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Your inner monologue is where you tell yourself, "I don't want to get up yet," or "This is a tasty burger."
Aphasia from Ancient Greek means "without speech." Typically aphasia occurs after a stroke. Reduced blood flow or bleeding causes brain cells to start dying, but the neural transmitters signal the brain's neurons to keep firing, even as they starve from lack of oxygen. Any brain cells killed during this time can't come back.
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The damage of aphasia tends to be in two brain areas, the Broca's area in the posterior left prefrontal cortex, and Wernicke's area, the posterior left temporal cortex.
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One of the effects of aphasia is losing the ability to talk with yourself. The inner monologue disappears, leaving you unable to process your own thoughts.
The ability to speak with oneself is vital for forming emotions, processing memories, and predicting the future. Internal silence can be described as a total loss of identity.
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Higher consciousness can survive without an internal monologue. Some degree of recovery from aphasia is possible. The brain has a higher degree of neural plasticity than once understood.
Although language is part of personal identity, it doesn't define the self.
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