Published online by Cambridge University Press: 01 August 1998
We agree with MacNeilage's claim that speech stems from a volitional vocalization pathway between the cingulate and the supplementary motor area (SMA). We add the vocal self- monitoring system as the first recruitment of the Broca-Wernicke circuit. SMA control for “frames” is supported by wrong consonant-vowel recurring utterance aphasia and an imaging study of quasi-reiterant speech. The role of Broca's area is questioned in the emergence of “content,” because a primary motor mapping, embodying peripheral constraints, seems sufficient. Finally, we reject a uniquely peripheral account of speech emergence.