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Tourette Syndrome

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Handbook of Pragmatic Language Disorders

Abstract

Tourette syndrome (TS) is a neurodevelopmental disorder characterised by motor and vocal tics. Although there is equivocal evidence for fundamental language impairment in TS, some of the symptoms characteristic of the disorder, including echophenomena and socially inappropriate behaviours, appear highly relevant to pragmatic skills. In addition, disorders in which pragmatic skills are frequently disrupted such as Autistic Spectrum Disorder, seem to show some potential genetic and behavioural overlap with TS. A review of clinical and empirical studies indicates the aspects of pragmatics perhaps most likely to play a role in the symptoms of TS include flexible responsiveness to context; symbolic meanings; interpretation based on subtle cues; and social and epistemic context (i.e. speaker knowledge). This chapter explores the possibility that TS could be conceived of as a disorder of communication, involving atypical hemispheric dominance or inter-hemispheric processing, leading to potential strengths in creativity and non-verbal communication, despite potential weaknesses in flexibility. Social cognition is likely to play a crucial role in the association between TS and pragmatic skills. Further research into the complex relationships between tic expression and environmental context will make a unique contribution to our understanding of the subtleties of both verbal and non-verbal communication during human social interaction.

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  1. National Centre for Mental Health, Birmingham and Solihull Mental Health NHS Foundation Trust, Birmingham, UK

    Clare M. Eddy

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  1. Clare M. Eddy
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  1. Department of English and Communication, The Hong Kong Polytechnic University, Kowloon, Hong Kong

    Louise Cummings

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Eddy, C.M. (2021). Tourette Syndrome. In: Cummings, L. (eds) Handbook of Pragmatic Language Disorders. Springer, Cham. https://doi.org/10.1007/978-3-030-74985-9_8

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