Stereotypy Speech

Speech stereotypes

Stereotypical speech, as defined by the International Classification of Diseases, 11th Revision, is uncontrolled, repeated utterance that is a consequence of various brain diseases. They do not carry any communicative load, they are perceived by the people around them as a clear violation, for example, relatives of people with Pick syndrome are characterized by endless repetitions of the same questions, and with constant repetitions of the same answers, many of which may even make sense. This kind of pathological problem, in which patients constantly use the same verbal stamp, tongue-tiedness manifests itself in incoherent, uninformative, and also repetitive speech. With Pick's syndrome, the brain is poorly functional and muscle movement during speech is inhibited. Regular stereotypical phrases, which are performed by patients without any changes, can be of different types. Some may describe patients' limited social experiences, while others may serve as questions to the interviewee, although no factual information is required. These varieties can appear in the form of questions, critical expressions, statements about what is happening, comments about oneself and the world around us, etc.

Stereotypic responses may be found in patients with dementia such as Pick's disease. They may say short, unchanging phrases over and over again, resulting in slower speech and decreased communication. An example of a stereotypical response might be "I'm still here, I'm still around." Stereotypical responses may arise to questions and requests that usually do not cause communication difficulties. These patients will often not respond to changes in context and access past memories.

These characteristics can lead to social isolation and fewer interactions with society. The severity of speech impairment depends on the nature of the disease that causes it. In some cases, this can lead to complete inability to communicate and care for oneself. The patient often becomes completely fixated on these repeated phrases, impairing the ability to understand and use speech.

In Pick's disease, the formation of subcortical cysts can lead to deterioration in functional abilities. Such patients may have lack of coordination, weakness, decreased memory and consciousness, and impaired mental status. The stages of the disease may vary and have different symptoms. Therefore, the evaluation and treatment of patients with this disorder depends on the stage of Pick's disease.