- Monolingual patient is frequently mistaken for being a non-native speaker.
- Speech changes are not triggered by psychiatric or psychological problems.
- Idiosyncratic speech errors contribute to appearance of a cohesive "accent."
- Patient is aware of accent and unhappy about it.
- Voicing changes occur in:
Prosody
- Syllable-by-syllable timing
- Abnormal pitch patterns
Segmentals
- Consonant distortions, substitutions, deletions
- Frequent problems with alveolar tap/flap
- Complex or unusual vowel substitutions
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