![]() ![]() Word approximations: unconventional and idiosyncratic word use. ![]() Clanging: speech in which word choice is governed by word sound rather than meaning word choice may show rhyming or punning associations.Illogicality: marked errors in inferential logic.Incoherence (word salad, schizaphasia): severe lack of speech cohesion at the basic level of syntax and/or semantics within sentences.Derailment (loosening of associations): spontaneous speech with marked impairments in topic maintenance.Tangentiality: Replies to questions are off-point or totally irrelevant.Distractible speech: topic maintenance difficulties due to distraction by nearby stimulus.Pressure of speech: increased rate and quantity of speech speech may be loud and difficult to interrupt.Poverty of content of speech: adequate speech quantity with prominent vagueness and inappropriate level of abstraction.Poverty of speech: restricted quantity of speech brief, unelaborated responses.However, heightened frequency and severity of these problems should be noted by the physician and accounted for in the patient’s diagnostic formulation.įormal thought disorder descriptors (adapted from the Thought, Language, and Communication scale) : Thus, the categorical presence or absence of the following language problems is not absolutely diagnostic of any condition. ![]()
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