The University of Queensland School of Health and Rehabilitation Sciences, Brisbane, Australia.
J Intellect Disabil Res. 2010 Jan 1;54(1):70-80. doi: 10.1111/j.1365-2788.2009.01229.x. Epub 2009 Dec 8.
Knowledge of discourse abilities of adults with intellectual disability (ID) and mental illness is limited. The present study examined the procedural discourse skills of two cohorts of adults with ID - one cohort with (n = 7) and one cohort without (n = 7) a psychiatric diagnosis of psychosis.
Participants completed the 'dice game', a procedural discourse elicitation procedure that has been used by previous researchers.
Results revealed that while all participants demonstrated an understanding of the task, participants with ID alone were more able to communicate the key elements of the game than the participants in the dual diagnosis group.
Results of this investigation suggest that individuals with dual diagnosis have difficulties that may relate to previously identified discourse impairments in people with schizophrenia, and this may relate to a larger difficulty in taking into account the listener's needs.
成人智力障碍（ID）和精神疾病患者的话语能力知识有限。本研究考察了两个成年 ID 队列的程序话语技能，一个队列有（n = 7），一个队列没有（n = 7）精神病诊断为精神病。
参与者完成了“骰子游戏”，这是一个程序话语引出程序，以前的研究人员已经使用过。
结果表明，虽然所有参与者都理解了任务，但只有 ID 参与者比双重诊断组的参与者更能传达游戏的关键要素。
这项研究的结果表明，双重诊断患者可能存在与精神分裂症患者先前确定的话语障碍相关的困难，这可能与更难以考虑到听众的需求有关。
