Related Experiment Video
Updated: Jul 15, 2026

Lexical Decision Task for Studying Written Word Recognition in Adults with and without Dementia or Mild Cognitive Impairment
Published on: June 25, 2019
SD-squared: on the association between semantic dementia and surface dyslexia
Anna M Woollams1, Matthew A Lambon Ralph, David C Plaut
1Medical Research Council (MRC) Cognition and Brain Sciences Unit, Cambridge, United Kingdom. anna.woollams@mrc-cbu.cam.ac.uk
Semantic dementia, a condition affecting word meaning, is strongly linked to surface dyslexia, a reading difficulty with exception words. This study confirms a significant relationship between semantic impairment severity and reading deficits.
Area of Science:
- Cognitive Neuroscience
- Psycholinguistics
- Neurology
Background:
- The connectionist triangle model posits crucial interactions between semantic and phonological word representations for reading aloud.
- This interaction is especially vital for pronouncing low-frequency exception words accurately.
Purpose of the Study:
- To investigate the predicted link between semantic dementia and surface dyslexia.
- To determine the relationship between the severity of semantic impairment and the degree of surface dyslexia.
Main Methods:
- Analysis of reading aloud data from 51 individuals with semantic dementia (100 observations).
- Assessment of semantic knowledge using a composite measure.
- Evaluation of exception word reading, particularly for low-frequency words.
Main Results:
- Surface dyslexia was a common finding in semantic dementia.
- A semantic measure explained 50% of the variance in low-frequency exception word reading.
- Individuals with initial mild semantic deficits and normal exception word reading developed surface dyslexia as semantic knowledge further declined.
Conclusions:
- Semantic dementia is strongly associated with surface dyslexia (termed SD-squared).
- The findings support the connectionist triangle model's predictions regarding semantic and phonological interactions in reading.
- Individual differences in reliance on semantic information may influence the development of surface dyslexia in semantic dementia.
Related Concept Videos
Language and Cognition
Learning Disabilities
Dyslexia
Dyslexia is a...
Dementia l: Introduction
Visual Agnosia
Higher Mental Functions of the Brain: Language
Language formation and comprehension take place in the dominant hemisphere. The dominant hemisphere is responsible for understanding the meaning of spoken, written, or sign language, as well as the ability to communicate. For most people, the left hemisphere is the dominant one. The right hemisphere, then, gives tone and emotional context to the...
Association Areas of the Cortex
Prefrontal Association Area: This area is located in the frontal lobe and is involved in planning, decision-making, and moderating social behavior. It connects with primary motor areas,...

