Spared access to idiomatic and literal meanings: a single-case approach

The current study examines how patients with aphasia access the meanings of idioms during spoken sentence comprehension. In our experiment, we had 4 subjects whose native language is German: 2 left-hemisphere damaged patients (Wernicke's and global aphasia); 1 right-hemisphere damaged patient; and 1 age-matched healthy speaker. Ambiguous two-element German noun compounds carrying an idiomatic as well as a literal meaning served as target words. While listening to contextually biasing sentences containing the target words, the subjects performed a lexical decision task at the offset of each compound. All the subjects, including the aphasic patients, accessed the compounds' literal and idiomatic meanings simultaneously despite the existence of contextually biasing sentences. The data are discussed by taking account of the findings of recent studies of lexical semantic processing in aphasia.