© Borgis - New Medicine 3/2010, s. 90-91
*Ewa Ogłodek, Aleksander Araszkiewicz
Application of the Short Evaluation Scale of Schizophasia (SESS) in a Female Patient with Paranoid Schizophrenia
Chair and Clinic of Psychiatry of the Nicolaus Copernicus University Collegium Medicum in Bydgoszcz, Poland
Head of Clinic: Prof. Aleksander Araszkiewicz, MD, PhD
Language disturbances, along with formal thinking disturbances, form one of the basic criteria of diagnosing schizophrenia. One of the language disturbances described in the literature is schizophasia, which is associated with disorders in the functioning of cerebral structures. The aim of this study was to analyse language disturbances in a 60-year-old female patient with paranoid schizophrenia. The examined patient achieved a score of 10 points on the Short Evaluation Scale of Schizophasia, which is proof of an acute phase of schizophasia. High intensity of schizophasia symptoms is often associated with a bad prognosis of a psychotic disease.
Schizophrenia is a complex disorder with a wide range of symptoms. Formal thought disorder is one of the main symptoms of schizophrenia, and there is increasing evidence that it can be traced to abnormalities in specific brain regions (1). In particular, formal thought disorder is often interpreted as a complex dysfunction of the language system, involving executive function, semantic memory and spreading activation in semantic memory (2, 3). Formal thought disorder, defined by DSM-IV as "disordered speech or utterances", also known as schizophasia (language disorder in schizophrenia), has been treated as a core feature of psychosis since Kraepelin and Bleuler. The aim of this study was to analyse language disturbances in a patient with paranoid schizophrenia.
The aim of the study was to evaluate schizophasia in a 60-year-old female patient with paranoid schizophrenia. For the psychiatric examination of the patient, the DSM-IV classification was applied and paranoid schizophrenia was diagnosed. Next, using the Short Evaluation Scale of Schizophasia (SESS), the grammatical, semantic and pragmatic cohesion of the patient's linguistic utterances were evaluated (4). The total score of SESS was 9. An analysis of the Short Evaluation Scale of Schizophasia showed that the patient obtained the highest value for the "pragmatic cohesion" factor. Figure 1 presents the percentage distribution of factors of schizophasia in the patient with paranoid schizophrenia.
Fig. 1. Short Evaluation Scale of Schizophasia (SESS).
In our investigation the 60-year-old female patient met the criteria of paranoid schizophrenia. The patient's score on the Evaluation Scale of Schizophasia revealed the highest value of the "pragmatic cohesion" factor, which may suggest that the subjective reality of auditory and verbal hallucinations is related to motor mechanisms of speech comprehension.
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zaakceptowano do druku: 2010-09-15
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e-mail: email@example.comNew Medicine 3/2010
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