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[青春期痴呆患者的言语(同化与顺应之间的失调)]

[The speech of hebephrenic patients (maladjustment between assimilation and accommodation)].

作者信息

Tissot R, Burnand Y, Andréoli A, Bovier P, Vollrath J L

出版信息

Ann Med Psychol (Paris). 1985 Jan;143(1):15-34.

PMID:4014922
Abstract

Previous studies indicate that schizophrenic thought processes show a disturbance in the balance between assimilation and accommodation, as Piaget uses these terms. The authors postulated that this phenomenon could also account for the typical language disorders of hebephrenics, particularly semantic slippage. Every fourth word was deleted from linguistic material produced by eight controls and thirteen hebephrenics (Silverman). Three judges were then asked to fill in the blanks. The deleted words used by the subjects were compared with the replacement words chosen by the judges. The comparison revealed such disorders in hebephrenic speech as semantic alteration (metaphorical and metonymic) of the linguistic tropic type and syntax disorders including inhibition of the expansion of phrases introduced by functional monemes (morphemes), whether primary or secondary. These observations confirm those of other authors, more especially those of Roch Lecours et al. On the basis of Martinet's functional linguistics, Chomsky's generative grammar and Piaget's cognitive psychology, the authors conclude that the psychopathology underlying hebephrenic speech is a disturbance of language rather than of parole and that hebephrenic syntactical distortions are linked to the disturbance in the balance between assimilation and accommodation characteristic of schizophrenic thought processes.

摘要

先前的研究表明,正如皮亚杰所使用的这些术语那样,精神分裂症患者的思维过程在同化与顺应之间的平衡上表现出紊乱。作者们推测,这种现象也可以解释青春期痴呆患者典型的语言障碍,尤其是语义转换。从8名对照者和13名青春期痴呆患者所产生的语言材料中删除了每第四个单词(西尔弗曼)。然后让三名评判者填空。将受试者所使用的被删除单词与评判者选择的替代单词进行比较。比较结果揭示出青春期痴呆患者言语中存在如下紊乱:语言比喻类型的语义改变(隐喻性和转喻性)以及句法紊乱,包括对由功能语素(词素)引入的短语扩展的抑制,无论这些语素是主要的还是次要的。这些观察结果证实了其他作者的观察结果,尤其是罗什·勒库尔斯等人的观察结果。基于马丁内的功能语言学、乔姆斯基的生成语法以及皮亚杰的认知心理学,作者们得出结论,青春期痴呆患者言语背后的精神病理学是一种语言紊乱而非言语紊乱,并且青春期痴呆患者的句法扭曲与精神分裂症思维过程所特有的同化与顺应之间的平衡紊乱有关。

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