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Aitken moves rather too quickly from written text, which, whatever else it might be, is scribal, to a hypothetical oral stage without much reflection on the dynamics of textualization. The clinician will: (1) visually inspect and assess ROM, strength, and coordination of individual oral structures, including lips, tongue (anterior, middle, and posterior), and soft palate; and (2) assess the functional movement patterns required for the oral stage of swallowing, including food bolus manipulation during chewing, cohesive food bolus formation, anterior-to-posterior transit of cohesive food bolus, and transfer or dropping of food bolus into pharynx. This means that the widespread use of balie could have contributed significantly to a fixation at the oral stage, which under the hypothesis being offered here gave rise to a cognitive predisposition toward incorporation and merging that seems to underlie popular Catholicism in Italy. |
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