A manic client recently admitted to a locked ward in the psychiatric unit is talking with the nurse. He states, "The car is red. Are you ready for lunch? My head is hurting. Dogs bark loud." The client is exhibiting which type of speech?
A) Echolalia
B) Clang association
C) Neologism
D) Looseness of association
Ans: D
Looseness of association is a disturbance of thinking shown by speech in which ideas shift from one unrelated, or minimally unrelated, subject to another. Echolalia is the parrot-like repetition of overheard words or phrases. Clang association is a type of thinking in which the sound of a word (rhyming) substitutes for logic during communication. Neologism describes the use of a new word or combination of several words coined or self-invented by a person and not readily understood by others.
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