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Opportunities to say 'yes': Rare speech automatisms in a case of progressive nonfluent aphasia and apraxia 

Authors: Chris Code ab;  Jeremy J. Tree bc; Karen Dawe ad
Affiliations:   a School of Psychology, Centre for Cognitive Neurosciences, University of Exeter, Exeter, UK
b School of Communication Sciences & Disorders, University of Sydney, Australia
c School of Human Sciences, University of Swansea, Swansea, UK
d Department of Social Medicine, University of Bristol, Bristol, UK
DOI: 10.1080/13554790902911634
Publication Frequency: 6 issues per year
Published in: journal Neurocase, Volume 15, Issue 6 December 2009 , pages 445 - 458
First Published: December 2009
Formats available: HTML (English) : PDF (English)
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Abstract

We describe the investigation of speech automatisms in a man with progressive nonfluent aphasia and apraxias. Occurrence of the automatisms yes and right, were analysed across a range of speech tasks varying in length, propositionality, lexical and articulatory complexity, whether tasks engaged internal generation or external triggering and articulatory distortions, and while completing pantomimes/gestures. No differences were found in occurrence across most tasks but there was a significant interaction between automatism production and apraxic speech errors and during limb praxic tasks, suggesting that production of the automatism was unrelated to linguistic or lexical variables, but was related to the presence of speech apraxia coupled with disinhibition.
Keywords: Speech automatisms; Progressive nonfluent aphasia; Apraxia of speech; Inhibition
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