Word-retrieval difficulty and disfluent speech in adult anomic speakers

The relationships existing between measures of disfluency and measures of word-retrieval ability in adult anomic aphasic and adult non-brain-damaged subjects were investigated. Subjects produced single-word naming responses for pictured stimuli consisting of objects, colors, and actions. The obtained number of correct naming responses and word-retrieval latency measurements were related to the number and types of disfluencies present in the subjects' connected speech samples. The major findings of the investigation include the following: (a) the anomic subject group presented significantly more disfluencies than did the nonaphasic group; (b) the number of disfluencies increased as word-retrieval difficulty increased for the anomic subjects; (c) when word-retrieval difficulty was measured by the number of correct responses those anomic subjects who tended to be most disfluent and to have the greatest word-retrieval difficulty also tended to have the highest proportions of those disfluencies most likely to be considered "stutterings" (part-word repetitions, vocal segregate repetitions, and prolongations) and the lowest proportions of hesitations; and (d) the proportion of stutterings increased as the total number of disfluencies increased for anomic and for nonaphasic subjects. Implications of results for testing of aphasic patients are discussed.