The linguistics of schizophrenia: thought disturbance as language pathology across positive symptoms

We hypothesize that linguistic (dis-) organization in the schizophrenic brain plays a much more central role in the pathogenesis of this disease than commonly supposed. Against the standard view, that schizophrenia is a disturbance of thought or selfhood, we argue that the origins of the relevant fo...

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Main Authors: Wolfram eHinzen, Joana eRosselló
Format: Article
Language:English
Published: Frontiers Media S.A. 2015-07-01
Series:Frontiers in Psychology
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fpsyg.2015.00971/full
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author Wolfram eHinzen
Wolfram eHinzen
Wolfram eHinzen
Joana eRosselló
author_facet Wolfram eHinzen
Wolfram eHinzen
Wolfram eHinzen
Joana eRosselló
author_sort Wolfram eHinzen
collection DOAJ
description We hypothesize that linguistic (dis-) organization in the schizophrenic brain plays a much more central role in the pathogenesis of this disease than commonly supposed. Against the standard view, that schizophrenia is a disturbance of thought or selfhood, we argue that the origins of the relevant forms of thought and selfhood at least partially depend on language. The view that they do not is premised by a theoretical conception of language that we here identify as ‘Cartesian’ and contrast with a recent ‘un-Cartesian’ model. This linguistic model empirically argues for both (i) a one-to-one correlation between human-specific thought or meaning and forms of grammatical organization, and (ii) an integrative and co-dependent view of linguistic cognition and its sensory-motor dimensions. Core dimensions of meaning mediated by grammar on this model specifically concern forms of referential and propositional meaning. A breakdown of these is virtually definitional of core symptoms. Within this model the three main positive symptoms of schizophrenia fall into place as failures in language-mediated forms of meaning, manifest either as a disorder of speech perception (Auditory Verbal Hallucinations, AVHs), abnormal speech production running without feedback control (Formal Thought Disorder, FTD), or production of abnormal linguistic content (Delusions). Our hypothesis makes testable predictions for the language profile of schizophrenia across symptoms; it simplifies the cognitive neuropsychology of schizophrenia while not being inconsistent with a pattern of neurocognitive deficits and their correlations with symptoms; and it predicts persistent findings on disturbances of language-related circuitry in the schizophrenic brain.
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spelling doaj.art-835d156192744613a1f9d37ca36dd0ca2022-12-22T02:18:07ZengFrontiers Media S.A.Frontiers in Psychology1664-10782015-07-01610.3389/fpsyg.2015.00971126923The linguistics of schizophrenia: thought disturbance as language pathology across positive symptomsWolfram eHinzen0Wolfram eHinzen1Wolfram eHinzen2Joana eRosselló3Universitat de BarcelonaUniversity of DurhamSpain to ICREA (Institució Catalana de Recerca i Estudis Avançats)Universitat de BarcelonaWe hypothesize that linguistic (dis-) organization in the schizophrenic brain plays a much more central role in the pathogenesis of this disease than commonly supposed. Against the standard view, that schizophrenia is a disturbance of thought or selfhood, we argue that the origins of the relevant forms of thought and selfhood at least partially depend on language. The view that they do not is premised by a theoretical conception of language that we here identify as ‘Cartesian’ and contrast with a recent ‘un-Cartesian’ model. This linguistic model empirically argues for both (i) a one-to-one correlation between human-specific thought or meaning and forms of grammatical organization, and (ii) an integrative and co-dependent view of linguistic cognition and its sensory-motor dimensions. Core dimensions of meaning mediated by grammar on this model specifically concern forms of referential and propositional meaning. A breakdown of these is virtually definitional of core symptoms. Within this model the three main positive symptoms of schizophrenia fall into place as failures in language-mediated forms of meaning, manifest either as a disorder of speech perception (Auditory Verbal Hallucinations, AVHs), abnormal speech production running without feedback control (Formal Thought Disorder, FTD), or production of abnormal linguistic content (Delusions). Our hypothesis makes testable predictions for the language profile of schizophrenia across symptoms; it simplifies the cognitive neuropsychology of schizophrenia while not being inconsistent with a pattern of neurocognitive deficits and their correlations with symptoms; and it predicts persistent findings on disturbances of language-related circuitry in the schizophrenic brain.http://journal.frontiersin.org/Journal/10.3389/fpsyg.2015.00971/fullDelusionsHallucinationslanguage and thoughtformal thought disorderSelf-disturbanceLanguage in schizophrenia
spellingShingle Wolfram eHinzen
Wolfram eHinzen
Wolfram eHinzen
Joana eRosselló
The linguistics of schizophrenia: thought disturbance as language pathology across positive symptoms
Frontiers in Psychology
Delusions
Hallucinations
language and thought
formal thought disorder
Self-disturbance
Language in schizophrenia
title The linguistics of schizophrenia: thought disturbance as language pathology across positive symptoms
title_full The linguistics of schizophrenia: thought disturbance as language pathology across positive symptoms
title_fullStr The linguistics of schizophrenia: thought disturbance as language pathology across positive symptoms
title_full_unstemmed The linguistics of schizophrenia: thought disturbance as language pathology across positive symptoms
title_short The linguistics of schizophrenia: thought disturbance as language pathology across positive symptoms
title_sort linguistics of schizophrenia thought disturbance as language pathology across positive symptoms
topic Delusions
Hallucinations
language and thought
formal thought disorder
Self-disturbance
Language in schizophrenia
url http://journal.frontiersin.org/Journal/10.3389/fpsyg.2015.00971/full
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