This work evaluates the long-debated relationship between word selection and syntax selection during language production in a sample of 231 individuals (79 patients with primary progressive aphasia [PPA] and 152 healthy speakers). We first provide a characterization of syntactic complexity based on the frequency of the syntactic rules, which allows for the direct comparison of syntactic and lexical complexities. We then provide converging evidence for a syntax–lexicon complexity trade-off in utterance planning in picture description which might reflect a basic property of language production.
Spoken language production involves selecting and assembling words and syntactic structures to convey one’s message. Here we probe this process by analyzing natural language productions of individuals with primary progressive aphasia (PPA) and healthy individuals. Based on prior neuropsychological observations, we hypothesize that patients who have difficulty producing complex syntax might choose semantically richer words to make their meaning clear, whereas patients with lexicosemantic deficits may choose more complex syntax. To evaluate this hypothesis, we first introduce a frequency-based method for characterizing the syntactic complexity of naturally produced utterances. We then show that lexical and syntactic complexity, as measured by their frequencies, are negatively correlated in a large ( n = 79) PPA population. We then show that this syntax–lexicon trade-off is also present in the utterances of healthy speakers ( n = 99) taking part in a picture description task, suggesting that it may be a general property of the process by which humans turn thoughts into speech.