Coherence in psychotic discourse by Branca Telles Ribeiro

By Branca Telles Ribeiro

This attention-grabbing examine explores the methods of building coherence within the discourse of a thought-disordered sufferer. Ribeiro analyzes the discourse among a physician and a sufferer who's less than an acute psychotic main issue, after which later, while the sufferer is deemed recovered. Ribeiro appears to be like at how the members together determine referential which means, and the way subject coherence is completed or breaks down. She then considers how the contributors exhibit superordinate messages, metamessages, and the way the sufferer signs and assesses the body of speak. Ribeiro concludes that psychotic discourse, whereas incoherent at the point of subject, should be coherent on one other level--that of body. utilizing sociolinguistic discourse research, conversational research, and body research, with a dose of thought from modern cognitive psychology, Ribeiro's ebook demonstrates the significance of contextualization in interplay

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And] uses contrastive voice pitches . . " In the admitting interview Dona Jurema also makes use of different modes of communication—nursery rhymes, church songs, or chanting. She often uses speech play that recalls the rhythm of children's lore and jingles. While the tunes are reminiscent of Brazilian children's songs, the lyrics are made up by the patient. Her speech shows gross changes in prosody. She may use a very high pitch in certain segments and alternate to a low pitch in another stretch of talk.

The difference is that the surface forms of coherence in Dona Jurema's talk at the latter stage are consonant with the doctor's definition of the situation of talk as interview talk. In the former stage the patient refuses to participate in the interview frame, although her talk can still be seen as coherent, albeit in a bizarre way. It is a matter of participating or not participating in the socioculturally defined normal, unmarked speech situation. By refusing to participate in the conventional frame for the situation, one's behavior is regarded as crazy or deviant.

Her family was also informed and agreed. Dona Jurema's stay in the hospital lasted twenty-eight days. In her first week she reacted poorly to the medication (mostly neuroleptics, which are antipsychotic drugs). She improved, however, in her second week, when the medication was suspended. The last two weeks were spent both at home (under medical surveillance) and at the hospital. She enjoyed being home, where she lived with two sisters: Idete and Tereza Rodrigues. Reports from the hospital attest to the fact that she often became quite depressed the evening before returning to the hospital.

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