Sobre el déficit pragmático en la utilización de pares adyacentes, por pacientes esquizofrénicos crónicos, y de primer brote

Abstract

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 were 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 pairs adjacent initials, which only meet the communicative purpose in the first turns of speech. Based on the behavior and cognitive pragmalingüístico 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 pairs adjacent initials, which only meet the communicative purpose in the first turns of speech. These segments are almost always start with some strategies. Based on the behavior and cognitive pragmalinguistic 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.