Mikesell-Bromley2016
| Mikesell-Bromley2016 | |
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| BibType | INCOLLECTION |
| Key | Mikesell-Bromley2016 |
| Author(s) | Lisa Mikesell, Elizabeth Bromley |
| Title | Exploring the Heterogeneity of ‘Schizophrenic Speech’ |
| Editor(s) | Jessica Nina Lester, Michelle O'Reilly |
| Tag(s) | EMCA, Schizophrenia, Mental Health |
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| Year | 2016 |
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| Pages | 329-351 |
| URL | Link |
| DOI | 10.1057/9781137496850_18 |
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| Howpublished | |
| Book title | The Palgrave Handbook of Adult Mental Health |
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Abstract
Despite claims that pragmatic impairment is a defining feature of schizophrenia (Covington et al., 2005), few studies explore the communication practices of individuals diagnosed with schizophrenia (IwS) in spontaneous interactions where pragmatic impairment may come to the fore. A number of linguistic deficits have been identified (Fraser, King, & Thomas, 1986; Hoffman & Sledge, 1988), but many studies examine language features de-contextualised from their interactional environment. Such an approach allows quantification of isolated, well-defined features but may mask how language use impacts functional outcomes and defines interactional moments, a gap which has led to somewhat mechanistic descriptions of ‘schizophrenic speech’. Although not all IwS exhibit problematic speech patterns, it is often clinically presumed that language is disordered, reflecting a disturbance in cognition or thought processes (Bleuler, 1911/1950). Clinicians thus often pay attention to related categories of pathology rather than to whether the language or discourse practices are communicative. As a result, the situational complexities of language behaviour may be overlooked.
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