Ueno B
Asakura Kinen Hospital.
Seishin Shinkeigaku Zasshi. 1994;96(8):609-27.
The author analyzed the process of language deformation in the beginning stages of schizophrenia in three cases. Through this analysis, the author obtained the following results. 1. The first symptoms and signs which appeared at the beginning stages of schizophrenia were the deformation of both perceptions and thoughts. Though schizophrenics could recognize each object separately, deformation made them unable to grasp objects as a coherent structure for perceptions and thoughts. 2. Once the certainty of perceptions and thoughts wavered, the use of language changed. Schizophrenics became fixated on words used by others, and thereby unable to choose language appropriate to the situation. 3. The change of language use made schizophrenics isolated from others. Therefore, schizophrenics tried to communicate with other persons indirectly by using a mere shell of language. And then, they constructed delusions and hallucinations in schizophrenia. Based on these results of the analysis, the author herein investigated the beginning stages of schizophrenia which began in the deformation of perceptions and thoughts by using the Wittgenstein's "Language-game Sprachspiel" hypothesis.
作者分析了3例精神分裂症初期语言变形的过程。通过该分析，作者获得了以下结果。1. 精神分裂症初期出现的首批症状和体征是感知和思维的变形。虽然精神分裂症患者能够分别识别每个物体，但变形使他们无法将物体作为感知和思维的连贯结构来把握。2. 一旦感知和思维的确定性动摇，语言的使用就会改变。精神分裂症患者会执着于他人使用的词汇，从而无法选择适合情境的语言。3. 语言使用的变化使精神分裂症患者与他人隔绝。因此，精神分裂症患者试图通过仅使用语言的外壳与他人间接交流。然后，他们在精神分裂症中构建了妄想和幻觉。基于这些分析结果，作者在此运用维特根斯坦的“语言游戏Sprachspiel”假说，研究了始于感知和思维变形的精神分裂症初期阶段。
