[Organic psychosyndrome--what is that?].
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Biomedical subjects
Publications and source records attributed to U H Peters.
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The listener often perceives a similarity between humorous comments by schizophrenic patients and linguistic word plays, especially puns. A structural analysis of specific examples illustrates the basic difference. In 'good' as well as 'bad' word plays the humorous effect stems from the surprising similarity of word pairs (homonyms and homophones), while the seemingly humorous comments of the schizophrenic patient are rooted in an alteration of the semantic field of the word(s) employed. In spite of certain similarities in superficial structure there is a basic and specific difference in the semantic structure of these two forms of word play.
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Structural psychopathology maintains that the psychiatrist finds himself in a situation similar to that of the literary critic. The objects of their critical analysis are marked by a high degree of linguistic complexity, reflecting social as well as personal interrelationships. The structural method which developed in the course of this century is thus applicable to psychopathological relationships, if careful attention is paid to their unigueness. The structural method is illustrated by a schizopasic text. Those typical stylistic and rhetorical structures which lead to the impression of schizophasia are isolated. The structural method can also be used to examine the pathogenesis of an illness or to extrapolate information from medical histories. Finally, through the analysis of the book "Mary Barnes, two accounts of a journey through madness" it can be shown how the structural method can illuminate critical problems of a literary science which are disguised as psychiatric ones.
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The structure of the use of symbols in schizophrenia is examined, based on a recorded text spoken by a 35-year-old schizophrenic teacher (female). At specific points in this text, symbolic usage can be determined. The structural analysis illustrates a schizophrenic alteration which exists in each case through the substitution of a secondary meaning for a primary one. This structure is present in all cases. (In addition, the text also contains a symbol stemming from folk tradition.) This structure is identical with the structure of linguistic alteration in schizophrenics as well as that of the structure of schizophrenic delusions. This present study concentrates on the formal analysis of the use of symbols and does not present a close analysis of the content.
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A short text spoken by a patient with a supposed symptomatic schizophrenia in lupus erythematodes is analyzed by means of a structural interpretation. While the text appears schizophrenic, it is only the confusion and intermingling of five quite distinct textual levels which create this impression. These five levels are presented in three distinctive modes of narrative. (1) Deviation and periphrase: while psychopathologically these breaks in the narrative are deviations from the main thread of argument, stylistically they are periphrasic statements, all having identical structures. They are all related emotionally as well as thematically to the central subject of the text. Their informational quality is impaired by their density and their interlocked form. (2) Narrative: the text contains three meaningful and well-arranged stories. In one case a multilevel narrative structure is employed. Each story represents a response to the initial question. (3) Metalanguage: on a metatextual level, the patient repeatedly makes reference to her linguistic peculiarities. These statements coincide with objective evaluation. Delusions and misidentification of individuals and situations used in classical psychopathological diagnosis can be given a different meaning (in the sense used by Weinrich) if interpretation has deepened the knowledge of the text. In this case, the similarity to schizophrenic texts is only superficial. A more detailed analysis illustrates the difference from schizophrenia on every level.
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