Coherence in Psychotic Discourse

By: Branca Telles Ribeiro

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Hardcover | 1 June 1997

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340 Pages

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24.1 x 16.0 x 2.3

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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.

Industry Reviews

"I know of no other work in this area that pays such close attention to the moment-by-moment linguistics and interactional work that can furnish the evidence required for a study of cross-cultural differences among psychoses. It is detailed studies like the present one that lay the groundwork on which to build cross-cultural comparisons."--Anthropological Linguistics "Ribeiro has written an intriguing book....Coherence in Psychotic Discourse stands as a solid exemplar of qualitative discourse analysis."--Language in Society

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Non-Fiction Language & Linguistics Linguistics Semantics & Discourse Analysis Psychology Abnormal Psychology Sociolinguistics Medicine Other Branches of Medicine Psychiatry Clinical Psychology Philosophy

History of Western Philosophy

Transcription Conventions
Coherence in Psychotic Talk	p. 3
Coherence in Psychotic Discourse	p. 11
Psychotic Discourse: Thought or Talk Disorders?	p. 14
Organization of This Study	p. 17
About the Psychiatric Interviews	p. 21
Definition of the Situation	p. 21
Analyzing Recorded Interviews	p. 35
Analyzing Discourse: Frame and Topic Coherence	p. 49
Analyzing Talk: Frame and Topic	p. 50
Analyzing Talk in Interviews	p. 65
Conflicting Frames in the Discharge Interview	p. 77
The Dominant Frames	p. 80
Negotiating Alternative Frames	p. 97
Topic Coherence in the Discharge Interview	p. 121
A Topic Analysis of the Interview	p. 122
Topic and Coherence	p. 134
Frames and Topics	p. 145
Topicality in the Admitting Interview: Where Coherence Breaks Down	p. 155
On Establishing a Referent	p. 157
Frame Analysis in the Admitting Interview: Where Coherence Emerges	p. 191
The Institutional Frame of the Psychiatric Interview: "Dona Jurema, lets talk for a little while."	p. 195
The Noninstitutional Frame of the Psychotic Crisis: "Mother, you know everything."	p. 212
The Emergence of Consistent Texts in the Psychotic Fabrication	p. 222
Toward Listening	p. 237
A Brief Discussion	p. 238
Appendix A. Definitions of Language and Cognitive Behaviors	p. 245
Appendix B. Summary of the Patient's Stay in the Hospital	p. 249
Appendix C. The Discharge Interview: Topics, Subtopics, and Components	p. 252
Appendix D. Transcripts	p. 258
References	p. 307
Index	p. 317
Table of Contents provided by Blackwell. All Rights Reserved.

Coherence in Psychotic Discourse

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