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Disordered thinking

disorderedLogical sequence
Normal communication and thought require us to place one idea after another in a logical sequence of related ideas. The schizophrenic patient has difficulty maintaining this orderly flow of ideas. Thought and speech are more likely to resemble a tangled mass of marginally related themes.

Jumping or blocked thoghts
In disordered thinking, the thoughts "jump" between completely unrelated topics or may be "blocked". The person may talk nonsense, make up words or replace words with sounds or rhymes.

Fragmented thoghts and speech
The disordered thought in schizophrenia may be closely related to the impaired attention. Schizophrenic patients seem to be unable to "filter out" distracting associations in their flow of ideas. Their thought and speech may therefor become fragmented by the involuntary intrusion of normally inhibited thoughts.

An example of fractured language
To get an idea of the disordered thinking and fractured language of schizophrenia, see the following example. It is an answer (by a schizophrenic patient) to the question "What do you think of the Watergate affair?"

"You know I didn't tune in on that, I felt so bad about it. I said, boy, I´m not going to know what´s going on in this. But it seem to get so murky, and everybody´s reports were so negative. Huh, I thought, I don´t want any part of this, and I was I don´t care who was in on it, and all I could figure out was Artie had something to do with it. Artie was trying to flush the bathroom toilet of the White House or something. The tour guests stuck on something. She got blamed because of the water overflowed, went down the basement, down, to the kitchen. They had a, they were going to have to repaint and restore the White House room, the enormous living room. And then it was at the reunion they were having..." (ref)

 

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© HUBIN updated September 26, 2002 .

Håkan Hall and Ulrika Kahl at Human Brain Informatics
Department of Clinical Neuroscience, Psychiatry Section
Karolinska Institutet, SE-171 76 Stockholm, SWEDEN.
Phone: +46-8-517 75651 Fax: +46-8-34 65 63 E-mail: info@hubin.org