Conceptual sequencing and disordered speech in schizophrenia.

This study examined associations between impairments of attention, memory, and conceptual sequencing ability, and specific schizophrenia thought and language symptoms. Speech samples of stable schizophrenia outpatients were assessed for frequencies of six different types of communication failures. The classification of types of failures was based on hypothesized differences in underlying cognitive process. Frequencies of the four types of communication failures believed to involve language structural weaknesses all were significantly and fairly strongly related to conceptual sequencing ability. In addition, regression analyses indicated that each of these four types of communication failures was associated with a unique configuration of attentional, memorial, and conceptual sequencing processes. In contrast, the two types of communication disturbances not suggestive of language structural problems were not positively associated with any of the cognitive weaknesses assessed.

[1]  S. Rochester Are language disorders in acute schizophrenia actually information processing problems? , 1978, Journal of psychiatric research.

[2]  S. Blatt,et al.  Schizophrenia: A Developmental Analysis , 1976 .

[3]  N C Andreasen,et al.  Thought, language, and communication disorders. II. Diagnostic significance. , 1979, Archives of general psychiatry.

[4]  C. Bell DSM-IV: Diagnostic and Statistical Manual of Mental Disorders , 1994 .

[5]  W. A. White THE LANGUAGE OF SCHIZOPHRENIA , 1926 .

[6]  A. Mcghie,et al.  Disorders of attention and perception in early schizophrenia. , 1961, The British journal of medical psychology.

[7]  D. Quinlan,et al.  Disordered Thinking and Schizophrenic Psychopathology , 1985 .

[8]  J J Bartko,et al.  ON THE METHODS AND THEORY OF RELIABILITY , 1976, The Journal of nervous and mental disease.

[9]  P. McGuffin,et al.  Schizophrenia: The Major Issues , 1988 .

[10]  Philip S. Holzman,et al.  Assessing schizophrenic thinking : a clinical and research instrument for measuring thought disorder , 1979 .

[11]  R. Reitan,et al.  Clinical neuropsychology: Current status and applications. , 1974 .

[12]  F. Mott ARCHIVES OF NEUROLOGY AND PSYCHIATRY , 1923 .

[13]  N C Andreasen,et al.  Communication disturbances in schizophrenia and mania. , 1996, Archives of general psychiatry.

[14]  Xiao-Li Meng,et al.  Comparing correlated correlation coefficients , 1992 .

[15]  R Parasuraman,et al.  Visual sustained attention: image degradation produces rapid sensitivity decrement over time. , 1983, Science.

[16]  B. Maher,et al.  The Predictability of Thought Disordered Speech in Schizophrenic Patients , 1979, British Journal of Psychiatry.

[17]  N. Docherty,et al.  Affective reactivity of speech in schizophrenia patients and their nonschizophrenic relatives. , 1998, Journal of abnormal psychology.

[18]  N. Docherty Speech and Language Disorders in Psychiatry , 1996 .

[19]  N. Docherty Linguistic reference performance in parents of schizophrenic patients. , 1995, Psychiatry.

[20]  N. Docherty,et al.  Comparative affective reactivity of different types of communication disturbances in schizophrenia. , 1997 .

[21]  Philip D. Harvey,et al.  Cognitive deficits and thought disorder: II. An 8-month followup study. , 1990, Schizophrenia bulletin.

[22]  D. Barch,et al.  Language production and thought disorder in schizophrenia. , 1996, Journal of abnormal psychology.

[23]  L. S. Vigotsky,et al.  THOUGHT IN SCHIZOPHRENIA , 1934 .

[24]  J. Kasanin,et al.  Language and thought in schizophrenia , 1944 .

[25]  L. Wynne,et al.  THOUGHT DISORDER AND FAMILY RELATIONS OF SCHIZOPHRENICS. IV. RESULTS AND IMPLICATIONS. , 1965, Archives of general psychiatry.

[26]  J. Overall,et al.  The Brief Psychiatric Rating Scale , 1962 .

[27]  K. Nuechterlein,et al.  Attentional vulnerability indicators, thought disorder, and negative symptoms. , 1986, Schizophrenia bulletin.

[28]  N. Docherty Communication Deviance, Attention, and Schizotypy in Parents of Schizophrenic Patients , 1993, The Journal of nervous and mental disease.

[29]  L. J. Chapman,et al.  Associative intrusions in schizophrenic verbal behavior. , 1973, Journal of abnormal psychology.

[30]  Philip D. Harvey,et al.  Cognitive deficits and thought disorder: a retest study. , 1988, Schizophrenia bulletin.

[31]  L. J. Chapman,et al.  Facilitation of word recognition by semantic priming in schizophrenia. , 1990, Journal of abnormal psychology.

[32]  N C Andreasen,et al.  Thought, language, and communication in schizophrenia: diagnosis and prognosis. , 1986, Schizophrenia bulletin.

[33]  R. Hoffman,et al.  Working memory, attention, and communication disturbances in schizophrenia. , 1996, Journal of abnormal psychology.

[34]  N. Docherty,et al.  Communication disturbances in the natural speech of schizophrenic patients and non‐schizophrenic parents of Patients , 1997, Acta psychiatrica Scandinavica.

[35]  J. Krystal,et al.  Affective Reactivity of Language in Schizophrenia , 1994, The Journal of nervous and mental disease.

[36]  S. Blatt,et al.  Thought disorder and boundary disturbances in psychosis. , 1974, Journal of consulting and clinical psychology.

[37]  D. Drachman,et al.  Memory and cognitive function in man , 1977, Neurology.

[38]  J. Cohen,et al.  Context, cortex, and dopamine: a connectionist approach to behavior and biology in schizophrenia. , 1992, Psychological review.

[39]  J C Ingram,et al.  Language Analysis in Schizophrenia: Diagnostic Implications , 1982, The Australian and New Zealand journal of psychiatry.

[40]  S. Lovibond THE OBJECT SORTING TEST AND CONCEPTUAL THINKING IN SCHIZOPHRENIA , 1954 .

[41]  J. Laffal Crazy Talk: A Study of the Discourse of Schizophrenic Speakers , 1981 .

[42]  A. Pfefferbaum,et al.  Patterns of content, contextual, and working memory impairments in schizophrenia and nonamnesic alcoholism. , 1997, Neuropsychology.

[43]  J. G. Miller,et al.  Disordered thinking in schizophrenia: intermingling and loss of set. , 1983, Schizophrenia bulletin.

[44]  K H Nuechterlein,et al.  Information‐processing abnormalities as neuropsychological vulnerability indicators for schizophrenia , 1994, Acta psychiatrica Scandinavica. Supplementum.

[45]  N C Andreasen,et al.  A comparative study of manic vs schizophrenic speech disorganization. , 1986, Archives of general psychiatry.

[46]  C. Frith Schizophrenia, memory, and anticholinergic drugs. , 1984, Journal of abnormal psychology.

[47]  D. Barch,et al.  The categorization of thought disorder , 1995, Journal of psycholinguistic research.

[48]  E. Chaika,et al.  A linguist looks at “schizophrenic” language , 1974 .

[49]  N. Docherty,et al.  Communication disturbances in relatives beyond the age of risk for schizophrenia and their associations with symptoms in patients. , 1999, Schizophrenia bulletin.

[50]  W. C. Shipley A Self-Administering Scale for Measuring Intellectual Impairment and Deterioration , 1940 .

[51]  B. Wexler,et al.  Affective Reactivity of Language in Stable Schizophrenic Outpatients and Their Parents , 1994, The Journal of nervous and mental disease.