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Revista chilena de neuro-psiquiatría

versão On-line ISSN 0717-9227

Resumo

DURAN L, Eduardo  e  FIGUEROA B, Alicia. On pragmatic deficits in the use of adjacent pairs by chronic schizophrenic patients, and first outbreak. Rev. chil. neuro-psiquiatr. [online]. 2009, vol.47, n.4, pp.259-270. ISSN 0717-9227.  http://dx.doi.org/10.4067/S0717-92272009000400002.

This study aims to demonstrate through a qualitative assessment of the linguistic problems in the primary communication of schizophrenic subjects. We refer to the pragmatic deficit presenting his speech. The methodology of the study consists of 40 speech samples of subjects diagnosed with schizophrenia according to DSM-IV and ICD-10, which was obtained from clinical interviews with informed consent in the health network in Santiago, Chile. Of these samples, 12 patients are first outbreak and 28 to chronic whose ages vary between 17 and 50 years. The results point to verify the existence of a further deterioration of the pragmatic functions in chronic patients than in patients with first episode. These deficiencies are clearly visible in the use of communicative strategies such as pair's adjacent initials, which only meet the communicative purpose in the first turns of speech. Based on the behavior and cognitive pragma-linguitic subjects intend releasing results that point to search for evidence of an early diagnosis, the chronic course of schizophrenia gives less chance of recovery and integration of patients. The results point to verify the existence of a further deterioration of the pragmatic functions in chronic patients than in patients with first episode. These deficiencies are clearly visible in the use of communicative strategies such as pair's adjacent initials, which only meet the communicative purpose in the first turns of speech. These segments are usually started with some strategies. Based on the behavior and cognitive pragma-linguitic subjects intend releasing results that point to search for evidence of an early diagnosis, the chronic course of schizophrenia gives less chance of recovery and integration of patients.

Palavras-chave : Pragmatic deficit; schizophrenia; speech; communicative strategies; pairs adjacent.

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