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Broca's Aphasia

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Broca’s Aphasia, also known as Expressive Aphasia, was discovered by physician Paul Broca after studying a patient who could only speak the word “tan” following severe brain damage (“Broca’s (Expressive) Aphasia,” n.d.). This form of Aphasia occurs as a result of damage within the frontal regions of the brain. Specifically, this location is known as Broca’s area of the brain, which is known as the speech area. This causes Mr. Brown to have trouble executing speech, as working memory and motor planning are disrupted (Owens, R. E., Jr., Farinella, K. A., & Metz, D. E., 2014, p. 151). Though the malformation in Mr. Brown’s vascular system is developmental, as it has been present from birth, his diagnosis of Broca’s aphasia is acquired, as it is …show more content…
Brown’s communication skills affect the form, content, and use of his language execution. In terms of form, his utterances are mainly composed of single word or very few-word utterances, due to his struggles to recall words and produce sounds intelligibly (“ASHA Glossary: Broca's Aphasia.” n.d.). As these utterances are quite direct, they primarily consist of only nouns and verbs, and usually omit articles and prepositions, such as “the” or “is” (Owens et al., 2014, p. 151). For example, when asked about his past job, he can only articulate “Six...store...chain...California.” Though the therapist can understand what Mr. Brown is attempting to articulate, this response still lacks an immense amount of clarity. Even more so, his phrases aren’t always presented with correct morphology, also indicating the low level at which he is able to communicate (Owens et al., 2014, p. 151). In particular, when asked what he did within sales before the stroke, he replies “this time...general...manager,” implying present tense when it actually is past. His language typically contains limited rephrases and poor word choice, due to a poor working memory. In regard to use, Mr. Brown isn’t able to variate his aspects of expression depending on who he is communicating with, such as his tone and pitch (Owens et al., 2014, p. 151). Therefore, he doesn’t always give the most relevant answers, especially in relation to who he is communicating with. Vocally, Mr. Brown’s utterances can lack emphasis, and essentially come across sounding monotone (McCaffrey, n.d.). By speaking in monotone, many have difficulty giving their full and undivided attention to Mr. Brown, as his monotonous and slow speech tends to drag on. This, in comparison to the fast-paced world we live in, leaves for little attention given to Mr. Brown. Even more so, without vocal modulation, it can be difficult to understand if he is asking a question or stating a fact, also allowing for unintentional misunderstanding

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