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  3. Self-reported Inner Speech Reflects Improvement From Language Therapy.
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  3. Self-reported Inner Speech Reflects Improvement From Language Therapy.

Related Experiment Video

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
06:04

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages

Published on: March 24, 2023

Self-Reported Inner Speech Reflects Improvement From Language Therapy.

Brielle C Stark1,2, Julianne M Alexander1,2, Emma Stockrahm1

  • 1Department of Speech, Language and Hearing Sciences, Indiana University Bloomington.

American Journal of Speech-Language Pathology
|June 24, 2026

View abstract on PubMed

Summary
This summary is machine-generated.

Inner speech, the experience of silent word retrieval, did not predict naming recovery in aphasia patients before treatment. However, concurrent inner speech during naming trials significantly improved word recall after therapy.

Related Experiment Videos

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
06:04

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages

Published on: March 24, 2023

Area of Science:

  • Neuroscience
  • Speech-Language Pathology
  • Psycholinguistics

Background:

  • Aphasia, a language disorder resulting from brain damage, often impairs word retrieval.
  • Inner speech, defined as the subjective experience of covert lexical access, is hypothesized to play a role in language production and recovery.
  • Semantic Feature Analysis (SFA) is a treatment approach aimed at improving word retrieval in individuals with aphasia.

Purpose of the Study:

  • To investigate the role of inner speech in naming recovery following SFA treatment in individuals with aphasia.
  • To determine if baseline inner speech predicts treatment outcomes.
  • To examine if real-time changes in inner speech are associated with naming success during and after treatment.

Main Methods:

  • Eighteen individuals with poststroke aphasia underwent SFA treatment targeting 30 individualized items.
  • Participants reported the presence or absence of inner speech on each naming trial.
  • Logistic mixed-effects models were used to analyze the relationship between inner speech and naming accuracy, controlling for covariates.

    • Main Results:

    • Pretreatment inner speech levels did not predict posttreatment naming accuracy.
    • A significant interaction revealed that concurrent inner speech during naming trials was strongly associated with correct item naming posttreatment.
    • These findings persisted after accounting for aphasia severity and psycholinguistic variables; untreated items showed minimal improvement.

    Conclusions:

    • Inner speech does not predict aphasia treatment outcome at baseline.
    • Inner speech serves as a dynamic, real-time marker of successful lexical access during naming tasks following SFA therapy.
    • The study highlights the importance of concurrent inner speech in facilitating naming recovery in individuals with aphasia.