What Is Foreign Accent Syndrome?

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One night in 2016, Michelle Myers—an Arizona mom with a history of migraines—went to sleep with a splitting headache. When she awoke, her speech was marked with what sounded like an British accent, despite having never left the U.S. Myers is one of about 100 people worldwide who have been diagnosed with Foreign Accent Syndrome (FAS), a condition in which people spontaneously speak with a non-native accent.

In most cases, FAS occurs following a head injury or stroke that damages parts of the brain associated with speech. A number of recent incidences of FAS have been well documented: A Tasmanian woman named Leanne Rowe began speaking with a French-sounding accent after recovering from a serious car accident, while Kath Lockett, a British woman, underwent treatment for a brain tumor and ended up speaking with an accent that sounds somewhere between French and Italian.

The first case of the then-unnamed syndrome was reported in 1907 when a Paris-born-and-raised man who suffered a brain hemorrhage woke up speaking with an Alsatian accent. During World War II, neurologist Georg Herman Monrad-Krohn compiled the first comprehensive case study of the syndrome in a Norwegian woman named Astrid L., who had been hit on the head with shrapnel and subsequently spoke with a pronounced German-sounding accent. Monrad-Krohn called her speech disorder dysprosody: her choice of words and sentence construction, and even her singing ability, were all normal, but her intonation, pronunciation, and stress on syllables (known as prosody) had changed.

In a 1982 paper, neurolinguist Harry Whitaker coined the term "foreign accent syndrome" for acquired accent deviation after a brain injury. Based on Monrad-Kohn's and other case studies, Whitaker suggested four criteria for diagnosing FAS [PDF]:

"The accent is considered by the patient, by acquaintances, and by the investigator to sound foreign.
It is unlike the patient’s native dialect before the cerebral insult.
It is clearly related to central nervous system damage (as opposed to a hysteric reaction, if such exist).
There is no evidence in the patient’s background of being a speaker of a foreign language (i.e., this is not like cases of polyglot aphasia)."

Not every person with FAS meets all four criteria. In the last decade, researchers have also found patients with psychogenic FAS, which likely stems from psychological conditions such as schizophrenia rather than a physical brain injury. This form comprises fewer than 10 percent of known FAS cases and is usually temporary, whereas neurogenic FAS is typically permanent.

WHAT’S REALLY HAPPENING?

While scientists are not sure why certain brain injuries or psychiatric problems give rise to FAS, they believe that people with FAS are not actually speaking in a foreign accent. Instead, their neurological damage impairs their ability to make subtle muscle movements in the jaw, tongue, lips, and larynx, which results in pronunciation that mimics the sound of a recognizable accent.

"Vowels are particularly susceptible: Which vowel you say depends on where your tongue is in your mouth," Lyndsey Nickels, a professor of cognitive science at Australia's Macquarie University, wrote in The Conversation. "There may be too much or too little muscle tension and therefore they may 'undershoot' or 'overshoot' their target. This leads to the vowels sounding different, and sometimes they may sound like a different accent."

In Foreign Accent Syndromes: The Stories People Have to Tell, authors Nick Miller and Jack Ryalls suggest that FAS could be one stage in a multi-phase recovery from a more severe speech disorder, such as aphasia—an inability to speak or understand speech that results from brain damage.

People with FAS also show wide variability in their ability to pronounce sounds, choose words, or stress the right syllables. The accent can be strong or mild. Different listeners may hear different accents from the speaker with FAS (Lockett has said people have asked her if she's Polish, Russian, or French).

According to Miller and Ryalls, few studies have been published about speech therapy for treating FAS, and there's no real evidence that speech therapy makes a difference for people with the syndrome. More research is needed to determine if advanced techniques like electromagnetic articulography—visual feedback showing tiny movements of the tongue—could help those with FAS regain their original speaking manner.

Today, one of the pressing questions for neurologists is understanding how the brain recovers after injury. For that purpose, Miller and Ryalls write that "FAS offers a fascinating and potentially fruitful forum for gaining greater insights into understanding the human brain and the speech processes that define our species."

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Why Do We Call a Leg Cramp a Charley Horse?

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iStock.com/Jan-Otto

If you’re unlucky enough to have experienced a charley horse—a painful muscle spasm or cramp in your leg—then you may have found yourself wondering what this nonsensical phrase even means. Who is this Charley character? Where did he come from? And what does he know about my pain?

Like the words flaky and jazz, this term likely entered the language from the baseball field. While the idiom’s etymology isn’t 100 percent certain, archived newspaper articles suggest it was coined by a baseball player in the 1880s. We just don’t know which player said it first, or why.

According to a January 1887 article in the Democrat and Chronicle, the phrase was well-known to baseball players at the time—but to the average person, charley horses were as enigmatic as “an Egyptian hieroglyphic.” That year, charley horses were mentioned in a slew of newspapers across America, and some attempted to tackle the phrase’s murky origin. “Nearly every sporting journal gives a different version as to how the term charley horse originated in baseball circles,” the Oakland Daily Evening Tribune reported at the time.

The likeliest tale, according to the paper, centered around John Wesley "Jack" Glasscock, a shortstop who at the time was playing for Indianapolis. At some point a few years earlier, the player had strained a tendon in his thigh during a game and afterwards went home to his farm, where his father looked after a lame old horse called a "Charley horse." When the senior Glasscock saw his son limping along, he reportedly exclaimed, “Why, John, my boy, what is the matter; you go just like the old Charley horse?” John supposedly shared the funny turn of phrase with his teammates, and from there it spread. Similar accounts were reported in other newspapers, but they were attributed to various other players.

Other reports say the phrase has nothing to do with a live animal, but rather the fact that an injured player, while running, resembles a rocking horse or a child riding astride a wooden hobby horse.

The New Dickson Baseball Dictionary by Paul Dickson details a few other theories. In two versions of the same basic tale, Orioles or Chicago Cubs players went to the races and bet on a horse named Charlie who "pulled up lame in the final stretch." The next day, a player pulled a tendon in his leg and was said to resemble “our old Charlie horse.”

Alternatively, its origin may relate to an old workhorse that was tasked with pulling a roller across the infield. “Often in the 1800s, old workhorses kept on the grounds of ballparks were called Charley. The movements of the injured, stiff-legged ballplayers were likened to the labored plodding of these old horses, and the injury itself eventually became known as a ‘charley’ or ‘charley horse,'" Tim Considine wrote in 1982's The Language of Sport.

It also appears that charley horse originally implied a much more serious injury—or perhaps there was a bit of hysteria surrounding a condition that seemed new and scary in the late 19th century. The Democrat and Chronicle described a charley horse as a “giving way of one of the small tendons of the leg” and said an injured baseball player might need an entire season to recover. Another article from 1887 said ballplayer George Van Haltren’s relatives were worried he would get a charley horse, “although they do not know what that is.” He was said to have been “very fortunate” because he had “not yet encountered the terrible charley horse.”

For comparison, Healthline.com now says charley horses “are generally treatable at home” by stretching, massaging, or icing the afflicted area, although the muscle pain can linger for up to a day in some cases. So there you have it. We may never know the exact etymology of the charley horse, but the next time you get a sharp pain in your leg, you can thank an old-timey ballplayer for making your struggle sound so silly.

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What's the Difference Between Straw and Hay?

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iStock.com/dusipuffi

The words straw and hay are often used interchangeably, and it's easy to see why: They're both dry, grassy, and easy to find on farms in the fall. But the two terms actual describe different materials, and once you know what to look for, it's easy to tell the difference between them.

Hay refers to grasses and some legumes such as alfalfa that are grown for use as animal feed. The full plant is harvested—including the heads, leaves, and stems—dried, and typically stored in bales. Hay is what livestock like cattle eat when there isn't enough pasture to go around, or when the weather gets too cold for them to graze. The baled hay most non-farmers are familiar with is dry and yellow, but high-quality hay has more of a greenish hue.

The biggest difference between straw and hay is that straw is the byproduct of crops, not the crop itself. When a plant, such as wheat or barley, has been stripped of its seeds or grains, the stalk is sometimes saved and dried to make straw. This part of the plant is lacking in nutrients, which means it doesn't make great animal fodder. But farmers have found other uses for the material throughout history: It what's used to weave baskets, thatch roofs, and stuff mattresses.

Today, straw is commonly used to decorate pumpkin-picking farms. It's easy to identify (if it's being used in a way that would be wasteful if it were food, chances are it's straw), but even the farms themselves can confuse the two terms. Every hayride you've ever taken, for example, was most likely a straw-ride.

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