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言语背后的思想:对精神分裂症言语和思维障碍的一种观点

The thought behind the words: a view of schizophrenic speech and thinking disorders.

作者信息

Lanin-Kettering I, Harrow M

出版信息

Schizophr Bull. 1985;11(1):1-15. doi: 10.1093/schbul/11.1.1.

Abstract

Chaika (1982) has proposed that what is frequently viewed as a schizophrenic thought disorder should more precisely be regarded as a speech disorder. We suggest, however, that one should emphasize constructs concerning disordered schizophrenic thinking. We support this position since the schizophrenic's strange speech can fit into a larger view about his disordered thinking which is grounded in a nomological net involving various different types of strange behavior. Other support comes from (1) the use of tests assessing disordered nonverbal behavior, (2) evidence that schizophrenics intermingle personal concerns (ideas) into their verbalizations, (3) bizarre schizophrenic behavior, and (4) the very large percent of schizophrenics with delusions. There is an intricate link between language--which includes a system of symbols, words, and meanings--and thinking. Thus, we have proposed that the disturbance most frequently observed in schizophrenic verbalizations be viewed as involving conceptual-linguistic activity, and not just a problem of speech activity.

摘要

柴卡(1982)提出,通常被视为精神分裂症思维障碍的情况,更确切地应被视为言语障碍。然而,我们认为,人们应该强调与精神分裂症紊乱思维相关的概念。我们支持这一观点,因为精神分裂症患者奇怪的言语可以纳入关于其紊乱思维的更宏观视角,这种思维以涉及各种不同类型奇怪行为的法则网络为基础。其他支持来自于:(1)使用评估紊乱非言语行为的测试;(2)精神分裂症患者将个人关切(想法)融入其言语表达的证据;(3)怪异的精神分裂症行为;(4)有妄想的精神分裂症患者的比例非常高。语言(包括符号、词语和意义系统)与思维之间存在着复杂的联系。因此,我们提出,在精神分裂症言语表达中最常观察到的紊乱应被视为涉及概念 - 语言活动,而不仅仅是言语活动的问题。

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