, 1966). One hundred monosyllabic words were chosen from the ON WE GO list and randomized into a new list. (See Appendix B.) For the first order sentential approximations, words were chosen randomly from the revised list and constructed into ten three-word and ten five-word sentential stimuli. 26 Construction of the second order sentential approxi- mations was achieved by randomly choosing the first word from the revised list. The second word was then chosen from the revised list such that it might follow the first word in a normal sentence. The third word was chosen, with- out the knowledge of word one, to follow the second word in a similar manner. This procedure was continued until ten three-word and ten five-word second order sentential approx- imations were constructed. Recording and Stimulus Generation Procedures For the experimental tape recordings, sixty sentential stimuli (ten three-word and ten five-word first order approx- imations, ten three-word and ten five-word second order ap— proximations, and ten three-word and ten five-word normal sentences) were recorded onto a master tape recording by a male Speaker who Spoke general American English and was trained in phonetics. The Speaker used an Electro-voice 635A micrOphone and an Ampex AG AAO-B tape deck. The re- cordings were made at conversational pitch and effort level with minimum inflection in a sound treated recording suite. Minimum inflection was used to reduce prosodic cueing ef- fects that might influence the stimuli. The speaker moni- tered his vocal intensity on a VU meter. Peaking occured between words in order to facilitate the location of the initiation and termination of each word for splicing purposes. 27. Two COpies of the master tape recording were made at 7% ips (inches per second) using Ampex 601 and Ampex 600 tape recorders. Each of these copies was prepared as exper- imental stimuli by varying the interstimulus interval size (200 msec and A00 msec, respectively). To prepare the 200 msec condition, the acoustic initiation and termination points of each word were determined aurally by using a play- back record head coupled to a pre-amplifier and an amplifier/speaker. These points were marked and then manually severed. The existing interval between words was discarded and a length of magnetic recording tape ascertain- ed to be 200 msec in length (1.5 inches of tape) was Spliced between each word. This same procedure was followed in the preparation of the A00 msec condition stimuli. For this condition, a length ascertained to be A00 msec (3 inches of tape) was used. These experimental tapes were played through a Bruel and Kjaer Type 2305 high speed graphic level recorder (paper Speed=30 mm/sec, writing speed=250 mm/sec, 50 dB, 20 Hz). The silent interstimulus intervals were hand measured in millimeters and converted to millisecondsi Any silent in- terstimulus interval in error by more than approximately :30 milliseconds was reprocessed. These stimulus tapes (used by Beasley and Flaherty- Rintelmann, 1976) were rerecorded and reordered for counter- balancing and randomization procedures used in the present investigation. The stimuli were c0pied from an Ampex AG 28 AAO-B tape deck to an Ampex AG 601 tape recorder, and the carrier phrase, "Number'___A (the number of the sentence for a given condition) was inserted in front of each senten-. tial stimuli. Counter-Balancing and Randomization Procedures The condition of order of sentential approximation (first order, second order, and normal sentences was com- bined with the interstimulus interval condition (an inter- val associated with normal speaking rate, 200 msec and A00 msec) and sentence length (three-word and five-word). This resulted in eighteen experimental conditions. (See Figure 1.) These experimental conditions were arranged such that each subject would receive two conditions of each order of approximation (first order, second order, and normal sen- tence), two conditions of each interstimulus interval (200 msec, A00 msec, and an unaltered interstimulus interval), and three conditions of each sentence length (three-word and five-word). Among subjects, these conditions were counter- balanced to offset any effect that might be due to the interaction between sentence length,sentential approximation, and length of interstimulus interval. All of the counter- balanced conditions were randomized to minimize any effect due to practice that might occur. Presentation Procedures Each child was presented with 30 sentences of each sentence length (three-word and five-word), 20 sentences of each order of sentential approximation (first order, 29 second order, and normal sentences), and 20 sentences of each interstimulus interval (normal, 200 msec, A00 msec) for a total of 60 sentences per subject. The listeners were seated in a chair in a two-room, double-walled IAC 1200 series sound-treated testing suite. The pure-tone air- and bone-conduction tests were presented via a Beltone 150 clinical audiometer. The clinical tape recordings for speech reception threshold (SRT) (Central Institute for the Deaf - CID W-l) and Speech discrimination (Northwestern University Auditory Test Number Six - NU#6) and the experimental tapes were generated through an Ampex 600-2 tape recorder to a Grason-Stadler 162 speech audio- meter located in the control room. The experimental stimuli were presented at 7% ips binaurally, through TDH—39 earphones housed in MX—Al/AR cusions. The intensity level was set at 50 dB HL (re: ANSI, 1969). After a brief greeting period, the hearing evaluation was performed. For the experimental portion of the testing, standard verbal instructions (Appendix C) were given to each subject. If there were any questions, they were answered. Each subject was tested individually. The oral responses of the subjects were recorded by the examiner on the reSponse forms (Appendix D). Analysis The data were hand scored. The percent of words cor— rectly recalled was the score for each subject. Three types 30. of errors were pOSSible: (1) discrimination errors consisted of words inaccu- rately recalled. (2) omiSSion errors consisted of any word not recall- ed within the sequence. (3) any words that were repeated in the wrong order were considered to be order errors. CHAPTER III RESULTS The results of this study supported the contention that Speech perception is dependent, at least in part, on the syntactic, semantic, and temporal constraints imposed upon sentential stimuli. Overall results indicated that sen- tence length, order of sentential approximation, and inter- stimulus interval all affect recall accuracy of auditory per- ceptually handicapped children. In general, recall accuracy decreased as sentence length increased. As the order of sentential approximations rose to full grammaticality, re- call accuracy scores increased. Recall accuracy decreased as the silent interstimulus interval was increased. (These effects, discussed below, can be seen graphically in Figure 2 and in Tables 2 and 3 in Appendix E.) Effect of Sentence Length Figure 2 Shows the main effect of sentence length; that is, as sentence length increased from three words to five words, recall accuracy was reduced. The interaction between sentence length and order of sentential approximation is illustrated in Figure 3A. As can be seen from the graph, the three-word stimuli provided for better recall accuracy. This is true across order of sentential approximation. However, as the order of 31 32 lOOlr 1 F. F. F? 390" F 5 F F‘ 3 lst 2nd n h 260 460 Sentence Sentential Interstimulus length Approxnmation Interval (words) (oldet) (msec) Figure 2. Main effects of sentence length, sentential approximation, and interstimulus interval. 33, 100 t ENE] 100 I 2 C) 3 so «- so a- 3 A g A S’. [J C) 80 t t i t 3 S 80 3 5 Sentence Sentence length length Figure 3A Figure 3B Figure 3A. Mean percent correct scores per sentence length and sentential approximation ((3 - first order;A- second order; D- normal sen- tence). Figure 3B. Mean percent correct scores per sentence length and interstimulus interval ( 0 - normal interval;[§r200 msec;[j-A00 msec). 3A. sentential approximation increased from first through second order to full grammaticality, the effect of sentence length decreased, so that at the normal sentence condition, there was only a negligible difference between three-word and five—word length. Sentence length also interacted with interstimulus in- terval, as seen in Figure 38. It appears that recall accu- racy decreased as sentence length increased; and, further, that this occurred over all interstimulus intervals. Also, as the interstimulus interval condition increased from a normal speaking rate to 200 msec and A00 msec, the differ- ence between recall accuracy for the three-word and five- word sentence lengths increased. (This is also illustrated in Figure 5A.) Effect of Order of Sentential Approximation As can be seen in Figure 2, there was a main effect for order of sentential approximation. In general, as the order of approximation increased from first order to second order to full grammaticality, the scores in recall accuracy increased. There was an interaction between sentential approxima— tion and sentence length (Figure AA). While the effect of increased recall accuracy with increasing order of senten- tial approximation occurred over both conditions of sentence length (three-word and five-word), the effect was much ‘greater for the five-word stimuli. Also, for normal sen- _ tences, recall accuracy scores of three- and five-word loo 1' too I O”MIMO A 8 so r so '- .. CI 5:. u .. A :1 C! D I 3° lst 2nd N lst 2nd u Sentential Sentential Approximation Approximation Figure AA Figure AB Figure AA.‘ Mean percent correct scores per sentential approximation and sentence length (C) - three words; [J - five words). Mean percent correct scores per sentential Figure AB. approximation and interstimulus interval ((3 normal interval; A- 200 msec;['_‘) — A00 msec). 36 stimuli were essentially equal and approached 100 percent accuracy. Order of sentential approximation also interacted with interstimulus interval (Figure AB). Again, recall accuracy scores can be seen to increase as the sentential approxima- tions approach full grammaticality. As well, at the lower orders of approximation (first and second order), the inter- stimulus interval had a greater effect on recall scores than at the normal sentence condition. With the normal sentence stimuli, variations in recall due to changes in interstim— ulus interval were negligible. Effect of Interstimulus Interval The main effect of interstimulus interval is shown in Figure 2. The graph shows that as the silent interstimulus interval (181) increased from a normal ISI (determined to be the Shortest ISI--approximately 100 msec in length) to 200 msec and A00 msec, scores in recall accuracy decreased. I The length of the interstimulus interval interacted with sentence length to produce an effect on recall accuracy (Figure 5A). Recall accuracy decreased as the interstimulus interval increased for both three-word and five-word stim- uli. However, this effect was greater for the five-word stimuli than for the three-word Stimuli. Figure 5B shows the interaction of interstimulus inter- val and sentential approximation. For first and second order sentential approximations, as the interstimulus interval increased, the main effect of decreased recall 37_ too-=- 100 r C] D o A E] C) A c3 90-"- 90 .. g A 3 C] c) .: C) 30 l t 4 80 i 1 . :__ N 200 400 N 200 400 Interstimulus Interstimulus Interval Interval Figure 5A Figure 5B Figure 5A. Mean percent correct scores per interstimulus interval and sentence length ((3 — three words; [3:— five words). Figure SE. Mean percent correct scores per interstimulus interval and sentential approximation ((3 - first order;[§ tence). - second order;[] - normal sen- 38 accuracy scores was observed. However, for the normal sen- tence condition, the length of the interstimulus interval appeared to have a negligible effect. A three-way interaction is illustrated in Figure 6. This graph Shows the interaction of sentence length, sen- tential approximation, and interstimulus interval. Both decreased sentential approximation and increased interstim- ulus interval had a slight effect on the three-word stimuli, resulting in decreased recall accuracy; however, this effect was more easily seen for five-word stimuli. The normal sen- tences were not affected greatly by sentence length or in- terstimulus interval. Recall for all normal sentences was near 100 percent. It can be seen from Figure 6 that recall accuracy decreased as sentence length increased, as order of sentential approximation decreased, and as interstimulus interval size increased. 39 .Aoocopcom Adamo: I cannon .noomo psooom I oawnoanu .noono pmhfiu I moaondov coapmeonnqoo Heapsopnom pew “mono: o>am I mHonE»m ooaaak .monoz oops» I mHonemm cooov newcoa ooeopcon .Hm>aopca moanedpmnopsfi nod monoom poohnoo psoonoa can: .0 onswfim 0 A . jso 4 s n “V“ 0 m V o .30 .l .I 2 t e s t . r n e | in I!" I up 100 Because 80 u 70 «goose; CHAPTER IV DISCUSSION The results of this study indicated that recall accu- racy in auditory perceptually handicapped children is af- fected by the conditions of sentence length, order of sen- tential approximation, and length of Silent interstimulus interval independently. These three conditions also inter- acted at various levels. In certain instances Specific var- iables took precedence over others in affecting the recall accuracy. These findings, along with the results of pre- vious investigations, support implications which may be important in both discussing the theoretical aspects of auditory processing and language aquisition in children and in diagnosing auditory perceptual impairments. Comparison of Trends to Previous Investigations In reviewing the main effects of the three experimental conditions in this study, the results support the findings of previous investigators. AS sentence length increased, recall accuracy decreased. Previous studies on sentence length and short-term memory have all Shown this effect (Giattino, 1973; Pantalos, Schuckers, and Hipskind, 1972; Schuckers, Shriner, and Dani- loff, 1973; Smith and Beasley, 1973). As the number of A0 oi items in a string approaches and exceeds the limits of short-term memory, the subject is not able to process all the items correctly, and consequently makes more errors in recall. Miller (1956) found this number of items to be seven, plus or minus two. From the results of this and other studies, it appears that, for children, three items is well within the limits of Short-term memory, while five items approaches and, in some cases, exceeds short-term memory limits. Results of the present study were consistent with those of earlier studies in showing that increased sentential ap— proximation resulted in increased recall accuracy (Beasley and Shriner, 1972; Carrow and Mauldin, 1973; Speaks and Jerger, 1965; Tejirian, 1968). As the sentential approxi- mations increased from first order to second order to full grammaticality, the syntactic and semantic constraints on the stimuli increased, thereby abetting perceptual proces- sing by multiple-cueing and extrinsic redundancy (Harris, 1960). These effects aided in increasing the amount of in- formation per chunk (Miller, 1956), resulting in more com- plete auditory processing and increased recall accuracy. The trend for recall accuracy to decrease with increas- ing interstimulus interval size supports other studies uti- lizing sentential stimuli with children (Beasley and Flaher- ty—Rintelmann, 1976). While other investigators found that increased interstimulus interval size resulted in increased recall for digits (Aaronson et al., 1971; Miscik et al., A2 1972) , Beasley and Shriner (1973) discussed results which indicated that when linguistic stimuli were used, the rate of speech was more important than the length of the inter- stimulus interval itself for auditory processing. Comparison of Interactions to Previous Investigations While Beasley and Flaherty-Rintelmann (1976) obtained normative data using the same stimuli as used in the pre- sent study, a direct comparison cannot be made due to dif— ferences in the experimental procedures. In that study, children were tested in the field; but in the present inves- tigation, children were tested in a sound-treated testing suite. However, for both normal second- and fourth-grade children and for auditory perceptually handicapped children (as defined by reading impairment), similar trends can be seen for all experimental conditions. In both investiga- tions, recall accuracy decreased as sentence length in- creased, as order of sentential approximation decreased, and as interstimulus interval increased. Consequently, Similar interactions of experimental conditions can be seen in both investigations. Three—word stimuli were very nearly 100 percent correctly recalled in both instances. The five- word stimuli were found to be more sensitive than the three- word stimuli to the Short-term memory limits of both normal and auditory perceptually handicapped children. Normal sen- tences were recalled with greater accuracy than first order approximations (which were found to be least correctly re- called) and second-order approximations, and were less “3. affected by temporal alterations than either order of sentential approximation. Freeman and Beasley (1976) employed reading impaired subjects, sentential stimuli, and experimental procedures similar to those used in the present investigation. Results of these two studies compared favorably. Both investiga- tions were concerned with auditory processing via temporal alteration of the speech Signal in reading impaired chil- dren. Freeman and Beasley time-compressed the stimulih . whereas, in the present investigation, the interstimulus interval was altered without varying word duration. The condition of 0% time-compression in the Freeman and Beasley. study was comparible to the normal interstimulus interval condition used in the present study. Table 1 shows a break— down of scores for normal readers and reading impaired chil— dren in the Freeman and Beasley study, as well as the Scores of the subjects in this study. The Significant main effects of sentence length and order of sentential approximation can be seen. The table also shows that as syntactic and semantic constraints were reduced on the stimuli (i.e., as sentential order decreased from normal sentences to first order approximations), the normal reading children were not affected greatly, while the reading impaired children in both investigations showed a decline in recall accuracy. Also, the normal readers in the Freeman and Beasley study were not as greatly affected by temporal alteration (time- compression) of the stimuli as the reading impaired subjects. on Table 1. Mean percent correct scores of normal reading (NR—BAF) and reading impaired children (RI-BAF) in the Freeman and Beasley (1976) study and of subjects in this study (RI-GAO) for the main effects of sentence length (three-word (3) and five-word (5)) and sentential approximation (first order (1), second order (2), and normal sentences (N)). Subjects Sentence Length Sentential Approximation 3 5 N 1 2 N NR-BAF 97.8 95.5 91.5 99.5 100.0 RI-BAF 97.3 89.5 87.3 9A.o 99.0 Total- BAF 97.6 92.5 89.2 96.8 99.5 RI-GAO 97.8 89.5 88.8 92.8 99.6 Further, time—compression did not greatly affect the recall scores for either normal readers of reading impaired chil- dren when the sentential stimuli were normal sentences. Based on the Freeman and Beasley data that the normal reading children did not make as many errors as the reading impaired children on temporally altered sentential stimuli, it can be speculated that, using similar stimuli and exper- imental design as was used in this study, children without auditory perceptual impairments (or normal reading children) would Show greater recall accuracy scores than children with auditory perceptual (or reading) problems (i.e., the chil- dren who served as subjects in this study). However, due to differences in the experimental procedures between the A5. present study and that of Beasley and Flaherty-Rintelmann (1976), the above statement can only be hypothesized. Type of Errors. An error analysis performed on the data showed that 32 percent of the errors in recall were errors in intelligi- bility, while 36 percent were memory errors (ommissions), and 32 percent of the errors were order errors. This break- down of error types was due primarily to the five-word se- quences. For three-word sequences the errors were 93 per- cent intelligibility errors and only 7 percent memory errors. Errors made on the five-word sentences were 26 perv cent intelligibility, 39 percent memory, and 35 percent order errors. These trends compare favorably with the Free- man and Beasley data, which found A5 percent intelligibil- ity errors and A0 percent memory errors in the reading impair- ed population, while the normal readers showed 75 percent in- telligibility errors and only 10 percent memory errors. For first and second order sentential approximations and for all interstimulus interval sizes, the distribution of error types was equal over the three catagories; that is approxi- mately 1/3 of the errors were intelligibility, approximately 1/3 were memory (ommission),and the final 1/3 were order errors. For normal sentences, there were 50 percent intel- ligibility and 50 percent order errors. This finding tends to suggest that the children used the syntactic and semantic cues to effectively chunk information (Miller, 1956), A6, thereby avoiding omitting words. The order errors in the normal sentence condition tended to consist of changing a sentence to a question or vice versa. (I.e., you do like the snow was repeated as do you like the snow.) Theoretical Implications In three investigations using sentential stimuli with normal and reading impaired (or auditory perceptually handi-_ capped) children (Beasley and Flaherty—Rintelmann, 1976; Freeman and Beasley, 1976; and the present investigation), similar trends have been found. It appears that as the sen- tential stimuli approach full grammaticality (i.e., normal sentences), temporal alterations of the Signal did not affect auditory perception to a great extent. In this study, normal sentences were recalled with near 100 percent accu- racy regardless of sentence length or interstimulus inter- val. Freeman and Beasley found that normal sentences were correctly recalled by both normal reading and reading im- paired children in both the 0% and the 60% time-compression conditions. These findings suggest that once the stimuli has reached SOphisticated levels of syntactic and semantic constraints, temporal alterations has little effect on re- call accuracy. This may indicate that highly constrained stimuli are analyzed at a very high level of auditory pro- cessing, and that temporal alteration affects only stimuli processed in the lower, more peripheral, neural centers. Another interesting trend of this investigation can be seen in Figure 6. Normal sentences were recalled with 100 AT percent accuracy in the normal interstimulus interval (ISI) condition and in the A00 msec ISI condition. However, a slight drop in recall accuracy can be seen in the 200 msec ISI condition for both three-word and five-word sentences. Beasley and Beasley (1973) hypothesized that a 200 msec in- terphonemic interval might be a pivot point for auditory processing. The trend in the present study, along with the findings of Beasley and Beasley, suggest that children may not be able to effectively chunk information in the 200 msec ISI condition. At the normal ISI condition, children may be processing the whole sentence as one unit. At the A00 msec ISI condition they may be processing five separate words. However, the 200 msec condition may be too Slow for the children to process the sentence as a whole and too rapid for the words to be processed individually, thus resulting in a Slight reduction in recall accuracy scores. Implications for Audiology It appears that conventional auditory tests are not sensitive enough to evaluate auditory functioning in audi- tory perceptually handicapped children. These tests eval- uate the status of the peripheral mechanism (outer and mid- dle ear, chochlea, and the VIIIth cranial nerve), but lack the complexity necessary to tax the central auditory system. Since this system is reSponsible, hypothetically, for tem- poral integration at the lower neurological levels and struc- tural organization at the higher, more cortical, levels, it would seem reasonable to assume that temporally altered 1‘8. Speech, if not highly syntactically and semantically organ- ized, will aid in diagnosing the presence or absence of a lesion in the lower central auditory nervous system. In order to adequately assess this area of the auditory system, the stimuli must be of sufficient length to permit temporal alteration; however, the stimuli must simultaneously be con- trolled for structural organization. Sentential approxi- mations have been found to effectively reduce the syntactic and semantic constraints of speech (structural organization) and yet maintain the temporality needed to assess central auditory system functioning. Implications for Language Development Normal language acquision and development has been hypothesized to depend upon the auditory processing of Speech, and such processing, in turn, is dependent, at least partially, upon the temporal patterns and the organization of the speech signal. As the speech stimuli become more complex, auditory perception becomes more difficult. Chil- dren exhibiting Specific learning disabilities, or auditory perceptual impairments, are unable to temporally integrate and organize stimuli in such a manner as to adequately pro- cess the stimuli. Therefore, auditory perceptually impaired children are unable to internalize the temporal and organi- zational characteristics of Speech. Consequently, if the child does not possess these characteristics, he will be unable to effectively use them in his expressive speech: The result of this inability to internalize the temporal A9. and organizational characteristics of Speech is delayed language development, Since language acquisition and develop- ment is indeed dependent upon these characteristics. In au- ditory perceptually handicapped children, the central audi- tory pathways do not exhibit enough intrinsic redundancy to overcome the reduced extrinsic redundancy and multiple- cueing effects of time—altered and unorganized speech. In order for this child to prOperly perceive Speech, the sig- nal must be highly organized and/or of short enough duration that the child will process the entire message. Implications for Future Research While findings indicate, at least tentatively, that temporally altered sentential stimuli may be of significance in diagnosing auditory-based perceptual handicaps, more information should be obtained. Specifically, a normative population should be evaluated in a clinical setting for direct comparison to these results. Also, more information may be obtained by varying and increasing the number of ex-' perimental conditions (sentence length, sentential approxi- mation, and interstimulus interval size). Information as to what takes place during auditory misperception might be hypothesized from more complete item, error, and subject analyses than was possible in the present study. CHAPTER v SUMMARY AND CONCLUSIONS “ Temporal characteristics of the Speech signal have been found to play an important role in auditory processing. In the past, investigators used digits and word lists to study short-term memory and auditory processing. Only very recently have linguistic stimuli been used to assess central auditory system functioning. These stimuli, however, are not subtle enough to be useful unless extrinsic redundancy and the effects of multiple-cueing are reduced. First and second order sentential approximations have been found to accomplish this task. Temporal alteration of these approxi— mations would then be subtle enough for central auditory testing. It has been hypothesized that children with auditory perceptual disorders manifest problems of reduced intrinsic redundancy (i.e., an inability to integrate distorted stim— uli). Therefore, these children would not be able to ade- quately process Speech stimuli from which extrinsic redun- dancy has been reduced and temporality has been altered. The purpose of this study was to examine auditory per— ceptual processing in children with Specific learning dis- abilities (auditory perceptual impairment) by controlling 50 51 ' for sentence length, order of sentential approximation, and interstimulus interval size. Specifically, the following questions were investigated: (1) (2) (3) (A) (5) what would be the recall accuracy of auditory per- ceptually impaired children on sentential stimuli of various sentence lengths? what would be the recall accuracy of these chil— dren on variations in order of sentential approxi- mation? what would be the recall accuracy of these children on interstimulus interval Sizes of normal duration, 200 msec, and A00 msec? what would be the effects of interactions of these above factors on recall accuracy of auditory per- ceptually impaired children? what would be the recall accuracy of auditory per- ceptually impaired children compared to normal children? Overall results indicated that the main conditions of sentence length, order of sentential approximation, and length of silent interstimulus interval all affected recall accuracy. Recall accuracy was near 100 percent for the three- word stimuli, but as sentence length increased to five words, recall accuracy decreased. AS order of sentential approxi- mation rose from first order to second order to full gram- maticality (normal sentences), recall accuracy increased. ‘Recall for normal sentences was very nearly 100 percent 52. correct over all other conditions. Increased interstim- ulus interval (ISI) produced decreased recall acturacy; that is, the normal ISI condition (considered to be the shortest ISI--about 100 msec) produced the greatest recall accuracy, while the longest ISI condition, A00 msec, pro- duced the most number of recall errors. The intermediate ISI condition of 200 msec produced recall accuracy scores somewhere between those scores associated with the normal condition and the A00 msec condition.- These results provided information that may be impor- tant in discussing theories of Speech and language percep- tion in normal and pathologic (auditory perceptually im- paired) children. Implications for audiology and the diag- nosis of these impairments through central auditory system testing were discussed. AS well, theories as to how faulty auditory perception can affect language develOpment and implications for language therapy were presented. However, more information is needed, especially in terms of more controlled normative data, more and varied pathologic p0pu- 1ations, eXpanded experimental conditions, and various types of analyses, before solid conclusions can be made. I APPENDICES APPENDIX A 53 APPENDIX A CRITERIA FOR NORMAL HEARING l. Pure-tone air-conduction thresholds at 15 dB HL (re: ANSI, 1969) or better for octave frequencies 250 Hz - A000 Hz. 2.. Pure—tone bone-conduction thresholds within :5 dB of air-conduction thresholds.* 3. Speech reception threshold (SRT) of 15 dB HL (regANSI, / 1969) or better. A. Speech discrimination scores of 9A% or better at A0 dB SL or 50 dB HL, whichever intensity was lower. *If air—conduction and bone-conduction thresholds varied by more than :5 dB at two frequencies, impedance audiometry was done to determine middle ear functioning. Normal middle ear functioning was defined as: 1. Middle ear pressure within :50 mm air pressure. 2. Static compliance within .27-1.5 cc equivalent volume. APPENDIX B girl cry all boy but had her dot man out on put tell see sun two of here BASAL VOCABULARY ON WE GO (1966) box big car five day red zoo with ten set is in to we POP take will me hot the 5A APPENDIX B REVISED WORD LIST HOUGHTON MIFFLIN eat do call cat him up us you next store pan high eye dog feet like my not milk that toy wish sat good it ride play wood yes no name end door run one sand- stOp was late jar come six ten ring said they lock see snow food dish go egg know work word tree this time would APPENDIX C 55 APPENDIX c STANDARIZED VERBAL INSTRUCTIONS You are going to hear a man say some sentences. Some of the sentences will make sense (they will be real sentences), some of them will not. I want you to listen to what the man says and say it back to me. Do you have any questions? (Answer questions.) Okay, let's begin. APPENDIX D First Order 56. APPENDIX D RESPONSE FORM Subject Condition Three Word 1. go 2. take 3. food A. jar 5. red 6. wish 7. egg 8. up 9. nest 10. name Comments girl zoo hot girl jar wish sand man toy us p0p milk call ten jar said ring sun jar will First Order Five Word 1. men 2. red 3. snow A. name 5. time 6. snow 7. p0p 8. tree 9. me 10. dOg Comments ZOO play take milk all P0P ZOO UP play cat 57. APPENDIX D RESPONSE FORM -Subject Condition p0p nest is late I call play_ big man good girl sun sun p0p tree dish is name cry food milk yes me word wish milk nest high man hot Second Order ThreeEWord 1. men will 2. that man 3. snow time A. d0g nest 5. wish with 6. good girl 7. like food 8. up end 9. man zoo 10. do hot Comments 58. APPENDIX D RESPONSE FORM Subject Condition do of will girl her work one food wish 59_ APPENDIX D RESPONSE FORM Subject Condition Second Order Five Word 1. I put up to like 2. here all of stOp tree 3. stOp egg run with good A. feet is big ten good 5. nest milk one sun said 6. man sun sat with milk 7. late time to wish you 8. is said five feet pOp 9. I milk p0p come zoo 10. eat egg take up ten Comments Normal Sentences Three Word 1. I will 2. the cat 3. I know A. stOp the 5. you —work 6. I am big 7. IV eat 8. I like 9. I like 10. lock the Comments 60 APPENDIX D RESPONSE FORM Subject Condition played Normal Sentences Five Word 1. we went 2. that girl 3. she ran A. we play 5. you do 6. that boy 7. I was 8. that boy 9. five men take 10. you Comments 61 APPENDIX D RESPONSE FORM Subject Condition to the zoo is not good to the store in the snow like the snow is with me good boy will play here came to work that cat out APPENDIX E 62 APPENDIX E MEAN PERCENT CORRECT SCORES ~.mm m.om H.mm m.~m Hmqu cacao m.mm o.ooa m.wm 0.00H Houoe m.mm o.ooa m.mm 0.00H oposIo>Hm ~.mm o.ooa m.mm o.ooa opozIooaee monopcom Hmanoz m.mm «.mm o.mm m.mm Hmpoa m.wm m.mw m.~m o.mm oaozIo>Hm m.bm m.mm =.wm m.>m onozloonea noono ocooom m.mw m.mm m.nm m.mm Hmuoa ~.om o.m~ m.~> m.am opozIo>Hm pm :.mm m.>m o.ooa opozIoosnB hoono umufim Hmpoa 00: com Hospos newcoq oocopcom coameaxondd< Hm>noch measefipmpopCH Hmfipcopsom .epwcoa monopcon can coaumsaxouedm Homecoueom no nacho he Hm>nopca m5HSEHpnpousd non monoon poonnoo unwound coo: .m manna 63 APPENDIX E MEAN PERCENT CORRECT SCORES b.mm m.mm o.mm m.mm Hmpop cacao m.om o.ooH m.mw «.mm Hmpos m.mm o.ooa m.mw o.m> onozIo>Hm =.mm o.ooa m.mm =.mm opoSIoohne come 00: m.mm 9mm m.mm mém Hence m.~m m.mm m.hm m.- onozIo>Hm =.mm m.mm :.mm m.~m onozloonea some oom :.~m o.ooH m.mm w.mm Hmuoe m.mm o.ooa o.mm m.Hm opoSIo>am w.mm o.ooa m.~m o.ooa opoSIooueB Hm>uopcfi amenoz Hospoc oem uma Hm>nopeH Hmpoa soameonnoa¢ Hmapcopcom camcoq mocopeom mSHSEaumuoneH .npwcoa monopcom one Hm>nopsa meassfiumnmpca an coapwefixondam Hmfiucopcom no nooho you nonoom poonuoo pcoonoa coo: .m canoe ___ APPENDIX F 6A» APPENDIX F PERCENT CORRECT SCORES RANGES OF SUBJECTS' 00H manna smnww onozucsem 00H omIQOH w.mwls.mm opoztoouea oo: mmIOOH thmm mmImm onozIo>Hm >.mmIooa h.mmIooa m.mmIooa onozloonea oom ooa NmIOOH mewm onozIo>am can omIooH ooa onozIoopnB amenoz Hmsnoz pew umH Hm>poch cofipmefixopaa< HmfiuCopcom sumsoq oocopcom meassfiumnoch .euwcoa mocopsom cam Hm>uopca mSHSEaumpopnfi an sodumsdxosdeo_amapcopsom mom nouoom poonnoo .muoonnSm ho mowcmm .z oHnt.\ LIST OF REFERENCES “to .‘u'l._~. 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