{"id":2568,"date":"2025-08-25T16:05:38","date_gmt":"2025-08-25T14:05:38","guid":{"rendered":"https:\/\/www.cienciacognitiva.org\/?p=2568"},"modified":"2025-08-25T16:07:07","modified_gmt":"2025-08-25T14:07:07","slug":"is-saying-apple-the-same-as-saying-twenty-six-what-speech-errors-in-aphasia-tell-us-about-how-we-process-language","status":"publish","type":"post","link":"https:\/\/www.cienciacognitiva.org\/?p=2568","title":{"rendered":"Is saying \u201capple\u201d the same as saying \u201ctwenty-six\u201d? What speech errors in aphasia tell us about how we process language"},"content":{"rendered":"<p>Ismael Guti\u00e9rrez-Cordero (1,2,3) y Javier Garc\u00eda-Orza (2,3)<br \/>\n(1) Unidad de Neurociencia Cognitiva y Afasias, Centro de Investigaciones M\u00e9dico-Sanitarias (CIMES), Universidad de M\u00e1laga, Espa\u00f1a<br \/>\n(2) Laboratorio de Cognici\u00f3n Num\u00e9rica, Universidad de M\u00e1laga, Espa\u00f1a<br \/>\n(3) Departamento de Psicolog\u00eda B\u00e1sica, Universidad de M\u00e1laga, Espa\u00f1a<\/p>\n<div style=\"width: 310px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium\" src=\"http:\/\/www.cienciacognitiva.org\/files\/2025-11-bert-b-unsplash.jpg\" alt=\"(unsplash) bert-b.\" width=\"300\" height=\"169\" \/><p class=\"wp-caption-text\">(unsplash) bert-b.<\/p><\/div>\n<p><em>The study of speech errors provides valuable insights into the functioning of our cognitive system. Several studies with brain-damaged individuals have identified a different pattern of errors in the oral production of words and numbers, which has led to the proposal of independent mechanisms for processing these types of stimuli. In a recent study, we evaluated the production of numerical and non-numerical words under strict experimental control and found similar error patterns for both types of stimuli. Therefore, it does not appear necessary to postulate separate systems for the production of words and numbers.<\/em><\/p>\n<p><!--more--><\/p>\n<p><a href=\"http:\/\/www.cienciacognitiva.org\/files\/2025-11-i.pdf\">[PDF Version]<\/a><\/p>\n<p>It is relatively normal for people to make occasional errors when speaking. Who has not, at some point, said \u201cspoon\u201d when they meant \u201cfork,\u201d or \u201ckitchen\u201d instead of \u201cchicken\u201d? In individuals with aphasia, a language disorder caused by brain damage, these errors are much more frequent and directly affect their ability to produce words and, therefore, to communicate effectively.<\/p>\n<p>The errors produced by people with aphasia can be of different types, and they are thought to originate in relatively specific areas of the cognitive system and the brain. In fact, these errors tend to be fairly stable because they are determined by the location of the lesion. For example, patients with damage to the ventral language pathway often show impairments at the lexical level, which includes the representations of known words, or at the semantic level, which includes their meanings. This can lead them to produce, among others, semantic errors, such as saying \u201cdog\u201d instead of \u201ccat.\u201d In contrast, when the lesion affects the dorsal language pathway, the difficulties are typically related to phonological processing, especially at the phonemic level, where phonemes are selected, ordered, and maintained during speech production. This results in phonemic errors, such as \u201ctebra\u201d instead of \u201czebra.\u201d<\/p>\n<p>However, a paradoxical phenomenon has been observed in patients with phonological deficits: the Stimulus Type Effect on Phonological and Semantic errors, known as STEPS (Dotan and Friedmann, 2015). These patients mainly produce phonemic errors, such as saying \u201ctebra,\u201d when they are assessed in production tasks that include nouns or verbs. Unexpectedly, however, when producing numbers, they tend to generate a higher proportion of semantic errors than phonemic errors, for example saying \u201cthirteen\u201d instead of \u201cforty-two.\u201d This reversal of their usual error pattern does not readily align with the idea that their primary difficulty lies in phonological processing. It is a challenging phenomenon to account for and it has sparked considerable debate within the field of cognitive neuropsychology in recent years. Some researchers have even proposed that the oral production of numbers engages specific systems that are partly independent of those involved in producing non-numerical words.<\/p>\n<p>A few years ago, we proposed that it might not be necessary to develop alternative models that separate the production of words and numbers (Garc\u00eda-Orza et al., 2020). Instead, the STEPS effect could be due to the lack of adequate experimental control. Unlike non-numerical words typically used for comparison, numbers (a) have especially high frequency of use, which could protect them against the phonemic errors that are common in these patients; (b) are often presented as multi-digit sequences, which are naturally longer than words (for example, \u201cone hundred forty-seven\u201d compared to \u201cumbrella\u201d), making it harder to keep their phonological trace active in memory; and (c) are presented in lists composed entirely of items from the same semantic category\u2014that is, other numbers\u2014unlike lists of non-numerical words, which usually include items from a range of different categories such as animals, countries, or tools. As shown in the literature, this can increase the likelihood of producing semantic errors.<\/p>\n<p>Recently, we tested this hypothesis (Guti\u00e9rrez-Cordero and Garc\u00eda-Orza, 2025). Our aim was to investigate whether the higher proportion of semantic errors observed with numbers in the STEPS effect could also be found with other types of words, by replicating as closely as possible the conditions under which number production is typically assessed. Colors, like numbers, belong to a specific semantic category, so we built sequences of color words that were analogous to multi-digit numbers. For example, as an equivalent to \u201cthree hundred fifty-six,\u201d we used sequences of frequent colors such as \u201cred\u2013green\u2013pink.\u201d In this way, we ensured that the sequences had a comparable length and similar memory demands. As in the classic studies, we presented blocks of color sequences and blocks of multi-digit numbers, using sixty sequences in each condition. Figure 1 shows the performance of our two patients with aphasia. The error pattern previously observed with numbers was also replicated with colors: in different production tasks, both patients produced more semantic errors, such as saying \u201cblue\u201d instead of \u201cgreen,\u201d than phonemic errors, such as \u201cbreen.\u201d<\/p>\n<p>We then analyzed the role of lexical frequency. Our hypothesis was that phonemic errors are not produced with numbers because their extremely high frequency protects them. Previous research has shown that a frequent word like \u201cold\u201d tends to produce fewer phonemic errors than a less frequent word like \u201cancient\u201d. To test our hypothesis, we created sequences using low-frequency colors, such as \u201cbeige\u2013maroon\u2013ochre,\u201d and found that this substantially increased the production of phonemic errors, such as \u201cbeige\u2013marone\u2013ochre\u201d (see Figure 1). These results confirmed our hypothesis: in numbers and high-frequency colors, phonemic errors were practically absent, whereas in low-frequency colors, they increased significantly. Lexical frequency showed a clear modulatory effect on error production.<\/p>\n<div style=\"width: 810px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium\" src=\"http:\/\/www.cienciacognitiva.org\/files\/2025-11-f1-i.jpg\" alt=\"Figure 1. Proportion of error types according to stimulus type. A filled pie chart represents the total number of errors produced by two patients (DNR and ML) with different subtypes of conduction aphasia (characterized by phonological impairment). a) Data adapted from Garc\u00eda-Orza et al. (2020). b) Data adapted from Guti\u00e9rrez-Cordero and Garc\u00eda-Orza (2025).\" width=\"800\" height=\"441\" \/><p class=\"wp-caption-text\">Figure 1. Proportion of error types according to stimulus type. A filled pie chart represents the total number of errors produced by two patients (DNR and ML) with different subtypes of conduction aphasia (characterized by phonological impairment). a) Data adapted from Garc\u00eda-Orza et al. (2020). b) Data adapted from Guti\u00e9rrez-Cordero and Garc\u00eda-Orza (2025).<\/p><\/div>\n<p>Our findings illustrate how insufficient experimental control can create behavioral patterns that obscure the understanding of the cognitive mechanisms underlying language production and mask the true nature of the cognitive and neural alterations present in patients with aphasia. In the case of the STEPS effect, patients appear to show a category-specific pattern\u2014producing more semantic errors when naming numbers and more phonemic errors when naming other types of words. However, this apparent dissociation is artificial, as it likely results from differences in how the stimuli were selected and presented, rather than reflecting genuinely distinct cognitive processes involved in producing numbers and words. When experimental variables are carefully controlled, it becomes clear that both types of stimuli engage the same underlying linguistic mechanisms.<\/p>\n<p>The next time you find yourself making a speech error, remember that, just like accurate speech, our mistakes also arise from the orchestrated work of multiple processes shaped by a wide range of variables.<\/p>\n<p><strong>References<\/strong><\/p>\n<p>Dotan, D., &amp; Friedmann, N. (2015). Steps towards understanding the phonological output buffer and its role in the production of numbers, morphemes, and function words. <em>Cortex<\/em>, 63, 317\u2013351.<\/p>\n<p>Garc\u00eda-Orza, J., Guti\u00e9rrez-Cordero, I., &amp; Guandalini, M. (2020). Saying thirteen instead of forty-two but saying lale instead of tale: Is number production special? <em>Cortex<\/em>, 128, 281\u2013296.<\/p>\n<p>Guti\u00e9rrez-Cordero, I., &amp; Garc\u00eda-Orza, J. (2025). Disassembling an experimental artifact in aphasia: Why phonemic errors with words and semantic errors with numbers? <em>Cortex<\/em>, 185, 184-210.<\/p>\n<p style=\"text-align: center;\">Manuscript received on March 31st, 2025.<br \/>\nAccepted on June 25th, 2025.<\/p>\n<p style=\"text-align: center;\">This is the English version of<br \/>\nGuti\u00e9rrez-Cordero, I., y Garc\u00eda-Orza, J. (2025). \u00bfEs igual decir \u201cmanzana\u201d que \u201cveintis\u00e9is\u201d? Lo que los errores del habla en la afasia nos revelan sobre los mecanismos del lenguaje. Ciencia Cognitiva, 19:2, 71-74.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ismael Guti\u00e9rrez-Cordero (1,2,3) y Javier Garc\u00eda-Orza (2,3) (1) Unidad de Neurociencia Cognitiva y Afasias, Centro de Investigaciones M\u00e9dico-Sanitarias (CIMES), Universidad <span class=\"ellipsis\">&hellip;<\/span> <span class=\"more-link-wrap\"><a href=\"https:\/\/www.cienciacognitiva.org\/?p=2568\" class=\"more-link\"><span>Read More &rarr;<\/span><\/a><\/span><\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[16,512,4,3],"tags":[818,130,49,42,39],"class_list":["post-2568","post","type-post","status-publish","format-standard","hentry","category-actualidad","category-multilingue","category-neurociencia","category-psicologia","tag-afasia","tag-cognicion-numerica","tag-lenguaje","tag-memoria","tag-numeros"],"_links":{"self":[{"href":"https:\/\/www.cienciacognitiva.org\/index.php?rest_route=\/wp\/v2\/posts\/2568","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.cienciacognitiva.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.cienciacognitiva.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.cienciacognitiva.org\/index.php?rest_route=\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.cienciacognitiva.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2568"}],"version-history":[{"count":1,"href":"https:\/\/www.cienciacognitiva.org\/index.php?rest_route=\/wp\/v2\/posts\/2568\/revisions"}],"predecessor-version":[{"id":2569,"href":"https:\/\/www.cienciacognitiva.org\/index.php?rest_route=\/wp\/v2\/posts\/2568\/revisions\/2569"}],"wp:attachment":[{"href":"https:\/\/www.cienciacognitiva.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2568"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.cienciacognitiva.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2568"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.cienciacognitiva.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2568"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}