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Intermediate Technical IVT

semantic paraphasia

Pronunciation: pair-ah-FAZE-ee-ah

Language error involving substitution of a semantically related word, typically seen in fluent aphasia syndromes.

Full Definition

Semantic paraphasia refers to word-finding errors where patients substitute a word that is semantically related to the intended target word, such as saying 'chair' when meaning 'table' or 'dog' when meaning 'cat'. This type of error is characteristic of fluent aphasia syndromes, particularly Wernicke's aphasia and transcortical sensory aphasia. Unlike phonemic paraphasias, semantic paraphasias preserve the phonological structure while altering the meaning. These errors reflect disruption in lexical-semantic networks and are often accompanied by relatively preserved syntax and phonology.

Usage

Usage note: Distinguish from phonemic paraphasia in clinical documentation.

In Context

  • "The patient demonstrated frequent semantic paraphasias, calling a 'pen' a 'pencil' during naming tasks." — Speech-language pathology assessment
  • "Therapy focused on semantic categorization to reduce semantic paraphasia errors." — Treatment documentation

Also known as

verbal paraphasia semantic substitution

Contrasted with

literal paraphasia neologism

Don't confuse with

phonemic paraphasia circumlocution

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