VERBAL REALIZATION IN APHASIA
VERBAL REALIZATION IN APHASIA
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DOI：
10.1093/brain/79.1.1
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发表时间：
1956-01-01
期刊：
影响因子：
14.5
通讯作者：
ALAJOUANINE, T
中科院分区：
文献类型：
--
作者：
ALAJOUANINE, T
临床资料包括317例连续病例。作者对失语症严格的口头语言方面的分析得出以下结论：(1)大脑与语言有关的部分的病变导致运动性言语缺陷，从完全不能说出一个单词到不能充分表达情感和思想，尽管在最复杂的情况下也能滔滔不绝。(2)每个患者的言语成就的充分性因其对言语的刺激而不同：导致情绪性、咒骂性、感叹性、自动性、习惯性语言的情景总是比需要意志或命题言语的情景更有效。(3)在患者似乎完全意识不到的情况下，经常以一种强迫的、几乎是非自愿的方式出现的语言残留物，有几种相对统一和容易识别的形式。详细描述了动词刻板印象、语法错误、语音解体、行话失语等。(4)对这些言语表达障碍的长期观察揭示了某些可预测的进化序列，这些序列对预测言语障碍的结局有价值，具有一定的病理生理意义。
Clinical material consists of 317 consecutive cases. Authors analysis of the strictly oral verbal aspects of aphasia lead to following conclusions (1) Lesions of parts of brain concerned with language result in a motor speech defect varying from complete inability to utter a single word to an inability adequately to express feelings and thoughts, despite volubility in the most complex situations. (2) The adequacy of verbal accomplishment in any one patient varies according to his stimulus to speech: situations leading to emotional, expletive, interjectional, automatic, habitual language are always more effective than those requiring volitional or propositional speech. (3) The verbal residues, which often appear in a compulsive, almost involuntary, manner without the patient seeming to be fully aware of them, take several relatively uniform and easily recognizable forms. Those which are called verbal stereotypy, agrammatism, phonetic disintegration, jargon aphasia were described in detail. (4) Prolonged observation of these disorders of verbal expression reveals certain predictable evolutionary sequences, which are of value in prognostication of the outcome of the speech disorders, and which posses a certain pathophysiological significance.