“…Primary linguistic processes are usually preserved (although with possible exceptions, such as specific anomia: Semenza & Zettin, 1988, 1989. Communicative skills, however, are often impaired (e.g., Joanette, Goulet, Ska, & Nespoulous, 1986;McDonald, 1992;McDonald & van Sommers, 1993;Sherratt & Penn, 1990). These individuals' discourse is often confused and disorganized, with frequent intrusion of inappropriate associations, stereotypical perseverations, insinuations, or indirect contextual references.…”