Circumstantial speech
Circumstantial speech, also referred to as circumstantiality, is the result of a so-called "non-linear thought pattern" and occurs when the focus of a conversation drifts, but often comes back to the point.<ref name=BG >Problem-Based Psychiatry by Ben Green 2009 ISBN 1-84619-042-8 page 15</ref> In circumstantiality, apparently unnecessary details and seemingly irrelevant remarks cause a delay in getting to the point.<ref name="Dorland's">Dorland's illustrated medical dictionary (32nd ed.). Saunders/Elsevier. 2 May 2011. p. 364. ISBN 9781416062578.</ref>
If someone exhibits circumstantial speech during a conversation, they will often seem to "talk the long way around" to their point, which may be an attempt by the speaker to include pertinent details, that may contrast with the speech which is more direct, succinct, and to the point (the gist) even at the expense of more precise, accurate communication.<ref>"Circumstantiality", Treasure Island (FL): StatPearls Publishing; January 16, 2019, by Kripa Balaram; Raman Marwaha</ref><ref>"Signs and symptoms of acute mania: a factor analysis." BMC Psychiatry, Aug. 19, 2011, Hanwella R, de Silva VA</ref> Circumstantial speech is more direct than tangential speech in which the speaker wanders and drifts and usually never returns to the original topic, and is far less severe than logorrhea.<ref>Crash Course: Psychiatry by Julius Bourke, Matthew Castle, Alasdair D. Cameron 2008 ISBN 0-7234-3476-X page 255</ref>
Signs and symptoms
A person with circumstantiality has slowed thinking and invariably talks at length about irrelevant and trivial details (i.e., circumstances). Eliciting information from such a person can be difficult since circumstantiality makes it hard for the individual to stay on topic. In most instances however, the relevant details are eventually achieved.
Example
An example of circumstantial speech is that when asked about the age of a person's mother at death, the speaker responds by talking at length about accidents and how too many people die in accidents, then eventually says what the mother's age was at death.<ref name=BG />
Treatment
Treatment often involves the use of behavioral modification and anticonvulsants, antidepressants and anxiolytics.<ref>Svobada, William (April 5, 2004). Childhood Epilepsy: Language, Learning And Behavioural Complications. Cambridge University Press. p. 672. ISBN 0-521-82338-2.</ref>
See also
References
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