Long-Term Study of Schizophasic Patients

Kirov, Kiril

doi:10.1159/000284409

Cited by 3 publications

(2 citation statements)

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“…Long-term treatment with medication has also been related to language dysfunction. Kirov (1985) reported that symptoms, such as echolalia, stilted speech, neologisms, and derailment, appear only after many years of schizophrenic illness. He suggested that 'schizophasia' is an irreversible symptom complex appearing late in the course of the disease.…”

Section: Introductionmentioning

confidence: 99%

Language dysfunction in schizophrenia

Goren

Tucker

Ginsberg

1996

Intl J Lang & Comm Disor

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S Twenty‐four medicated schizophrenic subjects participated in a study aimed at assessing language dysfunction in schizophrenia. Two groups of subjects participated: schizophrenic responders and non‐responders to treatment with antipsychotic medication. All subjects were tested on The Western Aphasia Battery test (WAB), the Cookie Theft picture descriptions task, and the Wechsler Adult Intelligence Scales — Revised (WAIS‐R) block design and picture arrangement subtests. All verbal and non‐verbal assessments were compared between groups. The three main findings of this study were: 1. Severe language dysfunction among schizophrenic patients who do not respond to medication treatment. That is, therapeutic response to medication was the major predictor of the severity of language dysfunction in schizophrenia. 2. A group profile of language dysfunction differed in severity but not in shape between responders and non‐responders to treatment with antipsychotic medication. 3. Schizophrenic responders and non‐responders to medication treatment did not differ in their performance on a standardised picture description task and failed to reach low‐moderate aphasia level. Secondary findings suggest that non‐verbal aspects, such as attention and logical sequencing, may be influenced by treatment. This study represents an assessment of schizophrenic language function in relation to known language deficits of neurological patients, lending further support for the role of central nervous system (CNS) dysfunction in schizophrenia, and the importance of assessing language dysfunction as a sensitive gauge to treatment response. Vingt‐quatre schizophrènes sous médication ont participé à une étude destinée à measurer les dysfonctions du langage dans la schizophrénic. L'on apris deux groupes: des schizophrènes qui réagissaient favorablement aux médicaments, et d'autres sur qui les médicaments n'avaient aucun effet. Tous ont été testés grâce à la Western Aphasia Battery, aux épreuves de descriptions d'images du ‘Cookie Theft’, et aux sous‐tests du WAIS‐R Block Design and Picture Arrangement. Les groupes ont été comparés pour les notes obtenues en ce qui concemait d'une part le langage, et d'autre part les éléments extra‐linguistiques. Les trois principales conclusions de cette étude sont que: 1. Des désordres sévères du langage apparaissent chez les schizophrenes réfractaires à la médication. C'est à dire que la réaction thérapeutique aux médicaments est l'indice prédéterminant principal de la sévérité des troubles du langage dans la Schizophrénie. 2. Chez tel ou tel type collectif de trouble du langage, la différence en sévérité (le type restant la même) correspond au fait que les patients réagissent on non aux traitements antipsychotiques. 3. La réaction ou l'absence de réaction aux médicaments ne crée aucune différence en cen qui concerne la performance lors d'une épreuve standardisée de description d'images, et dans ce cas tous les patients sont restées en‐dessous du niveau atteint par des aphasiques de niveau inférieur‐modé...

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Section: Introductionmentioning

confidence: 99%

Language dysfunction in schizophrenia

Goren

Tucker

Ginsberg

1996

Intl J Lang & Comm Disor

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“…Cath et al [17] emphasize that symptoms in GTS, even when sharing superficial similarities with obsessive-compulsive symptoms, Echo phenomena are environmentdriven responses [1] occurring in different disorders, e.g. the Gilles de la Tourette syndrome (GTS) [2,3] , schizophrenic disorders [4,5] including catatonia [6,7] , aphasias [8,9] , autism [10][11][12] , epilepsy [13] , frontotemporal dementia [14] , Pick's disease [15] and neuropsychiatric systemic lupus erythematosus [16] . They are defined as pathological imitations of external stimuli.…”

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confidence: 99%

Contour Copying or Echoplasia – A New Echo Phenomenon in a Person with Gilles de la Tourette Syndrome

Kawohl¹,

Podoll

2008

Psychopathology

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Die Kataphasie: eine durch formale Denkstörungen und sprachliche Auffälligkeiten gekennzeichnete Psychose des schizophrenen Formenkreises

1998

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Cataphasia, one form of Leonard's unsystematic schizophrenias, shows a polymorphous, but nevertheless specific symptomatology. The key features of the psychopathology of this condition are formal thought and speech disorders. Hallucinations and delusional ideas can be present, but they are incidental and do not determine the syndrome. The characteristic elements of this thought disorder are logical derailment, paralogic thinking and, especially in the excited form, incoherence with contaminations up to "word salad". The speech shows strange verbalizations, paragrammatisms, agrammatisms, and occasionally neologisms. The course mostly fluctuates with acute attacks and incomplete remissions leading to residual states of varying degrees of severity determined by a flattened and somewhat euphoric affect. Usually the disorder appears in an excited or inhibited form. In the latter case, thought disorder is difficult to recognize. Sometimes it can only be stated by the facial expression, which reveals an internal emptiness and dullness, and a tendency to state fixedly at the examiner. Psychopharmacotherapy can diminish accompanying delusional ideas or hallucinations, but does not have much influences on the core syndrome of formal thought and speech disorder.

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Long-Term Study of Schizophasic Patients

Cited by 3 publications

References 2 publications

Language dysfunction in schizophrenia

Language dysfunction in schizophrenia

Contour Copying or Echoplasia – A New Echo Phenomenon in a Person with Gilles de la Tourette Syndrome

Die Kataphasie: eine durch formale Denkstörungen und sprachliche Auffälligkeiten gekennzeichnete Psychose des schizophrenen Formenkreises

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