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Titolo:
THE SIGNIFICANCE OF A DIFFERENTIATED ANAL YSIS OF FORMAL THOUGHT-DISORDER IN CONFUSION PSYCHOSIS AND CATAPHASIA - INCOHERENCE OF THEMATIC CHOICE VS. INCOHERENCE WITH LOGICAL AND LINGUISTIC ERRORS
Autore:
PFUHLMANN B; FRANZEK E; STOBER G;
Indirizzi:
UNIV WURZBURG,PSYCHIAT KLIN & POLIKLIN,FUCHSLEINSTR 15 D-97080 WURZBURG GERMANY
Titolo Testata:
Fortschritte der Neurologie, Psychiatrie
fascicolo: 12, volume: 65, anno: 1997,
pagine: 531 - 539
SICI:
0720-4299(1997)65:12<531:TSOADA>2.0.ZU;2-5
Fonte:
ISI
Lingua:
GER
Soggetto:
SUPERIOR TEMPORAL GYRUS; SCHIZOPHRENIA; LANGUAGE; THINKING; BRAIN; COMMUNICATION; SPEECH; CATEGORIZATION; ABNORMALITIES; DIAGNOSIS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
46
Recensione:
Indirizzi per estratti:
Citazione:
B. Pfuhlmann et al., "THE SIGNIFICANCE OF A DIFFERENTIATED ANAL YSIS OF FORMAL THOUGHT-DISORDER IN CONFUSION PSYCHOSIS AND CATAPHASIA - INCOHERENCE OF THEMATIC CHOICE VS. INCOHERENCE WITH LOGICAL AND LINGUISTIC ERRORS", Fortschritte der Neurologie, Psychiatrie, 65(12), 1997, pp. 531-539

Abstract

Formal thought disorders are usually regarded as a central symptom ofschizophrenic psychoses, but nevertheless as diagnostically non-specific. Karl Leonhard, therefore, differentiated in his classification ofendogenous psychoses between a whole lot of diagnostically specific types of formal thought disorders. He described two psychoses, of whichformal thought disorder is the main psychopathological feature, i.e. confusion psychosis and cataphasia. By means of an analysis of tape-recorded utterances of patients with such psychoses we demonstrate the phenomenological differentiation of the distinct types of thought disorder in these psychoses. In confusion psychosis the disturbance concerns the thematic organisation and target-oriented direction of the trainof thought. Characteristically, an ''incoherence of thematic choice''results, reflecting a disturbance on the level of organisation of discourse. The concepts, ideas and themes itself are organised in a logically correct manner and are comprehensible. The thought disorder in cataphasia, however, shows severe logical faults in the connection of concepts and ideas, as a result of which single themes and ideas become alogical and incomprehensible. Moreover, cataphasic thought disorder goes beyond the level of discourse organisation and extends to disturbances of linguistic functions including mistakes on a semantical and syntactic level. These observations correspond well with the widely accepted assumption of a modular organisation of cognitive and linguistic processes. The thought disorder in prognostically unfavourable cataphasia concerns ''basal'' logical, semantic and syntactic systems, which remain uninfluenced in the prognostically favourable confusion psychosis. In the latter, therefore, the disorder is restricted to the higherfunctions of organisation of discourse.

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Documento generato il 26/01/20 alle ore 10:11:53