Disembodied Language in Early-Onset Schizophrenia
A recent view on schizophrenia phenomenology underlines the impaired relations between the mind and the body. An aberrant feeling of ipseity may be the real source of suffering of the patients from psychosis and impacts general symptomatology. The disturbed connection between thinking processes and...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-07-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.888844/full |
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| author | Przemysław Zakowicz Przemysław Zakowicz Maria Skibińska Joanna Pawlak |
| author_facet | Przemysław Zakowicz Przemysław Zakowicz Maria Skibińska Joanna Pawlak |
| author_sort | Przemysław Zakowicz |
| collection | DOAJ |
| description | A recent view on schizophrenia phenomenology underlines the impaired relations between the mind and the body. An aberrant feeling of ipseity may be the real source of suffering of the patients from psychosis and impacts general symptomatology. The disturbed connection between thinking processes and environmental stimuli may lead to language disembodiment. In the study, we aimed to experimentally test the presence of disembodied language and investigate its association with symptoms of psychosis in adolescents diagnosed with early-onset schizophrenia spectrum disorders. Assessment of language embodiment was conducted using the Zabór Verbal Task (ZVT) with concurrent linguistic and clinical assessment using the Thought, Language, and Communication Scale (TLCS) and Positive and Negative Symptoms Scale (PANSS). The study group of patients (n = 31) aged 11–18 years, with the diagnosis of schizophrenia spectrum according to Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV) and the International Classification of Diseases (ICD-10) criteria, was compared with a sex- and age-matched healthy control sample (n = 31). Patients with psychosis made more errors in ZVT than healthy controls (p = 0.01) and this parameter did not improve after 6–8 weeks of standard treatment (p = 0.55). A higher number of errors in ZVT were associated with the presence of auditory hallucinations (odds ratio [OR] 1.14; 95% CI 1.02–1.26). ZVT errors coincided with perception disorders, alternatively to the TLCS scores where we observed association with abnormal beliefs. The results of these preliminary studies indicate the value of the phenomenological approach in the diagnosis of schizophrenia spectrum and suggest a potential involvement of language disembodiment in symptomatology. |
| first_indexed | 2024-04-13T14:05:56Z |
| format | Article |
| id | doaj.art-df617f9ea86749ddb19b7b2cbb6bd155 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-04-13T14:05:56Z |
| publishDate | 2022-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-df617f9ea86749ddb19b7b2cbb6bd1552022-12-22T02:43:54ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402022-07-011310.3389/fpsyt.2022.888844888844Disembodied Language in Early-Onset SchizophreniaPrzemysław Zakowicz0Przemysław Zakowicz1Maria Skibińska2Joanna Pawlak3Department of Psychiatric Genetics, Poznan University of Medical Sciences, Poznan, PolandCenter for Child and Adolescent Treatment in Zabór, Zielona Góra, PolandDepartment of Psychiatric Genetics, Poznan University of Medical Sciences, Poznan, PolandDepartment of Psychiatric Genetics, Poznan University of Medical Sciences, Poznan, PolandA recent view on schizophrenia phenomenology underlines the impaired relations between the mind and the body. An aberrant feeling of ipseity may be the real source of suffering of the patients from psychosis and impacts general symptomatology. The disturbed connection between thinking processes and environmental stimuli may lead to language disembodiment. In the study, we aimed to experimentally test the presence of disembodied language and investigate its association with symptoms of psychosis in adolescents diagnosed with early-onset schizophrenia spectrum disorders. Assessment of language embodiment was conducted using the Zabór Verbal Task (ZVT) with concurrent linguistic and clinical assessment using the Thought, Language, and Communication Scale (TLCS) and Positive and Negative Symptoms Scale (PANSS). The study group of patients (n = 31) aged 11–18 years, with the diagnosis of schizophrenia spectrum according to Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV) and the International Classification of Diseases (ICD-10) criteria, was compared with a sex- and age-matched healthy control sample (n = 31). Patients with psychosis made more errors in ZVT than healthy controls (p = 0.01) and this parameter did not improve after 6–8 weeks of standard treatment (p = 0.55). A higher number of errors in ZVT were associated with the presence of auditory hallucinations (odds ratio [OR] 1.14; 95% CI 1.02–1.26). ZVT errors coincided with perception disorders, alternatively to the TLCS scores where we observed association with abnormal beliefs. The results of these preliminary studies indicate the value of the phenomenological approach in the diagnosis of schizophrenia spectrum and suggest a potential involvement of language disembodiment in symptomatology.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.888844/fullpsychosisdisembodimentlanguagephenomenologyschizophrenia |
| spellingShingle | Przemysław Zakowicz Przemysław Zakowicz Maria Skibińska Joanna Pawlak Disembodied Language in Early-Onset Schizophrenia Frontiers in Psychiatry psychosis disembodiment language phenomenology schizophrenia |
| title | Disembodied Language in Early-Onset Schizophrenia |
| title_full | Disembodied Language in Early-Onset Schizophrenia |
| title_fullStr | Disembodied Language in Early-Onset Schizophrenia |
| title_full_unstemmed | Disembodied Language in Early-Onset Schizophrenia |
| title_short | Disembodied Language in Early-Onset Schizophrenia |
| title_sort | disembodied language in early onset schizophrenia |
| topic | psychosis disembodiment language phenomenology schizophrenia |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.888844/full |
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