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. 2008 Apr-Jun;2(2):151–154. doi: 10.1590/S1980-57642009DN20200013

Table 2.

Models of optic aphasia2.

Models Theories Limitations
Canonical Model A visual processing system feeds its output into a semantic system which in turn feeds its output into a naming system. One cannot name a visually pre­sented object until one first knows what the object is. One cannot place the lesion in vision, semantics, or the pathway connecting them, because patients can non-verbally demonstrate their recognition of visually presented objects. Neither can one place the lesion in naming or the pathway between seman­tics and naming, because patients are unimpaired in their ability to name objects presented in the tactile or auditory modalities.
Direct Visual
Naming Pathway
There is a direct, uninterrupted pathway between vi­sion and naming. Optic aphasia results when the di­rect visual naming pathway becomes disconnected. There are no documented cases of individuals who can name visual objects without any knowledge of what the objects are.
Modality-Specific
Semantic Systems
Each modality has a corresponding semantic system.
Optic aphasia arises when there is a disconnection between verbal semantics and visual semantics.
It does not explain the ability of optic aphasics. To sort visually dissimilar items into the same super­ordinate category.
Impaired Access to
Semantics from Vision
There is an impairment in accessing a unified seman­tic system from vision. Whereas nonverbal responses may be initiated by activation of isolated semantic features from isolated visual features, naming re­quires access to a complete semantic representation. Studies indicating poor performance on difficult nonverbal tasks may simply point to the fact that some patients indeed have a greater semantic deficit than others, apart from their inability to name visu­ally presented objects.
Hemisphere-Specific
Semantic System
There is an independent semantic system for each hemisphere. Optic aphasia occurs when there is a disconnection between visual input and left hemi­sphere semantics The major assumption behind this hypothesis - qualitatively distinct semantic for each hemisphere system - was questioned