Stilted Speech
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Stilted Speech
In psychiatry, stilted speech or pedantic speech is communication characterized by situationally-inappropriate formality. This formality can be expressed both through abnormal prosody as well as speech content that is "inappropriately pompous, legalistic, philosophical, or quaint". Often, such speech can act as evidence for autism spectrum disorder (ASD) or a thought disorder, a common symptom in schizophrenia or schizoid personality disorder. To diagnose stilted speech, researchers have previously looked for the following characteristics: * speech conveying more information than necessary * vocabulary and grammar expected from formal writing rather than conversational speech * unneeded repetition or corrections While literal and long-winded word content is often the most identifiable feature of stilted speech, such speech often displays irregular prosody, especially in resonance. Often, the loudness, pitch, rate, and nasality of pedantic speech vary from normal speech, resulting i ...
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Psychiatry
Psychiatry is the medical specialty devoted to the diagnosis, prevention, and treatment of mental disorders. These include various maladaptations related to mood, behaviour, cognition, and perceptions. See glossary of psychiatry. Initial psychiatric assessment of a person typically begins with a case history and mental status examination. Physical examinations and psychological tests may be conducted. On occasion, neuroimaging or other neurophysiological techniques are used. Mental disorders are often diagnosed in accordance with clinical concepts listed in diagnostic manuals such as the ''International Classification of Diseases'' (ICD), edited and used by the World Health Organization (WHO) and the widely used '' Diagnostic and Statistical Manual of Mental Disorders'' (DSM), published by the American Psychiatric Association (APA). The fifth edition of the DSM (DSM-5) was published in May 2013 which re-organized the larger categories of various diseases and expanded upon the p ...
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Prosody (linguistics)
In linguistics, prosody () is concerned with elements of speech that are not individual phonetic segments (vowels and consonants) but are properties of syllables and larger units of speech, including linguistic functions such as intonation, stress, and rhythm. Such elements are known as suprasegmentals. Prosody may reflect features of the speaker or the utterance: their emotional state; the form of utterance (statement, question, or command); the presence of irony or sarcasm; emphasis, contrast, and focus. It may reflect elements of language not encoded by grammar or choice of vocabulary. Attributes of prosody In the study of prosodic aspects of speech, it is usual to distinguish between auditory measures ( subjective impressions produced in the mind of the listener) and objective measures (physical properties of the sound wave and physiological characteristics of articulation that may be measured objectively). Auditory (subjective) and objective ( acoustic and articulatory) ...
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Autism Spectrum Disorder
The autism spectrum, often referred to as just autism or in the context of a professional diagnosis autism spectrum disorder (ASD) or autism spectrum condition (ASC), is a neurodevelopmental disorder, neurodevelopmental condition (or conditions) characterized by difficulties in Social relation, social interaction, verbal and nonverbal communication, and the presence of repetitive behavior and restricted interests. Other common signs include unusual responses to Multisensory integration, sensory stimuli. Autism is generally understood as a ''spectrum disorder'', which means that it can manifest differently in each person: any given autistic individual is likely to show some, but not all, of the characteristics associated with it, and the person may exhibit them to varying degrees. Some autistic people remain nonverbal autism, nonspeaking over the course of their lifespan, while others have relatively unimpaired spoken language. There is large variation in the level of support peop ...
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Schizophrenia
Schizophrenia is a mental disorder characterized by continuous or relapsing episodes of psychosis. Major symptoms include hallucinations (typically hearing voices), delusions, and disorganized thinking. Other symptoms include social withdrawal, decreased emotional expression, and apathy. Symptoms typically develop gradually, begin during young adulthood, and in many cases never become resolved. There is no objective diagnostic test; diagnosis is based on observed behavior, a history that includes the person's reported experiences, and reports of others familiar with the person. To be diagnosed with schizophrenia, symptoms and functional impairment need to be present for six months (DSM-5) or one month (ICD-11). Many people with schizophrenia have other mental disorders, especially substance use disorders, depressive disorders, anxiety disorders, and obsessive–compulsive disorder. About 0.3% to 0.7% of people are diagnosed with schizophrenia during their lifetime. In 2 ...
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Schizoid Personality Disorder
Schizoid personality disorder (, often abbreviated as SzPD or ScPD) is a personality disorder characterized by a Asociality, lack of interest in social relationships, a tendency toward a solitary or sheltered lifestyle, secretiveness, emotional coldness, detachment and apathy. Affected individuals may be unable to form intimate attachments to others and simultaneously possess a rich and elaborate but exclusively internal fantasy (psychology), fantasy world. Other associated features include stilted speech, a Anhedonia, lack of deriving enjoyment from most activities, feeling as though one is an "observer" rather than a participant in life, an inability to tolerate emotional expectations of others, apparent indifference when praised or criticized, a degree of asexuality and idiosyncratic moral or political beliefs. Symptoms typically start in late childhood or adolescence. The cause of SzPD is uncertain, but there is some evidence of links and shared genetic risk between SzPD, ...
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Pragmatics
In linguistics and related fields, pragmatics is the study of how context contributes to meaning. The field of study evaluates how human language is utilized in social interactions, as well as the relationship between the interpreter and the interpreted. Linguists who specialize in pragmatics are called pragmaticians. Pragmatics encompasses phenomena including implicature, speech acts, relevance and conversation,Mey, Jacob L. (1993) ''Pragmatics: An Introduction''. Oxford: Blackwell (2nd ed. 2001). as well as nonverbal communication. Theories of pragmatics go hand-in-hand with theories of semantics, which studies aspects of meaning, and syntax which examines sentence structures, principles, and relationships. The ability to understand another speaker's intended meaning is called ''pragmatic competence''. Pragmatics emerged as its own subfield in the 1950s after the pioneering work of J.L. Austin and Paul Grice. Origin of the field Pragmatics was a reaction to structuralist l ...
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Diana Perkins
Diana O. Perkins is an American professor at the University of North Carolina's (UNC) School of Medicine where she teaches psychiatry; she is a fellow with outreach roles. Her research involves early diagnosis and treatment of schizophrenia. She is noted for publishing a study that demonstrated that using a polygenic risk score (PRS) based on data from genome-wide association studies improved the psychosis risk prediction in persons meeting clinical high-risk criteria. Education Perkins' undergraduate work was completed at the University of Maryland in Psychology and Biochemistry; she received her Doctor of Medicine at University of Maryland School of Medicine. She completed a graduate degree in Epidemiology Epidemiology is the study and analysis of the distribution (who, when, and where), patterns and determinants of health and disease conditions in a defined population. It is a cornerstone of public health, and shapes policy decisions and evidenc ... from UNC. References ...
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Narcissistic Personality Disorder
Narcissistic personality disorder (NPD) is a personality disorder characterized by a life-long pattern of exaggerated feelings of self-importance, an excessive need for admiration, a diminished ability or unwillingness to empathize with others' feelings, and interpersonally exploitative behavior. Narcissistic personality disorder is one of the sub-types of the broader category known as personality disorders. It is often comorbid with other mental disorders and associated with significant functional impairment and psychosocial disability. Personality disorders are a class of mental disorders characterized by enduring and inflexible maladaptive patterns of behavior, cognition, and inner experience, exhibited across many contexts and deviating from those accepted by any culture. These patterns develop by early adulthood, and are associated with significant distress or impairment. Criteria for diagnosing personality disorders are listed in the fifth chapter of the ''International ...
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Communication Deviance
Communication deviance (CD) occurs when a speaker fails to effectively communicate meaning to their listener with confusing speech patterns or illogical patterns. These disturbances can range from vague linguistic references, contradictory statements to more encompassing non-verbal problems at the level of turn-taking. The term was originally introduced by Lyman Wynne and Margaret Singer in 1963 to describe a communication style found among parents who had children with schizophrenia. According to Wynne, people are able to focus their attention and identify meaning from external stimuli beginning with their interactions, particularly with their parents, during their early years of life. In family communication, deviance is present in the way members acknowledge or affirm one another as well as in task performance. A recent meta-analysis reported that communication deviance is highly prevalent in parents of patients diagnosed with schizophrenia and adoption studies have reported si ...
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Literary Language
A literary language is the form (register) of a language used in written literature, which can be either a nonstandard dialect or a standardized variety of the language. Literary language sometimes is noticeably different from the spoken language (''lects''), but the difference between literary language and non-literary language is greater in some languages; thus a great divergence between a written form and a spoken vernacular, the language exhibits diglossia, a community's use of two forms of speech. The understanding of the term differs from one linguistic tradition to another and is dependent on the terminological conventions adopted. Notably, in Eastern European and Slavic linguistics, the term "literary language" has also been used as a synonym of "standard language". Literary English For much of its history, there has been a distinction in the English language between an elevated literary language and a colloquial idiom.Matti Rissanen, ''History of Englishes: New M ...
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Register (sociolinguistics)
In sociolinguistics, a register is a variety of language used for a particular purpose or in a particular communicative situation. For example, when speaking officially or in a public setting, an English speaker may be more likely to follow prescriptive norms for formal usage than in a casual setting, for example, by pronouncing words ending in ''-ing'' with a velar nasal instead of an alveolar nasal (e.g., ''walking'' rather than ''walkin'''), choosing words that are considered more "formal" (such as ''father'' vs. ''dad'' or ''child'' vs. ''kid''), and refraining from using words considered nonstandard, such as ''ain't'' and ''y'all''. As with other types of language variation, there tends to be a spectrum of registers rather than a discrete set of obviously distinct varieties—numerous registers can be identified, with no clear boundaries between them. Discourse categorisation is a complex problem, and even in the general definition of ''register'' given above (language var ...
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Symptoms And Signs Of Mental Disorders
Signs and symptoms are the observed or detectable signs, and experienced symptoms of an illness, injury, or condition. A sign for example may be a higher or lower temperature than normal, raised or lowered blood pressure or an abnormality showing on a medical scan. A symptom is something out of the ordinary that is experienced by an individual such as feeling feverish, a headache or other pain or pains in the body. Signs and symptoms Signs A medical sign is an objective observable indication of a disease, injury, or abnormal physiological state that may be detected during a physical examination, examining the patient history, or diagnostic procedure. These signs are visible or otherwise detectable such as a rash or bruise. Medical signs, along with symptoms, assist in formulating diagnostic hypothesis. Examples of signs include elevated blood pressure, nail clubbing of the fingernails or toenails, staggering gait, and arcus senilis and arcus juvenilis of the eyes. Indication ...
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