Publication
Title
Psychogenic foreign accent syndrome : a new case
Author
Abstract
Thispaperpresentsthecaseofa33-year-old,right-handed,French-speakingBelgianladywhowasinvolvedinacaraccidentasapedestrian.SixmonthsaftertheincidentshedevelopedaGerman/Flemish-likeaccent.Thepatientsmedicalhistory,theonsetoftheFASandthepossiblepsychologicalcausesoftheaccentchangeareanalyzed.Relevantneuropsychological,neurolinguistic,andpsychodiagnostictestresultsarepresentedanddiscussed.Thepsychodiagnosticinterviewandtestingwillreceivespecialattention,becausethesehavebeenunderreportedinpreviousFAScasereports.Furthermore,anaccentratingexperimentwascarriedoutinordertoassesstheforeignqualityofthepatientsspeech.Pre-andpost-morbidspontaneousspeechsampleswereanalyzedphoneticallytoidentifythepronunciationcharacteristicsassociatedwiththistypeofFAS.SeveralfindingswereconsideredessentialinthediagnosisofpsychogenicFAS:thepsychologicalassessmentsaswellastheclinicalinterviewconfirmedthepresenceofpsychologicalproblems,whileneurologicaldamagewasexcludedbymeansofrepeatedneuroimagingandneurologicalexaminations.Thetypeandnatureofthespeechsymptomsandtheaccentfluctuationsassociatedwiththepatientspsychologicalstatecannotbeexplainedbyaneurologicaldisorder.Moreover,theindifferenceofthepatienttowardherconditionmayalsosuggestapsychogenicetiology,astheoppositeisusuallyobservedinneurogenicFASpatients.
This paper presents the case of a 33-year-old, right-handed, French-speaking Belgian lady who was involved in a car accident as a pedestrian. Six months after the incident she developed a German/Flemish-like accent. The patient's medical history, the onset of the FAS and the possible psychological causes of the accent change are analyzed. Relevant neuropsychological, neurolinguistic, and psychodiagnostic test results are presented and discussed. The psychodiagnostic interview and testing will receive special attention, because these have been underreported in previous FAS case reports. Furthermore, an accent rating experiment was carried out in order to assess the foreign quality of the patient's speech. Pre- and post-morbid spontaneous speech samples were analyzed phonetically to identify the pronunciation characteristics associated with this type of FAS. Several findings were considered essential in the diagnosis of psychogenic FAS: the psychological assessments as well as the clinical interview confirmed the presence of psychological problems, while neurological damage was excluded by means of repeated neuroimaging and neurological examinations. The type and nature of the speech symptoms and the accent fluctuations associated with the patient's psychological state cannot be explained by a neurological disorder. Moreover, the indifference of the patient toward her condition may also suggest a psychogenic etiology, as the opposite is usually observed in neurogenic FAS patients.
Language
English
Source (journal)
Frontiers in human neuroscience
Publication
2016
ISSN
1662-5161
Volume/pages
10(2016), p. 1-13
Article Reference
143
ISI
000374349700001
Medium
E-only publicatie
Full text (Publisher's DOI)
Full text (open access)
UAntwerpen
Faculty/Department
Research group
Publication type
Subject
Affiliation
Publications with a UAntwerp address
External links
Web of Science
Record
Identification
Creation 12.05.2016
Last edited 30.11.2017
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