On the preservation of word order in aphasia: cross-linguistic evidence

Studies of language production in English-speaking aphasics (both fluent and nonfluent) generally lead to the conclusion that word order is preserved to a much greater degree than grammatical morphology and/or lexical retrieval. However, because word order is rigidly preserved even in normal English speech, this pattern might reflect nothing more than "the weak link in the chain." Using a constrained production paradigm, we provide evidence showing that canonical sentence order is well preserved in both fluent and nonfluent patients, in Italian and German (languages that permit much more pragmatic word-order variation) as well as English. Patients also retain the ability to order nouns around a preposition, and among Italian patients, access to a high-frequency form of pragmatic word-order variation is also retained. Syntactic difficulties seem to revolve not around loss of ordering principles, but (1) reduction in syntactic complexity, (2) overuse of canonical word order as a "safe harbor," (3) blend errors in which a form appears in legal but semantically incorrect position, and (4) abandonment of the effort to produce a complete sentence under stressful conditions. We offer a redefinition of syntactic impairment as a problem in the access of phrase structure types, resulting in a preference for higher frequency forms. Parallels between lexical retrieval and phrase structure retrieval suggest that similar mechanisms may be at work in both cases.