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古怪的对话:精神分裂症患者的对话方式有何不同。

Quirky conversations: how people with a diagnosis of schizophrenia do dialogue differently.

机构信息

Department of Philosophy, Linguistics and Theory of Science, University of Gothenburg, 405 30 Gothenburg, Sweden.

School of Psychology, Queens University, Belfast BT7 1NN, UK.

出版信息

Philos Trans R Soc Lond B Biol Sci. 2023 Apr 24;378(1875):20210480. doi: 10.1098/rstb.2021.0480. Epub 2023 Mar 6.

DOI:10.1098/rstb.2021.0480
PMID:36871591
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9985960/
Abstract

People with a diagnosis of schizophrenia (PSz) have difficulty engaging in social interaction, but little research has focused on dialogues involving PSz interacting with partners who are unaware of their diagnosis. Using quantitative and qualitative methods on a unique corpus of triadic dialogues of PSz first social encounters, we show that turn-taking is disrupted in dialogues involving a PSz. Specifically, there are on average longer gaps between turns in groups which contain a PSz compared to those which do not, particularly when the speaker switch occurs from one control (C) participant to the other. Furthermore, the expected link between gesture and repair is not present in dialogues with a PSz, particularly for C participants interacting with a PSz. As well as offering some insights into how the presence of a PSz affects an interaction, our results also demonstrate the flexibility of our mechanisms for interaction. This article is part of a discussion meeting issue 'Face2face: advancing the science of social interaction'.

摘要

被诊断为精神分裂症(PSz)的人在社交互动方面存在困难,但很少有研究关注涉及与未被告知诊断的伴侣进行互动的 PSz 的对话。通过对一组独特的 PSz 首次社交接触的三方对话进行定量和定性研究,我们表明,涉及 PSz 的对话会中断轮流发言。具体来说,与不包含 PSz 的组相比,包含 PSz 的组中回合之间的平均时间间隔更长,特别是当说话人从一个对照(C)参与者切换到另一个参与者时。此外,在包含 PSz 的对话中,手势和修复之间的预期联系并不存在,特别是对于与 PSz 互动的 C 参与者。除了提供一些关于 PSz 的存在如何影响互动的见解外,我们的研究结果还展示了我们的互动机制的灵活性。本文是“面对面:推进社交互动科学”讨论会议的一部分。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6132/9985960/164d266d20c1/rstb20210480f07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6132/9985960/be562635b502/rstb20210480f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6132/9985960/487b0ed4695b/rstb20210480f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6132/9985960/2f3714762f36/rstb20210480f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6132/9985960/a3e81bf83314/rstb20210480f04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6132/9985960/ee3d1b9b6b6c/rstb20210480f05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6132/9985960/22013f2b8089/rstb20210480f06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6132/9985960/164d266d20c1/rstb20210480f07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6132/9985960/be562635b502/rstb20210480f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6132/9985960/487b0ed4695b/rstb20210480f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6132/9985960/2f3714762f36/rstb20210480f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6132/9985960/a3e81bf83314/rstb20210480f04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6132/9985960/ee3d1b9b6b6c/rstb20210480f05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6132/9985960/22013f2b8089/rstb20210480f06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6132/9985960/164d266d20c1/rstb20210480f07.jpg

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本文引用的文献

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The Role of Eye Gaze in Regulating Turn Taking in Conversations: A Systematized Review of Methods and Findings.目光注视在对话中调节话轮转换的作用:方法与研究结果的系统综述
Front Psychol. 2021 Apr 7;12:616471. doi: 10.3389/fpsyg.2021.616471. eCollection 2021.
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Social support and clinical and functional outcome in people with schizophrenia.
社交支持与精神分裂症患者的临床和功能结局。
Int J Soc Psychiatry. 2018 Aug;64(5):488-496. doi: 10.1177/0020764018778868. Epub 2018 May 29.
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Gesture Performance in Schizophrenia Predicts Functional Outcome After 6 Months.精神分裂症患者的手势表现可预测6个月后的功能转归。
Schizophr Bull. 2016 Nov;42(6):1326-1333. doi: 10.1093/schbul/sbw124. Epub 2016 Aug 27.
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Prevalence, Employment Rate, and Cost of Schizophrenia in a High-Income Welfare Society: A Population-Based Study Using Comprehensive Health and Welfare Registers.高收入福利社会中精神分裂症的患病率、就业率及成本:一项基于人群的研究,使用综合健康与福利登记册
Schizophr Bull. 2016 Mar;42(2):476-83. doi: 10.1093/schbul/sbv141. Epub 2015 Oct 3.
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Social cognition in schizophrenia.精神分裂症的社会认知。
Nat Rev Neurosci. 2015 Oct;16(10):620-31. doi: 10.1038/nrn4005. Epub 2015 Sep 16.
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Impaired gesture performance in schizophrenia: particular vulnerability of meaningless pantomimes.精神分裂症患者的手势表现受损:无意义手势特别容易受到影响。
Neuropsychologia. 2013 Nov;51(13):2674-8. doi: 10.1016/j.neuropsychologia.2013.08.017. Epub 2013 Aug 31.
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Schizophr Bull. 2013 Sep;39(5):1150-8. doi: 10.1093/schbul/sbs091. Epub 2012 Sep 1.