True or False: Patients with Wernicke's aphasia typically have poor comprehension but fluent (yet meaningless) speech production.

Question

BlackTom AI · Accepted Answer

Examining the statement about Wernicke's aphasia requires recalling core features of language deficits in this condition.
Option 1 (True): Wernicke's aphasia is characterized by fluent speech that often sounds normal in flow and rate, but the content is meaningless or filled with neologisms and semantic paraphasias. Comprehension is markedly impaired, making it difficult for patients to understand spoken language or to follow instructions. This combination—fluent yet nonsensical speech with poor comprehension—is the classic pattern and aligns with the standard description of Wernicke's aphasia.
Option 2 (False): Saying the statement is false would imply either that comprehension is intact or that speech is nonfluent. However, in Wernicke's aphasia, comprehension is typically poor and speech is fluent but often nonsensical. The contrast here is with Broca's aphasia, where speech is nonfluent but comprehension is relatively preserved. Therefore, claiming both good comprehension and fluent meaningless speech would misrepresent the syndrome.
To summarize the distinctions: in Wernicke's aphasia, fluency is preserved or even effortless, but lexical and semantic processing are impaired, leading to poor comprehension and superficially fluent but vacuous or incorrect speech. This combination helps differentiate it from other aphasias where fluency, comprehension, or both are affected differently.
Hence, the statement aligns with the established clinical picture of Wernicke's aphasia, while the alternative would contradict the typical pattern of deficits observed in this condition.

PSC 135 001 SQ 2025 Lecture 27: Disorders of Language II: Others Aphasias

True or False: Patients with Wernicke's aphasia typically have poor comprehension but fluent (yet meaningless) speech production.

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