Coherence In Psychotic Discourse

Coherence in Psychotic Discourse

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.

Coherence in Psychotic Discourse

Linguistics, Pragmatics and Psychotherapy

This book discusses current theories in linguistics and sociolinguistics as they relate to therapeutic situations, including uses of metaphor, slogans, and proverbs. It shows how people's empathies or feeling of alienation are displayed by the language they choose to describe or discuss events. Dysfunctions as different as depression, drug and alcohol additions, agoraphobia, schizophrenia and bulimia are examined in terms of the language used by clients or patients. It is shown that the way people encode life events influences their self-evaluations, evaluations of others, and their general behaviour, so that therapy becomes a process of learning to retell one's life story. Every chapter contains either actual narratives from clients or therapist/client interviews with thorough linguistic and sociolinguistic analyses of these speech activities. The therapist is shown how to listen and what to listen for in the client's speech, as well as what kinds of questions to ask.