Speech patterning in recently admitted and chronic long-stay schizophrenic patients. 1977

D R Rutter

Several writers have suggested that schizophrenic patients show unusual formal, or non-content, patterns of speech. For reasons of methodology, none of their findings is easy to interpret, and important questions remain unanswered. In particular, we do not know how schizophrenic patients behave in free conversion, how their behaviour with another patient may differ from their behaviour with a psychiatrically normal partner, whether they show consistency across encounters, nor whether patients recently admitted to hospital differ from chronic long-stay patients. The first study was designed to examine the first three questions, by observing recently admitted schizophrenic patients in two free dyadic conversations, one with a schizophrenic partner and one with a psychiatrically normal partner, and comparing them with three control groups; depressive patients; patients suffering from neurotic or personality disorders; and psychiatrically normal chest patients. Consistently across their two encounters, schizophrenic subjects were found to behave similarly for the most part to all three control groups. The second study went on to examine the fourth question, by comparing recently admitted and chronic long-stay schizophrenic patients, and revealed no differences between the two groups. The investigation is discussed in the light of previous research, and it is suggested that a critical variable may be the setting and nature of the encounter in which the schizophrenic patient takes part.

UI MeSH Term Description Entries
D007398 Interpersonal Relations The reciprocal interaction of two or more persons. Social Relationships,Husband-Wife Communication,Partner Communication,Communication, Husband-Wife,Communication, Partner,Husband Wife Communication,Husband-Wife Communications,Interpersonal Relation,Partner Communications,Relation, Interpersonal,Relationship, Social,Social Relationship
D007902 Length of Stay The period of confinement of a patient to a hospital or other health facility. Hospital Stay,Hospital Stays,Stay Length,Stay Lengths,Stay, Hospital,Stays, Hospital
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009497 Neurotic Disorders Disorders in which the symptoms are distressing to the individual and recognized by him or her as being unacceptable. Social relationships may be greatly affected but usually remain within acceptable limits. The disturbance is relatively enduring or recurrent without treatment. Neuroses,Psychoneuroses,Disorder, Neurotic,Disorders, Neurotic,Neurotic Disorder
D010554 Personality Disorders A major deviation from normal patterns of behavior. Avoidant Personality Disorder,Impulse-Ridden Personality,Inadequate Personality,Avoidant Personality Disorders,Impulse Ridden Personality,Personality Disorder,Personality Disorder, Avoidant,Personality Disorders, Avoidant,Personality, Impulse-Ridden,Personality, Inadequate
D002908 Chronic Disease Diseases which have one or more of the following characteristics: they are permanent, leave residual disability, are caused by nonreversible pathological alteration, require special training of the patient for rehabilitation, or may be expected to require a long period of supervision, observation, or care (Dictionary of Health Services Management, 2d ed). For epidemiological studies chronic disease often includes HEART DISEASES; STROKE; CANCER; and diabetes (DIABETES MELLITUS, TYPE 2). Chronic Condition,Chronic Illness,Chronically Ill,Chronic Conditions,Chronic Diseases,Chronic Illnesses,Condition, Chronic,Disease, Chronic,Illness, Chronic
D003863 Depression Depressive states usually of moderate intensity in contrast with MAJOR DEPRESSIVE DISORDER present in neurotic and psychotic disorders. Depressive Symptoms,Emotional Depression,Depression, Emotional,Depressive Symptom,Symptom, Depressive
D005260 Female Females
D006760 Hospitalization The confinement of a patient in a hospital. Hospitalizations

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