Contribution of articulatory rehearsal to short-term memory: evidence from a case of selective disruption.

We describe a brain-damaged patient with disturbed articulatory rehearsal in whom all predictions derived from a working memory model were fulfilled. The patient showed a reduced verbal span, no word-length effect on immediate recall in both the visual or the auditory modalities, no phonological similarity effect in the visual modality, and no effect of articulatory suppression. A slowed overt articulation rate provided independent evidence for disrupted articulatory rehearsal. The other components of working memory, the visuospatial scratch-pad, phonological storage system, and central executive, were functional. The selectivity of the deficit can be taken as evidence for the specific role of articulatory rehearsal in working memory.