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Diagnostic dilemma, innit bruv
A wonderful 2007 case study from the British Medical Journal reports how middle aged doctors can mistake street slang for symptoms of schizophrenia.
It’s probably worth noting that traditional British, and particularly London slang, could easily seem like thought disorder to the uninitiated as it is heavily based on word play and substitution.
Thomas Hardy - The Hand of Ethelberta (1876)
Exeter Book (10th century), The Wanderer