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Professional Technical IVT

Clang Association

A thought disorder characterized by speech patterns based on sound similarity rather than meaning.

Full Definition

Clang association refers to a form of disordered thinking where words are chosen based on their sound rather than their semantic meaning, often involving rhyming or alliteration. This symptom is commonly observed in manic episodes of bipolar disorder and certain psychotic conditions. The speech may sound poetic but lacks logical content, making communication difficult. Editors must distinguish this clinical term from similar-sounding literary devices when reviewing psychiatric documentation.

Usage

Usage note: Always hyphenate when used as a compound modifier.

In Context

  • "The patient exhibited clang association, repeatedly saying 'tree, free, spree, key' without logical connection." — psychiatric assessment report
  • "During the manic episode, her clang association made it difficult to follow her train of thought." — progress note

Also known as

clanging clang speech

Contrasted with

logical thought coherent speech

Don't confuse with

flight of ideas word salad

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