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Impulse. Tourette Syndrome affects the warning centers of the brain. This is why people with tourette's say "fuck" or "jesus christ" not "apple pie" and "brown socks". When you are startled by a snake you would say "fuck" or "jesus christ" or "put that away steve we errands to run". It is ubiquitous in higher mammals. Monkey's don't have a language; but they do have distinct alarm calls for predators; same part of the brain, not language, alarm.