Perspective-taking and intersubjectivity in oral narratives of people with a schizophrenia diagnosis: a cognitive linguistic viewpoint analysis

Abstract

Disruptions in theory of mind faculties and the ability to relate to an intersubjective reality are widely thought to be crucial to schizophrenic symptomology. This paper applies a cognitive linguistic framework to analyze spontaneous perspective-taking in two corpora of stories told by people with a schizophrenia diagnosis. We elicited natural narrative language use through life story interviews and a guided storytelling task and analyzed the linguistic construal of viewpoint in these stories. For this analysis, we developed a reliable and widely applicable viewpoint model that allows for the categorization and quantification of speakers’ linguistic presentation and navigation of spatiotemporal domains. We found that our participants skillfully presented, navigated and embedded different narrative viewpoints through a variety of linguistic viewpoint devices. They presented complex viewpoints of other people in both the here-and-now of the interaction and the there-and-then of a narrative, and made use of transition markers to demarcate spatiotemporal discourse domains. We found no differences in viewpoint variables when comparing their guided stories to a control group. If problems with intersubjectivity are indeed an essential part of schizophrenia, an explanation of how this group can take on and navigate complex linguistic viewpoints in natural narrative interaction is called for.

(PREPRINT) Plank & Zlomuzica, 2024, coherence in social media posts

“…Disorganized speech is a prevalent characteristic among individuals diagnosed with psychotic disorders such as SZ. This symptom reflects formal thought disorder, a fundamental aspect of SZ, and can be derived from the analysis of language (Hitczenko et al, 2021) produced in the context of real life narratives (van Schuppen et al, 2023). NLP has been widely applied in the assessment of coherence.…”