Coherence in psychotic discourse

✍ Scribed by Ribeiro, Branca Telles

• Publisher: Oxford University Press
• Year: 1994
• Tongue: English
• Leaves: 337
• Series: Oxford studies in sociolinguistics
• Edition: 1
• Category: Library

✦ Synopsis

This fascinating study explores the ways of establishing coherence in the discourse of a thought-disordered patient. Ribeiro analyzes the discourse between a doctor and a patient who is under an acute psychotic crisis, and then later, when the patient is deemed recovered. Ribeiro looks at how the participants jointly establish referential meaning, and how topic coherence is achieved or breaks down. She then considers how the participants convey superordinate messages, metamessages, and how the patient signals and assesses the frame of talk. Ribeiro concludes that psychotic discourse, while incoherent on the level of topic, may be coherent on another level--that of frame. Using sociolinguistic discourse analysis, conversational analysis, and frame analysis, with a dose of theory from contemporary cognitive psychology, Ribeiro's book demonstrates the importance of contextualization in interaction

✦ Table of Contents

Content: 1. Coherence in Psychotic Talk. Coherence in Psychotic Discourse. Psychotic Discourse: Thought or Talk Disorders? Organization of This Study --
2. About the Psychiatric Interviews. Definition of the Situation. Analyzing Recorded Interviews --
3. Analyzing Discourse: Frame and Topic Coherence. Analyzing Talk: Frame and Topic. Analyzing Talk in Interviews --
4. Conflicting Frames in the Discharge Interview. The Dominant Frames. Negotiating Alternative Frames --
5. Topic Coherence in the Discharge Interview. A Topic Analysis of the Interview. Topic and Coherence. Frames and Topics --
6. Topicality in the Admitting Interview: Where Coherence Breaks Down. On Establishing a Referent --
7. Frame Analysis in the Admitting Interview: Where Coherence Emerges. The Institutional Frame of the Psychiatric Interview: "Dona Jurema, lets talk for a little while." The Noninstitutional Frame of the Psychotic Crisis: "Mother, you know everything." The Emergence of Consistent Texts in the Psychotic Fabrication. 8. Toward Listening. A Brief Discussion --
Appendix A. Definitions of Language and Cognitive Behaviors --
Appendix B. Summary of the Patient's Stay in the Hospital --
Appendix C. The Discharge Interview: Topics, Subtopics, and Components --
Appendix D. Transcripts.

✦ Subjects

Psychoses -- Patients -- Language -- Case studies. Discourse analysis -- Case studies. Cohesion (Linguistics) -- Case studies. Interview, Psychological -- methods. Physician-Patient Relations. Psychoses -- Patients -- Language. Discourse analysis. Cohesion (Linguistics) Psychotiques -- Langage -- Cas, Études de. Analyse du