clang association
A speech pattern where word selection is based on sound rather than meaning, often involving rhyming or alliteration.
Full Definition
Clang association is a form of disordered thinking characterized by the selection of words based primarily on their sound properties—such as rhyming, rhythm, or alliteration—rather than their semantic meaning or logical connection to the intended message. This phenomenon results in speech that may sound poetic or musical but lacks coherent meaning or logical progression. Clang associations are most commonly observed in acute psychotic episodes, particularly in mania, schizophrenia, and severe thought disorders. The term reflects the 'clanging' sound quality that emerges when words are chosen for their auditory rather than conceptual properties.
Usage
Usage note: Often indicates severe thought disorder; document exact examples in clinical notes.
In Context
- "The patient exhibited clang association, stating 'The cat sat on a hat, that's that, where's the bat?'" — Mental status examination
- "Clang association was noted in the patient's spontaneous speech during the acute manic episode." — Progress note