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[精神分裂症、神经症和健康青少年的沟通特征]

[Characteristics of communication of schizophrenic, neurotic, and healthy adolescents].

作者信息

Wiemer P, Bunk D, Eggers C

机构信息

Rheinische Kliniken Essen, Klinik für Psychiatrie und Psychotherapie des Kindes- und Jugendalters, Postfach 103043, 45030 Essen.

出版信息

Prax Kinderpsychol Kinderpsychiatr. 2001 Jan;50(1):16-30.

Abstract

Research on communication skills in psychotic patients demonstrates that in dialogues schizophrenics neglect the needs of the listener. There are only few linguistic studies which investigate the speech of schizophrenic children and adolescents. The verbal and non-verbal communication of schizophrenic, neurotic, and healthy adolescents during a problem solving situation was transcribed and compared by a content analysis. The transcripts were screened for dialogue control and communication disturbance of verbal/non-verbal activities of the speaker and listener: Dialogue control was defined by the variables signals of the speaker or signals of hearer and eye or body contact of the test person to the experimenter. Communication disturbance was defined as the amount of incomprehensible articulation and selections. Neurotic test persons produce the highest signals of speaker rate. In dialogues with neurotic and schizophrenic test persons the experimenter uses more signals of hearer than in dialogues with healthy test persons. In dialogues with neurotic test persons the experimenter shows more signals of the speaker than in dialogues with healthy test persons. Schizophrenics neglect more often the statements of the experimenter than in other dialogues and vice versa. Although the experimenter was instructed to restricted verbal behavior the communication intensified in the neurotic group. The communication in the schizophrenic group was characterized by frequent communication disturbance.

摘要

对精神病患者沟通技巧的研究表明,在对话中,精神分裂症患者忽视倾听者的需求。仅有少数语言学研究对精神分裂症儿童及青少年的言语进行调查。通过内容分析对精神分裂症、神经症及健康青少年在解决问题情境中的言语及非言语沟通进行转录及比较。对转录文本进行筛查,以了解说话者和倾听者言语/非言语活动的对话控制及沟通障碍:对话控制由说话者信号或倾听者信号以及测试对象与实验者的眼神或身体接触等变量定义。沟通障碍被定义为难以理解的发音及选择的数量。神经症测试对象产生的说话者比率信号最高。在与神经症及精神分裂症测试对象的对话中,实验者使用的倾听者信号比与健康测试对象对话时更多。在与神经症测试对象的对话中,实验者展示的说话者信号比与健康测试对象对话时更多。与其他对话相比,精神分裂症患者更常忽视实验者的陈述,反之亦然。尽管实验者被要求限制言语行为,但神经症组的沟通仍增强了。精神分裂症组的沟通特点是频繁出现沟通障碍。

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