The Italian Adaptation of the Treatment of Underlying Forms for Object Relatives in Agrammatic Aphasia: Training Efficacy, Generalization Patterns, and Cross-Linguistic Implications.

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Title: The Italian Adaptation of the Treatment of Underlying Forms for Object Relatives in Agrammatic Aphasia: Training Efficacy, Generalization Patterns, and Cross-Linguistic Implications.
Authors: Viganò, Mauro1 dott.mauro.vigano@gmail.com, Barbieri, Elena2,3, Thompson, Cynthia K.4, Vitali, Chiara5, Cecchetto, Carlo1,6
Source: Journal of Speech, Language & Hearing Research. May2025, Vol. 68 Issue 5, p2399-2422. 24p.
Subject Terms: *Comparative grammar, *Research methodology evaluation, *Phonological awareness, *Pre-tests & post-tests, *Research methodology, *Memory, Task performance, Functional assessment, Treatment effectiveness, Linguistics, Medical records, Acquisition of data, Quality assurance, Stroke, Agrammatism, Disease complications
Geographic Terms: Italy
Abstract: Purpose: Treatment of Underlying Forms (TUF) is a training program grounded in linguistic theory and aiming to boost complex sentences production in people with agrammatism. Language treatment studies in aphasia confirmed TUF efficacy and led to the formulation of the Complexity Account of Treatment Efficacy (CATE). According to CATE, which relies on the primitive distinction between A- and A′-structures, training complex sentences induces an improvement on simpler structures, but no generalization occurs between different types of syntactic movement. This experiment provides the first adaptation of TUF in Italian and investigates the cross-linguistic validity of training efficacy and its generalization pattern. Method: Using a single-subject experimental design, five participants with chronic poststroke agrammatism underwent intensive training for object relatives. Performance on trained and untrained object relatives (A′-structures), object clefts (simpler A′-structures), and passive sentences (A-structures) was measured at multiple time points, that is, pre- and posttreatment, during the training, and at follow-up. A standardized assessment of aphasia was also administered pre- and posttreatment. Results: The results reported a robust improvement in the production of trained and untrained object relatives in all five participants, a generalization to object clefts in four participants, and, unexpectedly, a generalization to passives in three participants. All participants showed improved comprehension on all these structures. A general linguistic improvement was also found in the standardized testing of aphasia, especially in morphosyntactic abilities. Conclusions: The findings confirmed the efficacy of the Italian adaptation of TUF for object relatives supporting its use in the clinical practice. To explain the generalization to passives in Italian but not in the English version of TUF, we propose an amendment of CATE that takes the syntactic operation of Internal Merge as a primitive (keeping the A vs. A′ distinction as a modulating factor). [ABSTRACT FROM AUTHOR]
Copyright of Journal of Speech, Language & Hearing Research is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: The Italian Adaptation of the Treatment of Underlying Forms for Object Relatives in Agrammatic Aphasia: Training Efficacy, Generalization Patterns, and Cross-Linguistic Implications.
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  Data: <searchLink fieldCode="AR" term="%22Viganò%2C+Mauro%22">Viganò, Mauro</searchLink><relatesTo>1</relatesTo><i> dott.mauro.vigano@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Barbieri%2C+Elena%22">Barbieri, Elena</searchLink><relatesTo>2,3</relatesTo><br /><searchLink fieldCode="AR" term="%22Thompson%2C+Cynthia+K%2E%22">Thompson, Cynthia K.</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22Vitali%2C+Chiara%22">Vitali, Chiara</searchLink><relatesTo>5</relatesTo><br /><searchLink fieldCode="AR" term="%22Cecchetto%2C+Carlo%22">Cecchetto, Carlo</searchLink><relatesTo>1,6</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Speech%2C+Language+%26+Hearing+Research%22">Journal of Speech, Language & Hearing Research</searchLink>. May2025, Vol. 68 Issue 5, p2399-2422. 24p.
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  Data: *<searchLink fieldCode="DE" term="%22Comparative+grammar%22">Comparative grammar</searchLink><br />*<searchLink fieldCode="DE" term="%22Research+methodology+evaluation%22">Research methodology evaluation</searchLink><br />*<searchLink fieldCode="DE" term="%22Phonological+awareness%22">Phonological awareness</searchLink><br />*<searchLink fieldCode="DE" term="%22Pre-tests+%26+post-tests%22">Pre-tests & post-tests</searchLink><br />*<searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br />*<searchLink fieldCode="DE" term="%22Memory%22">Memory</searchLink><br /><searchLink fieldCode="DE" term="%22Task+performance%22">Task performance</searchLink><br /><searchLink fieldCode="DE" term="%22Functional+assessment%22">Functional assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Linguistics%22">Linguistics</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+records%22">Medical records</searchLink><br /><searchLink fieldCode="DE" term="%22Acquisition+of+data%22">Acquisition of data</searchLink><br /><searchLink fieldCode="DE" term="%22Quality+assurance%22">Quality assurance</searchLink><br /><searchLink fieldCode="DE" term="%22Stroke%22">Stroke</searchLink><br /><searchLink fieldCode="DE" term="%22Agrammatism%22">Agrammatism</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+complications%22">Disease complications</searchLink>
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  Data: Purpose: Treatment of Underlying Forms (TUF) is a training program grounded in linguistic theory and aiming to boost complex sentences production in people with agrammatism. Language treatment studies in aphasia confirmed TUF efficacy and led to the formulation of the Complexity Account of Treatment Efficacy (CATE). According to CATE, which relies on the primitive distinction between A- and A′-structures, training complex sentences induces an improvement on simpler structures, but no generalization occurs between different types of syntactic movement. This experiment provides the first adaptation of TUF in Italian and investigates the cross-linguistic validity of training efficacy and its generalization pattern. Method: Using a single-subject experimental design, five participants with chronic poststroke agrammatism underwent intensive training for object relatives. Performance on trained and untrained object relatives (A′-structures), object clefts (simpler A′-structures), and passive sentences (A-structures) was measured at multiple time points, that is, pre- and posttreatment, during the training, and at follow-up. A standardized assessment of aphasia was also administered pre- and posttreatment. Results: The results reported a robust improvement in the production of trained and untrained object relatives in all five participants, a generalization to object clefts in four participants, and, unexpectedly, a generalization to passives in three participants. All participants showed improved comprehension on all these structures. A general linguistic improvement was also found in the standardized testing of aphasia, especially in morphosyntactic abilities. Conclusions: The findings confirmed the efficacy of the Italian adaptation of TUF for object relatives supporting its use in the clinical practice. To explain the generalization to passives in Italian but not in the English version of TUF, we propose an amendment of CATE that takes the syntactic operation of Internal Merge as a primitive (keeping the A vs. A′ distinction as a modulating factor). [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Speech, Language & Hearing Research is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1044/2025_JSLHR-24-00305
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      – Code: eng
        Text: English
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        PageCount: 24
        StartPage: 2399
    Subjects:
      – SubjectFull: Comparative grammar
        Type: general
      – SubjectFull: Research methodology evaluation
        Type: general
      – SubjectFull: Phonological awareness
        Type: general
      – SubjectFull: Pre-tests & post-tests
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      – SubjectFull: Research methodology
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      – SubjectFull: Memory
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      – SubjectFull: Task performance
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      – SubjectFull: Functional assessment
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      – SubjectFull: Treatment effectiveness
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      – SubjectFull: Linguistics
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      – SubjectFull: Medical records
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      – SubjectFull: Acquisition of data
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      – SubjectFull: Quality assurance
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      – SubjectFull: Stroke
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      – SubjectFull: Disease complications
        Type: general
      – SubjectFull: Italy
        Type: general
    Titles:
      – TitleFull: The Italian Adaptation of the Treatment of Underlying Forms for Object Relatives in Agrammatic Aphasia: Training Efficacy, Generalization Patterns, and Cross-Linguistic Implications.
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              Text: May2025
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              Y: 2025
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