{"id":128091,"date":"2021-12-20T00:00:00","date_gmt":"2021-12-20T00:00:00","guid":{"rendered":"https:\/\/nursingstudybay.com\/2021\/12\/20\/does-bilingual-affect-cognitive-process\/"},"modified":"2021-12-20T00:00:00","modified_gmt":"2021-12-20T00:00:00","slug":"does-bilingual-affect-cognitive-process","status":"publish","type":"post","link":"https:\/\/www.studyproessays.com\/help\/does-bilingual-affect-cognitive-process\/","title":{"rendered":"Does Bilingual Affect cognitive process"},"content":{"rendered":"<p>read the selected sections and sumrise it in points in order to i can present it in presnration, there are emprical studies and theroies i hope you sumrise it. first articel,<\/p>\n<p>1.Language learning and language use in bilinguals<br \/>\n* language acquisition in bilingual children<br \/>\n* two languages in the mind<br \/>\n&#8211; lexical retrieval in bilinguals<br \/>\n&#8211; studies of verbal fluency<br \/>\n* Cognitive control and bilingual language processing<br \/>\n4. Implications of bilingualism for clinical practice<br \/>\n* Verbal fluency in clinical practice<br \/>\nthe second article just a cue about the second article.<\/p>\n<p>let me know if you need more than two papers or additional pages.<\/p>\n<p>Article<br \/>\nBilingual Minds<br \/>\nEllen Bialystok1, Fergus I.M. Craik2, David W. Green3, and<br \/>\nTamar H. Gollan4<br \/>\n1Department of Psychology, York University, 2Rotman Research Institute, Baycrest Centre, 3Department of Cognitive,<br \/>\nPerceptual, and Brain Sciences, University College London, 4University of California, San Diego<br \/>\nSummary<br \/>\nThe regular use of two languages by bilingual individuals has<br \/>\nbeen shown to have a broad impact on language and cognitive<br \/>\nfunctioning. In this monograph, we consider four aspects of this<br \/>\ninfluence.<br \/>\nIn the first section, we examine differences between monolinguals<br \/>\nand bilinguals in children\u2019s acquisition of language<br \/>\nand adults\u2019 linguistic processing, particularly in terms of<br \/>\nlexical retrieval. Children learning two languages from birth<br \/>\nfollow the same milestones for language acquisition as monolinguals<br \/>\ndo (first words, first use of grammar) but may use<br \/>\ndifferent strategies for language acquisition, and they generally<br \/>\nhave a smaller vocabulary in each language than do monolingual<br \/>\nchildren learning only a single language. Adult bilinguals<br \/>\ntypically take longer to retrieve individual words than monolinguals<br \/>\ndo, and they generate fewer words when asked to satisfy a<br \/>\nconstraint such as category membership or initial letter.<br \/>\nIn the second section, we consider the impact of bilingualism on<br \/>\nnonverbal cognitive processing in both children and adults. The<br \/>\nprimary effect in this case is the enhancement of executive control<br \/>\nfunctions in bilinguals.On tasks that require inhibition of distracting<br \/>\ninformation, switching between tasks, or holding information<br \/>\nin mind while performing a task, bilinguals of all ages outperform<br \/>\ncomparable monolinguals. A plausible reason is that bilinguals<br \/>\nrecruit control processes to manage their ongoing linguistic performance<br \/>\nand that these control processes become enhanced for<br \/>\nother unrelated aspects of cognitive processing. Preliminary evidence<br \/>\nalso suggests that the executive control advantage may even<br \/>\nmitigate cognitive decline in older age and contribute to cognitive<br \/>\nreserve, which in turn may postpone Alzheimer\u2019s disease.<br \/>\nIn the third section, we describe the brain networks that are<br \/>\nresponsible for language processing in bilinguals and demonstrate<br \/>\ntheir involvement in nonverbal executive control for<br \/>\nbilinguals. We begin by reviewing neuroimaging research that<br \/>\nidentifies the networks used for various nonverbal executive<br \/>\ncontrol tasks in the literature. These networks are used as a reference<br \/>\npoint to interpret the way in which bilinguals perform<br \/>\nboth verbal and nonverbal control tasks. The results show that<br \/>\nbilinguals manage attention to their two language systems<br \/>\nusing the same networks that are used by monolinguals<br \/>\nperforming nonverbal tasks.<br \/>\nIn the fourth section, we discuss the special circumstances<br \/>\nthat surround the referral of bilingual children (e.g., language<br \/>\ndelays) and adults (e.g., stroke) for clinical intervention. These<br \/>\nreferrals are typically based on standardized assessments that<br \/>\nuse normative data from monolingual populations, such as<br \/>\nvocabulary size and lexical retrieval. As we have seen,<br \/>\nhowever, these measures are often different for bilinguals, both<br \/>\nfor children and adults. We discuss the implications of these<br \/>\nlinguistic differences for standardized test performance and<br \/>\nclinical approaches.<br \/>\nWe conclude by considering some questions that have<br \/>\nimportant public policy implications. What are the pros and<br \/>\ncons of French or Spanish immersion educational programs,<br \/>\nfor example Also, if bilingualism confers advantages in<br \/>\ncertain respects, how about three languages\u2014do the benefits<br \/>\nincrease In the healthcare field, how can current knowledge<br \/>\nhelp in the treatment of bilingual aphasia patients following<br \/>\nstroke Given the recent increase in bilingualism as a research<br \/>\ntopic (sample nursing essay examples by the best nursing assignment writing service), answers to these and other related questions should be<br \/>\navailable in the near future.<br \/>\nIntroduction<br \/>\nAs the world becomes more interconnected, it is increasingly<br \/>\napparent that bilingualism is the rule and not the exception. Not<br \/>\nonly do some countries support bilingual populations because<br \/>\nof cultural and linguistic diversity within its citizenry, but also<br \/>\nincreased global mobility has enlarged the number of people<br \/>\nwho have become bilingual at all levels of society. For example,<br \/>\na recent survey of language use in the United States<br \/>\nobtained from the American Community Survey in 2007<br \/>\nreported that approximately 20% of the population spoke a<br \/>\nnon-English language at home, a proportion that has increased<br \/>\nby 140% since 1980 (Shin &amp; Kominski, 2010). These numbers<br \/>\nare higher when considering world figures: Crystal (1997) estimates<br \/>\nbilingualism that includes English and another language<br \/>\nCorresponding Author:<br \/>\nEllen Bialystok, Department of Psychology, York University, 4700 Keele Street,<br \/>\nToronto, Ontario M3J 1P3, Canada<br \/>\nE-mail: ellenb@yorku.ca<br \/>\nPsychological Science in the<br \/>\nPublic Interest<br \/>\n10(3) 89\u2013129<br \/>\n\u00aa The Author(s) 2009<br \/>\nReprints and permission:<br \/>\nsagepub.com\/journalsPermissions.nav<br \/>\nDOI: 10.1177\/1529100610387084<br \/>\nhttp:\/\/psi.sagepub.com<br \/>\n89<br \/>\nrepresents about 235 million people worldwide and that two<br \/>\nthirds of the children in the world are raised in bilingual<br \/>\nenvironments.<br \/>\nRecently, evidence indicating that this common experience<br \/>\nhas a systematic and significant impact on cognitive functioning<br \/>\nhas accumulated. In this review, we examine the nature of that<br \/>\nimpact across the lifespan and consider what these effects contribute<br \/>\nto our understanding of cognition in general. We begin<br \/>\nby examining the linguistic dimensions of bilingualism in terms<br \/>\nof children\u2019s language acquisition and adult language processing.<br \/>\nIn the second section, we investigate the consequences of<br \/>\nbilingualism on nonverbal cognitive functioning. The third section<br \/>\ndescribes research documenting how the brain supports<br \/>\nbilingual functioning and how it changes in response to it. In the<br \/>\nfourth section, we review the clinical implications of bilingualism<br \/>\nfor diagnosis and intervention. We conclude by identifying<br \/>\nand discussing some specific issues for bilinguals in society. By<br \/>\nadopting this cognitive perspective, there are a number of topic (sample nursing essay examples by the best nursing assignment writing service)s<br \/>\nwe do not cover, such as reading, lexical and syntactic processing,<br \/>\nand linguistic consequences of brain damage, all of which<br \/>\nare beyond the scope of the present review.<br \/>\nThere are many ways to be bilingual: Some people are born<br \/>\nbilingual, some aspire to bilingualism, and others have bilingualism<br \/>\nthrust upon them later in life. Underlying these differences,<br \/>\na myriad of factors make the bilingual experience<br \/>\ndeeply heterogeneous and potentially alter its consequences.<br \/>\nSome of the reasons for bilingualism include immigration, a<br \/>\nfamily that speaks a heritage language, formal education in<br \/>\nanother language, temporary residence in another country, or<br \/>\na national situation in which the official language is different<br \/>\nfrom the community language. Each of these circumstances<br \/>\nis associated with a different set of social, cognitive, and personal<br \/>\nfactors, and these factors undoubtedly intervene in as<br \/>\nwell as determine any potential effect of bilingualism. Each<br \/>\nof the situations associated with multiple language use also carries<br \/>\ndifferent assumptions about expectations for education,<br \/>\nvalues around literacy, standards for language proficiency,<br \/>\nthe purposes for which one or both of the languages are used,<br \/>\nthe level of community support for the home language, and the<br \/>\nidentity of the individual as a member of a majority or minority<br \/>\nculture. Therefore, there can be no single outcome and no definitive<br \/>\nconsequence that follows from incorporating more than<br \/>\none language into daily life. And yet the consequences of<br \/>\nbilingualism affect educational policy, social organization, and<br \/>\nconceptions of mind.<br \/>\n1. Language Learning and Language Use in<br \/>\nBilinguals<br \/>\nLanguage acquisition in bilingual children<br \/>\nThe most striking feature of a young child\u2019s acquisition of<br \/>\nlanguage is the extraordinary ease withwhich the process appears<br \/>\nto progress. Perhaps more remarkable than this achievement,<br \/>\ntherefore, is that this facility for learning a complex symbolic systemis<br \/>\nnot diminishedwhen the child faces the task of learning two<br \/>\nof them. Bilingual language acquisition is as effortless, efficient,<br \/>\nand successful asmonolingual acquisition. It is nowclear that language<br \/>\nacquisition is not a simple matter of biological unfolding,<br \/>\nas some had previously believed, but rather a process that is finely<br \/>\ntuned to features of the environmental input, the child\u2019s attentional<br \/>\nand perceptual abilities, and the development of cognitive<br \/>\nand conceptual competencies. All of these factors conspire<br \/>\nas well to shape the process of acquiring two languages. Moreover,<br \/>\nas we describe later, the major milestones concerning<br \/>\ncompetence in sounds, words, and sentences that are the<br \/>\nfoundation of acquiring language are passed at equivalent<br \/>\ntimes for children growing up with one language in the home<br \/>\nand those growing up in a multilingual home.<br \/>\nThe acquisition of the phonological system by infants has<br \/>\nbeen well documented for the case of monolingual acquisition:<br \/>\nInfants can detect the contrasts that define the phonological<br \/>\nsystem for all human languages almost from birth (e.g., \/pa\/<br \/>\nvs. \/ba\/; Eimas, Siqueland, Jusczyk, &amp; Vigorito, 1971), but<br \/>\ntheir ability to perceive these contrasts in languages that are not<br \/>\nheard in the environment (e.g., \/r\/ vs. \/l\/ for children being<br \/>\nraised in Japanese homes) begins to decline at about 6 months<br \/>\nof age (Werker &amp; Tees, 1984; see also Kuhl et al., 2006). Thus,<br \/>\nuntil about 6 months old, there is no detectable difference in the<br \/>\nperception of phonetic contrasts by infants in monolingual and<br \/>\nbilingual environments but diverging patterns appear as bilingual<br \/>\nbabies maintain and develop the categorical distinctions<br \/>\nfor the phonetic system in both languages and monolingual<br \/>\ninfants lose the ability to detect contrasts that are not part of the<br \/>\nlanguage they are about to learn (Burns, Yoshida, Hill, &amp;<br \/>\nWerker, 2007; Sebastian-Galles &amp; Bosch, 2005). By about<br \/>\n14 months old, infants being raised in bilingual environments<br \/>\nhave established a clearly demarcated phonological representation<br \/>\nfor both languages. Therefore, bilingual infants develop<br \/>\nthe phonological basis for both languages on roughly the same<br \/>\nschedule as monolingual children do for their only language.<br \/>\nIt may be that it is this very early experience that leaves its lifelong<br \/>\ntrace as a foreign accent when childhood monolinguals<br \/>\nattempt to learn new languages later in life.<br \/>\nBeyond the phonetic constituents, infants also need to learn<br \/>\nthe more general phonological structure of language. Recently,<br \/>\nKovacs and Mehler (2009a) presented auditory stimuli to<br \/>\n12-month-old infants who were being raised in a monolingual<br \/>\nor bilingual environment. The stimuli were three-syllable<br \/>\ncombinations that had the syllabic structure of either ABA or<br \/>\nAAB. These stimuli were artificial creations and were not<br \/>\nwords in any language. The crucial manipulation was that each<br \/>\nstructure was associated with a different response\u2014namely,<br \/>\nlook either to the right or to the left to see an interesting toy.<br \/>\nThe experimental results showed that the monolingual babies<br \/>\ncould learn only one of the responses but that the bilingual<br \/>\nbabies learned both, a difference the researchers interpreted<br \/>\nas demonstrating more flexible learning in bilinguals. They<br \/>\noffer their results as part of the explanation for how bilingual<br \/>\nchildren can learn twice as much about language as monolingual<br \/>\nchildren in the same amount of time (although it is not<br \/>\nclear that they do, as will be discussed below), but the task was<br \/>\n90 Bialystok et al.<br \/>\n90<br \/>\nonly marginally linguistic. If anything, it is more similar to<br \/>\nword learning than to speech perception, a process that rests<br \/>\non different perceptual and cognitive processes than phonological<br \/>\ndevelopment (Burns et al., 2007). In fact, bilingual babies<br \/>\napply their developing phonological system to the learning of<br \/>\nnew words later than monolingual children do (Fennell,<br \/>\nByers-Heinlein, &amp; Werker, 2007), although a recent study<br \/>\ntesting 17-month-old infants raised with French and English<br \/>\ndid not replicate this finding and attributed the difference<br \/>\nbetween studies to details of the phonetic input (Mattock,<br \/>\nPolka, Rvachew, &amp; Krehm, 2010). Nonetheless, the results<br \/>\nreported by Kovacs and Mehler provide compelling evidence<br \/>\nfor different levels of performance in a phonological task in the<br \/>\nfirst year of life that can be traced to the experience of building<br \/>\nup two linguistic systems.<br \/>\nUndoubtedly the most salient evidence for children\u2019s<br \/>\nprogress in language acquisition is word learning, particularly<br \/>\nthe appearance of the child\u2019s first word. As with the developing<br \/>\nphonological system, the basic milestones associated with this<br \/>\nachievement are similar for children learning one or more<br \/>\nlanguages. The child\u2019s first word appears on average at about<br \/>\n1 year old, regardless of how many languages are in the<br \/>\nenvironment (Pearson, Fernandez, &amp; Oller, 1993) and, more<br \/>\ndramatically, regardless of whether the languages are both<br \/>\nspoken or one is spoken and one is signed (Petitto et al.,<br \/>\n2001). However, two factors may be different for monolingual<br \/>\nand bilingual children: the strategies for word learning and the<br \/>\nrate and extent of vocabulary acquisition.<br \/>\nOne strategy that allows children to rapidly learn new words<br \/>\nis to assume that novel words signify unfamiliar objects,<br \/>\npresenting a simple pairing of word and concept. This strategy<br \/>\nof word\u2013meaning assignment follows from what Markman and<br \/>\nWachtel (1988) posit as the mutual exclusivity constraint\u2014the<br \/>\nassumption that a thing can only have one name\u2014although this<br \/>\nassumption need not be innately determined. The evidence for<br \/>\nmutual exclusivity is that children appear to create mappings<br \/>\nbetween new words and new objects\u2014for example, if a child<br \/>\nhears the word \u2018\u2018bik\u2019\u2019 while looking at a cup and an unknown<br \/>\nobject, the child will assume that the novel item is called a bik.<br \/>\nBut bilingual children already know that things can have more<br \/>\nthan one name\u2014the known object could be \u2018\u2018a cup\u2019\u2019 or \u2018\u2018une<br \/>\ntasse.\u2019\u2019 Do bilingual children follow the strategy of mapping<br \/>\nunknown words to unknown objects The evidence is mixed,<br \/>\nwith some studies reporting less reliance on this strategy for<br \/>\nbilingual children (Bialystok, Barac, Blaye, &amp; Poulin-Dubois,<br \/>\n2010; Davidson &amp; Tell, 2005) but others reporting<br \/>\nno difference between monolingual and bilingual children<br \/>\n(Au &amp; Glusman, 1990; Merriman &amp; Kutlesic, 1993). More convincing,<br \/>\nhowever, is evidence from a study by Byers-Heinlein<br \/>\nand Werker (2009) in which they compared the adherence to<br \/>\nthis strategy by children learning one, two, or three languages.<br \/>\nTheir results showed a systematic decline in the reliance on this<br \/>\nheuristic with the number of languages being learned. These<br \/>\nresults, in conjunction with those reported by Kovacs and<br \/>\nMehler (2009a) suggesting that phonological word structures<br \/>\nare perceived differently by monolingual and bilingual<br \/>\nchildren, are consistent with a view in which the actual<br \/>\nmechanisms of word learning used by monolingual children<br \/>\ndiffer from those used by bilingual children. Importantly,<br \/>\nhowever, the essential cognitive landmark that guides these<br \/>\nmechanisms, namely, the time at which the child is able to produce<br \/>\nthe first meaningful word, is comparable for all children.<br \/>\nThe second difference in word learning between monolingual<br \/>\nand bilingual children is in the size of their developing<br \/>\nvocabularies. As in phonological discrimination and first word<br \/>\nproduction, the timetable for the critical milestone is similar for<br \/>\nchildren with both types of experience. In this case, the crucial<br \/>\nlandmark is the establishment of a vocabulary of 50 words,<br \/>\nwhich is achieved by both monolingual and bilingual children<br \/>\nat about 1\u00bd years old (Pearson et al., 1993; Petitto, 1987;<br \/>\nPetitto et al., 2001), at least for total vocabulary across the two<br \/>\nlanguages. Beyond that, however, the evidence is compelling<br \/>\nthat, on average, bilingual children know significantly fewer<br \/>\nwords in each language than comparable monolingual children.<br \/>\nA careful investigation examining how many words children<br \/>\nbetween 8 and 30 months old knew in each language confirmed<br \/>\nthat, on average, this number was smaller in each language for<br \/>\nbilingual children than for monolingual learners of that<br \/>\nlanguage (Pearson et al., 1993). The number of words in the<br \/>\ntotal vocabulary of a bilingual child, however, is difficult to<br \/>\nestimate: Do proper names count for one language or two<br \/>\nDo cognates count once or twice, especially if the pronunciation<br \/>\nis unclear Do childish sounds that are not quite words<br \/>\ncount as words if they have a consistent meaning<br \/>\nA clearer illustration of the relative vocabulary size of<br \/>\nmonolinguals and bilinguals comes from a study of children<br \/>\nwho were older than those in the Pearson et al. (1993) analysis.<br \/>\nBialystok, Luk, Peets, and Yang (2010) measured the receptive<br \/>\nvocabulary of over 1,700 children between the ages of 3 and<br \/>\n10 years old. All the bilingual children spoke English and<br \/>\nanother language, with English being the language of the community<br \/>\nand school for all children. Across the sample and at<br \/>\nevery age studied, the mean standard score on the English Peabody<br \/>\nPicture Vocabulary Test (PPVT) of receptive vocabulary<br \/>\n(Dunn &amp; Dunn, 1997) was reliably higher for monolinguals<br \/>\nthan for bilinguals. These results are shown in Figure 1. At least<br \/>\nin one of the two languages and, importantly, the language of<br \/>\nschooling, monolingual children had an average receptive<br \/>\nvocabulary score that was consistently higher than that of their<br \/>\nbilingual peers. It is important to note, however, that the disparities<br \/>\nwere not equivalent for all words. In a subset of 6-yearolds<br \/>\nin the sample, all children achieved comparable scores<br \/>\non words associated with schooling (e.g., astronaut, rectangle,<br \/>\nwriting) but bilinguals obtained significantly lower scores for<br \/>\nwords associated with home (e.g., squash, canoe, pitcher).<br \/>\nTherefore, the nature of the smaller vocabulary of bilingual<br \/>\nspeakers of each language than that of monolingual speakers<br \/>\nis in fact somewhat complex (Bialystok, Luk, et al., 2010).<br \/>\nThe hallmark of human language, however, is not sounds or<br \/>\nwords, but the grammatically constrained combinations of<br \/>\nunits to form utterances or sentences. Again, the transition into<br \/>\nthis stage of language acquisition occurs on the same timetable<br \/>\nBilingual Minds 91<br \/>\n91<br \/>\nfor children learning one or more languages: The first word<br \/>\ncombinations for all children appear at about 1\u00bd years old<br \/>\n(Pearson et al., 1993; Petitto et al., 2001), with utterances becoming<br \/>\nincrementally more complex on a similar trajectory (de<br \/>\nHouwer, 1995). The details of children\u2019s increasing grammatical<br \/>\nsophistication appear to be tied to the specific language, with<br \/>\nexamples for this point coming from children learning English<br \/>\nand Spanish (Gathercole, 1997), English and French (Paradis &amp;<br \/>\nGenesee, 1996), and French and German (Meisel, 1990).<br \/>\nCurrent theories of language acquisition are based on the<br \/>\nidea that there is a deep connection between words and<br \/>\nstructure: Grammar is part of the linguistic system and emerges<br \/>\nseamlessly when the lexicon has reached a critical mass. The<br \/>\nfirst evidence for structure occurs when the child knows about<br \/>\n50 words, a relationship demonstrated for both monolingual<br \/>\n(Bates &amp; Goodman, 1997) and bilingual (Conboy &amp; Thal,<br \/>\n2006) children. In this sense, discussion of children\u2019s early<br \/>\ngrammar is not different in kind from the discussion of their<br \/>\nearly lexicon, but the issues in their development present themselves<br \/>\nin different ways. And if language acquisition is not<br \/>\nguided by dedicated modules equipped to detect and record<br \/>\ngrammatical structure, then what directs this process From the<br \/>\ncognitive perspective, the linguistic and cognitive systems are<br \/>\nintimately interconnected, each guiding the other and profiting<br \/>\nfrom the symbiotic relationship. What happens when a child is<br \/>\nlearning two languages<br \/>\nAcross the major linguistic features\u2014sounds, words,<br \/>\ngrammar\u2014the acquisition of language by monolingual and<br \/>\nbilingual children follows a similar timetable for milestones that<br \/>\nlargely reflect cognitive ability, but the linguistic competence<br \/>\nthat is developing is different. Partly because linguistic<br \/>\nknowledge for bilingual children is divided across two<br \/>\nlanguages, the organization and richness of the representational<br \/>\nsystem in each language is different from that acquired by a<br \/>\nmonolingual speaker of one of the languages. Similarities in<br \/>\ndeveloping cognitive abilities keep the process of language<br \/>\nacquisition on a common time course, but variation in input and<br \/>\nuse make the developing linguistic systems quite different<br \/>\nboth qualitatively and quantitatively. Understanding bilingual<br \/>\nlanguage ability and the bilingual mind more broadly requires<br \/>\nunderstanding these interfaces between the linguistic and<br \/>\ncognitive systems.<br \/>\nTwo languages in the mind<br \/>\nThe bilingual mind presents an intriguing set of puzzles. Are<br \/>\nthe two languages represented in separate or in overlapping<br \/>\nsystems Are concepts duplicated or shared across languages<br \/>\nDo interactions between languages facilitate or impede<br \/>\nlanguage production How are the selection of the target<br \/>\nlanguage and avoidance of the nontarget language achieved<br \/>\nHow does the bilingual switch between languages, both intentionally<br \/>\nand unintentionally None of these questions applies to<br \/>\nmonolingual language use, so from the outset, the presence of<br \/>\ntwo languages in mind changes fundamental aspects of language<br \/>\nprocessing. Moreover, these questions are all inherently<br \/>\nabout cognitive systems at least as much as they are about<br \/>\nlinguistic ones; switching between representational systems<br \/>\nand avoiding interference are processes routinely handled by<br \/>\nthe general executive control system. Therefore, bilingual<br \/>\nlanguage use must be intimately tied to a cognitive system in<br \/>\na way that is less essential for monolingual speech. It is those<br \/>\n70<br \/>\n80<br \/>\n90<br \/>\n100<br \/>\n110<br \/>\n120<br \/>\n130<br \/>\n3 years<br \/>\nM=91<br \/>\nB=40<br \/>\n4 years<br \/>\nM=78<br \/>\nB=72<br \/>\n5 years<br \/>\nM=155<br \/>\nB=143<br \/>\n6 years<br \/>\nM=272<br \/>\nB=458<br \/>\n7 years<br \/>\nM=109<br \/>\nB=116<br \/>\n8 years<br \/>\nM=71<br \/>\nB=85<br \/>\n9 years<br \/>\nM=16<br \/>\nB=37<br \/>\n10 years<br \/>\nM=20<br \/>\nB=15<br \/>\nAge Group<br \/>\nMean PPVT std. score<br \/>\nMonolinguals Bilinguals<br \/>\nFig. 1. Mean Peabody Picture Vocabulary Test (PPVT) standard score and standard error by age and language group<br \/>\n(monolinguals, M, vs. bilinguals, B). From Bialystok, Luk, Peets, and Yang (2010).<br \/>\n92 Bialystok et al.<br \/>\n92<br \/>\nrelations between language and cognition that will be examined<br \/>\nin this section: How is language processing different when there<br \/>\nare two fully elaborated linguistic systems available How does<br \/>\nthat situation change the cognitive processes whose responsibility<br \/>\nit is to manage those language systems There is an active<br \/>\nbody of research examining these questions, comparing how<br \/>\nbilinguals can carry out these tasks in their two languages (for<br \/>\nexcellent reviews of this literature, see Kroll &amp; de Groot,<br \/>\n2005). However, the present question is not to compare processing<br \/>\nof the two languages of bilingual speakers but to compare<br \/>\nmonolinguals and bilinguals as they perform similar tasks.<br \/>\nTo understand how the simple act of speaking may be<br \/>\ndifferent for monolinguals and bilinguals, it is necessary to<br \/>\nacknowledge two crucial differences between these groups.<br \/>\nFirst, the knowledge base from which all language processing<br \/>\nproceeds is less rich or less interconnected for a bilingual in<br \/>\neach language than it is for a monolingual speaker of one of<br \/>\nthose languages. The most salient difference in the language<br \/>\ncompetence of monolingual and bilingual children is in the<br \/>\nvocabulary scores obtained in a given language, as described<br \/>\nearlier (Bialystok, Luk, et al., 2010)\u2014a pattern that may persist<br \/>\ninto adulthood. Although it is more difficult to attribute reliable<br \/>\ndifferences in adults\u2019 vocabulary size to bilingualism versus<br \/>\nmonolingualism than it is for that of children because of the<br \/>\nenormous variation in adults\u2019 knowledge of words, there is nonetheless<br \/>\nevidence that such systematic differences exist (e.g., Bialystok,<br \/>\nCraik, &amp; Luk, 2008a; Portocarrero, Burright, &amp;<br \/>\nDonovick, 2007). Gollan and colleagues argue that the essential<br \/>\nfeature of bilingual representations is the \u2018\u2018weaker links\u2019\u2019 that are<br \/>\nestablished within the network because of less frequent use of<br \/>\neach language (Gollan, Montoya, Cera, &amp; Sandoval, 2008); simply<br \/>\nusing each language less often produces weaker connections<br \/>\nin the network than would emerge from greater use. In this view,<br \/>\nthe knowledge resources underlying language performance for<br \/>\nmonolinguals and bilinguals who are comparable on many other<br \/>\ncognitive abilities are not equivalent.<br \/>\nSecond, it is now well documented that both languages of a<br \/>\nbilingual are jointly activated even in contexts that strongly<br \/>\nbias towards only one of them. Evidence for this claim comes<br \/>\nfrom both behavioral (Beauvillain &amp; Grainger, 1987; Colome\u00b4,<br \/>\n2001; Grainger, 1993; Hernandez, Bates, &amp; Avila, 1996;<br \/>\nFrancis, 1999; Kroll &amp; de Groot, 1997) and imaging studies<br \/>\n(Marian, Spivey, &amp; Hirsch, 2003; Martin, Dering, Thomas, &amp;<br \/>\nThierry, 2009; Rodriguez-Fornells, Rotte, Heinze, Nosselt, &amp;<br \/>\nMunte, 2002). One of the first pieces of evidence for this<br \/>\nconclusion comes from an ingenious experiment by Guttentag,<br \/>\nHaith, Goodman, and Hauch (1984, Experiment 2). On each<br \/>\ntrial, bilingual participants viewed a word drawn from one of<br \/>\nfour semantic categories (e.g., metals, clothing, furniture, and<br \/>\ntrees); two categories were assigned to one response key and<br \/>\nthe other two categories to a second key. The participant\u2019s task<br \/>\nwas to press the designated key to indicate the category membership<br \/>\nof the target word as rapidly as possible. Each stimulus<br \/>\nword also had copies of a further word above and below it as<br \/>\nflanker items. These flankers were always in the participant\u2019s<br \/>\nother language and belonged to one of four categories:<br \/>\ntranslations of the target word, a different word drawn from the<br \/>\nsame semantic category as the target, a word from a different<br \/>\ncategory but requiring the same response, or a word from a<br \/>\ncategory requiring a different response. The crucial result is<br \/>\nthat response times were significantly longer in the second two<br \/>\nconditions, showing that participants were unable to ignore the<br \/>\nflankers and that some analysis of the flankers\u2019 categories<br \/>\n(and possibly responses) took place despite the fact that the<br \/>\nflankers were in the nonused language.<br \/>\nThis joint activation of the two languages creates a unique<br \/>\nneed for selection in bilinguals in which language processing<br \/>\nmust resolve competition not only from within-language<br \/>\nalternatives as monolinguals do to select among close semantic<br \/>\nneighbors (words that share semantic features, e.g., cup vs. mug;<br \/>\nLuce &amp; Large, 2001; Mirman &amp; Magnuson, 2008; Vitevitch,<br \/>\n2002) but also from between-language alternatives for the same<br \/>\nconcepts (e.g., cup vs. tasse). The predominant view is that language<br \/>\nselection does not normally occur prior to speech, making<br \/>\nthis selection part of bilingual speech production (Kroll, Bobb,<br \/>\n&amp; Wodniecka, 2006). For this reason, a somewhat different set<br \/>\nof attention and control procedures is necessary for speech production<br \/>\nin bilinguals than is necessary for monolinguals (Green,<br \/>\n1998). However, there is less agreement on what those special<br \/>\nprocesses might be. Some studies have shown that the nontarget<br \/>\nlanguage is actually inhibited while using the other language<br \/>\n(e.g., Levy, McVeigh, Marful, &amp; Anderson, 2007; Philipp &amp;<br \/>\nKoch, 2009), but others indicate that correct selection can be<br \/>\nachieved by increasing the activation of the preferred response<br \/>\n(Costa, Santesteban, &amp; Ivanova, 2006; see Costa, 2005, for a discussion<br \/>\nof these views). As we describe later, these alternatives<br \/>\nneed not be mutually exclusive: Selection depends on the activation<br \/>\nlevel of both the target item to be selected and that of the<br \/>\ncompeting items, incorporating as well views that reject the role<br \/>\nof competition and instead focus on selection (Caramazza, 1997;<br \/>\nLa Heij, 1988; Mahon, Costa, Peterson, Vargas, &amp; Caramazza,<br \/>\n2007; Roelofs, 2003). Therefore, selection is facilitated by either<br \/>\npreferentially enhanced activation of the target, inhibition of the<br \/>\ncompetitor, or both. Whatever the mechanism, selection of<br \/>\nappropriate lexical items for bilinguals involves either<br \/>\ndifferent or additional processes than does the same activity for<br \/>\nmonolinguals. Taken together, the differences in the linguistic<br \/>\nrepresentations and differences in the selection mechanisms lead<br \/>\nto sustained differences between monolinguals and bilinguals in<br \/>\nfluent speech production.<br \/>\nAlthough ordinary conversation does not generally signal<br \/>\nobservable deficits in bilingual language processing, controlled<br \/>\nexperimental procedures can reveal more subtle differences<br \/>\nbetween these two groups. Two such features are the speed<br \/>\nwith which target words can be retrieved in response to a cue<br \/>\nand the number of words that can be generated to satisfy a<br \/>\ncriterion. Evidence for the first comes primarily from studies<br \/>\nof picture naming or semantic classification, and evidence for<br \/>\nthe second comes from studies of verbal fluency.<br \/>\nLexical retrieval in bilinguals. Much of the research in lexical<br \/>\nretrieval compares the relative ability of multilingual speakers<br \/>\nBilingual Minds 93<br \/>\n93<br \/>\nto perform such tasks as naming the pictures in their two (or<br \/>\nmore) languages (Costa &amp; Santesteban, 2004; Hernandez,<br \/>\nMartinez, &amp; Kohnert, 2000), making semantic classifications<br \/>\nfor words in the two languages (Dufour &amp; Kroll, 1995), or<br \/>\ntranslating between languages (Kroll &amp; Stewart, 1994). The<br \/>\npurpose is to compare lexical access to the two languages and,<br \/>\nin some cases, as in the study by Dufour and Kroll (1995), to<br \/>\ncompare bilinguals who are more or less fluent in the two<br \/>\nlanguages. The issue we are discussing here is different: to<br \/>\ncompare monolingual and bilingual speakers naming pictures<br \/>\nin the same language. The comparison is inherently fraught<br \/>\nwith difficulty: If we assume that bilinguals never have identical<br \/>\nproficiency in their two languages and, moreover, that even<br \/>\ntheir ability in their stronger language may not fully resemble<br \/>\nthe language competence of a monolingual speaker of that<br \/>\nlanguage, then any comparison of monolinguals and bilinguals<br \/>\nseems unfair. And yet, proficient bilinguals manage to function<br \/>\nperfectly well, belying the notion of an underlying handicap.<br \/>\nThus it may be that the task of rapidly accessing target lexical<br \/>\nitems is carried out differently by monolinguals and bilinguals,<br \/>\nan outcome that would be important in understanding<br \/>\nthe relation between language and cognitive systems in the<br \/>\nbilingual mind.<br \/>\nResearch shows that bilingual participants take longer and<br \/>\nmake more errors than monolinguals on naming tasks. Using<br \/>\nthe Boston Naming Task (Kaplan, Goodglass, &amp; Weintraub,<br \/>\n1983), bilinguals produced fewer correct responses (Roberts,<br \/>\nGarcia, Desrochers, &amp; Hernandez, 2002; Gollan, Fennema-<br \/>\nNotestine, Montoya, &amp; Jernigan, 2007) and made more errors<br \/>\non a speeded version of the task (Bialystok et al., 2008a) than<br \/>\ndid monolinguals. On timed picture naming, bilinguals<br \/>\nperformed more slowly than did monolinguals (Gollan,<br \/>\nMontoya, Fennema-Notestine, &amp; Morris, 2005). Similar results<br \/>\n(slower responses in bilinguals) are found in both comprehending<br \/>\n(Ransdell &amp; Fischler, 1987) and producing words (Ivanova<br \/>\n&amp; Costa, 2008), even when bilinguals respond in their first and<br \/>\ndominant language. The simple act of retrieving a common<br \/>\nword seems to be more effortful for bilinguals.<br \/>\nHealthy aging is frequently accompanied by a reduction in<br \/>\nproductive language abilities\u2014searching for words and names<br \/>\nbecomes a more salient part of every conversation. Consistent<br \/>\nwith this trend, picture naming is carried out more slowly by<br \/>\nolder adults than by younger adults, even for monolinguals<br \/>\n(e.g., Albert, Heller, &amp; Milberg, 1988). Therefore, older<br \/>\nbilinguals should find lexical access particularly difficult, since<br \/>\nboth age and language status are associated with poorer<br \/>\nperformance. The situation is even more problematic for older<br \/>\nbilinguals who may have spent the majority of their adult lives<br \/>\nusing one of their two languages, usually the second language<br \/>\n(L2), and have been removed from a daily context that supports<br \/>\nthe first language (L1). The outcome of this situation can be<br \/>\nattrition of the L1. Therefore, difficulties in performance on<br \/>\ntests of lexical access such as picture naming can be attributable<br \/>\nto normal aging, L1 attrition, or both. These possibilities<br \/>\nwere evaluated in a study by Goral, Libben, Obler, Jarema, and<br \/>\nOhayon (2008) comparing younger and older Hebrew-English<br \/>\nbilinguals who lived in an English-speaking or Hebrewspeaking<br \/>\nsociety. Their conclusion was that the slower retrieval<br \/>\ntime for older bilingual adults in their L1 was caused primarily<br \/>\nby attrition of that language and not by aging. These results<br \/>\npoint to the importance of gauging proficiency level, such as<br \/>\nvocabulary knowledge, in linguistic processing and in performance<br \/>\non psycholinguistic tasks.<br \/>\nLinguistic differences between monolinguals and bilinguals<br \/>\ngo beyond vocabulary size. The consistent result showing<br \/>\nlonger picture-naming times for bilinguals suggests that word<br \/>\nretrieval is carried out differently for bilinguals than for<br \/>\nmonolinguals. To explore a possible explanation for this effect,<br \/>\nHernandez and Meschyan (2006) conducted a functional<br \/>\nmagnetic resonance imaging (fMRI) study in which Spanish-<br \/>\nEnglish bilinguals who learned the L2 in adolescence named<br \/>\npictures in both languages. The results showed that naming the<br \/>\npictures in the weaker second language produced greater<br \/>\nactivity in the executive control network, a system that will<br \/>\nbe described in more detail in Sections 2 and 3. Extrapolating<br \/>\nto monolingual performance, where naming is always carried<br \/>\nout in a strong language, it appears that this executive control<br \/>\nnetwork is involved in word retrieval for bilinguals in a way not<br \/>\nrequired by monolingual language production. We will return<br \/>\nto this idea later.<br \/>\nStudies of verbal fluency. The second experimental paradigm<br \/>\nin which reliable differences between monolinguals and<br \/>\nbilinguals have been reported is the verbal fluency task. The<br \/>\nbasic procedure is to ask participants to generate as many words<br \/>\nas possible in 60 seconds that satisfy a criterion determined<br \/>\neither by the category (semantic fluency) or the initial letter of<br \/>\nthe word (phonological fluency). There are standardized versions<br \/>\nof the task, such as in the Delis-Kaplan Executive Function<br \/>\nBattery (DKEFS; Delis, Kaplan, &amp; Kramer, 2001) and the<br \/>\nControlled Oral Word Association Test (COWAT; Strauss,<br \/>\nSherman, &amp; Spreen, 2006), that allow performance to be interpreted<br \/>\nin terms of normalized tables and used as an instrument<br \/>\nfor neuropsychological assessment. The clinical applications of<br \/>\nthis test are explained in Section 4, but in the present discussion<br \/>\nwe consider the task as an experimental tool. The semantic and<br \/>\nletter versions assess different aspects of competence and engage<br \/>\ndifferent processes. The demands of category fluency are<br \/>\ncongruent with normal procedures for word retrieval in that the<br \/>\nmeaning is cued and words associated with that meaning are<br \/>\nprimed and available. Thus, when asked to generate names of<br \/>\nfruits, the inherent associations among various fruits in semantic<br \/>\nmemory facilitate recall. In contrast, the letter fluency condition<br \/>\nimposes an arbitrary criterion on word generation: Conversation<br \/>\ndoes not normally require the generation of words by virtue of<br \/>\ntheir initial letter. Moreover, the letter fluency task additionally<br \/>\nimposes a set of restrictions that exclude repetitions of words in<br \/>\ndifferent forms and therefore requires more intensive monitoring<br \/>\nand working memory. Thus, category fluency is strongly indicative<br \/>\nof vocabulary size (how many types of fruit can you name)<br \/>\nand letter fluency requires additional and effortful procedures for<br \/>\nmonitoring and controlling attention (how well can you keep<br \/>\n94 Bialystok et al.<br \/>\n94<br \/>\ntrack of the words already produced and initiate a new search to<br \/>\nsatisfy a different criterion). Supporting this interpretation of<br \/>\ndistinct processes involved in each condition, Grogan, Green,<br \/>\nAli, Crinion, and Price (2009) related the results of structural<br \/>\nMRI scans of high-proficiency bilinguals to their performance<br \/>\non category and letter fluency tasks. They found that grey matter<br \/>\ndensity in a medial frontal region (the presupplementary motor<br \/>\narea) and one subcortical region (the left caudate; see Section<br \/>\n3 for the neural bases of language control) was related to letter<br \/>\nfluency performance whereas higher grey matter density in left<br \/>\ninferior temporal cortex was related to semantic fluency<br \/>\nperformance.<br \/>\nThe typical outcome of studies comparing monolingual and<br \/>\nbilingual adults performing verbal fluency tasks is for bilinguals<br \/>\nto generate fewer words than monolinguals, with greater<br \/>\ndisparity between groups in the category fluency task (Bialystok<br \/>\net al., 2008a; Gollan, Montoya, &amp; Werner, 2002; Portocarrero<br \/>\net al., 2007; Rosselli et al., 2000). In a dramatic demonstration,<br \/>\nLinck, Kroll, and Sunderman (2009) reported that Englishspeaking<br \/>\ncollege students living in a Spanish-speaking environment<br \/>\nfor 1 year produced fewer words on a verbal fluency test in<br \/>\nEnglish than did monolinguals who did not travel abroad! The<br \/>\nscores of the students who had been abroad were restored shortly<br \/>\nafter returning home. Moreover, as with picture naming<br \/>\n(Connor, Spiro, Obler, &amp; Albert, 2004), performance in verbal<br \/>\nfluency declines with healthy aging, so this task may be especially<br \/>\ndifficult for older bilingual adults (Brickman et al., 2005).<br \/>\nSeveral possible reasons for the difference in verbal fluency<br \/>\nbetween monolinguals and bilinguals have been suggested.<br \/>\nFirst, bilinguals may simply have a smaller overall vocabulary<br \/>\nthan monolinguals in each language, a deficit that would particularly<br \/>\naffect the category fluency test. Indeed, it is primarily on<br \/>\ncategory fluency that lower scores for bilinguals have been<br \/>\nmost often observed, with some researchers reporting no difference<br \/>\nbetween groups in letter fluency (e.g., Rosselli et al.,<br \/>\n2000). Second, as demonstrated in the research on picture<br \/>\nnaming, bilinguals take longer to retrieve each item, so the<br \/>\n60-second limit in a verbal fluency trial may curtail bilingual<br \/>\nperformance. One possible reason for slower word retrieval<br \/>\nin bilinguals is the need to deal with the competition from the<br \/>\nother language, as stated earlier. Managing this competition<br \/>\ntakes time, and this can delay word production for bilinguals and<br \/>\nresult in fewer words being generated. Note that both of these<br \/>\nreasons\u2014vocabulary limitations and competition resolution\u2014<br \/>\napply primarily to category fluency where multiple exemplars<br \/>\nfor the given category are activated, including exemplars from<br \/>\nthe nontarget language, and much less to letter fluency. In contrast,<br \/>\nletter fluency relies less on the richness of vocabulary in a<br \/>\nsemantic domain and the automatic activation of exemplars in<br \/>\nthe other language. Therefore, there is no reason to expect monolinguals<br \/>\nand bilinguals to perform differently on letter fluency<br \/>\ntasks. In fact, the additional requirements for working memory<br \/>\nand monitoring in the letter fluency condition should actually<br \/>\nfavor bilinguals who, as will be explained later in Section 2, are<br \/>\ngenerally better than monolinguals in tasks requiring working<br \/>\nmemory and monitoring.<br \/>\nA more detailed understanding of performance on the verbal<br \/>\nfluency task comes from examining the function showing the<br \/>\nproduction of words in real time across the 1 minute allotted<br \/>\nto each trial. Following the logic explained by Rohrer, Wixted,<br \/>\nSalmon, and Butters (1995), a deficit in vocabulary size should<br \/>\nmanifest itself in a function that shows very few words being<br \/>\nproduced toward the end of the time period because the potential<br \/>\nset of items has been exhausted. In this case, monolinguals<br \/>\nwould continue producing words later into the time course than<br \/>\nwould bilinguals. In contrast, slower time to produce each item,<br \/>\npossibly because of the need to resolve competition from the<br \/>\nnontarget language, would produce a function that continues<br \/>\nlonger into the time period than one representing faster retrieval<br \/>\nof the same total number of words. In this case, bilinguals<br \/>\nwould produce words later in the time course than<br \/>\nmonolinguals.<br \/>\nThese predictions were tested in two studies using timecourse<br \/>\nanalysis to compare monolinguals and bilinguals performing<br \/>\na verbal fluency task. A study by Sandoval, Gollan,<br \/>\nFerreira, and Salmon (2010) compared monolinguals and<br \/>\nSpanish-English bilinguals who reported high proficiency in<br \/>\nboth languages for their performance on several category and<br \/>\nletter fluency conditions in English, and in a second experiment<br \/>\nalso compared the time course of retrieval from bilinguals\u2019 two<br \/>\nlanguages (English vs. Spanish). In another study by Luo, Luk,<br \/>\nand Bialystok (2010), a standardized version of the category<br \/>\nand letter fluency tasks in English was administered to monolinguals<br \/>\nand bilinguals who were either matched on English<br \/>\nvocabulary or had a lower English receptive vocabulary. In<br \/>\nboth studies, the bilinguals produced words later into the<br \/>\nallotted time, indicating slower and more effortful retrieval for<br \/>\neach word produced, likely due to interference from the nontarget<br \/>\nlanguage (Sandoval et al., 2010). In addition, the comparison<br \/>\nbetween the two English proficiency groups in the study by<br \/>\nLuo et al. indicated a second effect attributable to vocabulary<br \/>\nsize. Once vocabulary was matched, the bilinguals with English<br \/>\nproficiency comparable to that of monolinguals performed<br \/>\nas well as the monolinguals on the category fluency task and<br \/>\nbetter than monolinguals on letter fluency. Having equated for<br \/>\ndifferences in vocabulary resources, the bilinguals were able to<br \/>\ndisplay better control than the monolinguals in the condition<br \/>\nthat required monitoring and working memory. Figure 2a displays<br \/>\nthe results for category fluency in which monolinguals and<br \/>\nhigh-vocabulary bilinguals show identical retrieval patterns<br \/>\nbecause performance is driven primarily by vocabulary size,<br \/>\nwhich in this case is matched. Figure 2b displays the results for<br \/>\nletter fluency; in this case, the high-vocabulary bilinguals maintain<br \/>\na higher production rate throughout the time course than do<br \/>\nthe other two groups because the task additionally requires high<br \/>\nlevels of executive control.<br \/>\nThese results point to the need to guarantee that participants<br \/>\nwho are performing a language task have linguistic resources<br \/>\nadequate to carry out the task. Without explicitly controlling<br \/>\nfor language proficiency, it is impossible to localize the effects<br \/>\nof bilingualism as opposed to the effects of weaker proficiency<br \/>\nin the language of testing. Moreover, when proficiency in the<br \/>\nBilingual Minds 95<br \/>\n95<br \/>\ntwo languages had been controlled by using receptive vocabulary<br \/>\nas a matching variable, a bilingual advantage emerged in<br \/>\nthe letter fluency task. This pattern was replicated in a<br \/>\ncomparison between monolinguals, bilinguals with matched<br \/>\nvocabulary, and bilinguals with lower vocabulary on a simple<br \/>\nbehavioral comparison of the number of words produced in<br \/>\neach of these fluency tasks (Bialystok, Craik, &amp; Luk, 2008b).<br \/>\nClearly, not all tasks requiring processing of linguistic material<br \/>\nare performed more poorly by bilinguals.<br \/>\nControl over linguistic resources. To this point, the studies<br \/>\ndescribed have generally found more effortful (longer response<br \/>\nFig. 2. Number of items produced as a function of time in (A) category task and (B) letter task<br \/>\nfor monolinguals, high-vocabulary (HV) bilinguals, and low-vocabulary (LV) bilinguals. Best fit<br \/>\nlines are logarithmic functions. From Luo, Luk, and Bialystok (2010).<br \/>\n96 Bialystok et al.<br \/>\n96<br \/>\ntime, RT) or poorer (more errors) performance by bilinguals<br \/>\nthan by monolinguals when rapid retrieval of specific lexical<br \/>\nitems is required. When language proficiency is matched,<br \/>\nhowever, bilinguals perform as well as monolinguals in<br \/>\ncategory fluency (which depends on vocabulary) and better<br \/>\nthan monolinguals on letter fluency (which depends more<br \/>\nextensively on cognitive control). Therefore, at least some of<br \/>\nthe differences observed between monolinguals and bilinguals<br \/>\non language production tasks reflect a simple difference<br \/>\nin linguistic resources and may mask a potential advantage in<br \/>\ncontrol over those resources once proficiency has been equated.<br \/>\nIf bilinguals do have better control over linguistic resources<br \/>\nthan do monolinguals, then it should be possible to demonstrate<br \/>\nthis processing difference in tasks that require monitoring or<br \/>\nmanipulation of verbal stimuli. Two tasks meet these criteria.<br \/>\nThe first is a paradigm developed by Jacoby (1991), called the<br \/>\nprocess dissociation procedure (PDP), that is designed to<br \/>\ndistinguish between automatic (familiarity) and controlled<br \/>\n(recollection) aspects of memory. The second is a paradigm<br \/>\ncalled release from proactive inhibition (PI) that assesses the<br \/>\nability to monitor items for their source (e.g., Kane &amp; Engle,<br \/>\n2000). Both paradigms have been widely used in studies of cognitive<br \/>\nprocesses involved in memory performance. Although<br \/>\nsubstantially different from each other, they share the feature<br \/>\nthat participants are asked to remember words for later recall<br \/>\nwhen an intervening event has made it difficult to keep track<br \/>\nof the source of the target words. In the case of PDP, words are<br \/>\npresented in two lists, or two formats (for example, visually or<br \/>\norally), and the crucial recall test requires responding only to the<br \/>\nwords presented in one of them (for example, visually) and<br \/>\nignoring the others. In the case of PI, lists of different words<br \/>\nfrom the same semantic category are presented successively and<br \/>\nparticipants are asked to report the words on the list just heard<br \/>\nwithout reporting words from the previous lists. \u2018\u2018Release\u2019\u2019 from<br \/>\nPI is observed when words from a different category are presented.<br \/>\nBoth tasks, therefore, require monitoring and control to<br \/>\nattend to the target words and inhibition to avoid making errors<br \/>\non the distractor words. As predicted, bilinguals obtained lower<br \/>\nscores than monolinguals on tests of receptive vocabulary but<br \/>\nperformed better than monolinguals on both PDP (Wodniecka,<br \/>\nCraik, Luo, &amp; Bialystok, 2010) and release from PI tasks<br \/>\n(Bialystok &amp; Feng, 2009). Again, separating verbal ability<br \/>\nfrom control over verbal processing produces a more complex<br \/>\npicture in which bilinguals demonstrate better processing in<br \/>\nthe context of poorer verbal performance.<br \/>\nCognitive control and bilingual language<br \/>\nprocessing<br \/>\nAll the illustrations of language acquisition and use described<br \/>\nin this section have demonstrated the importance of considering<br \/>\nthe interaction between language and cognitive systems in<br \/>\nexplaining outcomes for bilinguals. Bilingual children acquire<br \/>\nlanguage on the same timetable as monolingual children, largely<br \/>\nbecause this timetable is determined by the process of cognitive<br \/>\ndevelopment. As acquisition proceeds, however, bilingual<br \/>\nchildren develop different types of competence (e.g., smaller<br \/>\nvocabulary in each language) and probably use different<br \/>\nstrategies (e.g., phonemic cues and mutual exclusivity for word<br \/>\nlearning). In adulthood, the ability of bilinguals to effectively<br \/>\nuse language in such tasks as word retrieval and word generation<br \/>\ndepends on both linguistic competence and cognitive procedures<br \/>\nfor access and monitoring. Thus, levels of vocabulary<br \/>\ndetermine how many words can be associated with a meaningful<br \/>\ncategory but levels of control determine how many words can be<br \/>\nselected to fit an arbitrary restrictive criterion.<br \/>\nWhat is the source of these interactions One possibility is<br \/>\nthat the interacting systems are set in motion because the joint<br \/>\nactivation of the two languages for a bilingual creates a problem<br \/>\nnot experienced by monolinguals\u2014namely, the need to select<br \/>\nfrom the target system in the context of compelling and active<br \/>\nalternatives. There is substantial evidence, described in Sections<br \/>\n2 and 3, that the response to this conflict is to recruit the executive<br \/>\ncontrol system that has evolved to resolve conflict across all<br \/>\ndomains of perceptual and cognitive processing. The constant<br \/>\nuse of this executive control system for bilingual language management<br \/>\nopens the possibility that the system itself is modified,<br \/>\nchanging its valence or efficiency for all tasks. That is, the use of<br \/>\na set of executive control procedures to manage attention to language,<br \/>\nto avoid interference from the nontarget language, and to<br \/>\nmonitor two simultaneously active languages may alter the<br \/>\nnature or efficiency of those executive control processes more<br \/>\ngenerally. This possibility is examined in the next section. To<br \/>\nanticipate, the evidence suggests that whereas bilingual children<br \/>\nand adults have somewhat lower vocabulary levels than their<br \/>\nmonolingual counterparts, the bilinguals possess an advantage<br \/>\nin cognitive control that generalizes beyond language processing<br \/>\nto other aspects of cognitive functioning.<br \/>\n2. How Bilingualism Affects Cognitive<br \/>\nControl<br \/>\nFor many years it was assumed that while bilingualism might<br \/>\nbe an asset for adults\u2014in terms of culture, travel, and trade,<br \/>\nfor example\u2014it was a handicap for children in the educational<br \/>\nsystem. The idea was that learning in two languages imposed<br \/>\nan additional burden on schoolchildren who must learn two<br \/>\nvocabularies, two sets of grammar, and probably two sets of<br \/>\ncultural habits and expectations. This negative view of bilingualism<br \/>\nwas at least questioned by the results of a study by<br \/>\nPeal and Lambert (1962). They gave a battery of intelligence<br \/>\ntests to French-speaking children in Montreal who were also<br \/>\nfluent English speakers. They expected to find that monolingual<br \/>\nand bilingual children would be equivalent on measures<br \/>\nof nonverbal intelligence but that bilinguals would obtain<br \/>\nlower scores on verbal measures. To their surprise, however,<br \/>\nbilingual children outperformed their monolingual peers on<br \/>\nvirtually all of the tests, including tests of nonverbal intelligence.<br \/>\nFurther analysis revealed that there was little difference<br \/>\nbetween the groups on spatial-perceptual tests but that<br \/>\nthe bilingual children showed an advantage on tests requiring<br \/>\nsymbol manipulation and reorganization. This latter finding<br \/>\nBilingual Minds 97<br \/>\n97<br \/>\nhas the interesting implication that extra effort and more<br \/>\nextensive learning in the area of language apparently confers<br \/>\nbenefits to nonverbal mental abilities, refuting the idea that<br \/>\nlanguage is a separate module of mind and brain that relies<br \/>\non dedicated processes (e.g., Fodor, 1983); instead, language<br \/>\nmust be viewed as recruiting processes from the general cognitive<br \/>\nsystem. On the basis of their unexpected findings, Peal and<br \/>\nLambert suggested that bilingual children may show enhanced<br \/>\nmental flexibility, perhaps as a consequence of having to<br \/>\nswitch between their two languages.<br \/>\nThe study by Peal and Lambert (1962) may be criticized on<br \/>\nthe grounds that francophone children in Montreal in 1960 who<br \/>\nspoke English were likely of higher than average social class,<br \/>\nor at least were the children of intelligent and ambitious<br \/>\nparents, and were therefore less representative than their monolingual<br \/>\ncounterparts (Bialystok, 2001). Nevertheless, the study<br \/>\nwas important in showing both that bilingualism in children<br \/>\nmight help rather than hinder the development of other abilities<br \/>\nand also that language learning may influence nonverbal<br \/>\ncognitive processes supporting the view that language is not<br \/>\na separate and independent module of mind.<br \/>\nSome decades following the Peal and Lambert study, supporting<br \/>\nevidence for a bilingual advantage in general cognitive functioning<br \/>\nfor children was found in studies using a variety of<br \/>\nexperimental paradigms. For example, Bialystok (1992) reported<br \/>\nthat bilingual children performed better than their monolingual<br \/>\ncounterparts on the Embedded Figures Test. In this test, participants<br \/>\nmust find a simple visual pattern concealed in a larger complex<br \/>\nfigure. Bialystok suggested that the better performance of<br \/>\nbilingual children might reflect their superior ability to focus<br \/>\non wanted information and ignore misleading information. That<br \/>\nis, the advantage might be one of enhanced selective attention,<br \/>\ninvolving the ability to inhibit irrelevant or unwanted information<br \/>\nand the complementary ability to concentrate on relevant aspects.<br \/>\nThis interpretation was in line with another demonstration in<br \/>\nwhich children were asked to judge whether phrases were grammatically<br \/>\ncorrect, regardless of meaning. Bilingual children were<br \/>\nbetter than their monolingual age-mates at ignoring the misleading<br \/>\nmeaning in sentences such as \u2018\u2018Apples grow on noses\u2019\u2019 or<br \/>\n\u2018\u2018Why is the cat barking so loudly\u2019\u2019 and stating that the grammar<br \/>\nwas correct (Bialystok, 1988). More generally, research<br \/>\ndemonstrated enhanced metalinguistic awareness in bilingual<br \/>\nchildren compared to their monolingual peers (Ben-Zeev, 1977;<br \/>\nCummins, 1978; Galambos &amp; Hakuta, 1988; Ricciardelli, 1992)<br \/>\nWhy might bilingual children show an advantage in the<br \/>\nability to inhibit attending to unwanted information and select<br \/>\nrelevant aspects The answer may follow from the surprising<br \/>\nfinding described earlier: that when bilingual speakers use one<br \/>\nlanguage, the other language is still active. However, this does<br \/>\nnot mean that a full analysis of incoming stimuli in the nonused<br \/>\nlanguage inevitably takes place, nor that formulating speech in<br \/>\none language fully activates the relevant words and grammar of<br \/>\nthe other language. It seems rather that the second language is<br \/>\npotentially active, that some analysis is typically carried out,<br \/>\nand that more analysis takes place when combinations of<br \/>\ncontext and meaning increase the likelihood that words and<br \/>\nphrases from the nonused language are in fact relevant to the<br \/>\nspeaker\u2019s or listener\u2019s concerns.<br \/>\nThe idea that the nonrelevant language is always potentially<br \/>\nactive accounts for another observation on bilingual speakers:<br \/>\nthat they occasionally intrude words from the alternate<br \/>\nlanguage during speech. Though such intrusions are rare<br \/>\n(Poulisse, 1997; Poulisse &amp; Bongaerts, 1994; Sandoval et al.,<br \/>\n2010), these instances reflect occasions in which the appropriate<br \/>\nword in the language being used is difficult to locate or the word<br \/>\nor phrase in the nonused language is made particularly likely<br \/>\nbecause of the context or its salience. Bialystok (2001) commented<br \/>\nthat such intrusions are more common in bilingual children<br \/>\nthan in adults and are also more common (anecdotally at least)<br \/>\nin older than in younger adults (Sandoval, 2010). In turn, this<br \/>\nage-related pattern suggests that the brain mechanisms responsible<br \/>\nfor maintaining attentional set (in this casemaintaining attention<br \/>\non the selected language) are less effective in childhood and<br \/>\nin older adulthood. One candidate for such mechanisms is integrity<br \/>\nof frontal lobe functioning, since it is well established that<br \/>\nthe frontal lobes develop slowly in childhood and are among the<br \/>\nfirst parts of the brain to decline in efficiency in older adulthood<br \/>\n(Craik &amp; Grady, 2002; Diamond, 2002; Raz, 2000).<br \/>\nOur suggestion is that bilingual speakers must develop an<br \/>\nunusually strong ability to temporarily inhibit access to the<br \/>\nnonrelevant language while maintaining attentional set<br \/>\n(\u2018\u2018maintaining concentration\u2019\u2019) on the language in current use.<br \/>\nThis ability may be mediated by the frontal lobes and may<br \/>\ntherefore exhibit a lifespan developmental trend that peaks in<br \/>\nyoung adulthood. The further suggestion is that the constant<br \/>\nnecessity to exercise this inhibitory control leads to the<br \/>\ndevelopment of particularly effective attentional functions that<br \/>\nare then drawn on to mediate good performance on a variety of<br \/>\nnonverbal tasks requiring inhibition of unwanted or misleading<br \/>\nmaterial and concurrent selection of relevant aspects.<br \/>\nInhibition or selection<br \/>\nWhat would it mean to have enhanced control over attentional<br \/>\nfunctions When Bialystok (2001) surveyed studies of the<br \/>\neffects of bilingualism on children\u2019s cognitive processes,<br \/>\nshe concluded that \u2018\u2018the most consistent empirical finding<br \/>\nabout the cognition of bilingual children is their advantage in<br \/>\nselective attention and inhibition\u2019\u2019 (Bialystok, 2001, p. 246).<br \/>\nThis conclusion was based on some of her own work (e.g.,<br \/>\nBialystok, 1988, 1992) as well as on a growing number of<br \/>\nstudies from other laboratories. An example that illustrates how<br \/>\nthese processes are used by children is the dimensional change<br \/>\ncard sort task (DCCS) developed by Zelazo, Frye, and Rapus<br \/>\n(1996). This is a game in which images that vary on two dimensions,<br \/>\nusually shape and color, are sorted according to one of<br \/>\nthem. For example, cards containing either red or blue circles<br \/>\nor squares are sorted into containers marked by an image of<br \/>\neither a red square or a blue circle. Children are asked to first<br \/>\nsort the cards by one dimension\u2014blues in this box and reds<br \/>\nin this box\u2014and then to switch to the other\u2014circles in this box<br \/>\nand squares in this box. The dramatic finding is that young<br \/>\n98 Bialystok et al.<br \/>\n98<br \/>\nchildren can easily state the new rule but continue to sort by the<br \/>\nfirst rule; they have great difficulty overriding the habit set up<br \/>\nin the first phase. When this experiment was repeated with<br \/>\nbilingual and monolingual children aged between 4 and 5 years,<br \/>\nthe bilingual children were markedly better at switching to the<br \/>\nnew rule (Bialystok, 1999; Bialystok &amp; Martin, 2004). This<br \/>\nresult was obtained despite there being no difference in<br \/>\npre-switch performance. The researchers thus concluded that<br \/>\nthe constant need to inhibit the nonused language generalized<br \/>\nto more effective inhibition of nonverbal information.<br \/>\nThese demonstrations were followed by studies that<br \/>\nextended the investigation to adults and used other paradigms<br \/>\nin which a prepotent response tendency must be inhibited. One<br \/>\nsuch situation is embodied in the Simon task. The participant<br \/>\nviews a screen on which either a red or green square appears;<br \/>\nthere are two response keys, one for red squares and the other<br \/>\nfor green squares. The keys are positioned below the sides of<br \/>\nthe screen, and the squares can appear either immediately<br \/>\nabove their relevant response key (congruent condition) or<br \/>\nabove the other key (incongruent condition). Response latencies<br \/>\nare longer in the incongruent case, and the difference<br \/>\nbetween incongruent and congruent latencies is termed the<br \/>\nSimon effect. If participants are able to resist the misleading<br \/>\ninformation carried by spatial position in the incongruent situation,<br \/>\nthe Simon effect will be smaller, and we may conclude<br \/>\nthat they have well-developed inhibitory control mechanisms.<br \/>\nUsing this logic, Bialystok, Craik, Klein, and Viswanathan<br \/>\n(2004) tested groups of younger and older adults who were<br \/>\neither monolingual or bilingual on a version of the Simon task.<br \/>\nWhen the colored squares are presented centrally, there is no<br \/>\nconflict between the position of the stimulus and side of the<br \/>\nappropriate response, and in this case there were no differences<br \/>\nin reaction time between monolinguals and bilinguals, although<br \/>\nolder participants took longer to respond (Fig. 3a). When the<br \/>\ncolored squares appeared laterally, however, Simon effects<br \/>\nwere found, and these were larger for monolinguals\u2014especially<br \/>\noldermonolinguals (Fig. 3b).This evidence for a bilingual advantage<br \/>\nin inhibitory control in adults extended the results of previous<br \/>\nstudies on children. Moreover, the bilingual advantage was<br \/>\nespecially strong in older adults, suggesting that bilingualism<br \/>\nmay afford some protection against at least some forms of<br \/>\ncognitive aging.<br \/>\nTwo other unexpected results emerged from this study. The<br \/>\nfirst is that the bilingual advantage in response time was found<br \/>\nfor congruent as well as incongruent stimuli. This result was<br \/>\nobtained in all three experiments and has been consistently<br \/>\nobserved in subsequent studies (e.g., Costa, Herna\u00b4ndez, &amp;<br \/>\nSebastian-Galles, 2008). Why should there be a bilingual<br \/>\nadvantage for congruent stimuli when there is no misleading<br \/>\ninformation to inhibit Most experiments of this sort are run<br \/>\nunder mixed conditions in that experimental runs contain both<br \/>\ncongruent and incongruent stimuli, so participants must keep<br \/>\nthe rule in mind throughout the experimental run and monitor<br \/>\neach trial for the type of processing needed (conflict or no<br \/>\nconflict). It may be that bilinguals are also better at these<br \/>\naspects of executive control. The test of this conjecture is to<br \/>\ncheck what happens in experiments containing pure runs of all<br \/>\ncongruent or all incongruent stimuli, and the finding there is<br \/>\nthat the bilingual advantage disappears (Bialystok, Craik, &amp;<br \/>\nRyan, 2006).<br \/>\nThe second unexpected result found by Bialystok et al.<br \/>\n(2004) was that prolonged practice on the Simon task reduced<br \/>\nthe difference between monolinguals and bilinguals.<br \/>\nIn Experiment 3, participants performed the Simon task for<br \/>\n10 consecutive blocks of 24 trials; by the end of the session the<br \/>\nmonolingual disadvantage had disappeared and both groups<br \/>\nshowed minimal differences between congruent and incongruent<br \/>\nstimuli. It is interesting to speculate that everyone may be<br \/>\nable to inhibit the effects of misleading information in specific<br \/>\nsituations with sufficient practice but that bilinguals can learn<br \/>\nthis type of inhibition more rapidly.<br \/>\nThe Stroop effect may be considered the \u2018\u2018gold standard\u2019\u2019 of<br \/>\ntests of inhibition. In this paradigm, participants name colors as<br \/>\nrapidly as possible, both when the colors are presented as<br \/>\ncolored squares on a screen and when the stimuli are color<br \/>\nnames (e.g., \u2018\u2018red,\u2019\u2019 \u2018\u2018green,\u2019\u2019 \u2018\u2018blue\u2019\u2019) but presented in a different<br \/>\ncolored font (e.g., the word \u2018\u2018red\u2019\u2019 printed in green ink). The<br \/>\ndifference in speed between naming colored squares and the<br \/>\ncolor of words is the Stroop effect; again, a smaller Stroop<br \/>\neffect indicates a strong ability to inhibit the misleading<br \/>\ntendency to name the word rather than its color. Bialystok<br \/>\net al. (2008a) tested groups of 24 younger and older adults who<br \/>\nwere monolingual or bilingual on this paradigm. In four different<br \/>\nconditions, participants named the color of displays of Xs,<br \/>\nnamed a color word presented in black font, named the font<br \/>\ncolor of words printed in their own color (congruent condition),<br \/>\nand named the font color of words printed in a different color<br \/>\n(the incongruent Stroop condition). For the control conditions<br \/>\n(naming words and colored Xs), naming times were faster for<br \/>\nwords and for younger participants but there were no<br \/>\nlanguage-group differences. Response times for the congruent<br \/>\nand incongruent colored-word conditions are shown in Figure 4<br \/>\nas differences (positive or negative) from the time taken to<br \/>\nname colored Xs. The figure shows that congruent stimuli are<br \/>\nassociated with relatively faster response times (a facilitation<br \/>\neffect) and are indicated by positive RT differences in the<br \/>\nfigure, whereas incongruent stimuli show the classic Stroop<br \/>\npattern in which slower response times are indicated by negative<br \/>\nRT differences. Statistical analysis revealed a significant<br \/>\nthree-way interaction of age, language, and congruence; both<br \/>\nyounger and older bilinguals sustained smaller costs than their<br \/>\nmonolingual peers, but only the older bilinguals showed greater<br \/>\nfacilitation. We may thus conclude that the older bilinguals<br \/>\nexhibited greater degrees of cognitive control than their monolingual<br \/>\ncounterparts, in that they both took greater advantage of<br \/>\ncongruent conditions and at the same time were less impaired<br \/>\nby incongruent conditions. Younger bilinguals showed the<br \/>\nlatter effect but not the former.<br \/>\nOther results from the Bialystok et al. (2008a) study<br \/>\nincluded a bilingual advantage for the older participants in a<br \/>\nversion of the Simon task using directional arrows, but no bilingual<br \/>\nadvantage for either age group in a condition in which<br \/>\nBilingual Minds 99<br \/>\n99<br \/>\nparticipants were instructed to respond in the direction opposite<br \/>\nto that indicated by a single arrow. There was also no bilingual<br \/>\nadvantage on the Sustained Attention to Response Task<br \/>\n(SART; Robertson, Manly, Andrade, Baddeley, &amp; Yiend,<br \/>\n1997), which involves withholding a response to the number 3<br \/>\nwhile responding rapidly to all other digits. In both these latter<br \/>\ntasks, the participant can encode a simple rule (e.g., \u2018\u2018press in the<br \/>\nopposite direction\u2019\u2019) and then follow that rule; there is essentially<br \/>\nno need to select one aspect of the stimulus and suppress other<br \/>\naspects, as with the Simon, Stroop or flanker tasks. This account<br \/>\nclaiming no need for control in these tasks is reinforced by other<br \/>\nresults showing no bilingual advantage in children who were<br \/>\ninstructed to respond \u2018\u2018day\u2019\u2019 when shown a picture of a dark<br \/>\nnight, and \u2018\u2018night\u2019\u2019 when shown a sunny day (Martin-Rhee &amp;<br \/>\nBialystok, 2008). These investigators also replicated the finding<br \/>\nof no bilingual advantage in children given the reverse arrow<br \/>\ntask, even though the same children demonstrated a bilingual<br \/>\nadvantage when the arrows were placed in side positions on the<br \/>\ndisplay that created conflict.<br \/>\nThis pattern of presence and absence of advantages is in line<br \/>\nwith the distinction between interference suppression and<br \/>\n0<br \/>\n150<br \/>\n300<br \/>\n450<br \/>\n600<br \/>\n750<br \/>\n900<br \/>\n1050<br \/>\n1200<br \/>\n1350<br \/>\n1500<br \/>\n(a) Control Condition<br \/>\n(b) Simon Effect<br \/>\n30-39 40-49 50-59 60-69 70-79<br \/>\nMean RT (ms)<br \/>\nAge<br \/>\n30-39 40-49 50-59 60-69 70-79<br \/>\nAge<br \/>\nMonolingual Bilingual<br \/>\n0<br \/>\n100<br \/>\n200<br \/>\n300<br \/>\n400<br \/>\n500<br \/>\n600<br \/>\n700<br \/>\n800<br \/>\n900<br \/>\n1000<br \/>\nRT Difference (ms)<br \/>\nFig. 3. Mean reaction time (RT) on Simon task by decade for monolinguals and bilinguals.<br \/>\nGraph a shows mean RT for the control condition; Graph b shows mean RT cost as the<br \/>\ndifference between congruent and incongruent trials (Simon effect). From Bialystok, Craik,<br \/>\nKlein, and Viswanathan (2004).<br \/>\n\u2013300<br \/>\n\u2013250<br \/>\n\u2013200<br \/>\n\u2013150<br \/>\n\u2013100<br \/>\n\u201350<br \/>\n0<br \/>\n50<br \/>\n100<br \/>\n150<br \/>\nType of Difference Score<br \/>\nMean RT (ms)<br \/>\nFacilitation Cost<br \/>\nYoung Mono<br \/>\nYoung Biling<br \/>\nOld Mono<br \/>\nOld Biling<br \/>\nFig. 4. Mean reaction time (RT) and standard error for<br \/>\nfacilitation and cost for young monolinguals and bilinguals<br \/>\nand older monolinguals and bilinguals in the Stroop task.<br \/>\nThe values are mean differences from baseline (0 milliseconds)<br \/>\ncalculated as the average difference in the time<br \/>\ntaken to name colors from the time taken to name neutral<br \/>\nstimuli (Xs). From Bialystok, Craik, and Luk (2008a).<br \/>\n100 Bialystok et al.<br \/>\n100<br \/>\nresponse inhibition proposed by Bunge, Hazeltine, Scanlon,<br \/>\nRosen, and Gabrieli (2002). Interference suppression refers to<br \/>\nsituations in which misleading information evokes a faulty<br \/>\nresponse and must therefore be ignored or suppressed; this<br \/>\nappears to be the type of situation that bilinguals can deal with<br \/>\nparticularly well. Response inhibition is the ability to avoid<br \/>\nresponding in error to a habitual or highly salient cue, and bilinguals<br \/>\nshow no advantage under these circumstances. In other<br \/>\nwords, the bilingual advantage appears when there is conflict<br \/>\nbetween two potential responses, but not when there is a need<br \/>\nto withhold a single primed response.<br \/>\nAs a final converging point, Kimberg, D\u2019Esposito, and<br \/>\nFarah (1997) have commented that patients with lesions in the<br \/>\nprefrontal cortex are impaired on tasks in which the most<br \/>\nsalient cue evokes the wrong response and must therefore be<br \/>\nsuppressed to select the cue associated with the correct<br \/>\nresponse. If one effect of bilingualism is to boost frontal lobe<br \/>\nfunctions, it follows that bilingual children and adults should<br \/>\nbe adept at tasks involving interference suppression.<br \/>\nConverging evidence from other studies has supported the<br \/>\nconclusion that bilinguals show strong abilities to inhibit irrelevant<br \/>\nor interfering information. Zied and colleagues (2004)<br \/>\nfound that balanced bilingual adults of various ages responded<br \/>\nmore rapidly than unbalanced bilinguals on the Stroop task. In<br \/>\nan ingenious series of studies, Philipp and colleagues (Philipp,<br \/>\nGade, &amp; Koch, 2007; Philipp &amp; Koch, 2009) asked participants<br \/>\nwho were fluent in three languages (English, French, &amp;<br \/>\nGerman) to switch among their languages in a number naming<br \/>\ntask; thus \u2018\u20182\u2019\u2019 was named either \u2018\u2018two,\u2019\u2019 \u2018\u2018deux,\u2019\u2019 or \u2018\u2018zwei\u2019\u2019<br \/>\ndepending on a concurrent instruction. The main finding was<br \/>\nthat naming in language A was slower on the third trial of a<br \/>\nsequence ABA than in a sequence CBA. That is, A (e.g.,<br \/>\nFrench naming) was slower on the third trial of a sequence<br \/>\nFrench, German, French than it was in the third trial of a<br \/>\nsequence English, German, French, suggesting that in the first<br \/>\nsequence French was subjected to a temporary global inhibitory<br \/>\neffect to permit access to German. When French was<br \/>\nneeded immediately after that, negative priming slowed access<br \/>\nto the target name. Although there is no bilingual advantage in<br \/>\nthis study\u2014monolinguals were not tested, and the study was<br \/>\nnot designed to test for bilingual advantages\u2014the results<br \/>\ndemonstrate the role of a general inhibitory process applied<br \/>\nto the nonused language in order to avoid interference effects<br \/>\nin the selected language.<br \/>\nNegative priming was also used in an experiment by<br \/>\nTreccani, Argyri, Sorace, and Della Sala (2009). Targets could<br \/>\nappear at one of four positions on a screen and participants<br \/>\nresponded by pressing one of four keys. When a target was<br \/>\naccompanied by a distractor stimulus in another location,<br \/>\nbilingual adults were better able to ignore it (interference<br \/>\nsuppression) and so made fewer errors than did theirmonolingual<br \/>\ncounterparts. However, the bilinguals were more negatively<br \/>\naffected (making more errors than monolinguals) when a target<br \/>\nappeared in the position previously occupied by a distractor item.<br \/>\nIn this situation, the better inhibition of the distractor carried over<br \/>\nto the next trial, providingmore negative priming to the bilingual<br \/>\nparticipants. The authors concluded that whether bilinguals show<br \/>\nan advantage or a disadvantage relative to monolinguals depends<br \/>\non task characteristics.<br \/>\nThe studies reviewed so far have endorsed the notion that the<br \/>\nbilingual advantage found in these studies is due to an advantage<br \/>\nin inhibition or suppression of interfering material, but there<br \/>\nremains the possibility that bilinguals show an advantage in the<br \/>\npositive selection of wanted information. The latter interpretation<br \/>\nis favored by a number of investigators. Costa, Miozzo, and<br \/>\nCaramazza (1999) argue that although lexical candidates in both<br \/>\nlanguages are active during the planning of an utterance, the<br \/>\nintention to speak in one language rather than another effectively<br \/>\nrestricts selection to words in the target language. Colzato and<br \/>\ncolleagues (Colzato et al., 2008) set out to compare what they<br \/>\ntermed \u2018\u2018active inhibition\u2019\u2019 with \u2018\u2018reactive inhibition.\u2019\u2019 By active<br \/>\ninhibition they mean general global suppression of the nonrelevant<br \/>\nlanguage (cf. inhibition in the study by Philipp &amp; Koch,<br \/>\n2009) and by reactive inhibition they mean lack of suppression<br \/>\nof specific interfering stimuli. Evidence for the latter was found<br \/>\nin the attentional blink paradigm in which detection of a target<br \/>\nstimulus is impaired if the same stimulus was presented earlier<br \/>\nin a rapid sequence of events. The authors predicted that if bilinguals<br \/>\nshow more reactive inhibition, then they will process the<br \/>\nfirst presentation of the target to a greater extent and therefore<br \/>\nshow less suppression of intervening items. Without suppression,<br \/>\nthese items would then interfere more with the second<br \/>\npresentation of the target, creating a larger attentional blink<br \/>\neffect. This is what they found, and so they suggested that the<br \/>\nbilingual advantage is not due to constant exercise of inhibition<br \/>\nof the nonused language but rather to prolonged practice at<br \/>\nmaintaining the relevant attentional set, though they grant that<br \/>\nsuch selection may involve strong inhibition of competing items.<br \/>\nThe debate over inhibition versus selection may rest on a<br \/>\nfalse dichotomy: Inhibition may not be an all-or-none phenomenon<br \/>\nbut may rather be found to different degrees under some<br \/>\ncircumstances. One such factor that might influence the degree<br \/>\nof inhibition required to perform a task is the effect of context.<br \/>\nKroll, Bobb, Misra, and Guo (2008) describe work showing<br \/>\nthat cross-language cognates were activated (that is, naming<br \/>\na word in one language activated its cognate in bilinguals\u2019<br \/>\nsecond language) when a word was named out of context, but<br \/>\nthis cognate facilitation was eliminated in contexts that were<br \/>\nsemantically constrained in that the required word was more<br \/>\nclearly determined from the context (see also Schwartz &amp;<br \/>\nKroll, 2006; van Hell &amp; de Groot, 2008). One possibility, then,<br \/>\nis that the degree to which both languages are active may not be<br \/>\nconstant but may vary probabilistically with the contextual<br \/>\nconstraints provided by language, topic (sample nursing essay examples by the best nursing assignment writing service), and the external<br \/>\nenvironment.<br \/>\nAnother possible effect of context was suggested by Costa,<br \/>\nHerna\u00b4ndez, Costa-Faidella, and Sebastian-Galles (2009). They<br \/>\ntested monolinguals and bilinguals on versions of a flanker task<br \/>\nin which different conditions contained varying proportions of<br \/>\nincongruent trials: 8%, 25%, 50%, or 92% (therefore mixed with<br \/>\n92%, 75%, 50%, or 8% congruent trials, respectively). The bilingual<br \/>\nadvantage was strongly present in the 50%\/50% version,<br \/>\nBilingual Minds 101<br \/>\n101<br \/>\nreduced in the 75%\/25% version, and entirely absent in the 92%\/<br \/>\n8% version. The authors conclude that the bilingual advantage is<br \/>\nrelated to their greater ability to monitor the environment when<br \/>\nthe probability of change is high, as in the 50%\/50% condition.<br \/>\nUnder low-monitoring conditions, when most of the trials are of<br \/>\none type, there is little need to monitor and thus no bilingual<br \/>\nadvantage is found. The notion of monitoring is similar to the<br \/>\nidea of set maintenance described previously by Colzato et al.<br \/>\n(2008). Costa and his colleagues also make the interesting prediction<br \/>\nthat bilinguals who live in situations in which their two<br \/>\nlanguages are used in different contexts (e.g., Italian at home,<br \/>\nEnglish at work) rarely need to monitor language changes and<br \/>\nso may not develop strong monitoring abilities and thus show<br \/>\nno bilingual advantage.<br \/>\nFinally, the distinction between selection and inhibition was<br \/>\nexamined in a study by Herna\u00b4ndez, Costa, Fuentes, Vivas, and<br \/>\nSebastian-Galle\u00b4s (2010), in which participants rapidly judged<br \/>\nhow many items (letters or numerals) appeared on a screen. The<br \/>\nitems appeared either in a congruent form (1, 22, 333), an incongruent<br \/>\nform in which the displayed numerals did not match the<br \/>\nrequired response (e.g. 3, 11, 222), or a neutral form (Z, GGG,<br \/>\nMM). Relative to the neutral baseline, congruent stimuli were<br \/>\nassociated with faster response times (facilitation) and incongruent<br \/>\nstimuli with slower response times (interference). Bilingual<br \/>\nparticipants showed smaller interference effects but larger facilitation<br \/>\neffects than their monolingual counterparts (cf. Bialystok,<br \/>\nCraik, &amp; Luk, 2008a), so their advantage may be described as<br \/>\none of better executive control of perception\/action processing.<br \/>\nThe conclusion of Costa and colleagues is that the bilingual<br \/>\nadvantage is reasonably high level, involving top-down working<br \/>\nmemory processes, and is manifested as enhanced set maintenance<br \/>\nor monitoring. This description suggests that the advantage<br \/>\nmay stem from enhanced frontal lobe effectiveness, as<br \/>\nsuggested by Bialystok (2001).<br \/>\nSelective attention and executive control<br \/>\nWe have seen in the previous section that research aimed at<br \/>\nassessing inhibitory abilities in bilinguals evolved to consider<br \/>\nsuch concepts as selection, set maintenance, and monitoring.<br \/>\nHowever, the distinction between these concepts and notions<br \/>\nof attention and executive control is difficult to discern.<br \/>\nIn many ways, all these concepts are simply aspects of attention<br \/>\nand executive control. Therefore, in this section we consider<br \/>\nwork that assesses group differences in attention and control<br \/>\nmore directly.<br \/>\nCosta et al., (2008) examined the performance of monolingual<br \/>\nand bilingual participants on the attentional network task<br \/>\n(ANT) developed by Fan, McCandliss, Sommer, Raz, and<br \/>\nPosner (2002). The bilinguals were young adults who spoke<br \/>\nCatalan and Spanish; the monolinguals were young adults who<br \/>\nspoke Spanish only. The ANT task assesses abilities on three<br \/>\ndifferent attentional networks: alerting, orienting, and executive<br \/>\ncontrol. The test is a flanker task in which the participant<br \/>\nresponds to the direction of a central arrow that is flanked by<br \/>\ntwo arrows on each side pointing in the same (congruent) or<br \/>\ndifferent (incongruent) direction as the central target arrow.<br \/>\nAlerting is studied by presenting a cue before the target stimulus,<br \/>\nand orienting is assessed by the presence or absence of a<br \/>\ncue signaling the future spatial position of the target. The<br \/>\nresults supported the hypothesis of greater attentional control<br \/>\nby bilinguals in the alerting and executive control networks.<br \/>\nThe bilingual participants responded faster than themonolinguals<br \/>\non all conditions and showed a smaller cost for the incongruent<br \/>\ntrials, indicating better conflict resolution. Two final results from<br \/>\nthis study were that this bilingual advantage disappeared by the<br \/>\nthird block of trials (cf. Bialystok et al., 2004, Study 3) and that<br \/>\nbilinguals had smaller switching costs between congruent and<br \/>\nincongruent trials, a point to which we will return.<br \/>\nSimilar results were obtained by Carlson and Meltzoff<br \/>\n(2008) with much younger participants. They administered a<br \/>\nbattery of executive function tests to 50 kindergarten children<br \/>\nwho were English-speaking monolinguals, English-Spanish<br \/>\nbilinguals, or children who were in a language immersion elementary<br \/>\nschool. The major finding was that the native bilingual<br \/>\nchildren performed better on the executive function battery<br \/>\nthan did both other groups, once differences in age, vocabulary,<br \/>\nand parents\u2019 education and income levels were statistically<br \/>\ncontrolled (recent work extends this finding that bilingualism<br \/>\ncan offset the negative effects of lower socioeconomic status<br \/>\non task switching to young adults; Prior &amp; Gollan, 2010).<br \/>\nThe effects were specific to only some aspects of control: There<br \/>\nwere no bilingual advantages in suppressing a motor response<br \/>\non delay-of-gratification tasks (response inhibition) but<br \/>\nsignificant advantages on conditions requiring memory and<br \/>\ninhibition of attention to a prepotent response (interference<br \/>\nsuppression; cf. Martin-Rhee &amp; Bialystok, 2008). The authors<br \/>\nconclude by endorsing the notion that \u2018\u2018language experiences<br \/>\ncan influence further development of frontal lobe functions such<br \/>\nas inhibition and the control of attention\u2019\u2019 (p. 293).<br \/>\nTask switching<br \/>\nThe features of executive control discussed to this point<br \/>\nare somewhat invisible in ordinary cognitive performance.<br \/>\nThe interference suppression that allows us to perform a Stroop<br \/>\ntask or ignore misleading flankers in the ANT seems to have<br \/>\nlittle role in everyday cognition. A more noticeable aspect of<br \/>\nexecutive control might be task switching\u2014the ability to move<br \/>\neasily between two tasks, keeping two protocols simultaneously<br \/>\nactive. Task switching might come closest to the special<br \/>\nprocesses bilinguals engage in as they switch between<br \/>\nlanguages.<br \/>\nIn one of the first studies to find positive things to say about<br \/>\nbilingualism, Peal and Lambert (1962) suggested, as we noted<br \/>\nearlier, that bilingual children may show an advantage in mental<br \/>\nflexibility\u2014an idea presumably stemming from the fact that<br \/>\nbilinguals must switch easily from one language to another. A<br \/>\nlarge body of research investigates task switching, typically by<br \/>\nasking participants to classify a long series of two-dimensional<br \/>\nstimuli by one criterion or the other as rapidly as possible. Such<br \/>\nsorting times are relatively short when successive trials<br \/>\n102 Bialystok et al.<br \/>\n102<br \/>\ncontinue with the same criterion (e.g., continue sorting by<br \/>\nshape), but local switching costs are incurred when instructions<br \/>\nchange to sort by the other dimension (e.g., switch and sort by<br \/>\ncolor). Some runs of trials involve only one dimension (e.g., all<br \/>\ntrials require sorting by color), so it is also possible to measure<br \/>\nmixing costs, defined as the difference in time taken to classify<br \/>\na set of trials under single- and dual-criterion conditions<br \/>\n(Meiran &amp; Gotler, 2001; Pashler, 2000). Typically, sorting<br \/>\ntimes are longer when it is necessary to bear in mind the<br \/>\nrequirement to switch when the instruction changes.<br \/>\nSeveral studies have now explored monolingual\u2014bilingual<br \/>\ndifferences in such paradigms, with the prediction that<br \/>\nbilinguals should show reduced costs, owing perhaps to their<br \/>\nprolonged practice in switching languages and monitoring<br \/>\nwhich language may be spoken in which context. The<br \/>\nprediction with regard to which type of cost might be affected<br \/>\nby bilingualism is less clear. To take an analogous<br \/>\ndifference between individuals\u2014development and aging over<br \/>\nthe lifespan\u2014the typical finding is that younger adults have<br \/>\nsmaller mixing costs than children or older adults do, whereas<br \/>\nthe age groups do not differ markedly on local switch cost<br \/>\n(Reimers &amp; Maylor, 2005; for review, see Mayr &amp; Liebscher,<br \/>\n2001). The relatively large value for mixing costs in young<br \/>\nchildren and older adults was speculatively attributed to their<br \/>\ngreater difficulty in simultaneously maintaining two task sets.<br \/>\nGiven bilinguals\u2019 apparent advantage in maintaining task set<br \/>\n(Colzato et al., 2008), it should follow that they should also<br \/>\nshow reduced mixing costs. This result was indeed reported<br \/>\nby Bialystok et al. (2006) in an experiment in which participants<br \/>\nneeded to respond on the same or opposite side as a target<br \/>\ndepending on a cue. Participants performed single-task runs in<br \/>\nwhich only one cue was used and mixed runs in which either<br \/>\ncue might appear. Response times to the target were slower<br \/>\nunder mixed conditions, and mixing costs were greater for<br \/>\nmonolingual participants.<br \/>\nThree other task-switching studies investigating monolingual<br \/>\nand bilingual college students have yielded mixed results.<br \/>\nFirst, Prior and MacWhinney (2010) asked participants to classify<br \/>\nstimuli by color (red\/green) or shape (circle\/triangle). They<br \/>\nfound no mixing-cost advantage to bilinguals and no speed<br \/>\ndifferences between the two groups on non-switch trials, but<br \/>\nthe bilinguals were faster than monolinguals on switch trials<br \/>\nwhen instructions changed to sort on the alternate dimension.<br \/>\nThus, their study found a local switch-cost advantage to bilinguals<br \/>\nwith no mixing-cost advantage. Subsequent experiments<br \/>\nreplicated the switching advantage in bilinguals who reported<br \/>\nthat they frequently switched languages and no switching advantage<br \/>\nin a less balanced group, although this less-balanced group<br \/>\nexhibited significant associations between fluency in a nondominant<br \/>\nlanguage and switching and mixing costs (Prior &amp; Gollan,<br \/>\n2010). These results suggest dissociations of switching and<br \/>\nmixing costs with respect to group differences and imply that<br \/>\nmultiple aspects of bilingualism may influence task shifting.<br \/>\nFrequent language switching may lead to task-switching advantages,<br \/>\nwhereas close monitoring of which language may be<br \/>\nspoken when (and avoiding switching) may lead to taskmixing<br \/>\nadvantages. A third study provides clues with respect<br \/>\nto the origin of the mixing advantage. In this study, Herna\u00b4ndez,<br \/>\nMartin, Barcelo, and Costa (2010) also used a color\u2013shape<br \/>\nswitching task to test young adult Spanish-Catalan bilinguals<br \/>\nand Spanish-speaking monolinguals. A rule was set at the beginning<br \/>\nof a run (e.g., classify by shape), then trials continued for an<br \/>\nunpredictable number without further cues until a second cue<br \/>\nwas presented. The second cue was either explicit (e.g.,<br \/>\nclassify by color) or implicit (e.g., switch to the other rule or<br \/>\nrepeat the previous rule). It was found that switching was slower<br \/>\nthan repeating the same criterion but that this effect did not<br \/>\ninteract with group. Implicit cues were associated with slower<br \/>\nresponse times thanwere explicit cues, and this effect did interact<br \/>\nwith language group; bilinguals were faster in the implicit version<br \/>\nbut not in the explicit version. The researchers also measured<br \/>\n\u2018\u2018restart costs\u2019\u2019\u2014slower RTs for the first trial than for the second<br \/>\ntrial after a repeat cue. Bilinguals had smaller costs thanmonolinguals<br \/>\non thismeasure too, but again only with implicit cues.These<br \/>\nresults suggest that the bilingual participants were better at maintaining<br \/>\nthe current set, monitoring the changing situation, and<br \/>\nupdating when necessary. Although the task was similar in many<br \/>\nrespects to that used by Prior and MacWhinney, the instructions<br \/>\nwere presented differently, and the bilinguals\u2019 use of two very<br \/>\nsimilar languages might account for the differences in results.<br \/>\nIf that is the case, one would need to be cautious about generalizing<br \/>\nabout differences in local and global task switching between<br \/>\nmonolinguals and bilinguals without considering further details<br \/>\nof the participants and task situation.<br \/>\nThere are still too few studies to conclude much that is<br \/>\ndefinitive on the effect of bilingualism on task switching.<br \/>\nBetter bilingual performance for mixing costs (Bialystok<br \/>\net al., 2006) and dealing with implicit cues (Herna\u00b4ndez et al.,<br \/>\n2010) suggests that the advantage is in monitoring or set maintenance,<br \/>\nbut the results of the Prior and MacWhinney (2010)<br \/>\nstudy speak more to the notion of greater mental flexibility<br \/>\nor greater inhibitory control. In addition, bilingual language use<br \/>\nmay require different underlying control processes and may<br \/>\ntherefore lead to different processing advantages (Prior &amp;<br \/>\nGollan, 2010). The few current studies involve many differences<br \/>\nin methods and in participants, so the traditional cry of<br \/>\n\u2018\u2018more research is needed!\u2019\u2019 is very much the case before<br \/>\ndecisive conclusions can be drawn.<br \/>\nBilingualism and memory<br \/>\nSince being bilingual necessarily entails the management and<br \/>\nappropriate development of two language systems, it makes<br \/>\nsense that these special skills of mental management should<br \/>\nalso apply to aspects of attention, conflict resolution, and<br \/>\ncognitive control. But should bilingualism confer benefits on<br \/>\nother cognitive functions\u2014on memory, for example The<br \/>\nanswer may depend substantially on the type of memory being<br \/>\ninvestigated. Working memory (the manipulation of small<br \/>\namounts ofmaterial held briefly inmind) is generally considered<br \/>\nto be either part of, or closely related to, executive processes, so<br \/>\nbilingual advantages might be expected with such paradigms.<br \/>\nBilingual Minds 103<br \/>\n103<br \/>\nHowever, performance on semanticmemory tasks (tapping stores<br \/>\nof acquired knowledge) is likely to reflect experience with the<br \/>\ntype of information tested. Given that we have seen that bilingual<br \/>\nvocabulary levels are typically lower than those of comparable<br \/>\nmonolinguals, we might expect that retrieval of verbal information<br \/>\nwould be poorer in bilingual participants, and, as described<br \/>\nin the first section, performance on naming tasks and other tasks<br \/>\nof lexical retrieval do in fact show this pattern. Moreover, performance<br \/>\non episodicmemory tasks may again depend on the material<br \/>\nin question.<br \/>\nFor both working memory and episodic memory, the<br \/>\nevidence is mixed. In one condition of the Simon task reported<br \/>\nby Bialystok et al. (2004), color patches were presented centrally<br \/>\nand so required no cognitive control, and participants<br \/>\nresponded to the color by pressing one of two response keys.<br \/>\nIn one version, two possible colors mapped to the two keys, and<br \/>\nin the second version, four possible colors mapped to the two<br \/>\nkeys, with two colors associated with each key. The four-color<br \/>\nversion has greater demands on working memory, so working<br \/>\nmemory costs were taken as the difference between the<br \/>\ntwo-color and the four-color versions. Bilingual participants<br \/>\naged 30 to 80 years showed smaller costs than did their monolingual<br \/>\ncounterparts, and were therefore deemed to show a bilingual<br \/>\nadvantage in working memory. This advantage has<br \/>\nobvious similarities to the bilingual advantage in mixing costs<br \/>\nfound in some studies using the task-switching paradigm.<br \/>\nThe results of other studies are less clear. Bialystok, Craik,<br \/>\nand Luk (2008a) gave older and younger adult bilinguals and<br \/>\nmonolinguals two tests of working memory. The self-ordered<br \/>\npointing task requires participants to remember which of 12<br \/>\nabstract drawings have been selected previously; no<br \/>\nlanguage-group differences were found. The Corsi Block task<br \/>\nis a test of short-term spatial memory, and in this case there was<br \/>\na bilingual advantage for younger but not older adults. Feng<br \/>\n(2008) also presented various working memory tasks to monolingual<br \/>\nand bilingual children and young adults. In the latter<br \/>\ngroup, she found no bilingual advantage in either the Corsi<br \/>\nBlock task or in alpha span\u2014a word-span task in which participants<br \/>\nmust mentally rearrange a short list of words from a<br \/>\npresented order into alphabetic order. However, Feng did find<br \/>\na bilingual advantage for both children (Feng, Diamond, &amp;<br \/>\nBialystok, 2007) and adults (Feng, 2008) in a test of spatial<br \/>\nworking memory in which items are presented in a random<br \/>\norder in a 3  3 matrix (for children) or on a 5  5 matrix (for<br \/>\nadults). The task is to recall the positions of the items in<br \/>\n\u2018\u2018matrix order\u2019\u2019\u2014that is, starting at the top left and progressing<br \/>\nthrough the matrix left to right, line by line.<br \/>\nWhether or not there is a bilingual advantage in working<br \/>\nmemory may depend on the type of material used and the way<br \/>\nin which working memory is tested. Working memory tasks<br \/>\nmay not be tapping one fixed cognitive mechanism but rather<br \/>\nreflect a family of related functions generally concerned with<br \/>\nholding and manipulating material that is in the focus of attention<br \/>\n(Cowan, 1999) or simply \u2018\u2018held in mind.\u2019\u2019 Tentatively, it<br \/>\nseems to us that a bilingual advantage should be found in working<br \/>\nmemory, given the previously reviewed evidence<br \/>\nsuggesting that bilinguals have an advantage in set maintenance<br \/>\n(e.g., Colzato et al., 2008) and in the related abilities<br \/>\nof monitoring (Costa et al., 2009) and updating (Herna\u00b4ndez<br \/>\net al., 2010).<br \/>\nThe effects of bilingualism on episodic memory are also<br \/>\nunclear at present, as only a few studies have been reported.<br \/>\nIn the studies described earlier, Fernandes, Craik, Bialystok,<br \/>\nand Kreuger (2007) found poorer word recall by bilinguals, but<br \/>\nWodniecka et al. (2010) reported that the disadvantage was<br \/>\novercome when monitoring the list was required, as in the<br \/>\nassessment of recollection. At present, therefore, there is little<br \/>\nclear evidence for a bilingual advantage in episodic memory,<br \/>\nsome tentative suggestions of an advantage in working memory,<br \/>\nand a clear disadvantage for bilinguals in the retrieval of<br \/>\nitems from semantic memory.<br \/>\nThe bilingual advantage across the lifespan<br \/>\nDoes the bilingual advantage in cognitive control change<br \/>\nthrough the lifespan It is well established that executive control<br \/>\nfunctions first increase in effectiveness from childhood to<br \/>\nyoung adulthood and then decline in the course of aging (Craik<br \/>\n&amp; Bialystok, 2006; Dempster, 1992; Diamond, 2002), so it<br \/>\nseems possible that bilingualism might modify such functions<br \/>\nand that the bilingual advantage might also show the same<br \/>\nlifespan trajectory.<br \/>\nIf the bilingual advantage in cognitive performance we have<br \/>\nseen in this section is related to the enhancement of the<br \/>\nexecutive control function, how early might we expect these<br \/>\ndifferences to emerge given that the executive function system<br \/>\nis late to develop Similarly, if the cognitive advantage<br \/>\ndepends on protracted experience with two languages in which<br \/>\nattention to systems and switching between them becomes<br \/>\npracticed, could such advantages be found in children before<br \/>\nthey use language productively A recent study by Kovacs and<br \/>\nMehler (2009b) provides dramatic evidence for the very early<br \/>\nappearance of a bilingual advantage in 7-month-old infants.<br \/>\nThe infants who participated in the experiments were preverbal<br \/>\nbut were classified as bilingual if they had been exposed to two<br \/>\nlanguages from birth because one parent consistently spoke to<br \/>\nthem in one language and the other parent used a different<br \/>\nlanguage. The researchers reported three experiments in which<br \/>\nthe infants learned to look for a visually rewarding puppet at<br \/>\none of two squares on a screen in response to either a speech<br \/>\nstimulus (a trisyllabic nonsense word) or a visual pattern. After<br \/>\nthe learning phase, which was performed equally well by<br \/>\nmonolingual and bilingual infants, a new cue signaled the<br \/>\nappearance of the visual reward in the alternate square. Thus,<br \/>\ninfants had to inhibit their first learned response and switch<br \/>\nto a new response. The finding in all three experiments was that<br \/>\nthe bilingual infants learned to switch to the other square but<br \/>\nthe monolingual infants did not. The authors suggest that simply<br \/>\nperceiving and processing utterances from the two languages<br \/>\nduring the first few months of life serves to accelerate<br \/>\nthe development of general executive functions that can then<br \/>\nbe applied in a variety of cognitive situations. This interesting<br \/>\n104 Bialystok et al.<br \/>\n104<br \/>\nresult does not negate the notion that some forms of the<br \/>\nbilingual advantage are caused by inhibition of the nonused<br \/>\nlanguage but rather raises the interesting possibility that the<br \/>\nadvantage may have more than one causative mechanism.<br \/>\nWhat happens throughout life once bilingualism has<br \/>\nmodified these executive control systems Does the bilingual<br \/>\nadvantage simply increase as the person accumulates<br \/>\nexperience dealing with two or more languages And if<br \/>\nbilingualism offers some protection against age-related cognitive<br \/>\ndecline (Bialystok, Craik, &amp; Freedman, 2007; Kave\u00b4, Eyal,<br \/>\nShorek, &amp; Cohen-Mansfield, 2008), does an increase in the<br \/>\nbilingual advantage occur simply as a result of monolinguals<br \/>\nshowing a steeper decline in cognitive functioning than<br \/>\nbilinguals do<br \/>\nOne problem with assessing these possibilities is that most<br \/>\nstudies deal with just one age group, so the opportunity to make<br \/>\nlifespan developmental comparisons is limited. One exception<br \/>\nis an article by Bialystok, Martin, and Viswanathan (2005)<br \/>\nreporting studies on 5-year-olds and young, middle-aged, and<br \/>\nolder adults performing the same task, the Simon task. This<br \/>\nseries of studies showed a bilingual advantage (faster RTs) that<br \/>\nwas substantial in the 5-year-old children, virtually absent in<br \/>\n20-year-old undergraduate participants, but present again in<br \/>\ngroups of middle-aged (30\u201359) and older (60\u201380) adults. The<br \/>\nauthors suggested that the absence of an advantage in young<br \/>\nadults may reflect the fact that cognitive control is most<br \/>\nefficient at that time, so bilingualism provides no further boost.<br \/>\nThe two studies involving middle-aged and older adults were<br \/>\nconsistent in showing a larger bilingual advantage for the<br \/>\noldest (60\u201380) group, because the drop in efficiency from the<br \/>\nmiddle-aged to older participants was greater for monolinguals<br \/>\nthan for bilinguals. This pattern of an especially strong<br \/>\nadvantage for the oldest bilingual participants was also found<br \/>\nin three other studies by Bialystok and collaborators (Bialystok<br \/>\net al., 2004, 2006, 2008a; see Fig. 3b).<br \/>\nIn the first two sections of this report, we reviewed<br \/>\nbehavioral studies of language and cognition, presenting the<br \/>\ngeneral finding that bilingual children and adults have smaller<br \/>\nvocabularies and slower lexical access times than do their<br \/>\nmonolingual peers but that they also show enhanced cognitive<br \/>\ncontrol on a variety of tasks. What are the neural correlates of<br \/>\nthese effects Is it possible to detect these subtle differences<br \/>\nthrough neuroimaging techniques In the next section, we<br \/>\nsurvey the current evidence for structural and functional<br \/>\nchanges in the brain that result from bilingual experience.<br \/>\n3. Neural Bases of Language Control in<br \/>\nBilinguals<br \/>\nWhether one speaks just one language or more than one<br \/>\nlanguage, everyday use of language involves cognitive control.<br \/>\nBilingual speakers do not develop a separate control system;<br \/>\nrather, as we have argued above, the use of two languages<br \/>\nimposes on a single control system additional demands beyond<br \/>\nthose experienced by speakers of just one language. Our central<br \/>\nclaim is that this control system or network is used by both<br \/>\nmonolinguals and bilinguals but that the additional role in<br \/>\nbilingual language processing modifies it, changing its performance<br \/>\nfor all tasks. In Section 2 we examined the cognitive<br \/>\nconsequences of such enhanced control. Here we make explicit<br \/>\nthe components of the network involved in language control,<br \/>\ndemonstrate how they also mediate the cognitive advantages<br \/>\nshown by bilinguals, and explore the neural bases of control<br \/>\nusing many of the same tasks discussed in Section 2.<br \/>\nFigure 5 identifies the basic components of the control<br \/>\nnetwork, distinguishing it from the bilingual language system<br \/>\nthat it controls. We can think of the bilingual speaker as performing<br \/>\nmultiple language tasks such as speaking one language rather<br \/>\nthan another. A bilingual must also monitor the language in use<br \/>\nand either maintain it if the circumstance demands (e.g., when<br \/>\nspeaking to a monolingual speaker of that language)\u2014and so<br \/>\navoid inadvertently switching into the other language\u2014or, on<br \/>\noccasion, deliberately switch to the other language if the circumstance<br \/>\nchanges\u2014for example, when a monolingual speaker of<br \/>\nthe other language enters the conversation.<br \/>\nThe task-switching paradigm described in Section 2 can be<br \/>\nadapted to test language switching in bilinguals, and we use it<br \/>\nhere to illustrate the workings of the network for language control.<br \/>\nThe task is to name a presented numeral, for instance 4,<br \/>\nin L1 (e.g., French) or in L2 (e.g., English). The participant\u2019s<br \/>\nselection of one task rather than another governs the output<br \/>\nfrom the bilingual language system; if the task is to \u2018\u2018name in<br \/>\nFrench,\u2019\u2019 the person says \u2018\u2018quatre.\u2019\u2019 To be successful, the<br \/>\nactivation of the selected task (i.e., the mental representation<br \/>\nCognitive Control Network<br \/>\nExecutive<br \/>\nprocess<br \/>\nMonitoring<br \/>\nprocess<br \/>\nCompeting task<br \/>\nschemas<br \/>\nBilingual<br \/>\nlanguage<br \/>\nsystem<br \/>\nFig. 5. Basic components of the cognitive control network<br \/>\nfor bilinguals, distinguishing it from the bilingual language system<br \/>\nthat it controls. The bilingual language system refers to<br \/>\na person\u2019s mental representation of their languages; for<br \/>\npresent purposes, we leave this undifferentiated and focus<br \/>\non the components of the control system. A bilingual can<br \/>\nperform different language tasks: He or she can choose to<br \/>\nspeak one language rather than another, can switch between<br \/>\nlanguages, or can translate between them. Task schemas<br \/>\nconfigure the bilingual language system so as to achieve the<br \/>\nintended task, but these schemas are in competition to control<br \/>\nthe bilingual language system. Their activation must be<br \/>\nmonitored and, if necessary, adjusted by a higher-order<br \/>\nexecutive process. For example, a bilingual must either<br \/>\nmaintain the current language in use if the circumstance<br \/>\ndemands (e.g., when speaking to a monolingual speaker of<br \/>\nthat language)\u2014and so avoid inadvertently switching into<br \/>\nthe other language\u2014or, on occasion, deliberately switch<br \/>\nto the other language if the circumstance changes\u2014for<br \/>\nexample, when a monolingual speaker of the other language<br \/>\nenters the conversation.<br \/>\nBilingual Minds 105<br \/>\n105<br \/>\nof the task set, its \u2018\u2018task schema\u2019\u2019) must exceed and continue to<br \/>\nexceed that of the competing task. Therefore, the speaker must<br \/>\nmonitor the speech output, and where marked slowing is<br \/>\ndetected or an error is noticed (i.e., saying \u2018\u2018four\u2019\u2019 rather than<br \/>\n\u2018\u2018quatre\u2019\u2019) the speaker must make some adjustments. The<br \/>\nspeaker might increase the activation of the required task<br \/>\n(\u2018\u2018name in French\u2019\u2019) or suppress the activation of the alternative<br \/>\ntask (\u2018\u2018name in English\u2019\u2019)\u2014as discussed Section 2 when we<br \/>\nexamined selection versus inhibition. Executive and monitoring<br \/>\nprocesses are needed to establish new schemas (e.g., in the<br \/>\ncase of an experimental task) and invoke ones that are already<br \/>\npart of a person\u2019s repertoire. In this role, these processes work<br \/>\nproactively; in response to performance difficulties, they work<br \/>\nreactively (Green, 1998). A person may be conscious of the<br \/>\nneed to make such adjustments when an overt error is made, but<br \/>\non other occasions control adjustment may occur automatically,<br \/>\nas in the way a thermostat adjusts power output in<br \/>\nresponse to a deviation from the desired temperature (Green,<br \/>\n1998; Paradis, 2009; see Fernandez-Duque &amp; Knight, 2008, for<br \/>\nwork suggesting that only conscious control leads to performance<br \/>\nbenefits across tasks).<br \/>\nWhat produces slower responses or overt naming errors<br \/>\nMarked slowing in naming in French, for example, may reflect<br \/>\nsuccessful inhibition of a strongly competing name in the other<br \/>\nlanguage (i.e., English), whereas naming in the wrong language<br \/>\nindicates a failure of control. Activation of the English name<br \/>\nmay also increase the activation of the task schema for English<br \/>\nand lead to increased competition with the task schema for<br \/>\nFrench. Resolving such competition requires suppression of the<br \/>\nEnglish task schema. In other words, when a bilingual speaks<br \/>\ntwo languages regularly, speaking in just one of these<br \/>\nlanguages requires use of the control network to limit interference<br \/>\nfrom the other language and to ensure the continued<br \/>\ndominance of the intended language.<br \/>\nWould there be a difference in the switch cost if the bilingual<br \/>\nwere more fluent in French (L1) than in English (L2) In that<br \/>\ncase, French would be the easier task and English the more<br \/>\ndifficult task, and the interesting finding is that it takes longer<br \/>\nto switch into the easier task (143 milliseconds, ms) than it does<br \/>\nto switch into the more difficult task (85 ms; Meuter &amp; Allport,<br \/>\n1999). A plausible explanation for this seemingly paradoxical<br \/>\nasymmetry of switch costs is that in order to name in English (the<br \/>\nmore difficult task), the easier task (naming in French) must be<br \/>\nstrongly inhibited, and it takes more time to reinstate the easier<br \/>\ntask, producing an asymmetry in the switching cost. Similar<br \/>\nresults were obtained in a study by Misra, Guo, Bobb, and Kroll<br \/>\n(2007). Participants were asked to name pictures in L1 or L2<br \/>\nunder either mixed conditions, when either L1 or L2 could be<br \/>\nrequired, or in blocked conditions, when only one language was<br \/>\nused. Their results showed that naming in L1 was slower under<br \/>\nmixed conditions than it was under blocked conditions and that<br \/>\nL1 naming was slower than L2 naming in the mixed conditions<br \/>\n(an effect of reversed language dominance), supporting the<br \/>\ninterpretation that L1 was inhibited to permit the possibility of<br \/>\nL2 naming. No asymmetry of switch costs is found when<br \/>\nbilinguals switch languages voluntarily, yet a complete reversal<br \/>\nof language dominance is found\u2014again suggesting some form<br \/>\nof inhibition of the L1 (Gollan &amp; Ferriera, 2009).<br \/>\nNot all the research is consistent on this point. Finkbeiner,<br \/>\nAlmeida, Janssen, and Caramazza (2006) had bilingual<br \/>\nparticipants name digits in either L1 or L2 and then perform<br \/>\na picture-naming task in their dominant language. Following<br \/>\nthe argument for greater inhibition of the dominant language,<br \/>\nthe hypothesis is that it should take longer to name pictures<br \/>\nin L1 if the digit naming had been performed in L2. However,<br \/>\nFinkbeiner et al. found no difference in picture-naming latency<br \/>\nand so concluded that no inhibition of the nonused language<br \/>\ntook place. Their conclusion, though, is difficult to reconcile<br \/>\nwith evidence of global language inhibition identified in the<br \/>\nlater study by Philipp and Koch (2009). A more complete<br \/>\nreview of these issues is presented by Kroll et al. (2006).<br \/>\nThe experimental research on bilingual task switching<br \/>\ngenerally uses explicit cues to signal the language required<br \/>\non the current trial. Deliberate language switching in real life<br \/>\nalso requires a speaker to monitor the context for cues as to<br \/>\nwhich language to speak (e.g., this person speaks L1 but not<br \/>\nL2) and ensure correct language selection and suppression of<br \/>\nany competing responses. Our premise, then, is that the additional<br \/>\ndemands on bilingual speakers relative to monolingual<br \/>\nspeakers entail greater use of this control network. The particular<br \/>\ntasks that are subject to control are varied (e.g., naming<br \/>\npictures in one language, describing a scene in a second<br \/>\nlanguage, translating from one language to another). However,<br \/>\nthe components involved in monitoring performance and<br \/>\nensuring correct selection of the intended language task are<br \/>\napplicable to other nonlanguage tasks, and, as we saw in the<br \/>\nprevious section, they appear to generalize to nonverbal tasks.<br \/>\nNeural bases of cognitive control<br \/>\nFigure 6 identifies the cortical and subcortical structures that<br \/>\nare components of the cognitive control network in Figure 5.<br \/>\nWe follow others in separating the neural structures mediating<br \/>\ncontrol from those that process linguistic or other kinds of sensory<br \/>\nor motor data (Posner &amp; Petersen, 1990). The idea is that<br \/>\nthese cortical and subcortical structures work together to limit<br \/>\nthe effects of interference and to switch between tasks.<br \/>\nFor example, they may function as a control loop that continually<br \/>\nmonitors attention to the required task (e.g., Botvinick,<br \/>\nBraver, Barch, Carter, &amp; Cohen, 2001; Kerns et al., 2004).<br \/>\nIn its monitoring role, the anterior cingulate cortex may detect<br \/>\nand help resolve interference (Lau, Rogers, &amp; Passingham,<br \/>\n2006) and signal the prefrontal cortex, with its widespread<br \/>\nconnections to other regions (Dehaene &amp; Changeux, 1991;<br \/>\nDesimone &amp; Duncan, 1995; Miller &amp; Cohen, 2001), to alter the<br \/>\nactivation of the task schemas. Another region in the medial<br \/>\nfrontal cortex superior to the anterior cingulate cortex, the presupplementary<br \/>\nmotor area (pre-SMA), is also implicated in the<br \/>\ncontrol of action but seems linked more closely to spontaneously<br \/>\nchosen actions than to response conflict (Lau et al., 2006).<br \/>\nThe parietal cortex is involved in representing the task,<br \/>\nthrough its connection to the prefrontal cortex, and in selecting<br \/>\n106 Bialystok et al.<br \/>\n106<br \/>\namong competing responses, through its connection to the<br \/>\nbasal ganglia (Bunge et al., 2002). The basal ganglia are particularly<br \/>\nimportant in task switching. Whereas traditional<br \/>\nviews (Alexander &amp; Crutcher, 1990; Mink, 1996) emphasize<br \/>\nthe role of the basal ganglia in the control of movement,<br \/>\nrecent work emphasizes their key role in cognitive control too<br \/>\n(e.g., Graybiel, 2000; Kotz, Schwartze &amp; Schmidt-Kassow,<br \/>\n2009). Both cortical and subcortical structures are therefore<br \/>\nimportant in understanding how interference is controlled and<br \/>\ntask switching achieved, so it is necessary to understand their<br \/>\nrole in language control. We shall examine the involvement of<br \/>\nthese regions in two broad categories of tasks: those requiring<br \/>\nthe control of interference and those based on switching<br \/>\nbetween tasks and languages.<br \/>\nThe control of interference<br \/>\nUsing neuroimaging studies, we now consider the neural bases<br \/>\nfor controlling interference. These studies mostly rely on functional<br \/>\nmagnetic resonance imaging (fMRI) to assess the response<br \/>\nof different neural structures when there is an increased demand<br \/>\nto control interference. The basic data are the relative activation<br \/>\nof different neural regions as detected by fMRI. A common<br \/>\nassumption is that an increase in activation reflects an increase<br \/>\nin difficulty. There is more extensive research on the control<br \/>\nof interference in monolingual speakers, so our review makes<br \/>\nuse of meta-analyses of data from a number of studies.<br \/>\nInterference control in monolinguals. The argument being<br \/>\ndeveloped here is that bilinguals use the cognitive control<br \/>\nnetwork shown in Figure 6 to control interference from the<br \/>\ncompeting language. Therefore, it is necessary to establish that<br \/>\nthese regions are recruited when monolinguals perform tasks<br \/>\ninvolving response conflict. We consider work that has looked<br \/>\nat the neural regions involved in controlling interference in<br \/>\nthree different tasks that, as described in Section 2, show a<br \/>\nbilingual advantage: a nonverbal flanker task, a Simon task,<br \/>\nand a Stroop task.<br \/>\nAlthough studies have examined these tasks separately, the<br \/>\nstrongest evidence for a common set of regions involved in<br \/>\ncognitive control comes from studies testing two or more of<br \/>\nthem in the same individuals (Fan, Flombaum, McCandliss,<br \/>\nThomas, &amp; Posner, 2003; Liu, Banich, Jacobson &amp; Tanabe,<br \/>\n2004; Peterson et al., 2002). Fan et al. (2003) contrasted performance<br \/>\non a flanker task, a Simon task, and a manual version of<br \/>\nthe Stroop task in which individuals pressed one of four buttons<br \/>\ncorresponding to the font color of a presented word. In all the<br \/>\ntasks, individuals responded faster in congruent trials than in<br \/>\nincongruent trials. Fan et al. identified two regions that showed<br \/>\na common effect of conflict: one in the anterior cingulate cortex<br \/>\nand one in the left prefrontal cortex (see Roberts &amp; Hall,<br \/>\n2008, for a review).<br \/>\nNee, Wager, and Jonides (2007) examined data from<br \/>\n47 papers using different interference tasks. Their review confirmed<br \/>\nthe importance of the left prefrontal cortex (dorsolateral<br \/>\nAnterior Cingulate Cortex<br \/>\n\u2022 Attention<br \/>\n\u2022 Conflict monitoring<br \/>\n\u2022 Error detection<br \/>\nInferior Parietal Lobule<br \/>\n\u2022 Maintenance of<br \/>\nRepresentations<br \/>\n\u2022 Working memory<br \/>\nBasal Ganglia, Caudate<br \/>\n\u2022Language selection<br \/>\n\u2022 Set switching<br \/>\n\u2022 Language planning<br \/>\n\u2022 Lexical selection<br \/>\n\u2022 Executive functions<br \/>\n\u2022 Decision-making<br \/>\n\u2022 Response selection<br \/>\n\u2022 Response inhibition<br \/>\n\u2022 Working memory<br \/>\nPrefrontal Cortex<br \/>\nFig. 6. Principal brain structures involved in cognitive control, and their putative functions. From Abutalebi and<br \/>\nGreen (2007).<br \/>\nBilingual Minds 107<br \/>\n107<br \/>\nregion) and the anterior cingulate cortex, along with a region in<br \/>\nthe left posterior parietal cortex, in overcoming Stroop conflict.<br \/>\nNeuropsychological data also support the importance of a<br \/>\nfrontal region in verbal control. Hamilton and Martin (2005)<br \/>\nfound that a patient with damage to a left inferior frontal region<br \/>\nshowed a large interference effect in the Stroop task but<br \/>\ninterference within the normal range for a spatial-conflict task.<br \/>\nThe analyses of Nee et al. also showed that different kinds of<br \/>\nconflict induce slightly different patterns of neural response.<br \/>\nIn resolving conflict based on resisting responding to an<br \/>\ninfrequent stimulus, frontal and parietal regions in the right<br \/>\nhemisphere, in addition to the left dorsolateral prefrontal cortex<br \/>\nand the anterior cingulate cortex, were activated.<br \/>\nMuch research on the control of interference has examined<br \/>\nthe role of cortical structures but ignored the role of subcortical<br \/>\nstructures, such as the caudate, that, as indicated in Figure 6,<br \/>\nshould be involved in selecting among competing responses.<br \/>\nHowever, there is some relevant research on these subcortical<br \/>\nstructures. The left head of the caudate activates when a previously<br \/>\nlearned movement has to be inhibited (Shadmeher &amp;<br \/>\nHolcomb, 1999; Parsons, Harrington, &amp; Rao, 2005) and when<br \/>\na prepotent response has to be blocked (Li, Yan, Sinha, &amp; Lee,<br \/>\n2008). The caudate is also active in controlling interference in<br \/>\nthe Stroop task (Ali, Green, Kherif, Devlin, &amp; Price, 2010). A<br \/>\nreasonable supposition, then, is that the caudate is involved in<br \/>\nthe inhibition of plans of action and therefore controls both verbal<br \/>\nand nonverbal types of interference.<br \/>\nTo summarize, neuroimaging research with monolinguals<br \/>\nconfirms that a network involving the prefrontal cortex,<br \/>\nanterior cingulate cortex, and caudate is recruited in tasks that<br \/>\nrequire resolution of conflict from competing responses.<br \/>\nInterference control in bilinguals. We argue that bilinguals<br \/>\nuse this same network to control conflict from two languages.<br \/>\nTherefore, if retrieving the name of a picture is effortful for<br \/>\nbilinguals because of the need to overcome interference from<br \/>\nthe other language, then we would expect to find evidence for<br \/>\nthe involvement of this control network in a picture naming<br \/>\ntask. De Bleser et al. (2003) examined covert picture naming<br \/>\nin an L1 and a later-acquired L2. (For technical reasons,<br \/>\nneuroimaging studies sometimes adopt the expedient of asking<br \/>\nparticipants to mouth picture names or to name pictures only<br \/>\ncovertly, so they will not move.) Participants were native<br \/>\nspeakers of Flemish\/Dutch who had learned French from the<br \/>\nage of 10. In one condition the picture names were cognates<br \/>\n(i.e., the translation equivalents were phonological and<br \/>\northographically similar), and in another condition they were<br \/>\nnoncognates. For pictures with noncognate names, naming in<br \/>\nthe L2 showed more activation in regions responsible for linking<br \/>\nconceptual information and word form than did naming in<br \/>\nthe L1. The more important result is that activation increased in<br \/>\ntwo inferior frontal regions associated with more effortful lexical<br \/>\nand semantic retrieval. Therefore, data from this study,<br \/>\nalong with others (e.g., Abutalebi, Cappa, &amp; Perani, 2001;<br \/>\nRodriguez-Fornells et al., 2005), suggest that naming in the<br \/>\nL2 is associated with more effortful processing, an idea<br \/>\nconsistent with the involvement of cognitive control processes.<br \/>\nMoreover, as proficiency in the L2 increases, the relative<br \/>\ndifference in activation between L1 and L2 decreases, again<br \/>\nconsistent with the idea that there is a decrease in effort<br \/>\n(Abutalebi &amp; Green, 2007).<br \/>\nEven early and highly proficient bilingual speakers show<br \/>\nevidence of more effortful processing in their L2 and recruitment<br \/>\nof control regions, despite demonstrating a processing<br \/>\nprofile that is similar to that of native speakers. Kovelman,<br \/>\nBaker, and Petitto (2008) asked Spanish-English bilinguals and<br \/>\nEnglish monolingual speakers to judge whether visually presented<br \/>\nsentences were plausible or not. For the bilinguals, the<br \/>\nsentences were presented in separate experimental blocks for<br \/>\neach language. The English sentences (and their Spanish<br \/>\ntranslations) varied in their syntactic complexity, being either<br \/>\nsubject\u2013object relatives (e.g., \u2018\u2018The child spilled the juice that<br \/>\nstained the carpet\u2019\u2019) or arguably more complex object\u2013subject<br \/>\nrelatives (e.g., \u2018\u2018The juice that the child spilled stained the carpet\u2019\u2019).<br \/>\nAs expected, bilingual speakers showed a differential<br \/>\nresponse to complexity as a function of the presented language.<br \/>\nSpanish relies more on morphological marking than<br \/>\nword order to signal grammatical relations. Like the English<br \/>\nmonolinguals, bilingual speakers showed increased left inferior<br \/>\nfrontal activation for the more complex English sentences.<br \/>\nIn contrast, they showed no differentiation as a function of<br \/>\ncomplexity when processing the Spanish sentences. However,<br \/>\nthe study also showed that bilingual speakers processing<br \/>\nEnglish showed more activation in the left frontal region than<br \/>\nmonolingual English speakers did. In other words, processing<br \/>\neven in a language in which they are highly fluent is more<br \/>\neffortful for bilingual speakers and engages regions associated<br \/>\nwith cognitive control.<br \/>\nIncreased proficiency in the L2 may also alter processing in<br \/>\nthe L1 precisely because of increased competition. In reading,<br \/>\nthe mappings between letters and sounds differ between languages,<br \/>\nso the same string of letters can give rise to conflicting<br \/>\npronunciations. For example, what happens when native readers<br \/>\nof Italian (which has a regular relationship between letters<br \/>\nand sounds) read in their L1 after learning English, in which the<br \/>\nrelationship is irregular As vocabulary knowledge in English<br \/>\nincreases, native Italian readers reading Italian show a linear<br \/>\nincrease in activation in a left frontal region associated with<br \/>\nmapping letters to sounds (Nosarti, Mechelli, Green, &amp; Price,<br \/>\n2010). Such an outcome indicates increased competition. More<br \/>\nto the point, there is a linear increase in activation in a left<br \/>\nfrontal region used to resolve irregular pronunciations in<br \/>\nmonolingual native English readers. Interestingly, this region<br \/>\nis also one that helps resolve lexical competition (e.g., de<br \/>\nZubicaray, McMahon, Eastburn, &amp; Pringle, 2006). These data<br \/>\nagain suggest that bilingual speakers and readers, at least in<br \/>\ncontexts where both languages are active, experience increased<br \/>\nverbal conflict and recruit a left frontal region to resolve it.<br \/>\nOther research allows us to see both cortical and subcortical<br \/>\nregions involved in controlling interference. Van Heuven,<br \/>\nSchriefers, Dijkstra, and Hagoort (2008) made use of a special<br \/>\nrelationship that exists between words in two languages such as<br \/>\n108 Bialystok et al.<br \/>\n108<br \/>\nEnglish and Dutch. Their participants were highly proficient<br \/>\nDutch-English university students who had learned English at<br \/>\nthe age of 10 to 12 years. Van Heuven et al. asked participants<br \/>\nto decide whether a presented word was a real English word or<br \/>\nnot\u2014an English lexical decision task. Some English words,<br \/>\ntermed interlingual homographs, are also real words in Dutch;<br \/>\nfor example, room means \u2018\u2018cream\u2019\u2019 in Dutch. In an English lexical<br \/>\ndecision task, \u2018\u2018room\u2019\u2019 elicits a competing \u2018\u2018No\u2019\u2019 response<br \/>\nbecause it is a word in Dutch, and in an English lexical decision<br \/>\ntask Dutch words should receive a \u2018\u2018No\u2019\u2019 response. Relative to<br \/>\ncontrol words, therefore, correctly deciding that an interlingual<br \/>\nhomograph was a real English word elicited increased<br \/>\nactivation in three regions displayed in Figure 6: the left inferior<br \/>\nprefrontal regions, the anterior cingulate cortex (together<br \/>\nwith another region we have noted previously in the medial<br \/>\nfrontal cortex, the pre-SMA) and the left caudate. As expected,<br \/>\nvan Heuven et al. observed no differential activation for<br \/>\ninterlingual homographs in a group of monolingual English<br \/>\nspeakers. This experiment left unresolved whether the<br \/>\nactivated regions were signaling conflict arising from the<br \/>\nstimulus itself (i.e., \u2018\u2018room\u2019\u2019 elicits two meanings in Dutch-<br \/>\nEnglish bilinguals) or conflict arising from ambiguities associated<br \/>\nwith the response (i.e., is \u2018\u2018room\u2019\u2019 a word in English).<br \/>\nTo determine which regions responded to stimulus-based<br \/>\nrather than response-based conflict, the researchers performed<br \/>\nanother experiment on a separate group of bilinguals<br \/>\nfrom the same population. In this case, participants knew that<br \/>\nsome of the words might be Dutch words and responded<br \/>\n\u2018\u2018Yes\u2019\u2019 to each real English word regardless of whether it was<br \/>\nalso a Dutch word. In this case, interlingual homographs<br \/>\nelicited increased activation only in left prefrontal regions,<br \/>\nsuggesting that the left prefrontal regions are sensitive to<br \/>\nstimulus-based conflict. In contrast, the response profile of<br \/>\nthe anterior cingulate cortex (and the pre-SMA) and left caudate<br \/>\nreveals regions that are either sensitive to, or help<br \/>\nresolve, response-based conflict.<br \/>\nThe precise impact of the other language might depend on<br \/>\nhow active it is. It is reasonable to expect that it will be most<br \/>\nactive when it is being used at the same time when bilinguals<br \/>\nare in what Grosjean (1998) termed a bilingual mode and they<br \/>\nare switching between languages. We consider the response of<br \/>\nthe control regions in the section on language switching.<br \/>\nTask switching<br \/>\nThe second paradigm within which to examine the neural<br \/>\nbases of cognitive control is task switching. Different types<br \/>\nof data can help identify the structures recruited in switching<br \/>\nbetween languages or between other types of tasks. Stroke<br \/>\ndamage to a specific structure can lead to difficulties in task<br \/>\nperformance and so provide evidence of its causal role in cognitive<br \/>\ncontrol that complements the data from neuroimaging<br \/>\nstudies. Again, we begin by establishing the neural basis of<br \/>\ntask switching in monolinguals and then compare those patterns<br \/>\nto data from bilinguals performing task switching and<br \/>\nlanguage switching.<br \/>\nTask switching in monolingual speakers. The occurrence of<br \/>\na stroke is a tragic and dramatic event that helps to explicate the<br \/>\nrole of regions in Figure 6 for task switching. Greater damage<br \/>\nto the left frontal cortex leads to increases in switch costs and so<br \/>\nreflects difficulty in holding the current task in mind or in<br \/>\nselecting the correct response, although inhibition of inappropriate<br \/>\ntasks or associated responses might be more closely<br \/>\nlinked to the right frontal cortex (Aron, Monsell, Sahakian, &amp;<br \/>\nRobbins, 2004). The anterior cingulate cortex is less susceptible<br \/>\nto stroke, but it is sometimes necessary to ablate part of it<br \/>\nsurgically. Postoperatively, such patients have difficulty<br \/>\nresponding to a cue that requires them to switch the direction<br \/>\nin which they move a joystick (Williams, Bush, Rauch,<br \/>\nCosgrove, &amp; Eskandar, 2004). Damage to the basal ganglia<br \/>\nalso severely impairs a person\u2019s ability to switch between tasks<br \/>\nand to overcome the interference from the prior task. We illustrate<br \/>\nwith a nonverbal task (Yehene, Meiran, &amp; Soroker, 2008).<br \/>\nYehene et al. asked their patients to press one of two keys in<br \/>\nresponse to the position of a target schematic face in a 2  2<br \/>\nmatrix on the basis of one of two rules. In the top-down task<br \/>\nthey had to press Key 1 if the target was in the top half of the<br \/>\ngrid and Key 2 if it was in the bottom half. In the left\u2013right task<br \/>\nthey pressed Key 1 if it was on the left side of the grid and Key<br \/>\n2 if it was on the right. The rule was cued on each trial. On critical<br \/>\ntrials, the correct response depended on the application of<br \/>\nthe correct rule, because Key 1 designated a target that was up<br \/>\nor left and Key 2 designated a target on the bottom or right.<br \/>\nTherefore, if a target was in the upper right cell of the grid,<br \/>\npressing Key 1 was correct for the top-down task but Key 2 was<br \/>\ncorrect for the left-right task. Basal ganglia patients were<br \/>\nseverely impaired when the rule switched in this task, signaling<br \/>\nthe importance of that structure in such tasks.<br \/>\nIn a meta-analysis of data from neuroimaging studies involving<br \/>\ndifferent types of task switches (e.g., rule switching, changes<br \/>\nin target locations, and different response sets), Wager, Jonides,<br \/>\nand Reading (2004) confirmed that the regions in Figure 6 are<br \/>\nreliably activated on task-switch trials. The prefrontal cortex is<br \/>\nsensitive to changes in demands involved in switching between<br \/>\ntasks (Christoff &amp; Gabrieli, 2000; MacDonald, Cohen, Stenger,<br \/>\n&amp; Carter, 2000) with more complex working memory demands<br \/>\nassociated with right frontal activation (Simmonds, Pekar, &amp;<br \/>\nMostofsky, 2008). The anterior cingulate cortex is sensitive to<br \/>\nchanges in tasks and to errors consistentwith its role inmonitoring<br \/>\nand in adaptive control in response to errors (e.g., Hyafil,<br \/>\nSummerfield,&amp;Koechlin, 2009). Parietal areas are also involved<br \/>\nin remapping stimuli to response according the new task (e.g.,<br \/>\nCorbetta &amp; Shulman, 2002; Dosenbach et al., 2006). Finally, the<br \/>\nbasal ganglia play a role in shifting response. In a study in which<br \/>\nparticipants tracked a continuous sine wave by controlling a<br \/>\ncursor, activation increased in the left caudate when the current<br \/>\ntrial required a movement opposite to that used previously<br \/>\n(Lungu, Binenstock, Pline, Yeaton, &amp; Carey, 2007).<br \/>\nLanguage switching in bilinguals. In monolingual participants,<br \/>\nthe regions identified in Figure 6 were shown to contribute to<br \/>\ntask switching. Do they also contribute to language switching<br \/>\nBilingual Minds 109<br \/>\n109<br \/>\nand interfere with linguistic behavior in bilingual patients<br \/>\nPatient reports indicate that damage to the prefrontal cortex,<br \/>\ninferior parietal cortex, or basal ganglia structures affect the<br \/>\nability of bilingual patients to voluntarily switch from one<br \/>\nlanguage to another. As the anterior cingulate cortex is less<br \/>\nsusceptible to stroke, there are fewer reports for this structure,<br \/>\nbut all the other regions indicated in this control network<br \/>\nshow a clear role in language switching. Damage to either the<br \/>\nleft prefrontal lobe (Stengel &amp; Zelmanowitz, 1933; Zatorre,<br \/>\n1989; Fabbro, Skrap, &amp; Aglioti, 2000) or left inferior parietal<br \/>\nlobe (Herschmann &amp; Po\u00a8tzl, 1920; Po\u00a8tzl, 1925, 1930; Leischner,<br \/>\n1948\/1983) can yield pathological switching, that is, unintended<br \/>\nor inappropriate switching between languages. Lesions to the<br \/>\nhead of the caudate elicit either selective recovery of the current<br \/>\nlanguage, as if it is no longer possible to disengage fromit (Aglioti<br \/>\n&amp; Fabbro, 1993; Aglioti, Beltramello, Girardi, &amp; Fabbro, 1996),<br \/>\nor pathological switching between languages (Abutalebi,<br \/>\nMiozzo, &amp; Cappa, 2000; Marie\u00a8n, Abutalebi, Engelborghs, &amp;<br \/>\nDe Deyn, 2005). In the case reported by Abutalebi et al., A.H.,<br \/>\na trilingual speaker of Armenian (L1), English (L2), and Italian<br \/>\n(L3), was unable to avoid switching languages when naming<br \/>\nsimple pictures. For example, although he named the picture of<br \/>\na clock correctly in Armenian in an Armenian testing session,<br \/>\nhe named it in Italian in theEnglish naming session and inEnglish<br \/>\nin the Italian naming session.<br \/>\nThat the circuits underlying language switching are<br \/>\nwidespread is also indicated by data from transient cortical and<br \/>\nsubcortical electrical stimulation of the brain during surgery for<br \/>\ntreating glioma tumors or epileptic foci when the patient is<br \/>\nawake. In the case of bilingual speakers, this stimulation can<br \/>\nlead to involuntary switching from naming pictures in one<br \/>\nlanguage to naming them in another, reflecting the temporary<br \/>\ndisruption of control (Moritz-Gasser &amp; Duffau, 2009a, b).<br \/>\nNeuroimaging studies of bilinguals without brain damage<br \/>\nprovide complementary data. In a study with early Spanish-<br \/>\nEnglish bilingual speakers, Hernandez et al. (2000) reported<br \/>\nmore activation in left dorsolateral prefrontal cortex when<br \/>\nswitching between naming pictures in English and Spanish<br \/>\nthan when naming pictures in just one language (see also<br \/>\nHernandez, 2009; Hernandez, Dapretto, &amp; Bookheimer,<br \/>\n2001; Chee, Soon, &amp; Ling Lee, 2003). Price, Green, and von<br \/>\nStudnitz (1999) used single words and found that switching<br \/>\nbetween languages increased activation in regions associated<br \/>\nwith phonological processing (a left inferior frontal region,<br \/>\nBroca\u2019s area, and parietal cortices). Taken together, these data<br \/>\nindicate that language switching or mixing induce increased<br \/>\nfrontal and parietal activity consistent with the requirement<br \/>\nto inhibit ongoing activity associated with one task and select<br \/>\na relevant response in the face of competition.<br \/>\nMore recent research provides a fuller picture of the control<br \/>\nregions involved in language switching. Abutalebi and<br \/>\ncolleagues (2008) studied German-French bilinguals who<br \/>\nlearned French relatively late (around 12 years of age) and were<br \/>\nenrolled in a translation course. The task was to name pictures<br \/>\nin their L1 under one of two conditions. In the single-language<br \/>\ncondition, a cue signaled whether they were to name the picture<br \/>\n(e.g., \u2018\u2018cup\u2019\u2019) or generate an associated verb (e.g., \u2018\u2018drink\u2019\u2019). In<br \/>\nthe dual-language condition, the cue signaled whether they<br \/>\nwere to name the picture in their L1 or in their L2. In this dual<br \/>\ncondition, the nontarget language is very active. The key<br \/>\nanalysis is the contrast between naming a picture in L1 in the<br \/>\nsingle-language condition and naming it in L1 in the<br \/>\ndual-language condition. Abutalebi et al. found that naming<br \/>\npictures in the dual-language condition induced more extensive<br \/>\nactivation in the left prefrontal cortex, the anterior cingulate<br \/>\ncortex, and the left caudate nucleus than did naming the<br \/>\nsame pictures in the single-language condition. Furthermore,<br \/>\nthe study confirmed more extensive activation in these regions<br \/>\nwhen individuals were using their weaker L2. These results are<br \/>\nstrong support for the importance of these regions in selecting<br \/>\na language in the face of interference.<br \/>\nOther studies have used neuroimaging to examine the neural<br \/>\nbasis of the asymmetric cost in switching between a language<br \/>\nin which one is more proficient and a language in which one<br \/>\nis less proficient (Meuter &amp; Allport, 1999). We illustrate this<br \/>\nwith a functional imaging study, but there is other work using<br \/>\nevoked reaction potentials that is consistent with the idea that<br \/>\nswitching between languages involves a process of actively<br \/>\ninhibiting the other language (Jackson, Swainson, Cunnington,<br \/>\n&amp; Jackson, 2001) even if that does not invariably lead to an<br \/>\nasymmetry in switching cost (e.g., Christoffels, Firk, &amp;<br \/>\nSchiller, 2007; Verhoef, Roelofs, &amp; Chwilla, 2009, 2010).<br \/>\nWang, Xue, Chen, Xue, and Dong (2007) examined the cost<br \/>\nof switching into L1 (Chinese) versus a newly acquired L2<br \/>\n(English). In line with the view presented here that the same<br \/>\nregions are used for cognitive control and language control,<br \/>\nWang et al. reported increased activation in the regions associated<br \/>\nwith control when subjects switched into L2. The pattern<br \/>\nagain is consistent with the idea that bilinguals must inhibit<br \/>\ntheir L1 to speak in their L2 when they are switching between<br \/>\nthe two languages. The persisting suppression delays naming<br \/>\ntime when individuals switch back into L1.<br \/>\nThe effects of language switching have also been examined<br \/>\nin comprehension, and, surprisingly perhaps, there is also good<br \/>\nevidence for the involvement of control processes. Language<br \/>\nswitching elicits a left caudate response in late bilinguals<br \/>\n(German-English\/Japanese-English) when they make semantic<br \/>\ndecisions about the meanings of words (Crinion et al., 2006).<br \/>\nThe left caudate is also activated when bilinguals encounter a<br \/>\nlanguage switch while listening to a narrative and make no<br \/>\novert response at such a juncture (Abutalebi et al., 2007). The<br \/>\nparticipants in this study were Italian-French bilinguals who<br \/>\nhad acquired French before the age of three and were living<br \/>\nat the time of testing in an Italian community in Geneva, where<br \/>\nFrench predominates. Switching elicited bilateral inferior frontal<br \/>\nactivity (along with activation in a language area). Most<br \/>\ninterestingly, a switch into the less-exposed language (Italian)<br \/>\nelicited activation of the left caudate and the anterior cingulate<br \/>\ncortex. Such a neural response indicates the need to distinguish<br \/>\nbetween the processes responsible for implementing control<br \/>\nfrom processes associated with overcoming the effects of such<br \/>\ncontrol. In the present case, switching into the less dominant<br \/>\n110 Bialystok et al.<br \/>\n110<br \/>\nlanguage in a comprehension task appears to demand more<br \/>\nneural resources to overcome (suppress) the activation of the<br \/>\nmore exposed (dominant) language. In a production task, such<br \/>\na neural response may give rise, as we have seen, to slower<br \/>\nnaming when switching back into the more dominant language<br \/>\nin order to overcome its earlier suppression.<br \/>\nFinally, a special type of language switching occurs when<br \/>\nbilinguals translate from one language to another, and this task<br \/>\nalso involves the cortical and subcortical structures depicted in<br \/>\nFigure 6. Price et al. (1999) reported that, in contrast to reading<br \/>\nin different languages, translating activated mainly the anterior<br \/>\ncingulate cortex and bilateral subcortical structures including<br \/>\nthe head of caudate. In that study, if participants did not know<br \/>\nthe translation equivalent they responded \u2018\u2018No\u2019\u2019 or \u2018\u2018Nein.\u2019\u2019<br \/>\nHowever, in other studies, left inferior frontal activation was<br \/>\nfound when that option was not available, both in singleword<br \/>\ntasks (Klein, Milner, Zatorre, Meyer, &amp; Evans, 1995) and<br \/>\nin auditorily presented text translation by simultaneous interpreters<br \/>\n(Rinne et al., 2000). Further, Rinne et al. (2000)<br \/>\nreported that, since translation into the nonnative language is<br \/>\nthe more difficult task, left dorsolateral activation was more<br \/>\nextensive when the interpreters translated into their nonnative<br \/>\nlanguage. The involvement of subcortical structures along with<br \/>\nactivity in the left prefrontal cortex is also reported (Lehtonen<br \/>\net al., 2005). Lehtonen and colleagues studied Finnish-<br \/>\nNorwegian bilinguals who had learned Norwegian as adults<br \/>\n(21\u201336 years). Participants completed a translation task and a<br \/>\ncontrol task. In the translation task, they silently translated<br \/>\nvisually presented Finnish sentences into Norwegian and then<br \/>\ndecided whether a presented Norwegian probe sentence was a<br \/>\ncorrect translation of the Finnish sentence. In the control task,<br \/>\nthey silently read a Finnish sentence and determined whether a<br \/>\nFinnish probe sentence was identical to it. The contrast between<br \/>\nthe translation and control task yielded substantial activation in<br \/>\nthe left (ventrolateral) prefrontal cortex and in a region of the<br \/>\nbasal ganglia (globus pallidus) that is activated in suppressing<br \/>\ncompeting responses (Atallah, Frank, &amp; O\u2019Reilly, 2004; Ali<br \/>\net al., in press). Taken together, these data provide evidence for<br \/>\nthe involvement of the cortical and subcortical regions of the<br \/>\ncontrol network in a task special to bilinguals.<br \/>\nLocal switching and mixing costs in bilingual and<br \/>\nmonolingual performance. The difference between local<br \/>\nswitch costs and mixing costs was discussed in Section 2, with<br \/>\nmost studies reporting smaller mixing costs for bilinguals and<br \/>\nwith more varied evidence for local switch costs. This distinction<br \/>\ncan also be examined using evidence from neuroimaging.<br \/>\nFrom a control point of view, these two types of cost are<br \/>\ninteresting because local switch costs reflect transient control<br \/>\nprocesses whereas mixing costs reflect the need for sustained<br \/>\ncontrol. In task-mixed blocks, individuals need to keep two<br \/>\ntasks active and monitor the world for cues as to which one<br \/>\nto perform.<br \/>\nDosenbach et al. (2006) provide a detailed analysis of the<br \/>\nregions involved in initiating a new task, sustaining it over a<br \/>\nsequence of trials, and responding to error. They argue that<br \/>\nthe anterior cingulate cortex, together with another<br \/>\nbilateral frontal region (the anterior insula\/frontal operculum)<br \/>\nform a core region for implementing and sustaining a<br \/>\nnew task. As yet, there are no comparable analyses for language<br \/>\nswitching in bilinguals, so we illustrate with evidence<br \/>\nfrom two studies that compare local switching and mixing<br \/>\ncosts in language tasks.<br \/>\nBraver, Reynolds, and Donaldson (2003) asked participants<br \/>\nto classify words according to whether they referred to objects<br \/>\nthat were natural versus created or whether the objects referred<br \/>\nto were large versus small. Participants carried out these tasks<br \/>\neither in separate blocks of trials or mixed in the same block of<br \/>\ntrials. The anterior cingulate cortex and prefrontal regions of<br \/>\nthe right hemisphere were activated in the mixed blocks but<br \/>\nshowed no variation with local switching. In contrast, local<br \/>\nswitching was accompanied by activation in left prefrontal and<br \/>\nparietal regions.<br \/>\nWang, Kuhl, Chen, and Dong (2009) extended these ideas to<br \/>\nlanguage switching. Native speakers of Chinese who started<br \/>\nlearning English around 12 years and who rated themselves<br \/>\nas being of low to moderate proficiency in English named<br \/>\ndigits silently either in single-language or mixed-language<br \/>\nblocks. Language of response was signaled by a verbal cue<br \/>\npresented 400 ms before the stimulus digit. Consistent with<br \/>\nprevious research (e.g., Meuter &amp; Allport, 1999), it took longer<br \/>\nto switch back into Chinese than to switch into English (43 ms<br \/>\nvs. 8 ms.). There was also a mixing cost that was similar for<br \/>\nChinese and English (but see Christoffels, Firk, &amp; Schiller,<br \/>\n2007; Kroll et al., 2006, for data showing that an L1 can reveal<br \/>\ngreater mixing costs). Importantly, however, local switching<br \/>\nand mixing costs were associated with different brain regions.<br \/>\nFor mixing costs, there was activation in bilateral prefrontal<br \/>\nand frontal regions. Unlike other studies, Wang and colleagues<br \/>\nreported no differential activation of the anterior cingulate<br \/>\ncortex, a difference they attribute to the more automatic retrieval<br \/>\nof numeral names. In contrast, and in line with the data of<br \/>\nBraver and colleagues (2003), local switch costs activated left<br \/>\nfrontal regions (along with other cortical and subcortical<br \/>\nregions). Based on an analysis of individual data, Wang and<br \/>\ncolleagues also proposed that a left parietal region plays a role<br \/>\nin overcoming inhibition or in reactivating the previous<br \/>\nlanguage.<br \/>\nBilingualism and the neural networks for control<br \/>\nWe have summarized research showing the neural regions<br \/>\ninvolved when individuals control interference in using one<br \/>\nof their languages and the regions involved when they switch<br \/>\nbetween languages. In both cases, the set of regions depicted<br \/>\nin Figure 6 is activated. These data suggest extensive overlap<br \/>\nwith the regions mediating cognitive control when monolingual<br \/>\nspeakers resolve interference or switch between different<br \/>\ntasks. Such a correspondence supports the proposal that the<br \/>\nbilingual advantage in nonverbal interference tasks and in task<br \/>\nswitching arises from their use of neural regions recruited in<br \/>\nlanguage control.<br \/>\nBilingual Minds 111<br \/>\n111<br \/>\nWe have relied on commonalities in the response of the<br \/>\ncontrol regions in bilingual and monolingual speakers faced<br \/>\nwith different tasks, but there may be subtle differences that are<br \/>\nmissed in such comparisons. It is important to have studies that<br \/>\ndirectly compare bilingual and monolingual speakers (matched<br \/>\non confounding variables such as IQ and socioeconomic class)<br \/>\nperforming the same nonverbal conflict or switching task. One<br \/>\nsuch study has identified differences between bilinguals and<br \/>\nmonolinguals (Bialystok, Craik, et al., 2005). The researchers<br \/>\ncontrasted two groups of early bilinguals (French-English and<br \/>\nCantonese-English) with a monolingual English group<br \/>\nperforming a Simon task. Bialystok and colleagues used<br \/>\nmagnetoencephalography (MEG) to identify the neural basis<br \/>\nof processing differences between the language groups and analyzed<br \/>\ntwo bands of signals: one associated with attentional control<br \/>\n(theta band) and the other associated with signal processing<br \/>\n(alpha band). The data indicated that there is a common network<br \/>\nused by all participants but with with subtle differences in how<br \/>\ninterference is controlled. Faster responding in the bilingual<br \/>\ngroups was associated with more activation in the signalprocessing<br \/>\nband in two left frontal regions and the left anterior<br \/>\ncingulate cortex, as distinct from the left middle frontal region<br \/>\nassociated with faster responding in monolingual speakers. It<br \/>\nwill be important to extend such research to other tasks.<br \/>\nWhy, then, might bilinguals, at least those who use both<br \/>\nlanguages on a regular basis and who acquired them early in<br \/>\nlife, show an advantage in overcoming interference and in task<br \/>\nswitching The position that we have sought to establish is that<br \/>\nit is due to the need to control linguistic interference with the<br \/>\ncorresponding demands to monitor and adapt behavior. Such<br \/>\ncontrol is required when individuals speak two languages.<br \/>\nIt may also be required when individuals use two sign languages<br \/>\nbut appears not to be important when individuals speak<br \/>\none language and sign in another. Consistent with this view,<br \/>\nEmmorey, Luk, Pyers, and Bialystok (2008) found that<br \/>\nspeech-sign bilinguals responded comparably to monolinguals<br \/>\nand did not show the advantage demonstrated by a group of<br \/>\nspeech-speech bilinguals on a flanker task; and Kovelman<br \/>\net al. (2009) confirmed that bilinguals who spoke one language<br \/>\nand signed another showed no increase in prefrontal activation<br \/>\nwhen they switched between the two, although they did show<br \/>\nincreased activation in language regions associated with<br \/>\nmapping meaning to form.<br \/>\nAs noted earlier,whether the source of the bilingual advantage<br \/>\nis the voluntary or the involuntary nature of control is an<br \/>\nopen question, though it may prove to be the former (cf.<br \/>\nFernandez-Duque&amp;Knight, 2008).But given that there is such<br \/>\nan advantage, the control network in bilinguals may be more<br \/>\nefficient overall, or bilingualsmay adopt a more effective strategy<br \/>\nin performing nonverbal tasks. For example, in interference<br \/>\ntasks they might be better at maintaining the task goal<br \/>\nand so reduce the impact of conflicting information. In task<br \/>\nswitching, they may respond more efficiently to a task cue and<br \/>\nretrieve task goals more effectively. If this is the case, switching<br \/>\ncosts and demand on transient control processes would be<br \/>\nreduced. Longitudinal studies will be important here, because<br \/>\nit is known that older adults shift from a control strategy that is<br \/>\nproactive and maintains task-relevant goals to one that is reactive<br \/>\nand retrieves relevant information only when required<br \/>\n(Jimura &amp; Braver, 2010; Paxton, Barch, Racine, &amp; Braver,<br \/>\n2008). The bilingual advantage shown in older adults may<br \/>\nreflect their continued use of a proactive control strategy<br \/>\nsupported perhaps by left frontal structures and the anterior<br \/>\ncingulate cortex.<br \/>\nBilingual experience may also alter the capacity of the<br \/>\ncontrol network by altering the density of grey matter (i.e.,<br \/>\nthe nerve cell bodies together with axons and dendrites) in one<br \/>\nor more control regions (e.g., anterior cingulate cortex;<br \/>\ncaudate). It may even affect the white matter connections<br \/>\n(i.e., the myelinated axons that connect regions of grey matter).<br \/>\nPrior research indicates that cognitive, linguistic, and motor<br \/>\nabilities can correlate with differences in brain structure,<br \/>\n(e.g., Crinion et al., 2009; Draganski &amp; May, 2008; Gaser &amp;<br \/>\nSchlaug, 2003; Lee et al., 2007; Maguire et al., 2000; Mechelli<br \/>\net al., 2004). If one or two regions show marked differences<br \/>\nthen this would constrain accounts of the neural basis of the<br \/>\nbilingual advantage. Longitudinal studies are important, as<br \/>\nthey can rule out preexisting individual differences rather than<br \/>\nbilingual experience as the source of the difference. In this<br \/>\ncontext, studies of the aging brain (see Section 2) may prove<br \/>\nparticularly revealing, because age-related declines can be<br \/>\nrelated to changes in specific brain structures. Our supposition<br \/>\nis that deteriorating performance found in nonverbal-conflict<br \/>\ntasks will also be found in tasks involving language control.<br \/>\n4. Implications of Bilingualism for Clinical<br \/>\nPractice<br \/>\nThe behavioral studies reviewed in Sections 1 and 2 reveal a<br \/>\nnumber of differences between bilinguals and monolinguals<br \/>\nin a variety of cognitive domains. These differences have<br \/>\nproven to be useful for understanding the implications of<br \/>\nbilingualism for cognitive development and cognitive aging.<br \/>\nMoreover, the recent work in neuroimaging and related fields<br \/>\ndescribed in Section 3 is beginning to elucidate the neural<br \/>\ncorrelates that underlie proficient language use. The question<br \/>\nposed in the present section is whether these findings can be<br \/>\napplied to help practitioners in the areas of neuropsychology,<br \/>\neducational psychology, and speech\/language pathology deal<br \/>\nwith the problems of bilingual clients and patients.<br \/>\nThe challenge to professionals in these applied fields is that<br \/>\nbilingual individuals vary enormously in their language skills.<br \/>\nA few of the many factors that affect the degree of language<br \/>\nproficiency in bilinguals are age and manner of acquisition of<br \/>\neach language, degree of use of each language over a lifetime,<br \/>\nand literacy and level of formal education in each language.<br \/>\nIt seems likely that these same factors will also affect the extent<br \/>\nto which bilingualism modifies cognitive processing mechanisms.<br \/>\nIt is difficult to obtain a comprehensive assessment of all<br \/>\nrelevant factors in each individual case\u2014yet such assessment is<br \/>\nnecessary to interpret test performance accurately. This uncertainty<br \/>\nabout the details of individual bilingualism combined<br \/>\n112 Bialystok et al.<br \/>\n112<br \/>\nwith the lack of tests developed specifically for use with bilinguals,<br \/>\nthe lack of knowledge about how bilingualism affects<br \/>\nperformance on standardized tests that were developed for<br \/>\nmonolinguals, and the strong emphasis on language-based<br \/>\nassessment in clinical settings makes it difficult to answer some<br \/>\nof the most common referral questions about bilinguals.<br \/>\nTo simplify the following discussion, we assume that the<br \/>\nbilingual individuals had early exposure to two languages and<br \/>\nthat English is the dominant language spoken by the majority of<br \/>\npeople in the environment. However, much of the discussion<br \/>\nwould apply equally well to proficient bilinguals who acquired<br \/>\none of their languages late in life, to bilinguals who live in<br \/>\nbilingual communities in which one language is not clearly<br \/>\nin the majority, and certainly to situations in which English<br \/>\nis not the majority language.<br \/>\nThree general themes are common when bilingual individuals<br \/>\nare referred to a clinician for intervention or therapy.<br \/>\nAlthough the specific questions differ, these same themes are<br \/>\nevident for children, adults, and aging bilinguals. The first<br \/>\ntheme is to establish whether there is a cognitive impairment<br \/>\nor language impairment. In children, this question often<br \/>\ntakes the form of asking whether the child is learning English<br \/>\n(the second language) as quickly as she or he should be, and<br \/>\nif not, if there is a language impairment or more general<br \/>\ndevelopmental delay. For adults the concern is often linked<br \/>\nto test results. As we saw in Section 1, tests of verbal fluency<br \/>\nand naming generally reveal lower scores for bilinguals than<br \/>\nfor monolinguals, and these verbal scores are frequently lower<br \/>\nthan indicators of verbal memory or nonverbal functioning for<br \/>\nbilinguals. In a clinical setting, this pattern raises the concern<br \/>\nabout the possibility of brain injury or developmental impairment\u2014<br \/>\nprecisely what those tests were designed to diagnose\u2014<br \/>\nrather than the history of bilingual language use. For<br \/>\nboth children and adults, if language impairment is identified,<br \/>\nthere are inevitably questions about the best strategy for<br \/>\naccommodating the impairment and for facilitating communication<br \/>\nand recovery. For example, should treatment be provided<br \/>\nin just one or in both languages Would it be best to<br \/>\ntry to use primarily one language to ease the load on the compromised<br \/>\ncognitive system by avoiding bilingualism (e.g., by<br \/>\nswitching to using only the majority language at home)<br \/>\nA second theme is the need for advice on the best way to<br \/>\npromote rapid acquisition of English as the person\u2019s second<br \/>\nlanguage. For children the question is frequently framed in<br \/>\nterms of educational options: Is total immersion in English best,<br \/>\nor is it better to encourage parallel development of both<br \/>\nlanguages by including both as part of the academic curriculum<br \/>\nIn young adults, the concern is centered more on academic<br \/>\nachievement, and questions attempt to determine the role of<br \/>\nbilingual language use in academic outcomes. In middle-aged<br \/>\nand older adults, the focus again shifts to learning the language.<br \/>\nSome individuals are concerned about the length of time it is reasonable<br \/>\nto live in a country without learning the environmental<br \/>\nlanguage.<br \/>\nThe third theme is more specialized. Clinical intervention is<br \/>\nsometimes sought to assess the adequacy of English<br \/>\nproficiency for a specific purpose, such as functioning in<br \/>\nschool or in a professional setting. Adequate proficiency is also<br \/>\nessential for safety and security, as in understanding the conversation<br \/>\nin a medical interaction or discussing the risks of a<br \/>\nmedical procedure. Linguistic levels that may be perfectly adequate<br \/>\nfor some purposes may fail to support the ability to<br \/>\nunderstand complex information for which careful thought and<br \/>\ncautious decision making are required. These situations may<br \/>\nalso require the services of a clinician.<br \/>\nThere are a number of reviews on cognitive and language<br \/>\nassessment of bilinguals that provide useful information on the<br \/>\nchallenges that arise, on the kinds of questions to ask in clinical<br \/>\nsettings to obtain the necessary information to interpret<br \/>\nbilingual performance on language-based tests, and on how<br \/>\nbilingualism can affect performance on specific tests (e.g.,<br \/>\nAltarriba &amp; Heredia, 2008; Baker, 2000; Cummins, 2000;<br \/>\nKohnert, 2007; Paradis, 2008; Paradis &amp; Libben, 1987; Pen\u02dca<br \/>\n&amp; Bedore, 2009; Ponto\u00b4n &amp; Leo\u00b4n-Carrion, 2001; Rivera-Mindt<br \/>\net al., 2008; Valde\u00b4s &amp; Figueroa, 1994). Here we attempt to<br \/>\nconnect questions about assessment of bilinguals more specifically<br \/>\nwith the experimental literature reviewed above.<br \/>\nBefore considering how bilinguals differ from monolinguals<br \/>\nin their performance on neuropsychological tests, it is helpful<br \/>\nto review what typically happens during a cognitive assessment.<br \/>\nNeuropsychologists receive referrals from parents,<br \/>\nschools, and physicians, usually with a very specific question<br \/>\nattached (e.g., Is there a language disability Is the person<br \/>\nbeginning to show signs of early Alzheimer\u2019s disease). The<br \/>\nneuropsychologist will subsequently review the patient\u2019s<br \/>\nacademic record or medical chart and schedule an appointment<br \/>\nto obtain a case history and administer cognitive tests. The general<br \/>\nquestions related to case history are the same for bilinguals<br \/>\nand monolinguals: Were there any complications at birth Was<br \/>\na learning disability ever suspected What was academic performance<br \/>\nlike through school What was the highest level of<br \/>\neducation attained What is the employment history Were<br \/>\nthere any losses of consciousness Is there any history of<br \/>\nsubstance abuse or other psychiatric conditions In some cases,<br \/>\nthere will also be a detailed language history for bilinguals, to<br \/>\ndetermine which language is dominant, when and how both<br \/>\nlanguages were learned, the extent to which both languages are<br \/>\ncurrently being used, and other factors (e.g.,Marian,Blumenfeld,<br \/>\n&amp; Kaushanskaya, 2007).<br \/>\nSubsequently, the neuropsychologist will administer a<br \/>\nseries of tests to assess a variety of cognitive domains (e.g.,<br \/>\nmental status, IQ, language, memory, executive functions,<br \/>\nand visuospatial skills), usually with heavier emphasis on<br \/>\ntests that will be useful in answering the specific referral question.<br \/>\nOften vocabulary tests are used to estimate verbal IQ,<br \/>\npicture naming tests are used to identify the presence of cognitive<br \/>\nimpairment, and timed verbal fluency tests are given to<br \/>\nlook for frontal lobe pathology (Lezak, 1995). Verbal fluency<br \/>\nperformance is sometimes also used to look for patterns of<br \/>\nperformance that are associated with certain types of disease<br \/>\n(e.g., deficits in semantic fluency are associated with Alzheimer\u2019s<br \/>\ndisease whereas deficits in letter fluency are associated<br \/>\nBilingual Minds 113<br \/>\n113<br \/>\nwith Huntington\u2019s disease; Rohrer, Salmon, Wixted, &amp;<br \/>\nPaulsen, 1999). Assessment of bilinguals is complicated by<br \/>\nthe problem that bilingualism itself influences performance<br \/>\non these measures, and it is often not clear what adjustments<br \/>\nshould be made to interpret performance relative to that of<br \/>\nmonolinguals on the same tests.<br \/>\nAssessing vocabulary knowledge in bilinguals<br \/>\nA staple of neuropsychological testing is the assessment of<br \/>\nvocabulary, but as we have seen in Section 1, bilinguals,<br \/>\nespecially bilingual children, often control a smaller vocabulary<br \/>\nin each language than comparable monolinguals do, even<br \/>\nin the absence of other compromising factors. How can clinical<br \/>\nassessment make reliable judgments about the potential for a<br \/>\ndisability or disease in contrast to a normal outcome in the<br \/>\ncontext of bilingual language use<br \/>\nThe approach taken to testing and interpretation often<br \/>\ndepends on the nature of the referral question. In some cases,<br \/>\nrelatively simple referral questions that can be successfully<br \/>\naddressed without much knowledge about bilingualism arise.<br \/>\nFor example, parents may wonder how their child\u2019s English<br \/>\nvocabulary knowledge compares to that of his or her monolingual<br \/>\npeers (note that in bilingual societies this question may be<br \/>\nless relevant, particularly if monolinguals are few in number).<br \/>\nIn such cases, it is obviously appropriate to administer a test<br \/>\nthat was developed for use with monolingual Englishspeaking<br \/>\nchildren, and the score obtained will provide a valid<br \/>\nanswer to the question being asked. However, the possibility<br \/>\nof interpreting that same test score will not extend beyond the<br \/>\nanswer to this one simple question. As a group, bilingual<br \/>\nchildren who speak a minority language at home (e.g., a non-<br \/>\nEnglish language in an English-speaking environment) will<br \/>\nobtain lower receptive English vocabulary scores thanwillmonolinguals,<br \/>\neven if their parents report that they are \u2018\u2018proficient<br \/>\nspeakers of English\u2019\u2019 (Bialystok, Luk, et al., 2010). These lower<br \/>\nEnglish vocabulary scoresmay be found even in children without<br \/>\nmuch proficiency in the minority homelanguage if the parents are<br \/>\nnot native speakers of English, because such children have<br \/>\nreduced exposure to English vocabulary at home, at least compared<br \/>\nto children whose parents are native English speakers and<br \/>\nuse English exclusively.<br \/>\nThe difference in vocabulary size in bilinguals is probably<br \/>\na better reflection of experience than of ability to learn.<br \/>\nIn 6-year-olds, the vocabulary deficit associated with bilingualism<br \/>\nseemed to be restricted to test items classified as \u2018\u2018unlikely<br \/>\nto occur in a classroom context\u2019\u2019 (Bialystok, Luk, et al., 2010).<br \/>\nSimilar results may be obtained in older bilingual children and<br \/>\nin bilingual adults and, if so, such information could ultimately<br \/>\nbe useful for developing vocabulary tests that cater to specific<br \/>\nprofiles of bilingual language exposure. In addition, item<br \/>\nanalyses may be useful for interpreting individual test scores.<br \/>\nFor example, if a bilingual child misses a home-context item<br \/>\n(e.g., \u2018\u2018toaster\u2019\u2019) it may simply mean that there have been no<br \/>\nopportunities to learn this word in English because it is unlikely<br \/>\nto come up in a school context.<br \/>\nAlthough a group of bilinguals will, on average, score lower<br \/>\nthan a group of monolinguals, individual scores will not<br \/>\nnecessarily be lower. In the large-scale study of \u2018\u2018fluent<br \/>\nEnglish-speaking\u2019\u2019 bilingual children between the ages of 3 and<br \/>\n10 years (Bialystok, Luk, et al., 2010), the distributions of<br \/>\nbilingual and monolingual scores overlapped much more than<br \/>\nnot. This means that although the average bilingual score was<br \/>\nabout 10 standard score points (2\/3 of a standard deviation)<br \/>\nlower than the average monolingual score, only a small number<br \/>\nof bilinguals scored completely outside the range of<br \/>\nperformance for monolinguals. Thus, the majority of bilingual<br \/>\nchildren described as \u2018\u2018fluent in English\u2019\u2019 will obtain \u2018\u2018normal\u2019\u2019<br \/>\nscores on tests developed for monolinguals. However, it is also<br \/>\nprobable that these same normal scores will fail to provide an<br \/>\naccurate representation of learning potential.<br \/>\nVocabulary scores reflect the combined forces of the ability<br \/>\nto learn new vocabulary and the opportunities to learn new<br \/>\nvocabulary. Bilinguals who score within the average range for<br \/>\nmonolinguals may have better-than-average ability to learn,<br \/>\nwhich has allowed them to achieve an average monolingual<br \/>\nscore despite having fewer learning opportunities. An important<br \/>\nconsideration in such cases is that comparisons between<br \/>\nmonolingual and bilingual children with matched vocabulary<br \/>\nscores may be invalid because bilingual children with<br \/>\nmonolingual-like vocabulary scores may be precocious learners.<br \/>\nConversely, bilinguals whose vocabulary scores fall 2 standard<br \/>\ndeviations below the monolingual average could be learning<br \/>\ndisabled, or they may simply have had less opportunity to learn<br \/>\nEnglish than their case histories suggest\u2014two conclusions<br \/>\nwith very different implications but with equally serious<br \/>\nconsequences. Bilinguals who score below average may be<br \/>\ninaccurately diagnosed with impairment when none is present,<br \/>\nor could be diagnosed as \u2018\u2018normal for a bilingual\u2019\u2019 even though<br \/>\nimpairment is in fact present and treatment is needed. The lessfrequent<br \/>\ncases in which bilinguals obtain scores that are higher<br \/>\nthan are typical for monolinguals may indicate exceptional ability<br \/>\nto learn vocabulary or more opportunities to learn English<br \/>\nthan the case histories suggest\u2014again, two conclusions with<br \/>\nvery different implications. Much of this discussion likely<br \/>\napplies as well to bilingual adults, who also typically obtain<br \/>\nlower vocabulary scores than do monolingual adults (e.g.,<br \/>\nBialystok et al., 2008a; Portocarrero et al., 2007).<br \/>\nThis discussion demonstrates the tremendous challenge in<br \/>\ninterpreting individual test scores in bilinguals. Even with the<br \/>\navailability of normative data about bilingual performance on<br \/>\na given test, several factors continue to complicate interpretation.<br \/>\nFurther difficulty arises if one considers a broader range<br \/>\nof bilinguals at different proficiency levels. The previous discussion<br \/>\napplies only to children who are judged by their parents<br \/>\nto be \u2018\u2018fluent in English.\u2019\u2019 Such children can reasonably be<br \/>\ntested in English (and specifically should be tested in English<br \/>\nif English is their dominant language). However, even in such<br \/>\ncases, a more accurate estimation of language skills will<br \/>\nemerge if both languages are tested. Parents may sometimes<br \/>\noverestimate the degree of majority-language fluency that their<br \/>\nchildren have achieved. Bilinguals who are not dominant in<br \/>\n114 Bialystok et al.<br \/>\n114<br \/>\nEnglish must be tested in their dominant language, but often<br \/>\ntests for those languages have not been developed, and there<br \/>\nare virtually no tests for different combinations of bilingual<br \/>\ntypes. One exception that is available in many different language<br \/>\ncombinations is the Bilingual Aphasia Test (the BAT;<br \/>\nParadis &amp; Libben, 1987). However, the BAT was designed to<br \/>\nassess fluent adult bilinguals for possible language impairment<br \/>\n(i.e., aphasia), and it is not known how bilingual children<br \/>\nshould perform on this test or even if the test is useful in assessing<br \/>\nbilingual adults who don\u2019t have a high degrees of fluency<br \/>\nin their two languages.<br \/>\nFinally, these simpler cases of \u2018\u2018relatively fluent-in-English<br \/>\nbilinguals\u2019\u2019 are perhaps least likely to present for referral in a<br \/>\nclinic because they have already been successful in attaining<br \/>\nsecond-language fluency. A more typical presentation will be<br \/>\nsomeone who seems to be having trouble acquiring secondlanguage<br \/>\nfluency. Parents of young preschool children may<br \/>\nsuspect a problem if their child seems to be avoiding English<br \/>\nspeakers in the classroom, preferring instead to socialize only<br \/>\nwith the small number of other children who happen to speak<br \/>\nthe same minority language at home. Parents of older schoolaged<br \/>\nchildren may become concerned about low academic test<br \/>\nscores or large discrepancies between verbal (e.g., reading\/<br \/>\nwriting) and less-verbal (e.g., math) academic domains.<br \/>\n(Here, \u2018\u2018less verbal\u2019\u2019 is meant to emphasize that all academic<br \/>\nsubjects require at least some verbal skills; for example, math<br \/>\nproblems sometimes come in paragraph format or require<br \/>\nability to read instructions.) In such referral cases, it is necessary<br \/>\nto assess what the opportunities to learn English have<br \/>\nactually been\u2014sometimes children have actually had less<br \/>\nexposure to English than is assumed\u2014and whether or not normal<br \/>\namounts of learning have taken place given those opportunities.<br \/>\nEven with adequate assessments of opportunities to<br \/>\nlearn, test interpretation is difficult because little to no information<br \/>\nabout exactly how much exposure is needed to perform<br \/>\nwithin a particular range on any given test is available<br \/>\nto clinicians.<br \/>\nA creative approach around these problems has been to<br \/>\nprovide a learning opportunity during the assessment session<br \/>\nitself and then to determine how much learning takes place, an<br \/>\napproach sometimes called Dynamic Assessment (Gutie\u00b4rrez-<br \/>\nClellen &amp; Pen\u02dca, 2001; Pen\u02dca, Iglesias, &amp; Lidz, 2001). This<br \/>\napproach is based on interaction between the clinician and the<br \/>\nchild. Three types of dynamic assessment are (a) \u2018\u2018testing the<br \/>\nlimits,\u2019\u2019 in which feedback is provided and errors pursued<br \/>\nthrough further questioning; (b) \u2018\u2018graduated prompting,\u2019\u2019 in<br \/>\nwhich the level of contextual support is manipulated; and (c)<br \/>\n\u2018\u2018test-teach-retest,\u2019\u2019 in which alternative versions of tests of the<br \/>\nsame material are repeated after teaching to areas of weakness,<br \/>\nin order to assess learning (Gutie\u00b4rriez-Clellen &amp; Pen\u02dca, 2001).<br \/>\nWith these methods the amount of exposure is controlled\u2014it<br \/>\nis provided during the testing session itself. Children who fail<br \/>\nto learn (i.e., do not show significant improvement on \u2018\u2018measures<br \/>\nof modifiability\u2019\u2019; Pen\u02dc a, Resendiz, &amp; Gillam, 2007) are<br \/>\nflagged, with a high rate of accuracy, as probable cases of<br \/>\ndevelopmental delay. Such techniques are extremely useful for<br \/>\nbilinguals and monolinguals alike, and they provide a means<br \/>\nfor obtaining accurate assessments with less concern about how<br \/>\nto interpret past opportunities to learn.<br \/>\nIn theory, bilingual disadvantages in vocabulary knowledge<br \/>\nshould decrease with age as their time to learn words in both<br \/>\nlanguages increases. Although vocabulary knowledge continues<br \/>\nto increase well into older age (Verhaeghen, 2003), new<br \/>\nwords may be learned at a faster rate before knowledge reaches<br \/>\na particular point (perhaps a typical adult-vocabulary repertoire).<br \/>\nIn other words, bilinguals should \u2018\u2018catch up\u2019\u2019 to monolinguals<br \/>\nas years of immersion in English accumulate. One way to<br \/>\ntest whether this is indeed the case is to ask whether the vocabulary<br \/>\ndeficit associated with bilingualism decreases in children<br \/>\nas they progress through school and beyond that across<br \/>\nthe life-span. Indeed there has been some suggestion that bilingual<br \/>\nchildren achieve monolingual-like vocabulary scores with<br \/>\nincreased time in school (Hamers &amp; Blanc, 2000). However,<br \/>\nthe \u2018\u2018catching up\u2019\u2019 notion is best tested with a longitudinal<br \/>\ndesign, and to our knowledge such studies have not been<br \/>\nreported. Moreover, bilinguals may appear to be catching up<br \/>\nonly because the test materials are not difficult enough to<br \/>\nreveal persistent differences between bilinguals and monolinguals.<br \/>\nWhen tested exclusively for their knowledge of<br \/>\nvery-low-frequency words in the relatively dominant language,<br \/>\nfor example in studies of the tip-of-the-tongue phenomenon,<br \/>\nadult bilinguals consistently report recognizing fewer of the<br \/>\ntargeted vocabulary words than monolinguals do (e.g., Gollan<br \/>\n&amp; Silverberg, 2001; Gollan &amp; Brown, 2006). Tip-of-the-tongue<br \/>\nexperiences are retrieval failures in which partial phonological<br \/>\ninformation is available; they generally occur for<br \/>\nlow-frequency words but appear to be more broadly based for<br \/>\nbilinguals. Thus, differences between bilinguals and monolinguals<br \/>\nin opportunities to learn vocabulary will be less apparent<br \/>\nin settings that only require knowledge of relatively easy,<br \/>\nfrequently occurring words than they will be in settings that<br \/>\nrequire knowledge of difficult, low-frequency words (Gollan<br \/>\net al., 2008). This may be because, by virtue of using each<br \/>\nlanguage only part of the time, bilinguals will have had<br \/>\nrelatively less exposure to words in each language than will<br \/>\nmonolinguals (the weaker-links hypothesis described in<br \/>\nSection 1), although they will have had sufficient exposure to<br \/>\nlearn frequently encountered words.<br \/>\nConfrontation naming<br \/>\nConfrontation naming is a testing method in which pictures are<br \/>\npresented to participants, who are asked to name them as<br \/>\nrapidly as possible. One of the most commonly used such<br \/>\nneuropsychological tests is the Boston Naming Test (BNT;<br \/>\nKaplan et al., 1983). This test contains 60 black-and-white line<br \/>\ndrawings that show a single object that speakers try to name.<br \/>\nThe pictures are easy at the beginning of the test (e.g., a bed)<br \/>\nbut become progressively more difficult, ending with uncommon<br \/>\nobjects encountered in limited contexts. The ability to<br \/>\nname pictures is sensitive to changes in cognitive functioning<br \/>\nand is therefore useful for detecting subtle brain injuries<br \/>\nBilingual Minds 115<br \/>\n115<br \/>\n(Lezak, 1995). Unfortunately, this test may have more limited<br \/>\nutility for assessing bilinguals, because cognitively intact bilinguals<br \/>\nobtain lower scores than monolinguals on the BNT and<br \/>\nother standardized tests of picture naming (e.g., Roberts<br \/>\net al., 2002) such as the Expressive Vocabulary Test (e.g.,<br \/>\nPortocarrero et al., 2007).<br \/>\nOutside of clinical settings, studies of picture naming<br \/>\nmeasure both naming success (the number of correct retrievals)<br \/>\nand the time needed to name pictures. Such studies reveal a<br \/>\nvery subtle bilingual disadvantage (e.g., it may take bilinguals<br \/>\n60 milliseconds longer than monolinguals to name a picture;<br \/>\nGollan, Bonanni, &amp; Montoya, 2005). This result applies to<br \/>\nbilinguals immersed in a dominant but second-learned<br \/>\nlanguage (e.g., Gollan et al., 2008) and to bilinguals living in<br \/>\na bilingual society (Ivanova &amp; Costa, 2008). Picture-naming<br \/>\ndeficits in bilinguals could arise for the same reasons as<br \/>\nreceptive vocabulary deficits\u2014namely, less frequency of use<br \/>\nof specific words than for monolinguals. Alternatively, it may<br \/>\nbe because of dual-language activation\u2014that is, the need to<br \/>\nselect one language in the face of competition from the other<br \/>\none. It is also possible that both factors may be operating. Some<br \/>\nof the burden associated with bilingualism seems to be better<br \/>\nmanaged with increased age\u2014a result that is consistent with<br \/>\nthe notion of a frequency lag for bilinguals. In one picturenaming<br \/>\nstudy, older bilinguals were relatively faster to produce<br \/>\nlow-frequency picture names in a nondominant language than<br \/>\nwould be expected based on their otherwise relatively slow<br \/>\nnaming times relative to proficiency-matched young bilinguals<br \/>\n(Gollan et al., 2008). Because low-frequency words in the nondominant<br \/>\nlanguage will be most vulnerable to the frequencyof-<br \/>\nuse lag associated with bilingualism, these words are also<br \/>\nmost likely to benefit from the increased exposure to language<br \/>\nassociated with age.<br \/>\nThe age-related advantage for producing low-frequency<br \/>\nwords is also evident in studies comparing older to younger<br \/>\nmonolingual speakers: Like older bilinguals, older monolinguals<br \/>\nconsistently produce names for pictures with very low-frequency<br \/>\nwords with greater success than matched young monolinguals<br \/>\n(for review see Gollan &amp; Brown, 2006). It may be that aging<br \/>\nallows for the accumulation of experience to deal with<br \/>\nlow-frequency words. The finding that older bilinguals are in<br \/>\nsomeways \u2018\u2018better bilinguals\u2019\u2019 than younger bilinguals may seem<br \/>\nunexpected from the perspective of bilingualismas an exercise in<br \/>\ncognitive control. If the frontal lobes (Raz, 2000;West, 1996) and<br \/>\nexecutive control decline in older age and are needed to suppress<br \/>\nthe dominant language during retrieval of the nondominant<br \/>\nlanguage, then older bilinguals should have more difficulty than<br \/>\nyoung bilinguals in producing low-frequencywords in the nondominant<br \/>\nlanguage. It might be asked whether older bilinguals<br \/>\nperform better because the low-frequency words are archaic<br \/>\nwords more familiar to older than to younger participants.<br \/>\nHowever, controlled studies select materials that are highly<br \/>\nfamiliar to both young and old adults, and in the timed picturenaming<br \/>\nstudy with bilinguals, the low-frequency targets were all<br \/>\nhighly familiar and current (e.g., crutches, a whistle, a scarf, a<br \/>\ndustpan; see appendix in Gollan et al., 2008). Most importantly,<br \/>\nthe relative age-related advantage appeared only in the nondominant<br \/>\nlanguage, whereas the same concepts and words did not<br \/>\ndemonstrate any age-related advantage in the dominant language<br \/>\n(or in monolinguals). Thus, it seems that accumulated use over a<br \/>\nlifetime has its greatest influence on the very lowest-frequency<br \/>\nwords, thereby offsetting some aging-related deficits in retrieval.<br \/>\nA number of factors have been shown to reduce or even<br \/>\neliminate the bilingual disadvantage in picture naming, and this<br \/>\nraises the question of what would be the best way to adjust tests<br \/>\nof picture naming to accommodate bilingual ability and enable<br \/>\nclinicians to perform reliable assessments. The answer to this<br \/>\nquestion may vary with the referral question, and the implications<br \/>\nof these findings for diagnosis and treatment of bilinguals<br \/>\nare not yet established. For example, bilinguals name pictures<br \/>\nmore quickly (Costa, Caramazza, &amp; Sebastia\u00b4n-Galle\u00b4s, 2000;<br \/>\nHoshino &amp; Kroll, 2008) and, in some cases, with no disadvantage<br \/>\nrelative to monolinguals (Gollan &amp; Acenas, 2004) if the<br \/>\ntest consists of pictures with cognate names. Cognates reduce<br \/>\nbilingual disadvantages via joint activation of target phonemes<br \/>\n(sounds) through separate lexical representations in each<br \/>\nlanguage (for a review, see Costa, Santesteban, &amp; Can\u02dco,<br \/>\n2005; for research showing increased activation for cognates,<br \/>\nsee Broersma &amp; de Bot, 2006). To illustrate, the lexical representations<br \/>\nof lemon and its Spanish translation limo\u00b4n activate<br \/>\nmany shared sounds, but grape and its translation uva<br \/>\nactivate no shared sounds. A similar reduction in bilingual<br \/>\ndisadvantage may be obtained by asking participants to retrieve<br \/>\nnames of people (Gollan, Bonanni, &amp; Montoya, 2005).<br \/>\nBilinguals\u2019 relative ease at producing proper names may have a<br \/>\ndifferent mechanism from cognate effects; bilinguals may<br \/>\neffectively be monolingual for proper-name production because<br \/>\nproper names are generally shared between languages (e.g., Golda<br \/>\nMeir is basically the same in Hebrew, English, Spanish, etc).<br \/>\nThe finding that bilinguals are better able to name pictures<br \/>\nwith cognate names could be useful clinically. One possibility<br \/>\nis that bilingual picture-naming tests should focus on cognates<br \/>\n(or proper names) for which bilinguals perform much like<br \/>\nmonolinguals. However, removing the disadvantage may compromise<br \/>\na test as an assessment instrument. For example, the<br \/>\npresence of cognate effects on dominant-language production<br \/>\nimplies the presence of dual-language activation even when<br \/>\nbilinguals are tested exclusively in their relatively more dominant<br \/>\nlanguage. Thus, a possible problem with using cognates is<br \/>\nthat cognates may increase the extent to which both languages<br \/>\nare active, and this may have other undesired effects on test<br \/>\nperformance (note that cognate-facilitation effects have also<br \/>\nbeen found in bilingual children, but this literature has focused<br \/>\nprimarily on receptive vocabulary rather than on picture<br \/>\nnaming; August, Carlo, Dressler, &amp; Snow, 2005; Mendez<br \/>\nPerez, Pen\u02dc a, &amp; Bedore, in press).<br \/>\nSimilar considerations apply to another way to reduce<br \/>\nbilingual disadvantages in a testing or assessment situation:<br \/>\nto allow bilinguals to use either language to name pictures<br \/>\n(Kohnert, Hernandez, &amp; Bates, 1998; Gollan &amp; Silverberg,<br \/>\n2001). This approach is sometimes called \u2018\u2018composite\u2019\u2019 or<br \/>\n\u2018\u2018conceptual\u2019\u2019 scoring. The scoring method improves<br \/>\n116 Bialystok et al.<br \/>\n116<br \/>\nbilinguals\u2019 picture-naming scores in young adults (Kohnert<br \/>\net al., 1998), in elderly bilinguals (Gollan et al., 2007), and<br \/>\neven in bilinguals with Alzheimer\u2019s disease (Gollan, Salmon,<br \/>\nMontoya, &amp; da Pena, 2010). Thus, when naming is untimed,<br \/>\nthe composite scoring option is not associated with any<br \/>\nobservable processing cost and only facilitates naming performance.<br \/>\nIn timed picture naming, the option to use either language<br \/>\nproduces significant language-switching costs but also<br \/>\nreveals compelling facilitation effects (Gollan &amp; Ferreira,<br \/>\n2009). Specifically, when given the option to use either language,<br \/>\nunbalanced bilinguals switch languages in a manner<br \/>\nthat resembles a more balanced-bilingual profile of language<br \/>\nswitching (i.e., no switch-cost asymmetry; Costa &amp; Santesteban,<br \/>\n2004; Costa et al., 2006). In addition, older bilinguals<br \/>\nperform much more like young bilinguals in voluntary language<br \/>\nswitching, whereas they have considerable difficulty<br \/>\nwith cued language switching (Hernandez &amp; Kohnert, 1999).<br \/>\nThus, although language mixing might allow bilinguals to communicate<br \/>\nbetter in natural settings, it is not necessarily the case<br \/>\nthat allowing language mixing and switching in a clinical setting<br \/>\nwill lead to more effective diagnosis and treatment, because the<br \/>\neither-language scoring methodmay actually obscure differences<br \/>\nbetween patients and controls (Gollan et al., 2010),which is counterproductive<br \/>\nif the goal is to identify impairments in bilinguals.<br \/>\nIn bilingual language assessment, the costs associated with language<br \/>\nswitching and mixing can be avoided by testing each language<br \/>\nin a separate testing block.<br \/>\nThe opposite outcome may be found for cognates. It may be,<br \/>\nfor example, that language-impaired bilingual children are less<br \/>\nable to benefit from cognate manipulations than typically<br \/>\ndeveloping bilingual children are. If this is so, then the ability<br \/>\nto benefit from cognate status itself could function as a kind of<br \/>\nbilingual-specific litmus test for cognitive impairment. In other<br \/>\nwords, failure to demonstrate improved lexical access for cognate<br \/>\nwords relative to typically developing bilingual children<br \/>\nwould signal some type of language impairment. Importantly,<br \/>\nhowever, it is necessary to consider the relative dominance<br \/>\nof the two languages for the bilingual child and the relation<br \/>\nbetween that dominance and the language of assessment.<br \/>\nIn relatively balanced bilinguals, cognates can reduce bilingual<br \/>\ndisadvantages in both the dominant and the nondominant<br \/>\nlanguages (Gollan &amp; Acenas, 2004; Gollan et al., 2007), but<br \/>\nsuch reductions are most robust when bilinguals are tested in<br \/>\ntheir nondominant language (e.g., Costa et al., 2000; Gollan<br \/>\net al., 2007). A study by van Hell and Dijkstra (2002) using<br \/>\nlexical-decision and word-association tasks showed that high<br \/>\nlevel of proficiency even in an L3 can influence processing<br \/>\nspeed in the dominant language. The clinical significance is<br \/>\nthat it is not possible to discount nondominant language<br \/>\nknowledge because even an L3 can have an effect on L1 if the<br \/>\ndegree of proficiency in the L3 is high enough. Therefore, it is<br \/>\npossible that cognate effects in the dominant language occur<br \/>\nonly in relatively balanced bilinguals who are also cognitively<br \/>\nintact. Alternatively, cognate effects in the nondominant<br \/>\nlanguage might be magnified in cognitively impaired bilinguals.<br \/>\nAdditional studies are needed to determine the relations between<br \/>\ncognate effects on the one hand, and language and cognitive<br \/>\nassessment of bilingual children on the other.<br \/>\nVerbal fluency in clinical practice<br \/>\nResearch using the verbal fluency test as an experimental tool<br \/>\nwas described in Section 1. The results showed consistent bilingual<br \/>\ndisadvantages on semantic fluency (except when receptive<br \/>\nvocabulary knowledge is matched), with somewhat less severe<br \/>\nor less certain disadvantages on letter fluency. Clinically, the<br \/>\ngreater bilingual disadvantage in semantic fluency than in letter<br \/>\nfluency can be misleading, because this is the same pattern of<br \/>\nfluency performance that is found in monolinguals with early<br \/>\nAlzheimer\u2019s disease as compared with normals (Butters,<br \/>\nGranholm, Salmon, Grant, &amp; Wolfe, 1987). This creates a<br \/>\ndilemma for neuropsychologists: Is an individual showing<br \/>\nsigns of early Alzheimer\u2019s disease or is she simply showing the<br \/>\neffects of bilingualism on fluency The verbal fluency test is an<br \/>\nimportant instrument in the battery to assess patients for cognitive<br \/>\ndecline, so the ambiguity of the results obtained from bilinguals<br \/>\npresents a clinical problem. To develop fluency tests for<br \/>\nbilingual speakers, it is necessary to understand why semantic<br \/>\nfluency is more affected by bilingualism than letter fluency is.<br \/>\nAs we explained earlier, letter fluency requires greater recruitment<br \/>\nof executive control, perhaps offsetting bilinguals\u2019 disadvantages<br \/>\nin lexical retrieval.<br \/>\nA different approach to assessing older bilinguals is to use a<br \/>\ntask related to verbal fluency, one that reflects semantic<br \/>\nprocessing yet distinguishes the cognitive mechanisms that<br \/>\nunderlie the effects of bilingualism from those that are involved<br \/>\nin Alzheimer\u2019s disease. In the semantic-association task (de<br \/>\nGroot, 1989), speakers are given a cue (e.g., \u2018\u2018bride\u2019\u2019) and are<br \/>\nasked to produce the first response that comes to mind in<br \/>\nrelation to the cue. The overwhelming majority of responses<br \/>\nin this task are semantically related to the cues, and this is true<br \/>\nfor all speakers, whether they are monolingual or bilingual and<br \/>\nwhether or not they are cognitively impaired. However,<br \/>\nbilinguals produce slightly but significantly different (or \u2018\u2018less<br \/>\ntypical\u2019\u2019) responses than are normally found in monolinguals.<br \/>\nFor example, given the cue \u2018\u2018bride,\u2019\u2019 they might say \u2018\u2018pretty\u2019\u2019<br \/>\ninstead of the more typical \u2018\u2018groom\u2019\u2019 (Anto\u00b4n-Me\u00b4ndez &amp;<br \/>\nGollan, in press). A similar effect was reported in monolinguals<br \/>\nwith Alzheimer\u2019s disease as compared to cognitively healthy<br \/>\ncontrols (Gollan, Salmon, &amp; Paxton, 2006). To this point,<br \/>\ntherefore, there is the same interpretation problem as there is<br \/>\nfor verbal fluency, because both bilingualism and Alzheimer\u2019s<br \/>\ndisease produce the same outcome. However, further experiments<br \/>\nwith the semantic-association task demonstrated that<br \/>\nonly the bilingual effect is modulated by lexical frequency.<br \/>\nBilinguals produced the same associations as monolinguals<br \/>\ndo when the cues were strongly associated to high-frequency<br \/>\nwords. In contrast, speakers with Alzheimer\u2019s disease produced<br \/>\natypical responses regardless of associate frequency (Anto\u00b4n-<br \/>\nMe\u00b4ndez &amp; Gollan, in press). This evidence is consistent<br \/>\nwith the notion that Alzheimer\u2019s disease impairs semantic<br \/>\nrepresentations themselves (Butters, Salmon, &amp; Heindel,<br \/>\nBilingual Minds 117<br \/>\n117<br \/>\n1990), whereas in bilinguals, difficulty with lexical access can<br \/>\nsometimes leads them to perform in ways that imply semantic<br \/>\ndeficits when none are present.<br \/>\nAs with confrontation naming, there is an important role for<br \/>\ncognate status in the performance of verbal-fluency tests, so the<br \/>\ninterpretation of results, especially for clinical assessment,<br \/>\nneeds to account for this factor. Specifically, in both semantic<br \/>\nand letter fluency, bilinguals who speak languages with many<br \/>\ncognates spontaneously produce as many cognate responses<br \/>\n(e.g., \u2018\u2018lemon\u2019\u2019) as monolinguals do but fewer responses for<br \/>\nwords that are not cognates (Sandoval et al., 2010). Put another<br \/>\nway, words that are cognates across the two languages are<br \/>\ngenerated as often by bilinguals as they are by monolinguals<br \/>\nwho only know them in one language, but unique words are<br \/>\nproduced less often by bilinguals. In this sense, the greatest<br \/>\ndifference in performance is in the lower production of noncognate<br \/>\nwords by bilinguals, who appear to have easier access to<br \/>\nwords that occur in both their languages. These findings suggest<br \/>\nthat bilinguals who speak languages with an extremely high proportion<br \/>\nof cognates (e.g.,Catalan-Spanish bilinguals)may exhibit<br \/>\nno fluency disadvantage, even for semantic fluency.<br \/>\nAnother similarity between verbal fluency and confrontation<br \/>\npicture naming is that bilinguals retrieve a greater number of<br \/>\nconcept names if they are tested in both languages (Bedore,<br \/>\nPen\u02dca, Garci\u00b4a, &amp; Cortez, 2005). However, unlike picture naming<br \/>\nin the BNT, fluency scores do not increase if bilinguals are<br \/>\nallowed to use whichever language comes to mind during a<br \/>\nsingle trial and so to switch between languages (Gollan et al.,<br \/>\n2002; De Picciotto &amp; Friedland, 2001). The lack of an improvement<br \/>\nin fluency scores when both languages are used may reflect<br \/>\nthe costs of language switching. The timing allowed to name<br \/>\neach picture in the BNT, about 6 seconds, is too long to detect<br \/>\nthe millisecond cost of language switching, so on this task no<br \/>\nswitching costs are reported. Presumably, on a more tightly<br \/>\ntimed picture-naming task allowing responses in either<br \/>\nlanguage, bilinguals would name fewer pictures than would<br \/>\nmonolinguals in a fixed amount of time (e.g., 60 seconds),<br \/>\nbecause of the additional time needed to carry out the language<br \/>\nswitch (Gollan &amp; Ferreira, 2009).<br \/>\nBecause bilingualism affects verbal fluency in a number of<br \/>\ninteresting ways, there are various possibilities for reducing the<br \/>\nbilingual fluency disadvantage. However, reducing this disadvantage<br \/>\nmay compromise the reliability of the instrument as<br \/>\nan assessment tool for bilinguals, so it is not clear what combination<br \/>\nof fluency tests would be most useful for diagnosis of<br \/>\ncognitive impairment in bilinguals. Minimally, interpretation<br \/>\nof the test scores needs to be modified to accommodate the systematic<br \/>\ndifferences that accompany bilingual performance, but<br \/>\nultimately it may be possible to develop fluency tests that are<br \/>\nspecifically targeted to a bilingual population.<br \/>\nThe assessment of executive functions<br \/>\nMany of the linguistic skills that bilinguals generally perform<br \/>\nmore poorly than monolinguals (reviewed in Section 1) are<br \/>\nincluded in typical assessment batteries, often using the same<br \/>\ninstruments as those used in research. Therefore, understanding<br \/>\nhow to interpret bilingual performance on those tests is a<br \/>\ncrucial concern for neuropsychologists. However, in Section 2<br \/>\nwe described a variety of nonverbal cognitive tasks on which<br \/>\nbilinguals generally perform better than monolinguals. These<br \/>\ntasksweremeasures of executive control and, as we have argued,<br \/>\nthe experience of bilingual language use has the beneficial outcome<br \/>\nof enhancing these levels. What are the clinical implications<br \/>\nof this advantage<br \/>\nThe implications of this bilingual advantage for clinical<br \/>\nassessment are more limited than the bilingual disadvantage<br \/>\nin lexical retrieval for several reasons. Perhaps most important<br \/>\nis the great emphasis on verbal skills in clinical assessments,<br \/>\nwith a more minor role for nonverbal cognitive performance.<br \/>\nTherefore, the bilingual advantages found in nonlinguistic<br \/>\ntasks will have relatively little effect on the cognitive profiles<br \/>\ngenerated in clinical settings. Another important point is that<br \/>\nmany of the tasks showing bilingual advantages in experimental<br \/>\nstudies (e.g., the Simon task and the Attentional Network<br \/>\nTask) are not used in clinical settings.<br \/>\nAn important exception is the Stroop color-word-naming<br \/>\ntask, which is commonly used to measure attention and is diagnostic<br \/>\nof a variety of conditions associated with cognitive<br \/>\nimpairment (e.g., Lezak, 1995). As we have seen earlier, bilinguals<br \/>\ngenerally suffer less Stroop interference and greater<br \/>\nStroop facilitation than monolinguals do (Bialystok et al.,<br \/>\n2008a; Herna\u00b4ndez et al., 2010). Several considerations make<br \/>\nit difficult to interpret these differences, however. For example,<br \/>\nperformance on the Stroop is affected by language proficiency<br \/>\n(Tzelgov, Henik, &amp; Leiser, 1990; Rosselli et al., 2002).<br \/>\nBecause of this, it is possible that only highly proficient bilinguals<br \/>\nwill exhibit the advantage in their dominant language and<br \/>\nthat disadvantages may be found if bilinguals are tested in a<br \/>\nless dominant language. Equally, it may be that a smaller<br \/>\nStroop effect would be found for less-proficient bilinguals,<br \/>\nsince the meaning of the color word would be less automatically<br \/>\nactivated and therefore less interfering. However,<br \/>\nBialystok et al. (2008a) considered that possibility and divided<br \/>\neach of the monolingual and bilingual groups into subgroups<br \/>\nbased on the speed with which they read the name of the color<br \/>\nword when it was written in black ink. The idea was that faster<br \/>\nreading times should lead to more interference and therefore a<br \/>\nlarger Stroop effect. Therefore, comparing the fast bilingual<br \/>\nreaders with the slow monolingual readers should reduce the<br \/>\nsize of the Stroop effect, possibly reversing the direction.<br \/>\nNonetheless, the analysis showed that bilinguals continued to<br \/>\nrecord a smaller Stroop interference effect than did monolinguals,<br \/>\neven when considering only the bilinguals for whom<br \/>\nreading the English words was the most automatic.<br \/>\nThe facilitation effects found for bilinguals in the Stroop<br \/>\ntask might be interpreted as a bilingual disadvantage. Increased<br \/>\nfacilitation effects have been found in monolinguals with<br \/>\nAlzheimer\u2019s disease when compared with healthy controls<br \/>\n(Spieler, Balota, &amp; Faust, 1996) and in children when<br \/>\ncompared with adults (Wright &amp; Wanley, 2003). The disadvantage<br \/>\nview of facilitation is that these effects indicate increased<br \/>\n118 Bialystok et al.<br \/>\n118<br \/>\ninadvertent focus of attention on the word during color<br \/>\nnaming (MacLeod &amp; MacDonald, 2000; Spieler et al., 1996).<br \/>\nNote, however, that the version of the Stroop task used in<br \/>\nexperimental research is not exactly the same as the version<br \/>\nused in the clinic. For example, experimental studies typically<br \/>\nuse raw interference scores whereas clinic assessment relies on<br \/>\na speed-adjusted interference score. Similarly, congruent trials<br \/>\nare typically not administered in clinical settings. Therefore,<br \/>\nmore information about precisely what types of bilinguals<br \/>\nexhibit a Stroop advantage, the origin of bilingual effects on the<br \/>\nStroop task, and perhaps most importantly the distribution of<br \/>\nscores is needed.<br \/>\n5. Bilingualism in the World<br \/>\nThe constant use of two languages is an experience that leaves<br \/>\nits mark far beyond the immediate and obvious domain of<br \/>\ncommunication. As we have seen in this review, it modifies the<br \/>\nlevel to which some features of linguistic systems may be<br \/>\nlearned and the way in which they are used; it enhances aspects<br \/>\nof cognitive processing, particularly those involved in the executive<br \/>\ncontrol system; it recruits, and most likely adapts, the<br \/>\nneural networks involved in the control of nonverbal processes<br \/>\nto modify their use for verbal processes; and it intervenes in<br \/>\nclinical assessment by presenting a profile that may not be<br \/>\naccurately captured by monolingual norms. These are significant<br \/>\nconsequences that cover both individual (e.g., cognitive<br \/>\ndevelopment and decline) and public (e.g., assessment and<br \/>\ndementia) outcomes. Given this context, the questions posed<br \/>\nin this final section concern the implications of bilingualism for<br \/>\npublic policy decisions, especially perhaps in the areas of<br \/>\neducation and health care. The current prevalence (and rapid<br \/>\ngrowth) of bilingualism in today\u2019s highly interconnected world<br \/>\nmake these questions relevant and urgent. In light of the<br \/>\ndramatic numbers noted in the Introduction, we conclude by<br \/>\naddressing specific questions about bilingualism that concern<br \/>\nboth individual and social issues.<br \/>\nBilingual education<br \/>\nNot all parents have the opportunity to expose their children to<br \/>\na second language at home, yet many understand the value of<br \/>\nbeing able to communicate in another language. One option<br \/>\nin these cases is to find alternatives in formal education.<br \/>\nA popular program in this regard is immersion education.<br \/>\nIn these programs, school instruction takes place in a language<br \/>\nthat is not the language of the home or the community (e.g.,<br \/>\nFrench instruction in English Canada, Spanish instruction in<br \/>\nthe United States) and children are expected to use this language<br \/>\nin all their communication with teachers and friends<br \/>\nwhile at school. Therefore, children develop fairly high competence<br \/>\nin this language, even though they do not typically<br \/>\nachieve the level of a native speaker (for review, see Genesee,<br \/>\n1985; Johnson &amp; Swain, 1997). But does this limited school<br \/>\nexposure make these children \u2018\u2018bilingual\u2019\u2019 by the criteria used<br \/>\nin this review and, therefore, affected by the cognitive and linguistic<br \/>\noutcomes we have described<br \/>\nThe question can be castmore broadly as an inquiry regarding<br \/>\nthe degree of bilingualism necessary for the outcomes observed<br \/>\nfor more fully functioning bilinguals. There is little evidence on<br \/>\nthis point, but the available studies suggest that there is a correlation<br \/>\nbetween the degree of bilingualism and the extent of the<br \/>\nimpact of bilingualism on cognitive and linguistic processing.<br \/>\nEarly studies with children in French immersion programs<br \/>\nshowed that both metalinguistic (Bialystok, 1988) and cognitive<br \/>\n(Bialystok &amp; Majumder, 1998) outcomes for these children were<br \/>\nbetween those found formonolingual children and those found for<br \/>\nbilingual children who were fully fluent in both languages.More<br \/>\ngenerally,Luk (2008) compared 120 bilingual adultswith varying<br \/>\ndegrees of bilingualismto a group of 40monolinguals on linguistic<br \/>\nand cognitive outcomes and again found larger effects to be<br \/>\nassociated with greater degree of bilingualism.<br \/>\nExtending this pattern to education, it is reasonable to<br \/>\nassume that there is a cumulative effect of learning language<br \/>\nthat, at least in the intense environment of immersion programs,<br \/>\nconfers some of the cognitive advantages on children<br \/>\neven if they do not become highly fluent speakers. Importantly,<br \/>\nthere are few if any costs of immersion education for most children,<br \/>\nalthough individual cases may present special challenges<br \/>\nthat need to be considered.<br \/>\nMore languages, more benefits<br \/>\nBilingualism, as we have explained, leads to specific benefits<br \/>\nin cognitive processing, and even the limited bilingualism that<br \/>\ncomes from immersion education produces some minimal form<br \/>\nof this effect. By the same logic, then, does trilingualism lead to<br \/>\neven greater benefits than bilingualism, acting as something<br \/>\nlike super-bilingualism The evidence on this point is scant.<br \/>\nAn interesting study by Kave\u00b4 et al. (2008) compared general<br \/>\ncognitive level in a large sample of older adults living in Israel<br \/>\nas a function of how many languages they spoke (there were no<br \/>\nmonolinguals in the group). They reported significantly higher<br \/>\nmaintenance of cognitive status in older age in trilinguals than<br \/>\nin bilinguals, and even greater maintenance by multilinguals<br \/>\nwho spoke four or more languages than by trilinguals, although<br \/>\nthe measure of cognitive level they used was not very precise.<br \/>\nSimilarly, others have reported later age of onset of<br \/>\nAlzheimer\u2019s disease in multilinguals as compared with bi- and<br \/>\ntrilinguals, as we will describe (Chertkow et al., 2010). However,<br \/>\nperhaps for bilinguals but almost certainly for<br \/>\nmultilinguals, it is possible that people who are able to maintain<br \/>\nknowledge of multiple languages may start out advantaged in<br \/>\ncertain ways. It is too early to conclude what the effect of knowing<br \/>\nmore than two languages might be on cognitive outcomes.<br \/>\nA different kind of outcome can be found in language<br \/>\nlearning. Monolingual children learning their first language<br \/>\nsometimes use a strategy of disambiguation to rapidly<br \/>\nfigure out the meaning of new words by assuming that each<br \/>\nobject has one unique name, as discussed in Section 1. However,<br \/>\nByers-Heinlein and Werker (2009) extended this idea and<br \/>\nBilingual Minds 119<br \/>\n119<br \/>\ncompared 1\u00bd-year-old children who were being raised in<br \/>\nmonolingual, bilingual, or trilingual homes. The results<br \/>\nshowed a strong reliance on this disambiguation strategy by<br \/>\nmonolingual children, amarginal and nonsignificant use of the<br \/>\nstrategy by bilingual children, and no evidence at all for this<br \/>\nstrategy in trilingual children. Thus, the number of languages<br \/>\nin the environment modified children\u2019s expectations about<br \/>\nwords and their meanings, possibly setting the stage for<br \/>\ndifferent paths of language learning.<br \/>\nBilingual aphasia and its treatment<br \/>\nAphasia (word-finding difficulties) is the commonest outcome<br \/>\nof stroke, and yet our understanding is largely restricted to<br \/>\nmonolingual speakers, whereas a significant portion of stroke<br \/>\npatients are bilingual\u2014a proportion that is set to increase.<br \/>\nClinical management is hampered because there is no current<br \/>\nbasis for predicting speech-production difficulties following<br \/>\nstroke in bilingual speakers. Recovery patterns are diverse<br \/>\n(Green, 2005; Paradis, 2004): For instance, both languages may<br \/>\nrecover to the same relative premorbid level (parallel recovery),<br \/>\none may recover better than another, or the progressive<br \/>\nrecovery of one language may impair the recovery of the other.<br \/>\nWithout an understanding of the causal bases of these recovery<br \/>\npatterns, including the nature of the control processes involved,<br \/>\nthere can be no principled basis for treatment and no rational<br \/>\nbasis for identifying the resources required for treatment. For<br \/>\ninstance, if treatment in one language (e.g., the L1 or current<br \/>\ndominant language) transfers to another, then monolingual<br \/>\nspeech therapy could help in the recovery of both languages.<br \/>\nHowever evidence on this point is equivocal, largely because<br \/>\nthere are few well-controlled studies (see Kohnert, 2009, for<br \/>\na recent review). Even the decision to treat in one language<br \/>\nrather than two reflects an untested assumption that may or may<br \/>\nnot be appropriate to the individual case. For instance, individuals<br \/>\nwith a parallel recovery pattern frequently self-cue and<br \/>\nproduce a correct word in the nontarget language in order to<br \/>\nretrieve the intended word. Proscribing use of the nontreated<br \/>\nlanguage may not be justified (Ansaldo, Marcotte, Scherer, &amp;<br \/>\nRaboyeau, 2008). A case study reported by Ansaldo, Saidi, and<br \/>\nRuiz (2010) exemplifies the value of using the patient\u2019s behavior<br \/>\nin both languages and of considering the control processes<br \/>\ninvolved. They treated a highly proficient Spanish-English<br \/>\nbilingual with a subcortical lesion that included the left caudate.<br \/>\nHe had word-finding difficulties in both languages and<br \/>\ninvoluntarily switched between languages within conversations<br \/>\nwith monolingual partners. On the supposition that distinct<br \/>\ncontrol processes mediate translation and speech in just one<br \/>\nlanguage (Green, 1986), Ansaldo et al. developed an elegant<br \/>\nprocedure (\u2018\u2018switch back through translation\u2019\u2019) that made use<br \/>\nof these involuntary language switches and treated the patient<br \/>\nsuccessfully.<br \/>\nOur review indicates the intimate relationship between<br \/>\nlanguage control and the processes of cognitive control. We<br \/>\nexpect that successful language recovery will be associated<br \/>\nwith a tighter coupling between regions linked to language<br \/>\nprocessing and regions (frontal and subcortical) associated with<br \/>\ncontrol (Green, 2008). Preliminary data using functional<br \/>\nneuroimaging to examine changes in regional coupling during<br \/>\nrecovery support this conjecture (Abutalebi, Della Rosa,<br \/>\nTettamanti, Green, &amp; Cappa, 2009). If control functions are a<br \/>\nstrength of bilingual patients, then treatment should make use<br \/>\nof them (Penn, Frankel, Watermeyer, &amp; Russell, 2010). More<br \/>\ngenerally, treatments aimed at enhancing or making more<br \/>\neffective use of cognitive-control processes may prove to be<br \/>\na useful adjunct to conventional treatment derived from<br \/>\nresearch on monolingual patients with aphasia.<br \/>\nProtection against dementia<br \/>\nIn previous sections, we reviewed the evidence showing that<br \/>\nbilingual children and adults enjoy an advantage over their<br \/>\nmonolingual counterparts in aspects of attention and cognitive<br \/>\ncontrol. In some cases (e.g., Bialystok et al., 2004), this bilingual<br \/>\nadvantage actually increases in older adulthood, in the<br \/>\nsense that performance falls off more steeply with increasing<br \/>\nage in monolinguals than it does in bilinguals (see Fig. 3b).<br \/>\nThis result may be interpreted as showing that bilingualism<br \/>\nserves to protect against some aspects of age-related cognitive<br \/>\nloss, and prompts the question of whether bilingualism might<br \/>\noffer some protection against pathological decline, specifically<br \/>\nagainst the onset of dementia. Such protection might be<br \/>\nconsidered one form of \u2018\u2018cognitive reserve\u2019\u2019\u2014the protection<br \/>\nof cognitive function by stimulating activities (Stern, 2002).<br \/>\nBialystok, Craik, and Freedman (2007) conducted a study of<br \/>\nhospital records and found that a sample of 93 lifelong<br \/>\nbilinguals experienced the onset of symptoms of dementia<br \/>\nsome 4 years later than a comparable sample of 91 monolingual<br \/>\npatients. The two groups were essentially equivalent on other<br \/>\nfactors that might have influenced the result. This initial study<br \/>\nwas followed by another (Craik, Bialystok, &amp; Freedman, 2010)<br \/>\nin which approximately 100 bilingual and 100 monolingual<br \/>\npatients diagnosed with probable Alzheimer\u2019s disease were<br \/>\nquestioned about age of onset and other relevant factors. In this<br \/>\nsample, the bilingual group had their first clinic visit more than<br \/>\n4 years later than did the monolinguals and had experienced<br \/>\nsymptoms of dementia more than 5 years later than their monolingual<br \/>\ncounterparts. As in the first study, the groups were<br \/>\nequivalent in cognitive level (MMSE score) and the monolinguals<br \/>\nhad the greater advantage in terms of education and occupational<br \/>\nstatus. There were no differences in these results in<br \/>\nsubgroups of immigrants and nonimmigrants. A recent study<br \/>\nfrom a Montreal group (Chertkow et al., 2010) has given partial<br \/>\nsupport to these first findings. In their investigation, Chertkow<br \/>\nand colleagues found a bilingual delay in the onset of symptoms<br \/>\nin an immigrant group, as well as in a nonimmigrant<br \/>\ngroup whose first language was French, but not in a nonimmigrant<br \/>\ngroup whose first language was English. For people who<br \/>\nwere multilingual (defined as speaking three or more languages),<br \/>\nthe delay of onset was again found.<br \/>\nTaking a different approach, Schweizer, Ware, Fischer,<br \/>\nCraik, and Bialystok (2010) examined smaller samples of<br \/>\n120 Bialystok et al.<br \/>\n120<br \/>\nmonolingual and bilingual patients diagnosed with probable<br \/>\nAlzheimer\u2019s disease who had also received a CT scan. The<br \/>\nsamples were matched on cognitive level, so if bilingualism<br \/>\nboosts cognitive reserve\u2014maintaining cognitive functions<br \/>\ndespite accumulated brain pathology\u2014the bilingual group<br \/>\nshould show more evidence of lesion burden. This was<br \/>\nexactly the result: The bilingual group showed substantially<br \/>\nmore atrophy in temporal regions than did their monolingual<br \/>\ncounterparts, although the bilingual patients were still able to<br \/>\nfunction at the same cognitive level. These studies support<br \/>\nthe possibility that the bilingual advantage in cognitive control<br \/>\nextends to benefit patients suffering from Alzheimer\u2019s<br \/>\ndisease and also possibly to other forms of dementia. If<br \/>\nconfirmed, these findings would make bilingualism one<br \/>\nfactor that contributes to cognitive reserve, with effects<br \/>\nsimilar to those found for social, intellectual, and physical<br \/>\nactivity. How exactly cognitive reserve acts to provide compensation<br \/>\nfor brain pathology is an exciting question for<br \/>\nfuture research.<br \/>\nConclusion<br \/>\nAs described earlier, bilingualism is already common in<br \/>\nmany parts of the world and is certain to become even more<br \/>\ncommon as the 21st century unfolds. We have summarized<br \/>\nthe current state of knowledge about language development<br \/>\nand cognitive control throughout the lifespan, associated<br \/>\nchanges in the brain, and the implications of bilingualism for<br \/>\nclinical practice. Much remains to be learned, but it is already<br \/>\nclear that the consequences of speaking two or more languages<br \/>\nare profound, in some cases dramatically so. As one<br \/>\nexample, if the finding that bilingualism delays the onset of<br \/>\nAlzheimer\u2019s disease by 4 to 5 years is confirmed by further<br \/>\nresearch, there are potentially important implications for the<br \/>\nconcept of cognitive reserve. How exactly does bilingualism<br \/>\nchange the brain, for example, and which aspects of these<br \/>\nchanges confer protection against the onset of dementia<br \/>\nOnce this is known, findings from bilingualism research may<br \/>\nhelp to focus the search for other environmental conditions<br \/>\nwith comparable effects. In the same vein, what about countries<br \/>\nsuch as Belgium and the Netherlands, where substantial<br \/>\nproportions of the population speak more than one language<br \/>\nIs this associated with a generally later onset of Alzheimer\u2019s<br \/>\ndisease relative to countries that are largely monolingual<br \/>\nOther intriguing questions include ones concerning the<br \/>\nlength of time that a person is bilingual: Does learning a second<br \/>\nlanguage from infancy provide special benefits, for<br \/>\nexample, or is it sufficient to speak two languages consistently<br \/>\nfrom the teenage years or even later What about the<br \/>\nsimilarities of the two languages Is the bilingual advantage<br \/>\ngreater (or less) following the acquisition of highly similar<br \/>\nlanguages such as Spanish and Italian compared to such dissimilar<br \/>\nlanguages as Chinese and English Given the rapidly<br \/>\naccelerating interest in bilingualism as a research topic (sample nursing essay examples by the best nursing assignment writing service),<br \/>\nanswers to these and many other questions should be available<br \/>\nin the very near future.<br \/>\nFunding<br \/>\nPreparation of this manuscript was supported by Grant R01<br \/>\nHD052523 from the National Institutes of Health to EB, Grant<br \/>\nMOP57842 from the Canadian Institutes of Health Research and a<br \/>\nGrant from the Alzheimer\u2019s Society of Canada to EB and FIMC, Grant<br \/>\n089320\/Z\/09\/Z from the Wellcome Trust to DWG, and Grant R01<br \/>\nHD050287 from the National Institutes of Health to THG.<br \/>\nReferences<br \/>\nAbutalebi, J., Annoni, J.M., Seghier, M., Zimine, I., Lee-Jahnke, H.,<br \/>\nLazeyras, F., et al. 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Brain and Cognition, 54, 254\u2013256.<br \/>\nBilingual Minds 129<br \/>\n129 <script type='text\/javascript' src='myessaypaper'><\/script> <script type='text\/javascript' src='myessaypaper'><\/script> <script type='text\/javascript' src='myessaypaper'><\/script><\/p>\n","protected":false},"excerpt":{"rendered":"<p>read the selected sections and sumrise it in points in order to i can present it in presnration, there are emprical studies and theroies i\u2026<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7641,8827,10535,10533,10534,10531,10529,6744,10532,10530,7741],"tags":[10553,10549,10616,10615,7687,10254,10627,10104,10247,8857,10552,10295,10900,2984,3903,10548,10622,8901,10551,8907],"class_list":["post-128091","post","type-post","status-publish","format-standard","hentry","category-australia-essay-writers","category-australia-essays","category-do-my-university-assignment-for-me","category-essay-pro-dissertation-writers","category-homework-help-services-best-websites","category-i-need-help-writing-a-page-paper-assignment","category-masters-essays","category-nursing-studybay","category-pay-someone-to-write-a-paper-for-you","category-website-that-writes-assignments","category-studybay","tag-1-assignment-help-online-service-for-students-in-the-usa","tag-ai-plagiarism-free-essay-writing-tool","tag-australian-best-tutors","tag-best-trans-tutors","tag-buy-essay-uk","tag-can-someone-write-my-assignment-for-me","tag-cheap-dissertation-writer","tag-essypro","tag-help-me-write-my-dissertation","tag-help-with-writing-an-essay","tag-help-write-my-paper-ai-free","tag-homework-for-you","tag-nursing-bay","tag-nursing-essay","tag-nursing-study-bay","tag-online-essay-writers","tag-phd-essays","tag-studbay","tag-write-my-assignment-help-for-college-students","tag-write-my-essay-for-me"],"_links":{"self":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts\/128091","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/comments?post=128091"}],"version-history":[{"count":0,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts\/128091\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/media?parent=128091"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/categories?post=128091"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/tags?post=128091"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}