Selective semantic-lexical impairment of language comprehension in right-brain-damaged patients

Fifty right-brain-damaged patients and thirty-nine normal controls were given two tests of semantic-lexical discrimination (auditory language comprehension and reading comprehension) and a test of phoneme discrimination. The aims of the research consisted in checking: (A) if right-brain-damaged patients are significantly more impaired than normal controls on the tasks of semantic discrimination even when the influence of associated variables (such as unilateral spatial neglect or general mental impairment) is ruled out; and (B) if semantic-lexical disorders of right-brain-damaged patients are selective or if they are associated with disorders of phoneme discrimination. Results have shown that right hemispheric lesions consistently impair semantic-lexical discrimination but do not hamper phoneme discrimination. Some implications of these results are discussed.