Pathology of Thinking in Schizophrenia: A Neurolinguistic Approach to the Study of Impairment of the Generalization Process

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Abstract

The study attempts to present a critical review of certain problems in pathopsychological investigaton of operational thought disorders and to outline the possible ways for its further development. We compare the differences in approaches to the analysis of pathology of thinking in schizophrenia presented in the classic works of L.S. Vygotsky and B.V. Zeigarnik. We argue that, when studying some of the thought disorders in schizophrenia, it may be more effective to revert to Vygotsky’s approach associated with the investigation of word meaning disturbances in the analysis of disorders of the generalization process. As a way to further develop this approach to the study of thought disorders in schizophrenia, we suggest exploring the perspectives of synthesizing various research areas that have stemed from cultural-historical psychology. Basing on the analysis of Russian neurolinguistic studies of word meaning impairment, we propose two possible directions for studying the psychological and brain mechanisms of operational disorders of thinking.

General Information

Keywords: pathopsychology, thought disorder, schizophrenia, decrease in the level of generalization, distortion of the generalization process, word meaning impairment

Journal rubric: Theory and Methodology

Article type: scientific article

DOI: https://doi.org/10.17759/chp.2020160406

Funding. The reported study was funded by Russian Foundation for Basic Research (RFBR), project number №20- 013-00772.

For citation: Gornushenkov I.D., Pluzhnikov I.V. Pathology of Thinking in Schizophrenia: A Neurolinguistic Approach to the Study of Impairment of the Generalization Process. Kul'turno-istoricheskaya psikhologiya = Cultural-Historical Psychology, 2020. Vol. 16, no. 4, pp. 56–62. DOI: 10.17759/chp.2020160406. (In Russ., аbstr. in Engl.)

References

  1. Asmolov A.G. Psikhologiya kul’turnoi patologii: tenevaya storona tekhnologicheskogo progressa [Psychology of Cultural Pathology: the Dark Side of Tehnological Progress]. Tkhostov A.Sh. Kul’turno-istoricheskaya patopsikhologiya = Cultural-Historical Pathopsychology. Moscow: Kanon-Plyus, 2020. 320 p.
  2. Akhutina T.V. Neirolingvisticheskii analiz leksiki, semantiki i pragmatiki. [Neurolinguistic analysis of lexicon, semantics and pragmatics]. Moscow: Yazyki slavyanskoi kul’tury, 2014. 418 p.
  3. Bratus’ B.S. Anomalii lichnosti [Anomalies of personality]. Moscow: Mysl’, 1988. 304 p.
  4. Vygotskii L. S. Myshlenie i rech’ [Thinking and Speech]. Moscow: Sotsekgiz, 1934. 326 p.
  5. Vygotskii L.S. Izbrannye psikhologicheskie issledovaniya. Myshlenie i rech’: Problemy psikhologicheskogo razvitiya rebenka [Selected psychological research. Thinking and Speech: Problems of the Child’s Psychological Development]. Moscow: Publ. APN RSFSR, 1956. 519 p.
  6. Zeigarnik B.V. Patopsikhologiya [Pathopsychology]. Moscow, 2008. 368 p.
  7. Kaleda V.G., Pluzhnikov I.V., Oleichik I.V., Krylova E.S., Omel’chenko M.A., Sergeeva O.E. Neiropsikhologicheskii podkhod k izucheniyu kognitivnogo defitsita pri psikhicheskikh rasstroistvakh yunosheskogo vozrasta [Neuropsychological approach to the study of cognitive deficits in mental disorders of adolescence]. Psikhiatriya=Psychiatry, 2013. Vol. 59, no. 3, pp. 16—23.
  8. Korsakova N.K., Pluzhnikov I.V. Neiropsikhologicheskii podkhod k izucheniyu protsessov adaptatsii [Neuropsychological approach to the study of adaptation processes]. Nasledie A.R. Lurii v sovremennom nauchnom i kul’turno-istoricheskom kontekste: K 110-letiyu so dnya rozhdeniya A.R. Lurii = Legacy of A.R. Luria in the modern scientific and cultural-historical context: On the 110th birthday of A.R. Luria. 2012, pp. 70—92.
  9. Kritskaya V.P., Meleshko T.K. Patopsikhologiya shizofrenii [Pathopsychology of Schizophrenia]. Moscow: Institut psihologii RAN, 2015. 392 p.
  10. Luriya A.R. Travmaticheskaya afaziya: klinika, semiotika i vosstanovitel’naya terapiya [Traumatic aphasia: clinic, semiotics and rehabilitation therapy]. Moscow: Medgiz, 1947. 368 p.
  11. Luriya A.R. Osnovnye problemy neirolingvistiki [The main problems of neurolinguistics]. Moscow: Publ. MGU, 1975. 253 p.
  12. Plotnikov V.V. Patologiya myshleniya pri shizofrenii (Kliniko-eksperimental’noe issledovanie). Diss. doc. med. nauk [Pathology of thinking in schizophrenia (Clinical and experimental study). Doctoral diss]. 1974.
  13. Tepenitsyna T.I. Psikhologicheskaya struktura rezonerstva [Psychological structure of resonance]. Voprosy eksperimental’noi patopsikhologii = Questions of experimental pathopsychology. Moscow: 1965. 339 p.
  14. Tiganov A.S. Psikhiatriya: rukovodstvo dlya vrachei [Psychiatry: a guide for doctors]. Vol. 1, Moscow: Medicine, 2012.
  15. Khersonsky B.G. Klinicheskaya psikhodiagnostika myshleniya [Clinical psychodiagnostics of thinking]. Moscow: Smysl, 2012.
  16. Kholmogorova A.B., Garanyan N.G., Rodionova M.S., Tarabrina N.V. Klinicheskaya psikhologiya (in 4 vols.). Vol. 2. Moscow: Akademija, 2012. 432 p.
  17. Cherednikova T.V. Analiticheskii obzor otechestvennykh teorii narusheniya myshleniya pri shizofrenii v perspektive ikh razvitiya [An analytical review of domestic theories of impaired thinking in schizophrenia in the long term of their development]. Sotsial’naya i klinicheskaya psikhiatriya=Social and Clinical Psychiatry, 2014, Vol. 24, no. 2, pp. 80—85.
  18. Cherednikova T.V. Struktura i mekhanizmy narushenii myshleniya pri shizofrenii i ekzogenno-organicheskikh zabolevaniyakh golovnogo mozga s pozitsii informatsionnoi teorii psikhiki [The structure and mechanisms of thought disorders in schizophrenia and exogenously organic diseases of the brain from the standpoint of the information theory of the psyche]. Dissertatsiya doktora psikh. nauk. [Doctoral diss (Psychology)]. Saint-Petersburg, 2015. 660 p.
  19. Barrera A., McKenna P.J., Berrios G.E. Formal thought disorder in schizophrenia: an executive or a semantic deficit? Psychological Medicine. 2005. Vol. 35. no. 1, pp. 121— 132.
  20. Galderisi S., DeLisi L.E., Borgwardt S. Neuroimaging of Schizophrenia and Other Primary Psychotic Disorders. Springer. 2019. DOI: 10.1007/978-3-319-97307-4
  21. Gotor F., Navarro R., Santamaria O., Barrera A. Formal thought disorder, verbal fluency and schizophrenia: executive or semantic dysfunction? European Neuropsychopharmacology. 2016. Vol. 26, pp. 523—524. DOI:10.1016/S0924- 977X(16)31555-3
  22. Kircher T.T., Liddle P.F., Brammer M.J., Williams S.C., Murray R.M., McGuire P.K. Neural correlates of formal thought disorder in schizophrenia: preliminary findings from a functional magnetic resonance imaging study. Archives of General Psychiatry. 2001. Vol. 58, no. 8, pp. 769—774. DOI: 10.1001/archpsyc.58.8.769
  23. Sans-Sansa B., McKenna P.J., Canales-Rodríguez E.J., Ortiz-Gil J., López-Araquistain L., Sarró S., Pomarol-Clotet E. Association of formal thought disorder in schizophrenia with structural brain abnormalities in language-related cortical regions. Schizophrenia research. 2013. Vol. 146, no. 1—3, pp. 308—313. DOI:10.1016/j.schres.2013.02.032
  24. Shenton M.E., Kikinis R., Jolesz F.A., Pollak S.D., LeMay M., Wible C.G., McCarley R.W. Abnormalities of the left temporal lobe and thought disorder in schizophrenia: a quantitative magnetic resonance imaging study. New England Journal of Medicine. 1992. Vol. 327, no. 9, pp. 604—612. DOI: 10.1056/NEJM199208273270905
  25. Stirling J., Hellewell J., Blakey A., Deakin W. Thought disorder in schizophrenia is associated with both executive dysfunction and circumscribed impairments in semantic function. Psychological Medicine. 2006. Vol. 36, no. 4, pp. 475— 484. DOI:10.1017/S0033291705006884
  26. Tan E.J., Neill E., Rossell S.L. Assessing the relationship between semantic processing and thought disorder symptoms in schizophrenia. Journal of the International Neuropsychological Society. 2015. Vol. 21, no. 8. pp. 629—638. DOI: 10.1017/ S1355617715000648

Information About the Authors

Ivan D. Gornushenkov, Moscow, Russia, ORCID: https://orcid.org/0000-0002-7718-1626, e-mail: gornushenkov.i.d@gmail.com

Ilya V. Pluzhnikov, PhD in Psychology, Senior Research Associate, Mental Health Research Center, Head of the Department of Adult Neuro- and Pathopsychology, Clinical Psychology Department, Moscow Institute of Psychoanalysis, Moscow, Russia, ORCID: https://orcid.org/0000-0002-6323-0976, e-mail: pluzhnikov.iv@gmail.com

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