A Foreign Speech Accent in a Case of Conversion Disorder

Objective: The aim of this paper is to report the psychiatric, neuroradiological and linguistic characteristics in a native speaker of Dutch who developed speech symptoms which strongly resemble Foreign Accent Syndrome. Background: Foreign Accent Syndrome is a rare speech production disorder in whic...

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Main Authors: Jo Verhoeven, Peter Mariën, Sebastiaan Engelborghs, Hugo D’Haenen, Peter De Deyn
Format: Article
Language:English
Published: Wiley 2005-01-01
Series:Behavioural Neurology
Online Access:http://dx.doi.org/10.1155/2005/989602
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author Jo Verhoeven
Peter Mariën
Sebastiaan Engelborghs
Hugo D’Haenen
Peter De Deyn
author_facet Jo Verhoeven
Peter Mariën
Sebastiaan Engelborghs
Hugo D’Haenen
Peter De Deyn
author_sort Jo Verhoeven
collection DOAJ
description Objective: The aim of this paper is to report the psychiatric, neuroradiological and linguistic characteristics in a native speaker of Dutch who developed speech symptoms which strongly resemble Foreign Accent Syndrome. Background: Foreign Accent Syndrome is a rare speech production disorder in which the speech of a patient is perceived as foreign by speakers of the same speech community. This syndrome is generally related to focal brain damage. Only in few reported cases the Foreign Accent Syndrome is assumed to be of psychogenic and/or psychotic origin. Method: In addition to clinical and neuroradiological examinations, an extensive test battery of standardized neuropsychological and neurolinguistic investigations was carried out. Two samples of the patient's spontaneous speech were analysed and compared to a 500,000-words reference corpus of 160 normal native speakers of Dutch. Results: The patient had a prominent French accent in her pronunciation of Dutch. This accent had persisted over the past eight years and has become progressively stronger. The foreign qualities of her speech did not only relate to pronunciation, but also to the lexicon, syntax and pragmatics. Structural as well as functional neuroimaging did not reveal evidence that could account for the behavioural symptoms. By contrast psychological investigations indicated conversion disorder. Conclusions: To the best of our knowledge this is the first reported case of a foreign accent like syndrome in conversion disorder.
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spelling doaj-art-ccfcfdc16a1440b9b46024be58b6b4eb2025-02-03T06:45:57ZengWileyBehavioural Neurology0953-41801875-85842005-01-0116422523210.1155/2005/989602A Foreign Speech Accent in a Case of Conversion DisorderJo Verhoeven0Peter Mariën1Sebastiaan Engelborghs2Hugo D’Haenen3Peter De Deyn4Department of Linguistics, University of Antwerp, Antwerp, BelgiumDepartment of Languages, Vrije Universiteit Brussel, Brussels, BelgiumDepartment of Neurology, ZNA-Middelheim Hospital, Antwerp, BelgiumDepartment of Psychiatry, Academic Hospital, Vrije Universiteit Brussel, Brussels, BelgiumDepartment of Neurology, ZNA-Middelheim Hospital, Antwerp, BelgiumObjective: The aim of this paper is to report the psychiatric, neuroradiological and linguistic characteristics in a native speaker of Dutch who developed speech symptoms which strongly resemble Foreign Accent Syndrome. Background: Foreign Accent Syndrome is a rare speech production disorder in which the speech of a patient is perceived as foreign by speakers of the same speech community. This syndrome is generally related to focal brain damage. Only in few reported cases the Foreign Accent Syndrome is assumed to be of psychogenic and/or psychotic origin. Method: In addition to clinical and neuroradiological examinations, an extensive test battery of standardized neuropsychological and neurolinguistic investigations was carried out. Two samples of the patient's spontaneous speech were analysed and compared to a 500,000-words reference corpus of 160 normal native speakers of Dutch. Results: The patient had a prominent French accent in her pronunciation of Dutch. This accent had persisted over the past eight years and has become progressively stronger. The foreign qualities of her speech did not only relate to pronunciation, but also to the lexicon, syntax and pragmatics. Structural as well as functional neuroimaging did not reveal evidence that could account for the behavioural symptoms. By contrast psychological investigations indicated conversion disorder. Conclusions: To the best of our knowledge this is the first reported case of a foreign accent like syndrome in conversion disorder.http://dx.doi.org/10.1155/2005/989602
spellingShingle Jo Verhoeven
Peter Mariën
Sebastiaan Engelborghs
Hugo D’Haenen
Peter De Deyn
A Foreign Speech Accent in a Case of Conversion Disorder
Behavioural Neurology
title A Foreign Speech Accent in a Case of Conversion Disorder
title_full A Foreign Speech Accent in a Case of Conversion Disorder
title_fullStr A Foreign Speech Accent in a Case of Conversion Disorder
title_full_unstemmed A Foreign Speech Accent in a Case of Conversion Disorder
title_short A Foreign Speech Accent in a Case of Conversion Disorder
title_sort foreign speech accent in a case of conversion disorder
url http://dx.doi.org/10.1155/2005/989602
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