Patients with expressive aphasia can sometimes verbalize phrases, or even lengthy song lyrics, dredged-up for the occasion from their long-term memory. But what is the "occasion"? Why this particular hymn? Perhaps the man is reacting to his disability and lack of control by expressing his belief in a comforting presence. Or perhaps there is something about the young female therapist that reminds him of his mother. "Hosannas of inarticulate praise" are simply that--inarticulate.