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Conversation analysis, psychopathology and subjective experience in patients with schizophrenia

Published online by Cambridge University Press:  13 August 2021

V. Lucarini ,
F. Cangemi ,
F. Paraboschi ,
J. Lucchese ,
B. Daniel ,
C. Marchesi  and
M. Tonna
V. Lucarini*
Affiliation:
Department Of Mental Health, Local Health Service, Parma, Italy
F. Cangemi
Affiliation:
Ifl-phonetics, University of Cologne, Cologne, Germany
F. Paraboschi
Affiliation:
Department Of Mental Health, Local Health Service, Parma, Italy
J. Lucchese
Affiliation:
Department Of Neuroscience, University of Parma, Parma, Italy
B. Daniel
Affiliation:
Department Of Mental Health, Local Health Service, Parma, Italy
C. Marchesi
Affiliation:
Department Of Neuroscience, University of Parma, Parma, Italy
M. Tonna
Affiliation:
Department Of Neuroscience, University of Parma, Parma, Italy
*
*Corresponding author.

Abstract

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Introduction

Patients with schizophrenia show severe difficulties in interpersonal communication, including impairments in conversation skills, like the turn-taking. To our knowledge, very few studies to date have taken into account conversation analysis in order to investigate turn-taking in schizophrenia patients.

Objectives

To investigate the conversational patterns in schizophrenia patients; to assess possible associations between dialogic features, abnormal subjective experiences and symptom dimensions.

Methods

Thirty-six patients with Schizophrenia underwent an interview, subsequently analyzed with an innovative semi-automatic analysis. Positive and Negative Syndrome Scale (PANSS) was adopted for the investigation of psychopathology and Examination of Anomalous Self Experience (EASE) for Self-Disorders.

Results

Dialogic exchanges are graphically represented in Figure 1. An inverse correlation was found between participant speaking time and PANSS negative symptoms score (r = -0.44, p value < 0.05; Figure 2), whereas no associations were found between conversational variables and PANSS positive or disorganization dimensions. Finally, a positive correlation was found between the EASE item “spazialization of thought” and average pause duration (r = 0.42, p value < 0.05).

Conclusions

The finding of a relationship between negative symptoms and conversational patterns suggest that conversational features in schizophrenia are expression of the “core” negative dimension of the disorder. The association with the phenomenon of thought spatialization seems to suggest that the disturbances of the stream of consciousness impact on natural dialogic interactions. Ultimately, conversation analysis seems a promising tool to study dialogic exchanges of patients with schizophrenia.

Disclosure

No significant relationships.

Keywords

conversationpsychopathologyself disordersschizophrénia
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S164 - S165
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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