What Is Foreign Accent Syndrome?

iStock
iStock

One night in 2016, Michelle Myers—an Arizona mom with a history of migraines—went to sleep with a splitting headache. When she awoke, her speech was marked with what sounded like an British accent, despite having never left the U.S. Myers is one of about 100 people worldwide who have been diagnosed with Foreign Accent Syndrome (FAS), a condition in which people spontaneously speak with a non-native accent.

In most cases, FAS occurs following a head injury or stroke that damages parts of the brain associated with speech. A number of recent incidences of FAS have been well documented: A Tasmanian woman named Leanne Rowe began speaking with a French-sounding accent after recovering from a serious car accident, while Kath Lockett, a British woman, underwent treatment for a brain tumor and ended up speaking with an accent that sounds somewhere between French and Italian.

The first case of the then-unnamed syndrome was reported in 1907 when a Paris-born-and-raised man who suffered a brain hemorrhage woke up speaking with an Alsatian accent. During World War II, neurologist Georg Herman Monrad-Krohn compiled the first comprehensive case study of the syndrome in a Norwegian woman named Astrid L., who had been hit on the head with shrapnel and subsequently spoke with a pronounced German-sounding accent. Monrad-Krohn called her speech disorder dysprosody: her choice of words and sentence construction, and even her singing ability, were all normal, but her intonation, pronunciation, and stress on syllables (known as prosody) had changed.

In a 1982 paper, neurolinguist Harry Whitaker coined the term "foreign accent syndrome" for acquired accent deviation after a brain injury. Based on Monrad-Kohn's and other case studies, Whitaker suggested four criteria for diagnosing FAS [PDF]:

"The accent is considered by the patient, by acquaintances, and by the investigator to sound foreign.
It is unlike the patient’s native dialect before the cerebral insult.
It is clearly related to central nervous system damage (as opposed to a hysteric reaction, if such exist).
There is no evidence in the patient’s background of being a speaker of a foreign language (i.e., this is not like cases of polyglot aphasia)."

Not every person with FAS meets all four criteria. In the last decade, researchers have also found patients with psychogenic FAS, which likely stems from psychological conditions such as schizophrenia rather than a physical brain injury. This form comprises fewer than 10 percent of known FAS cases and is usually temporary, whereas neurogenic FAS is typically permanent.

WHAT’S REALLY HAPPENING?

While scientists are not sure why certain brain injuries or psychiatric problems give rise to FAS, they believe that people with FAS are not actually speaking in a foreign accent. Instead, their neurological damage impairs their ability to make subtle muscle movements in the jaw, tongue, lips, and larynx, which results in pronunciation that mimics the sound of a recognizable accent.

"Vowels are particularly susceptible: Which vowel you say depends on where your tongue is in your mouth," Lyndsey Nickels, a professor of cognitive science at Australia's Macquarie University, wrote in The Conversation. "There may be too much or too little muscle tension and therefore they may 'undershoot' or 'overshoot' their target. This leads to the vowels sounding different, and sometimes they may sound like a different accent."

In Foreign Accent Syndromes: The Stories People Have to Tell, authors Nick Miller and Jack Ryalls suggest that FAS could be one stage in a multi-phase recovery from a more severe speech disorder, such as aphasia—an inability to speak or understand speech that results from brain damage.

People with FAS also show wide variability in their ability to pronounce sounds, choose words, or stress the right syllables. The accent can be strong or mild. Different listeners may hear different accents from the speaker with FAS (Lockett has said people have asked her if she's Polish, Russian, or French).

According to Miller and Ryalls, few studies have been published about speech therapy for treating FAS, and there's no real evidence that speech therapy makes a difference for people with the syndrome. More research is needed to determine if advanced techniques like electromagnetic articulography—visual feedback showing tiny movements of the tongue—could help those with FAS regain their original speaking manner.

Today, one of the pressing questions for neurologists is understanding how the brain recovers after injury. For that purpose, Miller and Ryalls write that "FAS offers a fascinating and potentially fruitful forum for gaining greater insights into understanding the human brain and the speech processes that define our species."

Have you got a Big Question you'd like us to answer? If so, let us know by emailing us at bigquestions@mentalfloss.com.

How Is a Sunscreen's SPF Calculated?

Rawpixel/iStock via Getty Images
Rawpixel/iStock via Getty Images

I’m a pale person. A very pale person. Which means that during these hot summer months, I carry sunscreen with me at all times, and apply it liberally. But I’ve never really understood what those SPF numbers meant, so I asked some sun care to break it down for me—and to tell me how to best apply the stuff so that I can make it through the summer without looking like a lobster.

Soaking up the sun ... safely

SPF stands for Sun Protection Factor, and it indicates a sunscreen’s ability to block UVB rays. The concept was pioneered at the Coppertone Solar Research Center in 1972; in 1978, the FDA published an SPF method based on Coppertone’s system, according to Dr. David Leffell, chief of Dermatologic Surgery and Cutaneous Oncology at Yale.

The numbers themselves stand for the approximate measure of time a person who has applied the sunscreen can stay out in the sun without getting burned. Say you get burned after 20 minutes in the sun without sunscreen; if properly applied (and reapplied), SPF 30 will allow you to stay in the sun 30 times longer without burning than if you were wearing no protection at all. So, theoretically, you should have approximately 600 minutes, or 10 hours, in the sun. But it’s not an exact science because the amount of UV light that reaches us depends on a number of factors, including cloud cover, the time of day, and the reflection of UV rays off the ground, so it’s generally recommended that you reapply sunscreen every two hours (or even sooner).

What gives a sunscreen a higher SPF comes down to the product’s formulation. “It’s possible that an SPF 50 might contain slightly more of one or more sunscreen active ingredients to achieve that higher SPF,” Dr. Patricia Agin, president of Agin Suncare Consulting, says. “But it’s also possible that the SPF 50 might contain an additional active ingredient to help boost the SPF performance to SPF 50.”

No matter what SPF your sunscreen is, you’ll still get a burn if it’s not properly applied. So let’s go over how to do that.

How to apply sunscreen

First, make sure you have a water-resistant, broad spectrum sunscreen—which means that it protects against both UVB and UVA radiation—with an SPF of at least 30. “Typically, you don’t have to buy sunscreen that has an SPF higher than that unless you have very sun sensitive skin,” Leffell says. “That’s a very small percentage of the population.” (Redheads, people with light eyes, and those who turn pink after just a few minutes in the sun—you’ll want to load up on SPF above 30.)

Twenty minutes before you go out to the beach or the pool, begin to apply your sunscreen in an even coat. “Don’t apply it like icing on a cake,” Leffell says. “I see these patients and they’ve got the tops of their ears covered with thick, unevenly applied sunscreen, and that’s not a good sign.” Sunscreen sprays will easily give you that even coat you need.

Whether you’re using lotion or a spray, when it comes time to apply, Leffell recommends starting with your scalp and face, even if you plan on wearing a hat. “Make sure you’ve covered the ears and nose and under the eyes,” Leffell says. “Then, I would move down to the shoulders, and make sure that someone can apply the sunscreen on your back beyond the reach of your hands.”

Other areas that are important that you may forget to cover, but shouldn’t, are the tops of your feet, the backs of your hands, and your chest. “We see it all the time now—the v of the chest in women has become a socially and aesthetically huge issue when they are 50 and beyond. Because even though they can treat their faces with all sorts of cosmetics and procedures, the chest is much harder, and they are stuck with the face of a 40-year-old and the chest of a 60-year-old. You want to avoid that using sunscreen.”

Another important thing to keep in mind: Water-resistant doesn’t mean waterproof. “I always tell patients to reapply every couple of hours while you’re active outdoors," Leffell says, "and always reapply when you come out of the water or if you’ve been sweating a lot, regardless of whether the label says water resistant."

Determining whether or not you’ve succeeded in properly applying your sunscreen is easy: “You know you’re applying your sunscreen properly if, after the first time you’ve used it, you haven’t gotten a burn,” Leffell says.

Agin has a caveat, though: "It’s not a good idea to think of sunscreens only as a way to extend your time in the sun," she says. "One must also understand that even before becoming sunburned, your skin is receiving UV exposure that causes other damage to the skin. At the end of the 600 minutes, you will have accrued enough UV to cause a sunburn—one Minimal Erythema Dose or MED—but there is pre-MED damage done to skin cells’ DNA and to the skin’s supporting structure of collagen and elastin that is not visible and happens even before you sunburn. These types of damage can occur without sunburning. So you can’t measure all the damage done to your skin by only being concerned about sunburn."

Have you got a Big Question you'd like us to answer? If so, let us know by emailing us atbigquestions@mentalfloss.com.

An earlier version of this post ran in 2014.

What's the Difference Between Ice Cream and Gelato?

iStock/Getty Images/zoff-photo
iStock/Getty Images/zoff-photo

'Tis the season for beach reads, tan lines, and ice-cold desserts. You know it's summer when going to the local ice cream or gelato shop becomes part of your daily routine. But, what exactly is the difference between these two frozen treats?

One of the key differences between the two is butterfat. While ice cream's main ingredients include milk, cream, sugar, and egg yolks, the secret to making gelato is to use much less cream and sometimes little to no egg yolk. This leads to a much smaller percentage of butterfat in gelato. The FDA rules say that ice cream cannot contain less than 10 percent milkfat (though it can go as high as 25 percent) while gelato, much like soft serve, stays in the 4- to 9-percent range.

The churning method for both also differs, which affects the treat's density. Ice cream is churned at a much faster pace, leading to more air being whipped into the mixture. Ice cream's higher butterfat content comes into play here—due to all of that milkfat, the mix absorbs the air more readily. Gelato, on the other hand, is churned at a slower pace and absorbs far less air, creating a much denser dessert.

You also might have noticed that the serving style for the two treats aren't the same, either. In order to get those perfectly stacked ice cream scoops on a cone, buckets of ice cream must be stored at around 0°F to maintain its consistency, while the softer gelato is stored at a warmer 10°F to 22°F. Ice cream is then scooped into fairly uniform balls with the round ice cream scooper, whereas a spade or paddle is best for molding gelato into mound in a cup or a cone.

You can't really go wrong with either gelato or ice cream on a sweltering summer day, but there is one more difference to keep in mind while you debate which to get: taste. If you want a bolder flavor, you'll want to go with gelato. Because of the density of the cream and because there's less butterfat to coat your taste buds, gelato can seem to have more intensity to its flavors.

Have you got a Big Question you'd like us to answer? If so, send it to bigquestions@mentalfloss.com.

SECTIONS

arrow
LIVE SMARTER