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[非急性精神分裂症思维障碍的一些语言方面]

[Some linguistic aspects of thought disorder in non-acute schizophrenia].

作者信息

Schonauer K, Buchkremer G

出版信息

Eur Arch Psychiatry Neurol Sci. 1986;236(3):179-86. doi: 10.1007/BF00380947.

Abstract

Seventy texts, which had been produced spontaneously but in standardized contexts by (non-acute) schizophrenic patients and by non-schizophrenic subjects, were analysed linguistically in order to investigate the various strategies that speakers may use to join different sentences together to form a unified structure by semantic and lexicogrammatical ties. For this purpose we used Halliday's and Hasan's classification of so-called "cohesive ties". This theoretical framework makes it possible to describe the inner coherence of linguistic texts in a quantitative way. In the "schizophrenic texts" the sentences contained significantly fewer such cohesive ties than in those texts produced by normal speakers. An additional longitudinal analysis revealed an increase in the number of cohesive ties per sentence, when the same schizophrenic speakers were asked to produce a second text (in a similar context) after participating in a 3-month psychotherapy programme. The central goal of psychotherapy was to improve the patients' cognitive ability to face and cope with social stress situations. The results of several textual and statistical procedures are discussed, mainly under the aspect of cognitive dysfunctions during periods of non-acute schizophrenia.

摘要

对70篇由(非急性)精神分裂症患者和非精神分裂症受试者在标准化情境下自发产生的文本进行了语言学分析,以研究说话者可能使用的各种策略,这些策略通过语义和词汇语法联系将不同的句子连接在一起,形成一个统一的结构。为此,我们采用了韩礼德和哈桑对所谓“衔接纽带”的分类。这一理论框架使我们能够以定量的方式描述语言文本的内在连贯性。在“精神分裂症文本”中,句子中包含的此类衔接纽带明显少于正常说话者所产生的文本。一项额外的纵向分析显示,当相同的精神分裂症患者在参加一个为期3个月的心理治疗项目后(在类似情境下)被要求生成第二篇文本时,每个句子中衔接纽带的数量有所增加。心理治疗的核心目标是提高患者面对和应对社会压力情境的认知能力。主要从非急性精神分裂症期间认知功能障碍的角度讨论了几种文本和统计程序的结果。

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