In this episode of Stuff You Should Know, the rare and baffling phenomenon of Foreign Accent Syndrome (FAS) is examined. Whether caused by neurological damage like strokes or underlying psychological issues, FAS leaves individuals speaking with an unfamiliar accent. The episode delves into case studies showcasing the profound impact an abrupt accent change can have on one's identity and social relationships.
From facing alienation and accusations of being a spy, to embracing a new persona and confidence, the podcast explores the contrasting ways FAS can shape a person's daily experiences and self-perception. As illustrated, FAS poses significant practical and emotional challenges that often disrupt communication, work abilities, and overall connections to one's sense of self.
Sign up for Shortform to access the whole episode summary along with additional materials like counterarguments and context.
Foreign Accent Syndrome (FAS) is a rare condition causing an involuntary change in speech, mimicking an unfamiliar accent. The symptoms can be traced to both neurogenic (brain damage) and psychogenic (psychological) factors.
Neurogenic FAS, accounting for 86% of cases, stems from central nervous system damage due to strokes, head injuries, etc. According to Harry Whittaker, these patients cannot speak the mimicked language. Speech therapy is the only treatment option.
Psychogenic FAS is associated with conditions like schizophrenia, bipolar disorder, and conversion disorder. Josh Clark notes this type seems more psychological, replacing entire words. Unlike neurogenic FAS, it is often temporary, resolving as the underlying mental health issue is addressed.
After jaw surgery, Texan Lisa Alamea developed a British accent. Her new accent made her more outgoing, using it as a conversation starter.
During WWII, Norwegian Astrid suffered a brain injury causing a German accent, leading to social alienation as she was mistaken for a spy.
English woman Sarah Colwell developed a perceived Chinese accent following migraines. She avoided mirrors while speaking, no longer recognizing herself.
FAS can deeply impact identity, with new speech patterns feeling disconnected from the self. Individuals may face distress, discomfort, and feel unrecognizable when speaking.
Social isolation and alienation from friends, family and strangers are common. Alamea's family initially thought her accent was a joke, while others like Colwell face accusations of faking it.
Marked communication challenges can significantly impair one's ability to work or complete everyday tasks. Navigating medical specialists for treatment is often arduous.
1-Page Summary
Foreign Accent Syndrome (FAS) is a rare condition that results in an involuntary change of speech pattern, causing an individual to mimic an unfamiliar accent. The condition can be traced back to both neurogenic and psychogenic factors.
The symptoms of FAS, such as errors in prosody, are predictable like those seen in an actual accent. For instance, following a stroke, a patient may perceive their speech as normal; however, others might hear unintelligible sounds, underscoring the involuntary aspect of the condition. Notably, FAS can develop after neurological events, such as a stroke, and in rare cases, can even be reversed by a second stroke in another part of the brain.
Neurogenic FAS has been linked to central nervous system damage caused by a stroke, multiple sclerosis, a severe migraine attack, or head injury. An example highlighted is the case of Chuck Bryant’s grandfather, who developed FAS after suffering a stroke. These neurological conditions result in the majority of FAS cases. According to criteria laid out by Harry Whittaker, a patient with neurogenic FAS should not have the ability to speak a foreign language, and the syndrome is indicative of central nervous system damage.
Regrettably, there is no cure for neurogenic FAS. Speech therapy remains the only treatment option, focusing on retraining individuals to revert to their previous manner of speaking.
Psychogenic FAS, on the other hand, is commonly associated with mental health issues such as schizophrenia, bipolar disorder, depression, anxiety, conversion disorder, or perso ...
Foreign Accent Syndrome: Neurogenic vs. Psychogenic Causes
Various individuals have developed Foreign Accent Syndrome, a rare condition where people suddenly start to speak with what appears to be a foreign accent. These cases shed light on the syndrome's impact on identity and social interactions.
Lisa Alamea from Texas experienced a surprising outcome after undergoing jaw surgery for an overbite. She awoke with a British accent, despite never having visited England. This phenomenon, known as foreign accent syndrome, led to a significant shift in Alamea's personality. Formerly shy, Alamea's new accent made her more outgoing, and she began using it as a conversation starter to engage with others.
In a historical account, Astrid, a victim of a brain injury during WWII, became one of the first documented cases of Foreign Accent Syndrome. Her resulting German accent led to significant social ostracism, as she could not speak German and yet sounded like a German. Jorg Erman Monrad Krohn, the neurologist who treated her, named her condition "dysprosity," referring to a disruption in the tone and rhythm of speech.
Specific Case Studies and Examples of the Condition
Foreign Accent Syndrome (FAS) is a rare condition that can profoundly impact individuals by altering their sense of identity, relationships, and ability to perform everyday tasks due to involuntary changes in speech patterns.
Individuals with FAS, like Sarah Colwell, experience a disconnection from their sense of self, which can precipitate an identity crisis. The podcast hosts discuss the distress experienced by people like Colwell, who can no longer look in the mirror while speaking, due to the disassociation they feel with their new speech patterns. Such changes in speech can make individuals feel uncomfortable and possibly unrecognizable when speaking.
Sarah Colwell's account reveals that the change in speech patterns associated with FAS can be incredibly distressing. This discomfort is compounded when individuals, such as the woman in the video mentioned by Chuck Bryant, listen to old recordings of themselves and attempt to mimic their previous speech without success, leading to an unrecognizable accent.
People with FAS can feel alienated not only from themselves but also from others. As discussed in the podcast, an example of this is Astrid, who was shunned during WWII because her Norwegian community mistook her German-sounding accent for that of a spy. On a personal level, as Lisa Alamea's experience highlights, families may initially react with disbelief, thinking the new accent is a joke. Moreover, the skepticism from strangers and acquaintances, who might think the individual is faking the accent, exacerbates the social challenges and identity crisis.
The impact of FAS ...
Impact of Foreign Accent Syndrome
Download the Shortform Chrome extension for your browser