Bettina Mohr

Bettina Mohr
Charité Universitätsmedizin Berlin | Charité · Department of Psychiatry

PhD

About

79
Publications
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3,267
Citations

Publications

Publications (79)
Article
Full-text available
Background. Intensive aphasia therapy can improve language functions in chronic aphasia over a short therapy interval of 2–4 weeks. For one intensive method, intensive language–action therapy, beneficial effects are well documented by a range of randomized controlled trials. However, it is unclear to date whether therapy-related improvements are ma...
Article
Full-text available
Background Impaired naming is a ubiquitous symptom in all types of aphasia, which often adversely impacts independence, quality of life, and recovery of affected individuals. Previous research has demonstrated that naming can be facilitated by phonological and semantic cueing strategies that are largely incorporated into the treatment of anomic dis...
Article
Full-text available
Introduction: Depressive symptoms are a major drawback of aphasia, negatively impacting on functional outcomes. In a previous study, Intensive Language-Action Therapy (ILAT) was effective in improving depression and low mood in persons with chronic non-fluent aphasia. We present a proof-of-concept case–control study that evaluates language and mood...
Article
Purpose This study aimed to provide novel insights into the neural correlates of language improvement following intensive language-action therapy (ILAT; also known as constraint-induced aphasia therapy). Method Sixteen people with chronic aphasia underwent clinical aphasia assessment (Aachen Aphasia Test [AAT]), as well as functional magnetic reso...
Preprint
Full-text available
Background: Impaired naming is a ubiquitous symptom in all types of aphasia, which often adversely impacts independence, quality of life, and recovery of affected individuals. Previous research has demonstrated that naming can be facilitated by phonemic and semantic cueing strategies that are largely incorporated into the treatment of anomic distur...
Preprint
Full-text available
Background: Impaired naming is a ubiquitous symptom in all types of aphasia, which often adversely impacts independence, quality of life, and recovery of affected individuals. Previous research has demonstrated that naming can be facilitated by phonological and semantic cueing strategies that are largely incorporated into the treatment of anomic di...
Article
Full-text available
The neurophysiological mechanisms underlying motor and language difficulties in autism spectrum disorders (ASD) are still largely unclear. The present work investigates biological indicators of sound processing, (action-) semantic understanding and predictive coding and their correlation with clinical symptoms of ASD. Twenty-two adults with high-fu...
Article
Full-text available
Several studies indicate the functional importance of the motor cortex for higher cognition, language and semantic processing, and place the neural substrate of these processes in sensorimotor action-perception circuits linking motor, sensory and perisylvian language regions. Interestingly, in individuals with autism spectrum disorder (ASD), semant...
Article
Full-text available
Is the meaning of an expected stimulus manifest in brain activity even before it appears? Although theories of predictive coding see anticipatory activity as crucial for the understanding of brain function, few studies have explored neurophysiologically manifest semantic predictions. Here, we report predictive negative-going potentials before the o...
Article
Full-text available
Background and Purpose— Evidence suggests that therapy can be effective in recovering from aphasia, provided that it consists of socially embedded, intensive training of behaviorally relevant tasks. However, the resources of healthcare systems are often too limited to provide such treatment at sufficient dosage. Hence, there is a need for evidence-...
Article
Recent studies on face processing and its hemispheric lateralization suggest that inconsistencies in earlier findings might be partially explained by sex differences, as findings from event-related potential studies indicated a more asymmetric functioning of the visual cortex during face encoding in men, whereas women seemed to display a more bilat...
Article
Full-text available
Objective: Recent evidence has fuelled the debate on the role of massed practice in the rehabilitation of chronic post-stroke aphasia. Here, we further determined the optimal daily dosage and total duration of intensive speech-language therapy. Methods: Individuals with chronic aphasia more than 1 year post-stroke received Intensive Language-Act...
Article
Full-text available
Background: Patients with brain lesions and resultant chronic aphasia frequently suffer from depression. However, no effective interventions are available to target neuropsychiatric symptoms in patients with aphasia who have severe language and communication deficits. Objective: The present study aimed to investigate the efficacy of 2 different...
Article
Full-text available
Recent approaches in the tradition of theories of semantic and conceptual “grounding” emphasize the role of perceptual and motor knowledge in language as well as action understanding. However, the role of the two cerebral hemispheres in integrating action-motor and language processes is not clear yet. The influence of a simultaneous motor tapping t...
Article
Background Aphasia affects approximately one third of all stroke patients and may lead to chronic disability. Effective neurorehabilitation programs focusing on improving speech and language in patients with post-stroke aphasia are essential. A better understanding of the neurobiological processes accompanying language deficits and rehabilitation m...
Article
Background Previous studies have demonstrated that efficient language and communication therapy in chronic post stroke aphasia leads to significant clinical language improvements (Pulvermüller et al., 2001) and promotes neuroplasticity. Brain areas frequently associated with functional restitution of language comprise perilesional sites in the left...
Article
Full-text available
A range of methods in clinical research aim to assess treatment-induced progress in aphasia therapy. Here, we used a crossover randomized controlled design to compare the suitability of utterance-centered and dialogue-sensitive outcome measures in speech-language testing. Fourteen individuals with post-stroke chronic non-fluent aphasia each receive...
Article
Full-text available
Clinical language performance and neurophysiological correlates of language processing were measured before and after intensive language therapy in patients with chronic (time post stroke >1 year) post stroke aphasia (PSA). As event-related potential (ERP) measure, the mismatch negativity (MMN) was recorded in a distracted oddball paradigm to short...
Chapter
Constraint-Induced Aphasia Therapy (CIAT) (Pulvermuller et al., 2001), a new treatment approach for patients with chronic poststroke aphasia (PSA), is an efficacious, short-term treatment developed on the basis of Constraint-Induced Movement Therapy (CIMT) (Taub et al., 1993) and communicative aphasia therapy (CAT) (Davis & Wilcox, 1985), as well a...
Article
Full-text available
Introduction: Clinical research highlights the importance of massed practice in the rehabilitation of chronic post-stroke aphasia. However, while necessary, massed practice may not be sufficient for ensuring progress in speech-language therapy. Motivated by recent advances in neuroscience, it has been claimed that using language as a tool for comm...
Poster
Introduction: Aphasia and other language deficits are frequently seen as structural-linguistic impairments affecting speech sounds, vocabulary and syntax. In contrast, pragmatic-linguistic functions such as the ability to use linguistic materials in order to perform linguistic actions, i.e. speech acts, are attributed to the right, non-dominant hem...
Article
Full-text available
Atypical language is a fundamental feature of autism spectrum conditions (ASC), but few studies have examined the structural integrity of the arcuate fasciculus, the major white matter tract connecting frontal and temporal language regions, which is usually implicated as the main transfer route used in processing linguistic information by the brain...
Article
Full-text available
Effects of intensive language action therapy (ILAT) on automatic language processing were assessed using Magnetoencephalography (MEG). Auditory magnetic mismatch negativity (MMNm) responses to words and pseudowords were recorded in twelve patients with chronic aphasia before and immediately after two weeks of ILAT. Following therapy, Patients showe...
Article
Full-text available
The role of the two hemispheres in the neurorehabilitation of language is still under dispute. This study explored the changes in language-evoked brain activation over a 2-week treatment interval with intensive constraint induced aphasia therapy (CIAT), which is also called intensive language action therapy (ILAT). Functional magnetic resonance ima...
Article
Full-text available
Autism spectrum conditions (ASC) are characterised by deficits in understanding and expressing emotions and are frequently accompanied by alexithymia, a difficulty in understanding and expressing emotion words. Words are differentially represented in the brain according to their semantic category and these difficulties in ASC predict reduced activa...
Article
Full-text available
Action-perception circuits containing neurons in the motor system have been proposed as the building blocks of higher cognition; accordingly, motor dysfunction should entail cognitive deficits. Autism spectrum conditions (ASC) are marked by motor impairments but the implications of such motor dysfunction for higher cognition remain unclear. We here...
Article
Full-text available
Reading utilises at least two neural pathways. The temporal lexical route visually maps whole words to their lexical entries, whilst the nonlexical route decodes words phonologically via parietal cortex. Readers typically employ the lexical route for familiar words, but poor comprehension plus precocity at mechanically ‘sounding out’ words suggests...
Article
Full-text available
Background: Brain and language theories suggest the application of general neuroscientific and linguistic principles in the neurorehabilitation of language. The interwoven nature of language and action has long been emphasised in linguistic pragmatics, and recent neuroscience research has indeed demonstrated tight functional interactions between la...
Conference Paper
Background: Atypical organisation of the semantic system in autism spectrum conditions (ASC) is implied by previous research (Harris et al, 2006) but remains understudied. In typical individuals, word meaning is embodied in sensorimotor systems related to experiencing that concept in the world. Action-related words (e.g. “kick”) activate frontoce...
Article
Full-text available
Sensorimotor areas activate to action- and object-related words, but their role in abstract meaning processing is still debated. Abstract emotion words denoting body internal states are a critical test case because they lack referential links to objects. If actions expressing emotion are crucial for learning correspondences between word forms and e...
Article
Here, we ask whether frontotemporal cortex is functionally dissociated into distributed lexical and category-specific semantic networks. To this end, fMRI activation patterns elicited during the processing of words from different semantic categories were categorized using k-means cluster algorithms. Results showed a distributed pattern of inferiorf...
Article
Previous behavioural studies have demonstrated evidence for impaired interhemispheric cooperation in schizophrenia patients. The present study uses event-related brain potentials (ERPs) and source localisations to investigate the neurophysiological mechanisms underlying hemispheric cooperation. Fourteen schizophrenia patients and 15 healthy control...
Article
Neurophysiological correlates of hemispheric asymmetry and interhemispheric interaction in lexical processing were investigated in a lexical decision task with tachistoscopic stimulus presentation either unilaterally, to the right or left visual field, or bilaterally, with identical stimulus copies to each visual hemi-field. Behavioral data confirm...
Article
The brain processes of language recovery after stroke are poorly understood, partly because past research did not allow to differentiate the effects of spontaneous restitution processes from those of learning-related cortical reorganization. Here, we use a new approach offered by recently developed intense neuropsychological therapy methods, which...
Article
Neurophysiological correlates of language recovery after stroke were investigated. Neurological patients with single focal lesions in their left or right hemisphere and healthy control subjects made lexical decisions on written words and pseudo-words while EEG responses were recorded. At the time of testing, patients did not show clinically apparen...
Article
The cell assembly model of language posits that words are laid down in the cortex by discrete sets of neurons distributed over specific parts of the brain. The strong internal links of these “word webs” may not only bind articulatory and acoustic knowledge of a lexical item, they may also link word and meaning; for example, by connecting neuron pop...
Article
Abstract An oddball paradigm was used to investigate brain processes elicited by spoken words and pseudowords played monaurally, to the left or right ear, or simultaneously to both ears of human subjects instructed to ignore acoustic stimuli but watch a silent video film. The mismatch negativity (MMN), a neurophysiological index of the automatic ac...
Article
Full-text available
Zusammenfassung: Gehirnwissenschaftliche Erkenntnisse der vergangenen Jahre haben neue neuropsychologische Therapieformen hervorgebracht, deren allgemeine Prinzipien sich mit den Termini Intensivierung, Verhaltensrelevanz und Fokussierung umreißen lassen (genannt Constraint-Induced Aphasia Therapy - CIA Therapie). Intensivierung der Therapie bedeut...
Article
Full-text available
Gehirnwissenschaftliche Erkenntnisse haben in den vergangenen Jahren zur Entwicklung neuer Therapieformen in der neurologischen und neuropsychologischen Rehabilitationsforschung geführt. Allgemeine Prinzipien, die diesen neuen Verfahren zugrunde liegen, lassen sich mit den Termini Intensivierung, Verhaltensrelevanz und Fokussierung umreißen. Intens...
Article
Interhemispheric cooperation can be indicated by enhanced performance when stimuli are presented to both visual fields relative to one visual field alone. This "bilateral gain" is seen for words but not pseudowords in lexical decision tasks, and has been attributed to the operation of interhemispheric cell assemblies that exist only for meaningful...
Article
Full-text available
In 7 experiments, the influence of varying stimulus onset asynchronies (SOAs) on the processing of redundant information about words and pseudowords was investigated. All stimuli were visually presented once or twice with 2 copies of the same item flashed either simultaneously or with short SOAs between presentations. The experiments revealed a red...
Article
In 7 experiments, the influence of varying stimulus onset asynchronies (SOAs) on the processing of redundant information about words and pseudowords was investigated. All stimuli were visually presented once or twice with 2 copies of the same item flashed either simultaneously or with short SOAs between presentations. The experiments revealed a red...
Article
Interhemispheric transfer was investigated in 14 schizophrenia patients and 15 age- and sex-matched healthy controls in a lateralized lexical decision task. Words and pseudowords were tachistoscopically presented either to the left or to the right visual hemifield. Event-related potentials were determined from a 65-channel electroencephalogram. Inf...
Article
Evidence for interhemispheric cooperation during language processing has been demonstrated for words, but not for meaningless pseudowords. Specifically, responses were found to be faster and more accurate when identical copies of a word were presented bilaterally to both hemispheres, relative to unilateral single presentations. This bilateral advan...
Article
Names are thought to be represented in the brain differently from common nouns. Although this idea is supported by both theoretical and empirical arguments, the brain areas that are relevant for the recognition of personal names-and in particular the extent of right hemisphere involvement-remain controversial. We investigated the hypothesis that, u...
Article
In two experiments, functional laterality and interhemispheric transfer was investigated in schizophrenic patients (n=14) and healthy controls (n=17). In Experiment 1, words and pseudowords were presented either to the left or right ear (monaural condition) or simultaneously to both ears (binaural condition). In Experiment 2, subjects had to discri...
Article
Patients with chronic aphasia were assigned randomly to a group to receive either conventional aphasia therapy or constraint-induced (CI) aphasia therapy, a new therapeutic technique requiring intense practice over a relatively short period of consecutive days. CI aphasia therapy is realized in a communicative therapeutic environment constraining p...
Article
A growing body of literature suggests that schizophrenic patients often do not show the normal brain hemispheric asymmetry. We have found this for simple tones presented to the right ear in a previous study. In this study we extended this investigation to left ear stimulation and verbal stimuli. With a whole-head neuromagnetometer, contra- and ipsi...
Article
EEGs were recorded from patients in early stages of Parkinson's disease (17 patients, 9 females) and healthy controls (12 subjects, 8 females) during rest and during execution/imagining of a complex motor task. The prediction that Parkinson's disease patients compared to controls would show more complex brain dynamics during performance of a comple...
Article
Functional lateralization and interhemispheric interaction during word processing were investigated in schizophrenic patients (n=12) and matched healthy controls (n=18). Words and phonologically regular pseudowords were presented tachistoscopically either in the left or right visual field (unilateral conditions), or simultaneously in both visual he...
Article
This study investigated whether language-related cognitive processes can be modified by learned modulation of cortical activity. Study participants received feedback of slow cortical potentials (SCPs) recorded above left-hemispheric language cortices and were reinforced for producing negative and positive shifts upon two different discriminative st...
Article
Words from different classes have been found to activate different brain areas. However, it is unclear whether grammatical word properties, for example their being part of different lexical categories (e.g. nouns vs. verbs) or semantic features of the words (e.g. that they refer to visually perceived entities or to actions) are relevant for eliciti...
Article
Humans can learn to intentionally control their brain states based on information about their own electrocortical activity. Using an operant conditioning technique, twelve healthy volunteers were trained to shift their slow cortical potentials recorded from left-hemispheric language cortices in the positive versus negative direction. After training...
Article
Coherent high-frequency neuronal activity has been proposed as a physiological indicator of perceptual and higher cognitive processes. Some of these processes can only be investigated in humans and the use of non-invasive recording techniques appears to be a prerequisite for investigating their physiological substrate in the healthy human brain. Af...
Article
In a controlled clinical study, we investigated the effects of behavioral treatment on postural and gait initiation problems idiopathic Parkinson's disease (PD). Comparable groups of patients received therapy (experimental group, n = 15) and nonspecific psychological treatment (control group, n = 14) for 10 weeks. We monitored various variables ref...