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Foreign Accent Syndrome.

From Wikipedia, the free encyclopedia.

Classification - description.

Foreign Accent Syndrome is a rare medical condition in which Patients develop what appears to be a foreign accent.

One may term this as hiding from the truth as we all appear to do - when mysterious illness strikes?

This Paper is as much of what is reasonable to consider - as it is a matter of fact...

Moreover, for a Medically qualified Person considered as. Anecdotal - a posh word for storytelling.

If in reading this paper my writing appears to be like a foreign language or even rambling.

Consider reading this paper - not as a book; take some time to comprehend the contents.

Where I would like to think and feel sure, it will make sense?

So often we read or hear in detail. "What" (description) of an illness - but rarely if ever does anyone take the time to truly explain...


...this paper is designed to answer many of the questions - we are so often left with.

Where many times we have the questions and no answers - or the answers and not the questions.

If I have unwittingly left anything out or not satisfactorily answered, please email (address at the end of this page) and I will include it in this Paper at the earliest opportunity.

Please include a copy and paste if possible - of the item that is not clear.

Did we not all struggle as a Child to learn many things we now through the experience of life - are now extremely competent with.

No apology if offered if discussions are repeated within this paper.

The understanding for this, is nothing is more repeating than illness that is there every day of one's life and - despite treatments does not get better or have a satisfactory explanation/understanding or when Medical Science writes Scientifically Proven Papers about illness; in a confusing or repeating manner that confuses everyone - even themselves!

The first thing in the process of answering this is, for any one suffering, it is clear...

"...New understandings are required about illness..." it appears the existing education is the same worldwide?..


"...The term It is all in your Head." Must be confined to the history books as novel but no scientific interest in favour of...

"All illness from traumatic events is a Learning - A Process of our Mind, not a sign of going or being. MAD."

From Talking Cures point of view and therapeutic practice - names of illness especially Medically Diagnosed recognised and Scientifically proven, are of no real value in the understanding and treatment of any illness - the only Name we should use or symptom we may label is...

"A Person is unable to achieve a Healthy and satisfactory lifestyle...”

...Or never allowed to become the Person they should have...

Thus requires. “Specialised assistance,” in order to make sense of the presenting symptoms, the cause and reason for them - enabling automatic resolution via the Persons own immune systems and Body replication process - referred to as..,

...the Entire Body Chemistry. 

...Surely if a Person cannot be in control of self-repair when can they be in control!

To a trained Medical Mind these questions and answer updates may well appear or feel patronising - it is hoped not, as their structure is the very bases of the success of Talking Cures as a therapeutic application and may well be a serious asset and improvement in Medical Treatment outcome success.

In order to fully appreciate this, it is helpful to consider and accept;

All of the information as to why a Person became ill in the first place and as a consequence - all of the information required for them to automatically create immune response repair is - not only contained within the confines of their Mind - it is the only information required to bring about the required Automatic Cure using their own immune systems and Body replication processes...

...As designed by the Mind and Body.

By creating very cleverly constructed questions - knowing the Person is able to answer them with their own knowledge of themselves of which they are a Master and if they are unable to with my interpretations, accepted as re-education of their own information, that continues/completes on an ongoing bases; the process either returning to well-health or well-health for the very first time in their lives.

In addition - we must recognise all illness is unique to a Person; thus resolution of their illness is also unique.

Talking Cures is a tool of re-education to enable self-repair not in any manner a Magic Panacea and can produce very uncomfortable Emotional and Physical responses in pursuit of self repair.

These explanations are from a collection of Scientifically Proven papers in the public domain and discussion forums and are in a Question and Answer forum style.

It is important to accept I am both the Questioner, on behalf of interested Person's as well as the Person supplying the Answers, thus in many ways - my own best critic.

Leaving one to choose the Questions and Answers that are important for a better or individual understanding of this seemingly mysterious illness.

Foreign Accent Syndrome.

Question. 1. May we explore this mysterious as to it cause disorder?

Answer. 1. Of course - let us look first at the World Wide limited amount of Historical Data available.


It appears the condition was first reported in 1907.

And between 1941 and 2009 there were sixty-two recorded cases.

Question. 2. Who was the Person who discovered the disorder?

Answer. 2. The condition was first described in 1907 by the French neurologist Pierre Marie and another early case was reported in a Czech study in 1919.

The term. “Foreign Accent Syndrome,” was coined in 1982 by the neurolinguist Harry Whitaker and it is, admittedly, a lot clearer than. “dysprosody.” Its original description.

Dysprosody, which may manifest as pseudo-foreign accent syndrome, refers to a disorder in which one or more of the prosodic functions are either compromised or eliminated completely.

Prosody refers to the variations in melody, intonation, pauses, stresses, intensity, vocal quality and accents of speech.

Question. 3. Are there other well-known cases of the syndrome?

Answer. 3. These have included one that occurred in Norway in 1941 after a young woman. Astrid L., suffered a head injury from shrapnel during an air-raid.

After apparently recovering from the injury, she was left with what sounded like a strong German accent and was shunned by her fellow Norwegians.

Question. 4. Is there an indication of the numbers of People with the disorder in 2016?

Answer. 4. It appears there are as many as 150 cases world wide.

Question. 5. I feel sure this will be enhanced as we proceed? May we explore the Signs and Symptoms of the disorder?

Answer. 5. Of course.

Signs and symptoms.

It is clear to see not much has changed since 1907 as still today many symptoms seem to appear from no where and take everyone by surprise. Including the medical teams...

...Whose Prose - a form of language that exhibits a grammatical structure and a natural flow of speech rather than a rhythmic structure, as in traditional poetry. Reads...

...To the untrained ear. Those with the syndrome, sound as though they speak their native languages with a foreign accent.

Question. 6. Were you able to find examples?

Answer. 6. As we discussed earlier the information is rather limited in supply. This is one such example.

An American native speaker of English might sound as though they spoke with a south-eastern English accent, or a native English speaker might speak with a New York American accent.

Question. 7. Does not say very much or does it?

Answer. 7. It speaks volumes if one has a Trained Ear. Let us first see what Medical Science says.

However, researchers at Oxford University have found that certain, specific parts of the Brain were injured in some foreign accent syndrome cases.

Question. 8. What is being suggested here?

Answer. 8. It is indicating that certain parts of the Brain control various linguistic functions and damage could result in altered pitch or mispronounced syllables.

Sadly with the use of the word. "Some" and. "Brain" this can only lead to more Scientific Confusion.

Question. 9. Are you able to demonstrate this using their own words?

Answer. 9. Yes when there is a consideration of Brain damage - Causing speech patterns to be distorted in a non-specific manner.

Surely all is lost with. "Some," confirming so.

Question. 10. Where does this lead us?

Answer. 10. Contrary to popular beliefs that individuals with FAS exhibit their accent without any effort, these individuals feel - as if they are suffering from a speech disorder.

Question. 11. Ho Ho Ho, very funny - did it really require a Doctor to diagnose this or would not anyone with the disorder, be able to confirm.

Answer. 11. Sad but true.

Question. 12. Surely there is more to it than this?

Answer. 12. More recently, there is mounting evidence that the cerebellum, which controls motor function, may be crucially involved in some cases of foreign accent syndrome.

Question. 13. Tells us what precisely?

Answer. 13. Reinforcing the notion that speech pattern alteration is mechanical and thus non-specific.

Question, 14. So Medical Science has now moved this to being Biological - now where?

Answer. 14. The perception of a foreign accent is likely to be a case of pareidolia.

Pareidolia is a psychological phenomenon involving a stimulus - an image or a sound wherein the mind perceives a familiar pattern of something where none actually exists - on the part of a listener.

Question. 15. What is really going on here?

Answer. 15. It is a clear demonstration the Doctor Specialist is trying to convince a Person they know what they are talking about and at the same time sell them more treatments by engaging with a Person in the surgery at the same time as the Patient.

Question. 16. How did you come to that conclusion?

Answer. 16. Notice how insidiously the Brain has changed to the Mind - this will set up a confusion, as intended, in the Person with the disorder and the Person(s) who created the disorder, where the only outcome will be. "You must listen to what the Doctor says they are the specialists and do as they say." Where the outcome can only be. "Pay on the way out please."

Question. 17. Is there any information available to the general public we can evaluate?

Answer. 17. Yes during a recent television documentary about Mysterious disorders with no known cause and no known cure and from his specialism in Foreign Accent Syndrome - Nick Miller, Professor of Motor Speech Disorders at Newcastle University, demonstrated his researched knowledge with a Patient, having travelled many miles to consult with him - he explained:-

"The notion that sufferers speak in a foreign language is something that is in the ear of the listener, rather than the mouth of the speaker."

"It is simply that the rhythm and pronunciation of speech has changed."

Question. 18. Is this an accurate demonstration of the TV Documentary or your interpretation?

Answer. 18. A bit of both. It was the professors words from his research and my interpretation as to how he used his vast knowledge base - in a live Patient situation.

Question, 19. What was the outcome for the lady having travelled so many miles.

Answer. 19. The lady Having listened to this professors weak presentation of the Scientific facts regarding this disorder - did the right thing in saying. "This is not all in my Head," so "I am going."

Question. 20What were your and the longer-term views on this clearly sad situation?

Answer, 20. There are many and as the Lady said...

A. "I am sick of the Medical Profession; for four years they have been saying it is. "All in my Head" and People around me say the same as well.

B. Whilst we have to accept the information within the television broadcast may not have been complete - thus one could easily make the wrong understanding.

With just two factors contained in the program...

C. The professor made a rod, not only for his own back, but also that of the Person he took a vow to ensure. "First do no Harm" was the order of his profession.

D. The Husband being involved in the consultation - although as it appeared, supporting of his Wife, was unwittingly most seriously damaging to the outcome of this tragic story.

Perhaps making a Rod for her back for the next Twenty Years as she explained she would search for a secure Biological Cause, understanding and cure.

E. In addition the use of the word Psychological was like a red rag to a bull in a ring.

Therefore this Lady gets my support for the way she was forced to handle a very delicate situation.

Question. 21. May we explore in more detail items marked A, B, C D, E?

Answer. 21. Of course, a necessity if we are to make sense for the first time in the history of the disorder.

A. It is surely the correct thing to do when watching a TV program made for Profit not for secure outcome of the Person involved - to accept the really interesting and perhaps most valuable information may well; end up on the cutting room floor.

In much the same way as Hair cut from a Person's Head may well have a serious residual value to a Wig Maker.

B. Whilst the professor talked eloquently about symptoms emanating from Psychological issues - he, by requesting she repeat certain words to him was ignoring his own professions maxim; all illness is of a Biological Cause.

1. The correct thing to do, yet at the same time saying there was indeed a Biological cause only to then dismiss that by suggesting it was after all Psychological in origin. And in so doing - demonstrate it is indeed; a Process of the Mind.

2. Forgetting the Patient in front of him was potentially from another Country with limited English skills.

3. The outcome of this would be most confusing and contradictory in the Ladies Mind and its evaluation and deeper meaning of the information received.

C. The information contained in items A. and B are surely sufficient to see although desire the best for his Patient the professor did not by earlier secure education provide a foundation for both of them to stand on securely.

D. The lady would not be at the front of her Mind, aware - the presence of her Husband changed to such an extent the dynamics of the consultation, as to make the journey as the evidence demonstrated; Just a waste of time.

In addition set the scene for a specialist who did indeed understand the disorder and the Lady to make entry into the only important part of the situation - her Mind in order to resolve the problem more difficult, but not impossible.

E. When one considers the entire medical profession does not have one single illness where definitively the cause is known and there is a cure - to use the word Psychological is as far away from the real truth as could be, more importantly it does not rate as an opinion let alone a diagnoses.

Question. 22. Are you suggesting you received all that information from a couple of written lines and a fifteen minute or so television program.

Answer. 22. No I am not suggesting; I am explaining in some detail what unwitting information was included in the program.

Question. 23. May we explore some of the development problems of this disorder?

Developmental Problems.

Answer. 23. Its symptoms result from distorted articulatory planning and coordination processes and although popular news articles commonly attempt to identify the closest regional accent, speakers suffering from Foreign Accent Syndrome acquire neither a specific foreign accent nor any additional fluency in a foreign language.

Despite an unconfirmed news report in 2010 that a Croatian speaker has gained the ability to speak fluent German after emergence from a coma, there has been no verified case where a Patient's foreign language skills have improved after a brain injury.

There have been a few reported cases of Children and siblings picking up the new accent from someone with Foreign Accent Syndrome.

Question. 24. So what then does this tell us the Medical Profession knows about the disorder?

Answer. 24. Nothing - than was known or not in 1907.

Question. 25. So how or at all is it diagnosed and for what benefit?


Answer. 25. Since this syndrome is very rare, it takes at least five specialists to evaluate the syndrome and make a Diagnoses:

A. Speech-language: therapists (SLTs) are allied health professionals.

They work closely with Parents, carers and other professionals, such as teachers, nurses, occupational therapists and doctors.

Speech and language therapy provides life-changing treatment, support and care for Children and Adults who have difficulties with communication, or with eating, drinking and swallowing.

The components of speech production include: phonation, producing sound; resonance; fluency; intonation, variance of pitch and voice, including aeromechanical components of respiration.

The components of language include: phonology, manipulating sound according to the rules of a language; morphology, understanding and using minimal units of meaning; syntax, constructing sentences by using languages' grammar rules; semantics.

B. Pathologists: Are problem-solvers, fascinated by the process of disease and eager to unlock medical mysteries, such as cancer, AIDS and diabetes.

C. Neurologists: Neurology is a branch of medicine dealing with disorders of the nervous system.

Neurology deals with the diagnosis and treatment of all categories of conditions and disease involving the central and peripheral nervous system and its subdivisions, the autonomic nervous system and the somatic nervous system; including their coverings, blood vessels and all effector tissue, such as muscle.

Neurological practice relies heavily on the field of neuroscience, which is the scientific study of the nervous system.

D. Neuropsychologists: Are within an experimental field of psychology that aims to understand how behaviour and cognition are influenced by Brain functioning and is concerned with the diagnosis and treatment of behavioural and cognitive effects of neurological disorders.

Which studies the structure and function of the Brain as they relate to specific psychological processes and behaviours.

Neuropsychology seeks to discover how the Brain correlates with the Mind.

It is scientific in its approach, making use of neuroscience and shares an information processing view of the. Mind with cognitive Psychology and cognitive science.

E. Psychologists: Are professionals who evaluate and studies behaviour and mental processes.

Typically, psychologists must have completed a university degree in psychology, which is a master's degree in some countries and a doctorate in others.

This definition of psychologist is non-exclusive; in most jurisdictions, members of other professions - such as counsellors and psychiatrists can also evaluate, diagnose, treat and study mental processes.

Some psychologists, such as clinical and counseling psychologists, provide mental health care and some psychologists, such as social or organisational psychologists conduct research and provide consultation services.

Where - Psychological evaluations may be performed in order to rule out any psychiatric condition that may be causing the change in speech, as well as tests to assess reading, writing and language comprehension.

In addition to these psychological tests, images of the brain are taken with either MRI, CT, SPECT or PET scans.

This is in order to see if any damage has been done to the areas of the brain that control rhythm and melody of speech.

Brain activity is also measured with an EEG in order to evaluate the activity of these parts of the brain during speech.


If one explores just one of the symptoms of this syndrome where the Patient moves their tongue or jaw differently while speaking which creates a different sound and a recording is done of the speech pattern in order to analyse it.

It can clearly be seen - if the Lady in question consulted with all of these specialists and following their individual evaluations where they all gave different diagnoses or if not a different treatment suggestion and in so doing just viewed with suspicion this extract from above - Brain correlates with the Mind. And Mind with cognitive Psychology and Cognitive Science.

It does not take a Degree in Medicine or even Masonry to see at sometime during this process the Patient would and rightly so become quite Mad.

But then that is how Scientific Medicine works always seeking to offset their responsibility of knowing very little and in so doing blame the Patient in the only safe way for them they are able. "it is Psychological" with the consequences of the Patient Screaming...

"...I am not mad and it is not in my head because I can feel it."

Leaving just the invoice to be put in the post.

Question. 26. Where does Society and culture fit into this process if at all?

Society and Culture.

Answer. 26. Cases of Foreign Accent Syndrome often receive significant media coverage and cases have been reported in the popular media as the resulting from various causes including stroke, allergic reaction, physical injury and migraine.

This is a list of some of those the media in many different outlets have reported on:

A. A Woman with Foreign Accent Syndrome was featured in October 2008 and in September 2013 the BBC published an hour-long documentary about Sarah Colwill, a Woman from Devon, whose Chinese foreign accent syndrome resulted from a severe migraine.

B. In season 2 episode 12 of Hart of Dixie, one story line revolved around Anna Beth and a man named Oliver with Foreign Accent Syndrome who she had an eye for.

C. Kurowski KM, Blumstein SE, Alexander M. (1996). "The foreign accent syndrome: a reconsideration."

D. "Severe migraines give Devon woman a bizarre Chinese accent at."

E. Mariën, P.; Verhoeven, J.; Wackenier, P.; Engelborghs, S.; De Deyn, P. P. (2009). "Foreign accent syndrome as a developmental motor speech disorder."

F. Marie P. (1907). Presentation de malades atteints d’anarthrie par lesion de l’hemisphere gauche du cerveau. Bulletins et Memoires Societe Medicale des Hopitaux de Paris.

G. "Croatian teenager wakes from coma speaking fluent German". The Daily Telegraph (London: Telegraph Media Group). 12 April 2010.

H. "Foreign Accent Syndrome: What Is It? And Most Notable Cases". Health mango.

I. Miller, Nick; Jill Taylor; Chloe Howe; Jennifer Read (September 2011). "Living with foreign accent syndrome: Insider perspectives". Aphasiology.

J. Verhoeven J., Engelborghs, S., Rooker, S., Pickut, B. A., De Deyn, P.P. (2006). A role for the cerebellum in motor speech planning: evidence for Foreign Accent Syndrome.

K. Mariën P., Verhoeven J. (2007). Cerebellar involvement in motor speech planning: some further evidence of Foreign Accent Syndrome. Folia Phoniatrica et Logopaedica.

L. "Unusual illnesses: Curiouser and curiouser". The Independent. 21 September 2010.

M. Lukas, Rimas (March 2014). "Foreign Accent Syndrome". EBSCO Publishing.

N. Über Änderungen des Sprachcharakters als Begleiterscheinung aphasicher Störungen. Zeitschrift für gesamte Neurologie und Psychiatrie.

O. Monrad-Krohn, G. H. "Dysprosody or Altered 'Melody of Language'." Brain 70 1947.

P. Naidoo, Raveeni (1 July 2008). "A Case of Foreign Accent Syndrome Resulting in Regional Dialect." the Canadian Journal of Neurological Science.

Q. "Ontario woman gains East Coast accent following stroke". CBC News. 3 July 2008.

R. Bunyan, Nigel (4 July 2006). "Geordie wakes after stroke with new accent". The Daily Telegraph. London: Telegraph Media Group Limited.

S. Lewis, Angie; Guin, Karen. "Communicative Disorders Clinic Diagnoses Rare Foreign Accent Syndrome in Sarasota Woman". University of Central Florida-College of Health and Public Affairs.

T. "Experience: I woke up with a Russian accent". The Guardian - London.

U. "Foreign Accent Syndrome (FAS) Support".

V. Schocker, Laura (5 June 2011). "Woman Gets Oral Surgery, Wakes Up With Irish Accent". The Huffington Post.

W. "Health Sentinel: Connecting symptoms finally leads to disorder diagnosis". The News-Sentinel. 6 December 2010.

X. "Migraine left woman with Chinese accent". The Sunday Times. 20 April 2010. Retrieved 20 April 2010.

Y. "Severe Migraine Leaves English Woman with Chinese Accent". Fox News. 19 April 2010.

Z. "Plymouth woman 'woke up sounding Chinese'". BBC News. 3 September 2013.

Question. 27. Are there any within this list worthy of closer inspection?

Answer. 27. Yes; Item...

A. Sarah Colwill. And whilst not listed a Lady featured in the recent Television Documentary - 8PM Thursday 14th April 2016.

Question. 28. Why have you singled this Lady out?

Answer. 28. Because there is a serious clue we can use to understand this simple to comprehend disorder.

Moreover clearly it can be seen from the information provided - the symptoms are still unchanged or in the absence of better information; worse.

Question. 29. Where do we go now?

Answer. 29.

"Foreign Accent Syndrome Support."

Like so many mysterious symptoms of ill health the rarer the symptoms the more limited the support and available information.

And this one is no different as we are based in the UK it appears there is but one source of information and in the USA just one.

Question. 30. May we review some of the comments made regarding this medical mystery?

Answer. 30. Yes let us review the comments off...

...Clinical Neurology and Neurosurgery.

Foreign accent syndrome usually results from a stroke, but can also develop from head trauma, causing migraines.

Foreign accent syndrome (FAS) is speech disorder that causes a sudden change to speech so that a native speaker is perceived to speak with a “foreign,” accent.

FAS is most often caused by damage to the brain caused by a stroke or traumatic brain injury.

Other causes have also been reported including multiple sclerosis and conversion disorder and in some cases... clear cause has been identified.

Speech may be altered in terms of timing, intonation and tongue placement so that is perceived as sounding foreign.

Speech remains highly intelligible and does not necessarily sound disordered.

FAS has been documented in cases around the world, including accent changes from Japanese to Korean, British English to French, American-English to British English and Spanish to Hungarian.

Some common speech changes associated with FAS include:

Fairly predictable errors Unusual prosody, including equal and excess stress - especially in multi-syllabic words.

Consonant substitution, deletion, or distortion Voicing errors (i.e. bike for pike)

Trouble with consonant clusters Vowel distortions, prolongations, substitutions (i.e. “yeah” pronounced as “yah”) “uh” inserted into words.

The condition is most often caused by damage to the brain brought on by a stroke or traumatic brain injury, UT Dallas reports.

Question. 31. What if anything can we make of this so far?

Answer. 31. Not much is known after one hundred years - however we must accept as there are so few cases, there is not much room for knowledge expansion.

Question. 32. Are you not able to express that better than you have?

Answer. 32. Sadly yes - when one considers the advancement in so called Mental illness by the entire medical profession is tantamount to Zero.

It is hardly surprising there is so little known - more so today in 2016 as funding for illness with a pandemic Footprint is so scarce then these rare disorders as indeed in our earlier discussion saw with Behcet's Disease are not able to gather the funding support required.

Question. 33. Is there any cases reported that have changed in the symptom presentation?

Answer. 33. Yes it appears - According to NBC’s chief medical editor Dr. Nancy Snyderman, speaking in a segment on a live broadcast show in 2011, some cases have reportedly cleared over time.

Question. 34. So is there a suggestion there is some form of a cure - if only by some sort of freak application of a treatment regime?

Answer. 34. It is suggested - While there is currently no cure for FAS, one clue that may help scientists understand the condition is migraines.

Question. 35. Is this what you referred to with Sarah Colwill?

Answer. 35. Yes and the recently added Kay Russell.

Question. 36. Is there any efficacy demonstrated in the so called Accent Reduction techniques?

Answer. 36. Effects of accent-reduction techniques for the treatment of an individual with Foreign Accent Syndrome.

Where Foreign Accent Syndrome (FAS) is a rare speech motor disorder characterized by the emergence of a perceived foreign accent following brain damage.

Although FAS has received increased attention in recent years, the issue of intervention for this disorder has not been systematically explored.

Clinician Diagnosis A team of medical professionals should collaborate to diagnose and treat a suspected case of FAS.

An ideal team includes:

Neurologist Radiologist Neuropsychologist Clinical Psychologist Speech-Language Pathologist Speech-Language Pathology.

When working with a speech-language pathologist, the first step is a thorough assessment.

This includes a full case history to gather information about exposure to foreign language, education, medical history and family history.

Also important is an examination of oral structures and standardized tests of language and speech intelligibility.

Samples of conversational speech and oral reading are used for in-depth analysis of individual speech patterns.

Question. 37. Nice information but question not answered?

Answer. 37. Let us try to do just that.


Treatment Research in the effect of speech-language treatment on FAS is just beginning.

One lab completed a case-study of speech treatment using accent reduction techniques.

One family had a history of schizophrenia and exactly how this leads to changed speech is unclear, but the damage is often located in the middle cerebral artery and brain regions associated with speech, especially in the left hemisphere.

In psychogenic foreign-accent syndrome, there is not any identifiable brain damage, but the Person has some kind of psychiatric disorder, such as schizophrenia, or bipolar disorder, or conversion disorder, as well as the accent.

Psychogenic disease, or psychogenic illness is a name given to physical illnesses that are believed to arise from emotional or mental Stressors, or from psychological or psychiatric disorders.

It is most commonly applied to illnesses where a physical abnormality or other bio marker has not yet been identified.

In the cases of psychosis, the new accent persists throughout the entire episode and may disappear after the psychotic episode subsides,” the researchers write.

The Patient in their study had a history of losing the accent after a psychotic episode had passed, though they did not observe that during her stay in the hospital.

They also note that only recently has it been discovered that foreign accent syndrome can be psychogenic.

Question. 38. So is there or is there not a treatment in 2016 for Foreign Accent Syndrome?

Answer. 38. Treatment; Talk with your doctor about the best treatment plan for you.

Treatment options include the following: Speech therapy.

You may be taught how to better move your lips and jaw during speech.

Counseling; Since FAS is a rare disorder, one may feel isolated and embarrassed.

Counseling can help you and your Family better cope with the condition.

Question. 39. So is that a definitive NO?

Answer. 39. From a Medical Science point of view I feel you have sworn in as many languages there are all of them present the same message The cause is not known and there is no known cure for Foreign Accent Syndrome.

Question. 40. It has not escaped my notice you have not made much in the way of contribution to the discussion - meaning bringing new information to the syndrome. Is there a reason for this?

Answer. 40. Certainly is. As you suggest I have made comments but only really answered so many Intriguing questions and nothing about Sarah Colwill and the third Person Julie Matthias.

Question. 41. Where did Julie Matthias come from?

Answer. 41. Kent is the truthful answer, in reality she was featured in the documentary and the Lady that went to Newcastle to consult with Professor Nick Miller.

Question. 42. Having read all as you stated earlier limited information about FAC are you able to make perhaps for the first time sense of the disorder?

Answer. 42. Let us first collate all of Sarah's information we have into an order to start to make some sense of the syndrome.

When Sarah Colwill, was 38, her life changed forever when she was hospitalized for an intense migraine in 2010.

When she awoke she was astounded by the sound of - her own voice.

Her local Plymouth accent had disappeared, leaving her sounding Chinese.

She was diagnosed with Foreign Accent Syndrome, a rare condition with no clear cause.

It is a rare condition, but an interesting one and there have been more than 150 confirmed case studies published.

Because her familiar English accent had been replaced by what sounded like a poor impression of a Chinese Person, it left leading Doctors scratching their heads.

Suggesting - her predicament was a side-effect of a rare neurological condition called Foreign Accent Syndrome.

“It is just been such a horrible thing to go through,” Colwill says teary-eyed in the opening scenes of a televised documentary. “You do not even know who you are anymore... It is like you are trapped inside yourself.”

Certain scenarios explored in the documentary make the condition seem near comical:

Colwill’s asked to say; “chopsticks” by her speech therapist, because of the pressure she receives to order fried-rice at a restaurant and the necessity of avoiding certain phrases.

Colwill explains, “I always say ‘you can not’, because otherwise it comes out, ‘you c***’.”

Sadly the symptoms of her illness are much more tragic.

They also include a loss of vocabulary and physical pain while trying to write English.

In the BBC documentary. Colwill finds solace with a fellow sufferer of FAS, Kay Russell, 52, who after a terrible Migraine was left with a French accent in place of her British accent.

“You feel so alone so when somebody pops up and says; “actually, I have it.”

“They sound foreign and they have to deal with it in the same way as me.”

Colwill says she gets Migraines around 10 times a month.

Russell also suffered for years from terrible headaches.

In one study it appears Sarah, an English-speaking Female Patient with FAS thought to sound. "Chinese, " was given short-term accent reduction treatment for selected front vowels (/i/, /I/, / E/), back vowels (/u/, /U/, /o/) and inter-dental consonants (voiced "th", unvoiced "th").

Therapy consisted of structured practice on word lists containing targeted phonemes.

A list of compound nouns was included as untreated control items.

A multiple-baseline across behaviours design was used to determine treatment efficacy.

Probes were included for response generalization, maintenance and long-term retention.

Digitally-recorded productions by the FAS talker were played in randomized order to a phonetically-trained listener who rated a targeted sound in each word as; "foreign-sounding" or not.

Results indicated highly variable performance on treated items, generalization probes and control probes throughout the course of the experiment, with no apparent acquisition or maintenance resulting from the intervention.

These findings suggest that structured intervention techniques were not successful for this Patient.

Question. 43. A sad story for all three Women but what does it all tell us that may be considered new and innovative information?

Answer. 43. One might be swayed to suggest Not a lot.

Question. 44. Are you able to shed some light on the true cause - it appears no one desires to find?

Answer. 44. Yes of course. May we remind ourselves about Controversial and Contradictory.

To explain Controversial it says; "I do not agree with you - so I must be Right and you are by default - Wrong!"

To explain Contradictory; it says; "I do not agree with you - so I must be Right and you are by default - Wrong!"

In the absence of individual or personal information of the three ladies mentioned in this document - we have to make a somewhat fictitious Person to work with, from the information contained within this document.

May we start with a recognition - any treatment or understanding are for the Person with the disorder and NEVER the attending Family members or Friends.

If a family Member or Friend has such personal information they WILL unwittingly use it against the Person at some future data. There are no exceptions to this.

When one considers the entire medical profession does not have one single illness where definitively the cause is known and there is a cure - to use the word Psychological is as far away from the real truth as could be, more importantly renders any scientifically Proven; not worthy of an opinion - let alone a diagnoses.

But then that is how Scientific Medicine works always seeking to offset their responsibility of knowing very little and in so doing blame the Patient in the only safe way for them they are able. "it is Psychological," they proclaim; with the consequences of the Patient Screaming. "...I am not Mad and it is not in my Head because I can feel it."

Psychological is a Symptoms and nothing else - most certainly never a cause of anything - however if Psychological is treated it will only lead to further more mysterious symptoms.

However, researchers at Oxford University have found that certain, specific parts of the Brain were injured in some foreign accent syndrome cases.

Therefore to use the word. "Psychiatric Disorder," when the knowledge base is so small is so seriously Patronising as to render any further attempts to makes sense of the disorder a complete waste of everyone's time - and just a nice little earner.

And consider - In psychogenic (being of a Psychological cause rather than a physical one) foreign-accent syndrome, there is not any identifiable Brain damage, but the Person has some kind of psychiatric disorder, such as schizophrenia, bipolar disorder, conversion disorder, as well as the accent.

Is not only controversial but extremely contradictory.

Based on the secure understanding all of these diagnosed illnesses are no more than symptoms.

In the cases of psychosis, the new accent persists throughout the entire episode and may disappear after the psychotic episode subsides.

However it is seriously important - especially in the absence of Physical Damage to the Head and Brain where Foreign accent syndrome results from a stroke, the Person is evaluated by the attending Doctor's to ensure there is no biological damage or illness.

It is abundantly clear there is serious information contained in the sentence; A Woman who developed Chinese foreign accent syndrome following a severe migraine.

It can clearly be seen - if the Lady in question consulted with all of these specialists and following their individual evaluations where they all gave different diagnoses or if not a different treatment suggestion and in so doing just viewed with suspicion this extract from above - Brain correlates with the Mind.

Taking into consideration. Neurology deals with the diagnosis and treatment of all categories of conditions and disease involving the central and peripheral nervous system and its subdivisions, the autonomic nervous system and the somatic nervous system; including their coverings, blood vessels and all effector tissue, such as muscle.

To then consider it is a psychological phenomenon involving a stimulus - an image or a sound where the Mind perceives a familiar pattern of something where none actually exists - on the part of a listener. Is nothing but back to front medical thinking. Demonstrated with - Brain correlates with the Mind. instead of Mind instructs the Brain.

Whilst the professor talked eloquently about symptoms emanating from Psychological issues - by requesting the repeating of certain words he was ignoring his own professions maxim; all illness is of a Biological cause. Confirmed with - but one can also develop Migraines from head trauma.

When a life is changed forever when hospitalized for an intense migraine with the creation of the sound of a new and foreign sounding own voice.

The clue to making sense of this fictitious story is this - "she gets Migraines around 10 times a month." Having suffered for years from terrible Headaches.

The Patient in their study had a history of losing the accent after a psychotic episode had passed, though they did not observe that during her stay in the hospital.

These findings suggest that structured intervention techniques were not successful for this Patient, who would protest...

“...It is just been such a horrible thing to go through.”

Such a Patient will only be able to say teary-eyed...

"...You do not even know who you are anymore..."

"...It is like you are trapped inside yourself."

The Cause.

Let us now use the limited information to build a picture leading up to the creation of the Foreign Accent Syndrome.

First we must drop the use of the diagnoses of Foreign Accent Syndrome as it is clear there is novel but no real scientific value in the name.

As real and extremely distressing as it surely is for a Person - the name is a burden not an asset.

Next may we bring to the fore Migraines.

No one I repeat. NO one ever with the very first Headache or Migraine goes into hospital with a Migraine so severe as to come out with the Emotional Phenotype of another Person - there is a very good reason for this.

For a Person to go into hospital with Migraines there has to have been a fairly or even a long-term history of recurrent Headaches leading to Migraines.

Moreover along with the Headaches and Migraine - other symptoms; either Biological or Emotional will be present.

May we understand Emotional Phenotype.

This is the image we show to ourselves and the everyone that ever enters our life based on all of our memories - whether we are able to remember them or not.

And how our resulting Body Chemistry is instructed by our Mind to carry out via our Brain into the Body - our daily Emotional and Physical activities.

May we accept the content of the history of Headaches and Migraines and other symptoms as correct - then we are able to explore.

If we take Headaches as the starting point and request - how long or how old were you when you first had Headaches.

Our fictitious Person may well reply. "I started having Migraines at 18 years old, but had Headaches since I was around 12 years old.

With this information we can see going into hospital with a severe Migraine was only as a result of long-term failure to cure the headaches, or manage the Migraine.

Thus we are obliged to pursue the Headaches from 12 years of age.

In order to understand the cause of the Headaches we must go back to around the age of Five. Plus or minus a time relevant to the individual.

This is where without more detailed information our understanding has to be in general terms.

May we accept for our exploration the Headaches started at Five years old.

All illness no matter what the diagnoses has a gestation period - may we say for this example three to five years, at this time the Child would have been placed in a Fear not readily recognised, as still today it is somewhat accepted but changing. Children are not aware of their environment at such a young age.

This could not be furthest from the truth a Child is aware from Conception and one may add before Conception - using the only emotive tool we require to run our life, for without it we could not even live. Perception.

From conception during or post birth a Child is able to sense the situation - perceive it value and how it should respond to this information.

For this instance - the Child Perceives Fear and as such makes a lifetime commitment to gather Understanding from any Person possible doing this through the Medium of any illness and in this case Headaches that lead often to Migraine and as we know from the available Scientific Evidence. Headaches and Migraines have many different symptom presentations as well as many scientifically proven names.

Demonstrating all illness is a Process of the Mind following Childhood Emotional or Physical Fear/Anxiety creating traumas.

Not one of them with a definitive cause known or a cure = no more headaches no more migraines.

Give these Headaches an Eighteen Year gestation and The Migraine a further say Twenty Years of gestation and it is any wonder a Person could have an attack so severe as to require a necessary hospitalisation and then wake from the medication with a different Emotional Phenotype that may just confuse all of the clinicians this is so serious - as to require asking what is it you require us to understand; instead of dismissing their Patient with say PPPPPPPPPPPP or TTTTTTTTT sounds; that once again is a desperate attempt to ensure the cause is Biological thus can be drugged or Biologically treated. Brainwash or...

...I can not - instead of. You C...?

Kindest regards and best wishes

Peter Smith Talking Cures


...In illness - The Mind/Brain/Body is not in the slightest doing something wrong, it is desperately trying to right a serious and terrible wrong?

"No apologies are made if this paper is seen as repeating or simplistic, for too long Scientific Medical Papers have been written in a manner no one truly understands, if this were not so, cures would have long since been found making this paper and Talking Cures unnecessary or redundant.

Whilst it must be recognised, the framework for this paper is in the public domain and credit given to the authors; Peter Smith Talking Cures asserts the right to be recognised as author and Intellectual ©Copyright holder of his contribution to this document. "Foreign Accent Syndrome." Dated 18th April 2016.

Thus, this document is free to use as an education or Patient led assistance in its entirety.

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