Noisy-channel language comprehension in aphasia: A Bayesian mixture modeling approach.

Individuals with "agrammatic" receptive aphasia have long been known to rely on semantic plausibility rather than syntactic cues when interpreting sentences. In contrast to early interpretations of this pattern as indicative of a deficit in syntactic knowledge, a recent proposal views agrammatic comprehension as a case of "noisy-channel" language processing with an increased expectation of noise in the input relative to healthy adults. Here, we investigate the nature of the noise model in aphasia and whether it is adapted to the statistics of the environment. We first replicate findings that a) healthy adults (N = 40) make inferences about the intended meaning of a sentence by weighing the prior probability of an intended sentence against the likelihood of a noise corruption and b) their estimate of the probability of noise increases when there are more errors in the input (manipulated via exposure sentences). We then extend prior findings that adults with chronic post-stroke aphasia (N = 28) and healthy age-matched adults (N = 19) similarly engage in noisy-channel inference during comprehension. We use a hierarchical latent mixture modeling approach to account for the fact that rates of guessing are likely to differ between healthy controls and individuals with aphasia and capture individual differences in the tendency to make inferences. We show that individuals with aphasia are more likely than healthy controls to draw noisy-channel inferences when interpreting semantically implausible sentences, even when group differences in the tendency to guess are accounted for. While healthy adults rapidly adapt their inference rates to an increase in noise in their input, whether individuals with aphasia do the same remains equivocal. Further investigation of comprehension through a noisy-channel lens holds promise for a parsimonious understanding of language processing in aphasia and may suggest potential avenues for treatment.