The authors assessed tardive dyskinesia and the structure and physiolo
gy of speech apparatus, phonation, and articulation speech abnormaliti
es in 27 chronically ill male psychiatric patients. Tardive dyskinesia
was associated with impairment in phonation, intelligibility, and rat
e of speech production. Patients with and without tardive dyskinesia h
ad similar rates of structural and physiological abnormalities of spee
ch apparatus. The authors conclude that tardive dyskinesia is associat
ed with substantial impairment in speech.