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Troubles du raisonnement et schizophrénie: une revue critique

Published online by Cambridge University Press:  28 April 2020

C Epelbaum*
Affiliation:
Service de psychiatrie adulte, CHU Bicêtre, 78, av du Général-Leclerc, 94275, Kremlin-Bicêtre Cedex, France
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Résumé

Nous avons tenté de rendre compte de la diversité des niveaux de description des troubles cognitifs dans la schizophrénie à travers la littérature: observation clinique, mesure des performances, études des processus. Nous avons centré notre approche sur ce dernier niveau. Il s'en dégage quatre caractéristiques principales (écart par rapport aux lois de la logique formelle, surinclusion, baisse de la capacité d'abstraction, difficultés du maniement de la contradiction) sur lesquelles s'appuyent des études touchant plus particulièrement la mise en place des raisonnements logiques. Toutefois, l'évaluation des conclusions est rendue particulièrement difficile en raison de l'absence d'homogénéité des critères d'inclusion. Aussi, la question de la logique dans le raisonnement du schizophrène reste encore tout à fait ouverte car le seul fait établissant un consensus entre les différents auteurs est sans doute le caractère idiosyncrasique du fonctionnement cognitif de ces malades.

Summary

Summary

The present paper is devoted to the critical review of the main experimental studies concerning mental functioning in schizophrenia. Special emphasis was given to the principal levels of analysis: observation, assessment, psychometric testing and cognitive processes. With regard to the study of reasoning, the review focussed on the following four features: discrepancy from formal logical rules, over-inclusion, poor abstract thinking and inconsistency (contradiction). The evaluation of the main conclusions of these studies is made especially difficult, because of the lack of necessary homogeneity of diagnostic criteria. Indeed, the question of illogical reasoning among schizophrenic patients remains open. The only result on which agreement was observed, was that the way of thinking is mostly idiosyncratic.

Type
Revue
Copyright
Copyright © European Psychiatric Association 1990

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References

Références

Adler, D, Harrow, M (1974) Idiosyncratic thinking and personally overinvolved thinking in schizophrenic patients during partial recovery. Compr Psychiatry 1, 5767CrossRefGoogle Scholar
Alpert, M, Martz, MJ (1977) Cognitive views of schizophrenia in light of recent studies of brain asymetry. In: Psychopathology and Brain Dysfunction (Shagass, C, Gershon, S, Friedhoff, AJ, eds) Raven Press, New YorkGoogle Scholar
American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders. Third ed, revised (DSM III R). Masson, Washington DCGoogle Scholar
Andreasen, NC (1987) L'utilisation de la SANS et de la SAPS. Psychiatr Psychobiol 2, 412437Google Scholar
Arieti, S (1959) Schizophrenic thought. Am J Psychother 13, 537552CrossRefGoogle ScholarPubMed
Arieti, S (1964) The rise of creativity: from primary to tertiary process. Contemp Psychoanal 1, 5268CrossRefGoogle Scholar
Astrachan, BM, Harrow, M, Adler, D, Brauer, L, Schwartz, A, Schwartz, C, Tucker, G (1972) A checklist for the diagnosis of schizophrenia. Br J Psychiatry 123, 529539CrossRefGoogle Scholar
Bateson, G, Jackson, DD, Haley, J, Weakland, J (1956) Toward a theory of schizophrenia. Behav Sci 1, 251264CrossRefGoogle Scholar
Benjamin, JD (1944) A method for distinguishing and evaluating formal thinking disorders in schizophrenia. In: Language and Thought in Schizophrenia (Kasanin, JS, ed) University of California Press, BerkeleyGoogle Scholar
Begg, I, Denny, J (1969) Empirical reconciliation of atmosphere and conversion interpretations of syllogistic reasoning errors. J Exp Psychol 81, 351354CrossRefGoogle Scholar
Blaufarb, H (1962) A demonstration of verbal abstracting ability in chronic schizophrenics under enriched stimulus and instructional conditions. J Consult Psychol 26, 471475CrossRefGoogle ScholarPubMed
Blein, G, Azorin, JM, Vollrath, JL, Andréoli, A, Tissot, R (1987) Quelques aspects des activités cognitives du schizophrène III, déséquilibre assimilation/accommodation et généralisation du raisonnement. Ann Méd Psychol 145, 409426Google Scholar
Bleuler, E (1955) Dementia praecox oder Gruppe der Schizophrenien. Deuticke Ed, Vienne ( lre éd), 1911, trad J Zinkin, International Universitis Press (3e éd) New YorkGoogle Scholar
Boeck (de), P (1981) An interpretation of loose construing in schizophrenic thought disorder. In: Personal Construct Psychology (Bonarius, Het al, eds) LondonMcMillan, 211218Google Scholar
De Bonis, M, Epelbaum, C, Féline, A, Grize, JB, Hardy, P, Somogyi, M (1989) Pensée formelle: Opérations logico-discursives et schizophrénie. Étude expérimentale d'un cas clinique. Can Psychiatry 35, 6470CrossRefGoogle Scholar
Brattemo, CF (1961) Interpretation of proverbs in schizophrenic and depressive patients. Acta Psychiatr Scand 37, 193197CrossRefGoogle Scholar
Broadbent, DE (1982) Task combination and selective intake of information. Acta Physiol 50, 253290Google ScholarPubMed
Cameron, N (1964) Experimental analysis of schizophrenic thinking. In: Language and Thought in Schizophrenia (Kasanin, JS, ed)Google Scholar
Carson, RC (1962) Proverb interpretation in acutely schizophrenic patients. J Nerv Ment Dis 135, 556564CrossRefGoogle ScholarPubMed
Chapman, LJ (1961) A reinterpretation of some pathological disturbances in conceptual breadth. J Abnorm Soc Psychol 82, 514519CrossRefGoogle Scholar
Chapman, LJ (1979) Recent advances in the study of schirophrenic cognition. Schizophren Bull 5, 568580CrossRefGoogle Scholar
Chapman, LJ, Taylor, JA (1957) Breadth of deviate concepts used by schizophrenics. J Abnorm Soc Psychol 54, 118123CrossRefGoogle ScholarPubMed
Chapman, LJ, Chapman, JP (1973) Disordered Thought in Schizophrenia. Appleton-Century-Crofts, New YorkGoogle Scholar
Chapman, LJ, Chapman, JP, Randal, LD (1974) Schizophrenic response to affectivity in word definition. J Abnorm Psychol 83, 616622CrossRefGoogle ScholarPubMed
Chaslin, P (1912) Éléments de sémiologie et clinique mentales. Asselin et Houzeau eds, ParisGoogle Scholar
Consoli, S (1981) Utilisation et fonction de la négation chez le jeune schizophrène. Neuropsychiatr Enfance Adolesc 29, 223229Google Scholar
Cutting, J, David, A, Murphy, D (1987) The nature of overinclusive thinking in schizophrenia. Psychopathology 20, 213219CrossRefGoogle Scholar
Cutting, J, Murphy, D (1988) Schizophrenic thought disorder. A psychological and organie interpretation. Br J Psychiatry 152, 310319CrossRefGoogle Scholar
Domarus (von), E (1964) The specific laws of logic in schizophrenia. In: Language and Thought in Schizophrenia(Kasanin, JS, ed)Google Scholar
Epstein, S (1953) Overinclusive thinking in a schizophrenic and a control group. J Consult Psychol 17, 384388CrossRefGoogle Scholar
Feighner, JP, Robins, E, Guze, SB, Woodruff, A, Winokur, G, Munoz, R (1972) Diagnostic criteria for use in psychiatric research. Arch Gen Psychiatry 26, 5561CrossRefGoogle ScholarPubMed
Frith, CD (1977) Two kinds of cognitive deficit associated with chronic schizophrenia. Psychol Med 7, 171173CrossRefGoogle ScholarPubMed
Golden, CJ, Moses, JA, Zelazowski, R, Graber, B, Zatz, LMHorvath, TB(1980) Cerebral ventricular size and neuropsychological impairment in young chronic schizophrenics. Arch Gen Psychiatry 37, 619623CrossRefGoogle ScholarPubMed
Goldstein, K (1939) The significance of special mental tests for diagnosis and prognosis in schizophrenia. Am J Psychiatry 96, 575587CrossRefGoogle Scholar
Goldstein, G (1978) Cognitive and perceptual difference between schizophrenics and organics. Schizophren Bull 4, 160185CrossRefGoogle Scholar
Gorham, DR (1956a) Use of the proverb test for differentiating schizophrenics from normals. J Consult Psychol 6, 435440CrossRefGoogle Scholar
Gorham, DR (1956b) A proverb test for clinical and experimental use. Psychol Rep 2, 112CrossRefGoogle Scholar
Gorham, DR (1963) Additionnal norms and scoring suggestions for the proverbs test. Psychol Rep 13, 487492CrossRefGoogle Scholar
Grize, JB, Matalon, B (1962) Introduction à une étude expérimentale et formelle du raisonnement naturel. In: Implication, formalisation et logique naturelle. Étude d'épistémologie génétique. XI, Piaget, J, PUF, ParisGoogle Scholar
Grize, JB (1974) Logique moderne, Fasc 3, Gauthier-Villars, ParisGoogle Scholar
Grize, JB, Pierraut Le Bonniec, G (1974) La Contradiction: Essai sur les opérations de la pensée. PUF, coll. «Le Psychologue», ParisGoogle Scholar
Harrow, M, Tucker, G, Adler, D (1972) Concrete and idiosyncrasitic thinking in acute schizophrenic patients. Arch Gen Psychiatry 26, 433439CrossRefGoogle ScholarPubMed
Harrow, M, Adler, D, Hanf, E (1974) Abstract and concrete thinking in schizophrenia during the prechronic phase. Arch Gen Psychiatry 31, 2733CrossRefGoogle Scholar
Harrow, M, Quinlan, D (1977) Is disordered thinking unique to schizophrenia. Arch Gen Psychiatry 34, 1521CrossRefGoogle Scholar
Harrow, M, Prosen, M (1978) Intermingling and disordered logic as influences on schizophrenic thought disorders. Arch Gen Psychiatry 35, 12131217CrossRefGoogle Scholar
Harrow, M, Marengo, J, MacDonald, C (1986) The early courses of schizophrenic thought disorder. Schizophren Bull 12, 208223CrossRefGoogle Scholar
Heather, N (1976) The specificity of schizophrenic thought disorder. A replication and extension of previous findings. Br J Psychiatry 15, 131137Google ScholarPubMed
Hoffman, RE (1987) Computer simulations of neural information Processing and the schizophrenia-mania dichotomy. Arch Gen Psychiatry 44, 178188CrossRefGoogle ScholarPubMed
Irigaray, L (1967) Négation et transformation négative dans le langage des schizophrènes. Langages 5, n° spécialCrossRefGoogle Scholar
Irigaray, L (1985) Parler n'est jamais neutre.Éditions de Minuit, coll «Critique», ParisGoogle Scholar
Jeffrey, LT, Houpt, MC, Tucker, GJ, Harrow, M (1972) Disordered cognition and stimulus Processing. Am J Psychiatry 128, 15051510Google Scholar
Johnson, JE, Bieliauskas, LA (1971) Two measures of overinclusive thinking in schizophrenia: a comparative analysis. J Abnorm Psychol 77, 149154CrossRefGoogle ScholarPubMed
Kraepelin, E (1984) Introduction à la psychiatrie clinique.(1905) Navarin ed, Coll «Analytica»Google Scholar
Lidz, T, Wild, C, Schafer, S (1962) Thought disorder in the parents of schizophrenic patients: A study utilising the object sorting test. J Psychiatr Res 1, 193200CrossRefGoogle Scholar
Marengo, J, Harrow, M, Lanin-Kettering, I, Wilson, A (1986) Evaluating bizarre-idiosyncratic thinking: a comprehensive index of positive thought disorder. Schizophren Bull 3, 497511CrossRefGoogle Scholar
Mathysse, S (1987) Schizophrenic thought disorder: A model-theoretic perspective. Schizophren Bull 13, 173184CrossRefGoogle Scholar
Miller, GA (1967) The reinterpretation and prediction of concrete behavior in schizophrenia using the theory of restricted mediation. Unpublished doctoral dissertation, Southern Illinois UniversityGoogle Scholar
Ohayon, M (1988) Analyse et modélisation cognitive du processus analogique dans la psychose. Ann Méd Psychol 146, 779814Google Scholar
Payne, RW, Helwett, JHG (1950) Thought disorder in psychotic patients. In: Experiments in Personality(Eysenck, HJ, ed) Routledge and Kegan, London, vol 2Google Scholar
Payne, RW (1962) An object classification test as a measure of overinclusive thinking in schizophrenic patients. Br J Soc Clin Psychol 1, 213221CrossRefGoogle Scholar
Payne, RW, Caind, WK, Laverty, SG (1964) Overinclusive thinking and delusions in schizophrenic patients. J Abnorm Soc Psychol 68, 562566CrossRefGoogle ScholarPubMed
Piaget, J (1924) Le Jugement et le raisonnement chez l'enfant. 2e éd, collection «actualité pédagogique», Delachaux et Niestlé, ParisGoogle Scholar
Piaget, J (1942) Classes, relations et nombres, Études de psychologie et de philosophie IV. P Guillaume, ParisGoogle Scholar
Piaget, J (1968) Recherches sur la contradiction. Études d 'épistémologie génétique XXXI, XXXII. PUF, ParisGoogle Scholar
Piéron, H (1979) Vocabulaire de la psychologie. PUF, ParisGoogle Scholar
Price, H (1970) Task requirements in tests of schizophrenic overinclusion. Br J Soc Clin Psychol 9, 6067CrossRefGoogle ScholarPubMed
Reed, JL (1968) The proverb test in schizophrenia. Br J Psychiatry 114, 317321CrossRefGoogle Scholar
Reich, SS, Cutting, J (1982) Picture perception and abstract thought in schizophrenia. Psychol Med 12, 9196CrossRefGoogle Scholar
Rund, BR (1988) Cognitive disturbances in schizophrenics : What are they, and what is their origin. Acta Psychiatr Scand 77, 113123CrossRefGoogle Scholar
Scottish Schizophrenia Research Group (1987) The Scottish First Episode Schizophrenia Study - I Patient Identification and Categorisation. III Cognitive Performance. Br J Psychiatry 150, 331340CrossRefGoogle Scholar
Shelly, C, Goldstein, G (1988) Discrimination of chronic schizophrenia and brain damage with the Luria Nebraska battery. A partially successful replication. Clin Neuropsychol 5, 8285Google Scholar
Shimkunas, AM (1967) Schizophrenic responses to the proverbs test: Abstract, concrete, or autistic?. J Abnorm Psychol 72, 128133CrossRefGoogle ScholarPubMed
Spitzer, L, Endicott, J, Robins, E (1978) Research diagnostic criteria. Arch Gen Psychiatry 35, 773782CrossRefGoogle ScholarPubMed
Taylor, MA, Abrams, R (1978) The prevalence of schizophrenia. A reassessment using modem diagnostic criteria. Am J Psychiatry 135, 945947Google Scholar
Thomas, P, King, K, Fraser, WI (1987) Positive and negative symptoms of schizophrenia and linguistic performance. Acta Psychiatr Scand 76, 144151CrossRefGoogle ScholarPubMed
Venables, PH (1982) Theories of schizophrenia and psychosis. In: Cerebral Mechanisms, Autonomic Responsivity and Attention in Schizophrenia. Nebraska Symposium on Motivation 94Google Scholar
Vigotsky, LS (1934) Thought in schizophrenia. Arch Neurol Psychiatry 31, 10631077CrossRefGoogle Scholar
Williams, EB (1964) Deductive reasoning in schizophrenia. J Abnorm Soc Psychol 69, 4761CrossRefGoogle Scholar
Winter, DA (1975) Some characteristics of schizophrenics and their parents. Br J Soc Clin Psychol 14, 279290CrossRefGoogle ScholarPubMed
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