The Relationship of Disease and Other Stress To Second Language

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Abstract
This paper applies insights about bilingualism to the everyday practice of general psychiatry. Past studies, though useful, do not concentrate on the effects of stress on self expression in a second language. The case reported herein illustrates in detail such effects. The author concludes that to make accurate clinical assessments when consulting with bilingual patients, the psychiatrist must add these questions to his mental status assessment : (1) At what age and in what place did the patient learn his language? (2) What are the attitudes toward his languages in his current environ ment? (3) Is the patient under stress, and how is the stress effecting his self expression in his second language?

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