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Properly functioning attentional processes allow for the normal operation of excitation and inhibition of units in Pick´s view. Pick (1931: p. 57) writes, ´Disinibition is also a causal factor in word distortion, a purely descriptive term for literal paraphasia. For Pick, damage to the left temporal lobe in the language areas ´loosens up´ the segmental coherence of words. The coherence is then not firm enough to disinhibit phonemes evoked by association or to disinhibit a misordering among similar phonemes in analogous syllabic slots. The result is the substitution and transposition of sound units. Pick also notices the parallels with segmental slips- of-the-tongue.
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