Coherence in Psychotic Discourse

Voorkant
Oxford University Press, 23 jun. 1994 - 336 pagina's
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.
 

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Inhoudsopgave

1 Coherence in Psychotic Talk
3
2 About the Psychiatric Interviews
21
Frame and Topic Coherence
49
4 Conflicting Frames in the Discharge Interview
77
5 Topic Coherence in the Discharge Interview
121
Where Coherence Breaks Down
155
Where Coherence Emerges
191
8 Toward Listening
237
Appendix A Definitions of Language and Cognitive Behaviors
245
Appendix B Summary of the Patients Stay in the Hospital
249
Topics Subtopics and Components
252
Appendix D Transcripts
258
REFERENCES
307
INDEX
317
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