The ability to adopt the perspective of others when speaking or listening is a key aspect of successful conversation. This ability relies on several cognitive operations such as lexical retrieval, working memory and inhibitory control, all of which can be impaired to various degrees in nonfluent aphasia. Because of this, difficulties in perspective-taking could be a serious problem in individuals with nonfluent aphasia, but it has not received much attention in the cognitive psychology literature. The goal of the current proposal is to shed light on the possible perspective-taking deficits in the production and comprehension of individuals with nonfluent aphasia through a systematic study of the cognitive architecture of perspective taking.
The Specific Aims of this project are: 1. Defining the cognitiv architecture of perspective-taking, including the contributions of specific executive control processes 2. Determining whether perspective-taking can be improved by the application of anodal Transcranial Direct Current Stimulation (a-tDCS) The first set of experiments uses eye-tracking and behavioral methods to distinguish between several processes that contribute to perspective-taking, the impairment of which can cause failure of perspective- taking in different situations. The second set of experiments explores the possibility of improving perspective- taking by enhancing its underlying cognitive components through the application of a-tDCS, a safe and noninvasive procedure that has previously been shown to improve executive control abilities. The findings from these studies will promote our understanding of the cognitive architecture of perspective-taking and the nature of cognitive processes that jointly contribute to it, and will more broadly inform theories of language production and comprehension whose goal is to explain effective communication. Furthermore, the findings will shed light on the origins of perspective-taking deficits in aphasia, and as such contribute to the ultimate goal of aphasia research, which is enhancing communication abilities in this population. On the clinical side, the project raises awareness about a potentially significant problem in aphasic communication, and proposes ways to diagnose and potentially treat such problems using tasks and devices that are safe and easy to integrate in clinical practice. In summary, this project has the potential to improve communicative outcomes for individuals with nonfluent aphasia while at the same time contributing to the cognitive psychology literature on language production and comprehension.

Public Health Relevance

This proposal investigates a critical aspect of communication, adopting the perspective of one's conversation partner, in individuals with nonfluent aphasia who are known to have major communication difficulties. The proposed experiments will shed light on possible perspective-taking problems in these individuals, identify the cognitive roots of these problems, and test the possibility of improving perspective- taking using a non-invasive method of brain stimulation. The findings can be translated directly into clinical rehabilitation o communication skills in individuals with nonfluent aphasia, by (a) directing attention to an understudied aspect of communication problems, (b) suggesting methods to evaluate that problem, and (c) potentially offering a solution to the problem, which, together, could enhance communications skills in this population, and in turn improve their quality of life.

Agency
National Institute of Health (NIH)
Institute
National Institute on Deafness and Other Communication Disorders (NIDCD)
Type
Postdoctoral Individual National Research Service Award (F32)
Project #
5F32DC015390-02
Application #
9236077
Study Section
Special Emphasis Panel (ZDC1-SRB-R (36))
Program Officer
Rivera-Rentas, Alberto L
Project Start
2016-03-01
Project End
2019-02-28
Budget Start
2017-03-01
Budget End
2018-02-28
Support Year
2
Fiscal Year
2017
Total Cost
$59,166
Indirect Cost
Name
Johns Hopkins University
Department
Neurology
Type
Schools of Medicine
DUNS #
001910777
City
Baltimore
State
MD
Country
United States
Zip Code
21205