Have you had language problems

Neuropsychological advisor

Wernicke's aphasia - symptoms

Patients with Wernicke aphasia are not always aware of their speech disorder. This is important to know so that you know how to deal with these patients. The most common symptom is a fluid but also very exaggerated flow of speech. These patients are practically unstoppable. Unfortunately, their language is seldom really understandable. Patients with Wernicke aphasia are prone to semantic and phonematic paraphasias. Your language is thus on the one hand permeated by sound changes of individual words and on the other hand by the use of the sense of similar but inappropriate words. In addition, Wernicke aphasic patients often show so-called Paragrammatism, they nest and merge the things they want to communicate in such a way that hardly anything intelligible comes out of them.
Miss Dr. In her book, Lutz recorded a conversation with a patient with Wernicke aphasia. The patient had been asked to talk about his apartment:

L.L .: Do you have a garden where you live?
Mr. J .: Ha ah, I can see that here right away.
L.L .: Yes, do you have a garden there too? Where do you live?
Mr. J .: Yes, gäh uh ka ur a geomer, a teomer vin annern to eh
L.L .: Yes ...
Mr. J .: Nech, well, my nice kerger küksil in summer, now at this time ...
L.L .: Yes ...
Mr. J .: Had the bron as a one for uh na et that or or for me because for - God, how difficult is that!
L.L .: I still can't understand you, unfortunately! I would really like to, but there are always other words ...
Mr J .: I know, but I have a bad deal because I have read some things so, yes, oh yes, I stand there for hall sarge what I knew ...

(Quote from "Understanding the Silence", Dr. Luise Lutz, Chapter 3.2.2.)

At the beginning of the description of the symptoms of Wernicke aphasia, it was stated that patients with this form of aphasia are not aware of their speech problems. The conversation just quoted suggests that this is not the case. However, it must be said here that shortly after the first appearance of Wernicke aphasia, the patients are really not aware of their language problems. To make matters worse, the patients do not realize the differences between what they said and what they wanted to say. So, so to speak, you hear what you wanted to say, even if we hear something completely different. This problem initially makes it difficult to understand the disease and thus of course the chances of success for the rehabilitation.
As expected, the written language is unfortunately also affected by Wernicke's aphasia. Patients with Wernicke's aphasia write, as they speak, convoluted and complex sentences that are often lacking in the right words. Unfortunately, reading is not just affected, and these patients often fail to grasp the meaning of what they are reading. However, it seems that the understanding of written language improves faster than that of the spoken language. This is a good chance for therapy, which we will talk about later.

 

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