Speech is the vocalized form of human communication. It is based upon the syntactic combination of lexicals and names that are drawn from very large vocabularies. Each spoken word is created out of the phonetic combination of a limited set of vowel and consonant speech sound units. These vocabularies, the syntax which structures them, and their set of speech sound units differ, creating the existence of many thousands of different types of mutually unintelligible human languages. Most human speakers are able to communicate in two or more of them, hence being polyglots. The vocal abilities that enable humans to produce speech also provide humans with the ability to sing. A gestural form of human communication exists for the deaf in the form of sign language. Speech in some cultures has become the basis of a written language, often one that differs in its vocabulary, syntax and phonetics from its associated spoken one, a situation called diglossia. Speech in addition to its use in communication, it is suggested by some psychologists such as Vygotsky is internally used by mental processes to enhance and organize cognition in the form of an interior monologue.