Lucarini Valeria, Grice Martine, Cangemi Francesco, Zimmermann Juliane T, Marchesi Carlo, Vogeley Kai, Tonna Matteo
Psychiatry Unit, Department of Medicine and Surgery, Medical Faculty, University of Parma, Parma, Italy.
IfL-Phonetics, University of Cologne, Cologne, Germany.
Front Psychiatry. 2020 Sep 15;11:531863. doi: 10.3389/fpsyt.2020.531863. eCollection 2020.
Patients with schizophrenia spectrum disorders experience severe difficulties in interpersonal communication, as described by traditional psychopathology and current research on social cognition. From a linguistic perspective, pragmatic abilities are crucial for successful communication. Empirical studies have shown that these abilities are significantly impaired in this group of patients. Prosody, the tone of voice with which words and sentences are pronounced, is one of the most important carriers of pragmatic meaning and can serve a range of functions from linguistic to emotional ones. Most of the existing literature on prosody of patients with schizophrenia spectrum disorders focuses on the expression of emotion, generally showing significant impairments. By contrast, the use of non-emotional prosody in these patients is scarcely investigated. In this paper, we first present a linguistic model to classify prosodic functions. Second, we discuss existing studies on the use of non-emotional prosody in these patients, providing an overview of the state of the art. Third, we delineate possible future lines of research in this field, also taking into account some classical psychopathological assumptions, for both diagnostic and therapeutic purposes.
正如传统精神病理学及当前社会认知研究所述，精神分裂症谱系障碍患者在人际沟通方面存在严重困难。从语言学角度来看，语用能力对于成功沟通至关重要。实证研究表明，这组患者的这些能力存在显著受损。韵律，即单词和句子发音的语调，是语用意义最重要的载体之一，并且可以发挥从语言功能到情感功能等一系列功能。现有的关于精神分裂症谱系障碍患者韵律的大多数文献都集中在情感表达上，总体上显示出显著受损。相比之下，对这些患者非情感韵律的使用研究很少。在本文中，我们首先提出一个用于对韵律功能进行分类的语言模型。其次，我们讨论了关于这些患者非情感韵律使用的现有研究，概述了当前的研究现状。第三，我们描绘了该领域未来可能的研究方向，同时也考虑到一些经典的精神病理学假设，以用于诊断和治疗目的。
