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ORIGINAL PAPER
Features of language disorders in a person in advanced old age without known comorbid neurological or dementia diseases after undergoing a nervous breakdown
 
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1
Department of Humanities, Jan Kochanowski University, Kielce, Poland
 
2
Department of Humanities, University of Natural Sciences and Humanities, Siedlce, Poland
 
 
Submission date: 2023-07-13
 
 
Final revision date: 2024-02-11
 
 
Acceptance date: 2024-06-07
 
 
Publication date: 2024-09-16
 
 
Corresponding author
Renata Cuprych
Department of Humanities Jan Kochanowski University Kielce, Poland
 
 
Medical Studies 2024;40(4):319-330
 
KEYWORDS
TOPICS
ABSTRACT
Introduction::
Features of mixed language and communication disorders were described in a woman in advanced old age (82 years) who underwent a nervous breakdown after a random event. Following consent for the study, attempts were made to verify language symptoms indicating forgetfulness of names (anomia), confusion of meanings in terms of designators and actions, and inconsistency of context with the speaker’s intention. The result of the traumatic experience was, on the psychological level, a nervous breakdown. Mutistic features (withdrawal from the act of speaking) were observed, which were not associated with symptoms of motor aphasia. This type of aphasia was ruled out because the patient exhibited good articulatory organs. Sensory features with a prototype of Wernicke’s aphasia were left for evaluation. The respondent had difficulty in distinguishing the meanings of objects; moreover, she did not understand the intent of messages.

Aim of the research::
Evaluation of syntactic-semantic features of language on the example of selected speech samples, and determination of the relationship between the presence of features of sensory-sensory aphasia and mental incident in an elderly person. The person concerned represented the beginning of a pathological process on the neurological and mental levels.

Material and methods::
The study was empirical in nature. Tests for speech motor, pragmatics, and semantics of language were used. An attempt was made to understand intentions based on the situation presented and questions expressed in the conditional mode. In addition, a differential diagnosis of the presented disorders was made using the Mini-Mental State Examination (MMSE) test to assess cognitive activity.

Results::
With normal motor attempts (partial comprehension at the level of imitation), comprehension deficits of a formal-contextual nature were observed at the level of intention and accompanying emotion, such as reactions to a message with different intonation contours. When aphatic features were combined with nervous breakdown, there was an impoverishment of both active and passive vocabulary. The MMSE scale shows a cognitive deficit in the patient.

Conclusions::
Features of disorders of language, speech, and communication can reveal themselves after a neurological incident, mechanical trauma, or a severe psychological experience. In the case of the respondent, there were symptoms of articulatory and semantic fluency, difficulty in programming speech in line with the topic at hand, and withdrawal from the communicative act. Depletion of the passive lexicon appeared due to a nervous breakdown. However, another aetiology cannot be ruled out, including an already ongoing, pathological process of a neurological nature.
REFERENCES (30)
1.
Fries JF. Aging, natural death, and the compression of morbidity. N Engl J Med. 1980; 303: 130-135.
 
2.
Lane NA. Unifying view of ageing and disease: the double agent theory. J Theor Biol. 2023; 225: 531-540.
 
3.
Baltes B. The aging mind: potential and limits. Gerontologist. 1993; 33: 580-594.
 
4.
Anderson S, Brenner BM. Effect of aging on the renal glomerulus. Am J Med. 1986; 80: 435-442.
 
5.
Cohen G. Language comprehension in old age. Cogn Psychol. 1979; 11: 412-429.
 
6.
Birren JE, Fisher LM. Aging and speed of behavior: possible consequences for psychological functioning. Rev Psychol. 1995; 46: 329-353.
 
7.
Zych AA. Słownik gerontologii społecznej. Wydawnictwo Akademickie “Żak”, Warszawa 2001; 202.
 
8.
Klonowicz S. Oblicza starości: wybrane zagadnienia gerontologii społecznej. Wiedza Powszechna, Warszawa 1979; 10.
 
9.
Trafiałek E. Starzenie się i starość. Wybór tekstów z gerontologii społecznej. Wydawnictwo Uczelniane Wszechnica Świętokrzyska, Kielce 2006; 269.
 
10.
Kijak RJ, Szarota Z. Starość: między diagnozą a działaniem. Centrum Rozwoju Zasobów Ludzkich, Warszawa 2013; 12.
 
11.
Rodak H. Karta badania motoryki artykulacyjnej. In: Terapia dziecka z wadą wymowy. Wydawnictwo Uniwersytetu Warszawskiego, Warszawa 2002.
 
12.
Panasiuk J. Neurobiological mechanisms of emotional and volitional behaviors vis-à-vis strategies for logopedic therapy. In: Polish logopedic socjety. Logopedia 47-2. Panasiuk J (ed.). Polskie Towarzystwo Logopedyczne. Zarząd Główny, Lublin 2018; 51-70.
 
13.
Mesulam MM, Grossman M, Hillis A, Kertasz A, Weintraub S. The Core and Halo of Primary Progressive Aphasia and Semantic Dementia. Ann Neurol. 2003; 54, 11-14.
 
14.
DSM-IV. Diagnostic and Statistical Manual, APA, Washington 1993.
 
15.
Lindsay PH, Norman DA. Procesy przetwarzania informacji u człowieka. Wprowadzenie do psychologii. PWN, Warszawa 1991.
 
16.
Tesak J. Der aphasische Symptomencomplex von Carl Wernicke. Idstein, Schulz-Kirchner. Germany 2005.
 
17.
Graves RE. The legacy of the Wernicke-Lichtheim model. J History Neurosci. 1997; 6: 3-20.
 
18.
Huber W, Poeck K, Weniger D. Aphasie. In: Klinische Neuropsychologie. Poeck K (ed.). Thieme, Stuttgart 1982.
 
19.
Marczewska H, Osiejuk E. Nie tylko afazja... O zaburzeniach językowych w demencji Alzheimera, demencji wielozawałowej i przy uszkodzeniach prawej półkuli mózgu. Energeia, Warszawa 1994.
 
20.
Szepietowska EM, Daniluk B. Demencja. In: Podstawy neuropsychologii klinicznej. Domańska Ł, Borkowska AR (eds.). Wydawnictwo UMCS, Lublin 2011; 281.
 
21.
Marchewka A, Dąbrowski Z, Żołądz JA. Fizjologia starzenia się. PWN, Warszawa 2013.
 
22.
Duffy IR. Apraxia of speech in degenerative neurologic disease. Aphasiology. 2013; 20: 269-270.
 
23.
Duffy JR. Motor speech disorders: substrates, differential diagnosis, and management (third edition). Elsevier, St. Louis, 2013.
 
24.
Zapała J, Szuta M. Procesy starzenia w obrębie tkanek miękkich i kości twarzy ze szczególnym uwzględnieniem układu stomatognatycznego. In: Fizjologia starzenia się. Marchewka A, Dąbrowski Z, Żołądź JA (eds.). Warszawa 2012; 130-156.
 
25.
Krajewska M. Ograniczenia i możliwości językowe osób z demencją a osób starzejących się fizjologicznie – analiza porównawcza. In: Nowa Logopedia. Tom 3. Diagnoza różnicowa zaburzeń komunikacji językowej. Michalik M, Siudak A, Orłowska-Popek Z (eds.). Collegium Columbinum, Kraków 2012; 472.
 
26.
Wagner A. Rytm w mowie i języku w ujęciu wielowymiarowym. Elipsa, Warszawa 2017; 15.
 
27.
Tłokiński W. Mowa ludzi u schyłku życia. Państw Wydaw Naukowe, Warszawa 1990.
 
28.
American Psychiatric Association. Diagnostic and Statistical Manual Disorders, 4th ed. Washington, D.C. 1994.
 
29.
Honig LS, Tang MX, Albert S, Costa R, Luchsinger J, Manly J, Stern Y, Mayeux R. Stroke and the risk of Alzheimer disease. Arch Neurol. 2003; 1707-1712.
 
30.
Scott J, Schoenberg M. Memory and learning: the forgetful patient. In: The Black Little Book of Neuropsychology. Schoenberg MR, Scott JG (eds.). Springer, New York 2011; 179-200.
 
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ISSN:1899-1874
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