10. Circumlocution: The Roundabout Expressions of Anomic Aphasia
Circumlocution, a significant symptom of anomic aphasia, refers to the use of roundabout or indirect language when an individual can’t remember a specific word. It can be thought of as a compensatory strategy, enabling the individual to convey their thoughts despite the aphasic hurdle. However, while it allows for communication to continue, circumlocution often results in verbose, meandering expressions that can sometimes confuse listeners.
To better understand this symptom, let’s delve into a typical example. An individual with anomic aphasia might struggle to remember the word ‘refrigerator’. To get around this block, they might instead say, ‘The thing in the kitchen where we keep food cold’. Here, the individual clearly understands the concept and function of a refrigerator but can’t recall the specific term.
Interestingly, circumlocution can shed light on the extent of an individual’s vocabulary beyond the aphasic struggle. They often use an impressive array of descriptors and alternative terms to express the word they can’t recall, indicating that their language comprehension and broader vocabulary remain intact.
Nevertheless, the use of circumlocution can sometimes lead to complex, over-elaborate explanations that may confuse or frustrate both the speaker and the listener. For the person with anomic aphasia, relying on circumlocution can be tiring and time-consuming, and it can also highlight their struggle with word retrieval, which can be disheartening.
Understanding circumlocution as a symptom of anomic aphasia is crucial in interacting effectively with individuals facing this condition. By recognizing this roundabout speech pattern, listeners can be more patient and empathetic, fostering a more understanding and supportive communication environment. (10)
