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Beyond the Meaning of Words: Issues in Neuropragmatics, Clinical Pragmatics and Schizophrenic Language

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Exploring Contextualism and Performativity

Part of the book series: Perspectives in Pragmatics, Philosophy & Psychology ((PEPRPHPS,volume 30))

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Abstract

Over the last decades, theoretical and empirical evidence, first provided by language pragmatics and then by clinical pragmatics and neuropragmatics, has shown the importance of context and of the effective uses of languages in the analysis of the functioning of verbal communication, under normal and deficit conditions, starting from the assumption that communicating verbally means “acting”, i.e., performing linguistic acts that convey communicative intentions. If using verbal language also means performing real communicative acts, through which the speakers express their own intentions, desires, thoughts, emotions, opinions, then, in order to fully understand linguistic actions, it is crucial to go beyond the grammatical and literal meaning of statements, thus involving the notion of context. More generally, this paper analyses the case of subjects with right-hemisphere brain damage, which shows the central (yet not exclusive) role of the right hemisphere in the elaboration of the context, and focuses on a particular set of pragmatic deficits: those of schizophrenia. Though a central aspect of this mental illness is a pragmatic behaviour disorder, and, particularly, disorganized thought and speech, it is nevertheless combined with a deficit in social cognition. However, to ensure a more comprehensive picture of the complex phenomenology of the schizophrenic language and thought, it is fundamental to integrate current models of clinical pragmatics and neuropragmatics with the perspective of classical psychopathology. Deeply understanding the functioning of human language and some of its essential aspects, particularly pragmatic competence, also through the study of its disorders, allows, at the same time, shedding light on the longstanding issue of the relation between language and cognition.

This paper is the result of joint reflection by the authors. However, paragraphs 1, 2 and 3 were written by Rosalia Cavalieri, while paragraphs 4, 5 and 6 were written by Antonino Bucca.

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References

  • Abu-Akel, A. (1999). Impaired theory of mind in schizophrenia. Pragmatics & Cognition, 7(2), 247–282.

    Article  Google Scholar 

  • Adornetti, I. (2018). Patologie del linguaggio e della comunicazione. Carocci.

    Google Scholar 

  • Aglioti, S. M., & Fabbro, F. (2006). Neuropsicologia del linguaggio. Il Mulino.

    Google Scholar 

  • American Psychiatric Association – APA (2013). Diagnostic and statistical manual of mental disorders DSM-5. Arlington VA-Washington DC.

    Google Scholar 

  • Andreasen, N. C. (1979). Thought, language, and communication disorders. I. Clinical assessment, definition of terms, and evaluation of their reliability. Archives of General Psychiatry, 36, 12, 1315–1330.

    Article  Google Scholar 

  • Angeleri, R., Bosco, F. M., Zettin, M., Sacco, K., Colle, L., & Bara, B. G. (2008). Communicative impairment in traumatic brain injury: A complete pragmatic assessment. Brain and Language, 107(3), 229–245.

    Article  Google Scholar 

  • Arcara, G., & Bambini, V. (2016). A test for the assessment of pragmatic abilities and cognitive substrates (APACS): Normative data and psychometric properties. Frontiers in Psychology, 7, 70.

    Article  Google Scholar 

  • Austin, J. R. (1962). How to do things with words. Clarendon.

    Google Scholar 

  • Bambini, V. (2009). Neuropragmatics: A foreword. Italian Journal of Linguistics/Rivista di linguistica, 22(1), 1–20.

    Google Scholar 

  • Bambini, V. (2017). Il cervello pragmatico. Carocci.

    Google Scholar 

  • Bambini, V., Arcara, G., Bechi, M., Buonocore, M., Cavallaro, R., & Bosia, M. (2016). The communicative impairment as a Core feature of schizophrenia: Frequency of pragmatic deficit, cognitive substrates, and relation with quality of life. Comprehensive Psychiatry, 71, 106–120.

    Article  Google Scholar 

  • Bambini, V., & Bara, B. G. (2012). Neuropragmatics. In J. O. Östman & J. O. Verschueren (Eds.), Handbooks of pragmatics (pp. 1–22). Amsterdam/Philadelphia.

    Google Scholar 

  • Bara, B. G. (2010). Cognitive pragmatics. The mental processes of communication. The MIT Press.

    Book  Google Scholar 

  • Bara, B. G., & Tirassa, M. (2000). Neuropragmatics: Brain and communication. Brain and Language, 71(1), 10–14.

    Article  Google Scholar 

  • Baron-Cohen, S., Tager-Flusberg, H., & Lombardo, M. (Eds.). (2013). Understanding other minds: Perspectives from developmental social neuroscience. Oxford University Press.

    Google Scholar 

  • Basile, G. (2018). Indirect speech in dialogues with schizophrenics. Analysis of the dialogues of the CIPPS corpus. In A. Capone, M. García-Carpintero, & A. Falzone (Eds.), Indirect reports and pragmatics in the world languages (pp. 419–438). Springer.

    Google Scholar 

  • Bazin, N., Sarfati, Y., Lefrère, F., Passerieux, C., & Hardy-Baylé, M. C. (2005). Scale for the evaluation of communication disorders in patients with schizophrenia: A validation study. Schizophrenia Research, 77(1), 75–84.

    Article  Google Scholar 

  • Bianchi, C. (2003). Pragmatica del linguaggio. Laterza.

    Google Scholar 

  • Bleuler, E. (1911). Dementia praecox oder Gruppe der Schizophrenien. Franz Deuticke.

    Google Scholar 

  • Bosco, F. M., Berardinelli, L., & Parola, A. (2019). The ability of patients with schizophrenia to comprehend and produce sincere, deceitful, and ironic communicative intentions: The role of theory of mind and executive functions. Frontiers in Psychology, 10(827), 1–13.

    Google Scholar 

  • Bosco, F. M., Bono, A., & Bara, B. G. (2012). Recognition and repair of communicative failures: The interaction between theory of mind and cognitive complexity in schizophrenic patients. Journal of Communication Disorders, 45(3), 181–197.

    Article  Google Scholar 

  • Bosco, F. M., & Parola, A. (2017). Schizophrenia. In L. Cummings (Ed.), Research in clinical pragmatics (pp. 267–290). Springer.

    Chapter  Google Scholar 

  • Brüne, M., & Bodenstein, L. (2005). Proverb comprehension reconsidered “theory of mind” and the pragmatic use of language in schizophrenia. Schizophrenia Research, 75, 2, 3, 233–239.

    Article  Google Scholar 

  • Bucca, A. (2009). La gelosia e i suoi dèmoni. Figure del delirio tra filosofia del linguaggio e psicopatologia. Editori Riuniti University Press.

    Google Scholar 

  • Bucca, A. (2013). La follia nelle parole. Ultime voci dal manicomio criminale? Fioriti Editore.

    Google Scholar 

  • Bucca, A. (2014a). The functions of language and the understanding of mental disorders. Conjectura: filosofia e educação, 19, 2, 13–26.

    Google Scholar 

  • Bucca, A. (2014b). Schizofasia, verbigerazione, glossolalia. Il corpo e il senso nelle ‘lingue’ schizofreniche. In A. Falzone, S. Nucera, & F. Parisi (Eds.), Le ragioni della natura. La sfida teorica delle scienze della vita (pp. 155–167). Corisco Edizioni.

    Google Scholar 

  • Bucca, A. (2015). Breve viaggio nell’immaginario simbolico della follia. Il linguaggio, i colori e la psicopatologia dell’espressione. Roma-Messina: Corisco.

    Google Scholar 

  • Bucca, A. (2017). Expressive forms of psychotic language. Conjectura: filosofia e educação, 22, 2, 188–199.

    Google Scholar 

  • Bucca, A. (2018a). Pragmatics disorders and indirect reports in psychotic language. In A. Capone, M. García-Carpintero, & A. Falzone (Eds.), Indirect reports and pragmatics in the world languages (pp. 439–453). Springer.

    Google Scholar 

  • Bucca, A. (2018b). Artemis(s)ion. Note sui linguaggi artistici della follia. Illuminazioni, 43, 47–65.

    Google Scholar 

  • Bucca, A. (2019). The cathartic function of language: The case study of a schizophrenic patient. In A. Capone, M. Carapezza, & F. Lo Piparo (Eds.), Further advances in pragmatics and philosophy: Part 2 theories and applications (pp. 549–560). Springer.

    Chapter  Google Scholar 

  • Cavalieri, R. (2009). Breve introduzione alla biologia del linguaggio. Editori Riuniti University Press.

    Google Scholar 

  • Champagne-Lavau, M., & Stip, E. (2010). Pragmatic and executive dysfunction in schizophrenia. Journal of Neurolinguistics, 23(3), 285–296.

    Article  Google Scholar 

  • Chomsky, N. (1957). Syntactic structures. Mouton and Co.

    Book  Google Scholar 

  • Chomsky, N. (1959). A review of B.F. Skinner’s verbal behavior. Language, 35(1), 26–58.

    Article  Google Scholar 

  • Chomsky, N. (1975). Reflections on language. Pantheon Books.

    Google Scholar 

  • Coelho, C. A. (2007). Management of discourse deficits following traumatic brain injury: Progress, caveats, and needs. Seminars in Speech and Language, 28(2), 122–135.

    Article  Google Scholar 

  • Colle, L., Angeleri, R., Vallana, M., Sacco, K., Bara, B. G., & Bosco, F. M. (2013). Understanding the communicative impairments in schizophrenia: A preliminary study. Journal of Communication Disorders, 46(3), 294–308.

    Article  Google Scholar 

  • Corcoran, R., Mercer, G., & Frith, C. D. (1995). Schizophrenia, symptomatology and social inference: Investigating “theory of mind” in people with schizophrenia. Schizophrenia Research, 17(1), 5–13.

    Article  Google Scholar 

  • Cummings, L. (2009). Clinical pragmatics. Cambridge University Press.

    Book  Google Scholar 

  • Cummings, L. (2011). Pragmatic disorders and their social impact. Pragmatic and Society, 2(1), 17–36.

    Article  Google Scholar 

  • Cummings, L. (2014). Pragmatic disorders. Springer.

    Book  Google Scholar 

  • Cummings, L. (2016). Reported speech: A clinical pragmatic perspective. In A. Capone, F. Kiefer, & F. Lo Piparo (Eds.), Indirect reports and pragmatics (pp. 31–54). Springer.

    Chapter  Google Scholar 

  • Cummings, L. (Ed.). (2017). Research in clinical pragmatics. Springer.

    Google Scholar 

  • Cutting, J. (1989). Psicologia della schizofrenia. Bollati Boringhieri.

    Google Scholar 

  • Cutting, J. (1999). I disturbi del linguaggio nella schizofrenia. In M. R. Monti & G. Stanghellini (Eds.), (a cura di), Psicopatologia della schizofrenia. Prospettive metodologiche e cliniche (pp. 47–58). Raffaello Cortina Editore.

    Google Scholar 

  • DeLisi, L. E. (2001). Speech disorder in schizophrenia: Review of the literature and exploration of its relation to the uniquely human capacity for language. Schizophrenia Bulletin, 27(3), 481–496.

    Article  Google Scholar 

  • Dovetto, F. M. (2012). Il lessico di soggetti schizofrenici. Società di Linguistica Italiana, 56, 241–254.

    Google Scholar 

  • Dovetto, F. M. (2014). Schizofrenia e deissi. Studi e Saggi Linguistici, LII, 2, 101–132.

    Google Scholar 

  • Dovetto, F. M., & Gemelli, M. (Eds.). (2012). Il parlar matto. Schizofrenia tra fenomenologia e linguistica: il corpus CIPPS. Aracne.

    Google Scholar 

  • Frith, C. D., & Allen, H. A. (1988). Language disorders in schizophrenia and their implications for neuropsychology. In P. Bebbington & P. McGuffin (Eds.), Schizophrenia: The major issues (pp. 172–186). Heinemann.

    Google Scholar 

  • Frith, C. D., & Corcoran, R. (1996). Exploring “theory of mind” in people with schizophrenia. Psychological Medicine, 26(3), 521–530.

    Article  Google Scholar 

  • Gavilán, J. M., & García-Albea, J. E. (2011). Theory of mind and language comprehension in schizophrenia: Poor mindreading affects figurative language comprehension beyond intelligence deficits. Journal of Neurolinguistics, 24(1), 54–69.

    Article  Google Scholar 

  • Giora, R. (2002). Literal vs. figurative language: Different or equal? Journal of Pragmatics, 34(4), 487–506.

    Article  Google Scholar 

  • Grice, P. (1968). Utterer’s meaning, sentence meaning and word meaning. Foundations of Language, 4(3), 225–242.

    Google Scholar 

  • Grice, P. (1989). Studies in the way of words. Harvard University Press.

    Google Scholar 

  • Haas, M. H., Chance, S. A., Cram, D. F., Crow, T. J., Luc, A., & Hage, S. (2015). Evidence of pragmatic impairments in speech and proverb interpretation in schizophrenia. Journal of Psycholinguistic Research, 44(4), 469–483.

    Article  Google Scholar 

  • Kraepelin, E. (1899). Psychiatrie.Ein Lehrbuch für Studierende und Ärzte. Johann Ambrosius Barth Verlag.

    Google Scholar 

  • Kuperberg, G. R. (2010). Language in schizophrenia part 1: An introduction. Language and Linguistics Compass, 4(8), 576–589.

    Article  Google Scholar 

  • Langdon, R., Davies, M., & Coltheart, M. (2002). Understanding minds and understanding communicated meanings in schizophrenia. Mind & Language, 17, 1, 2, 68–104.

    Article  Google Scholar 

  • Leitman, D. I., Foxe, J. J., Butler, P. D., Saperstein, A., Revheim, N., & Javitt, D. C. (2005). Sensory contributions to impaired prosodic processing in schizophrenia. Biological Psychiatry, 58(1), 56–61.

    Article  Google Scholar 

  • Levinson, S. C. (1983). Pragmatics. Cambridge University Press.

    Book  Google Scholar 

  • Laing, R. D. (1991). L’io diviso. Studio di psichiatria esistenziale. Einaudi.

    Google Scholar 

  • Marini, A. (2018). Manuale di neurolinguistica. Carocci.

    Google Scholar 

  • Marini, A., & Nocentini, U. (2003). Comunicazione verbale e emisfero destro. Springer Italia.

    Google Scholar 

  • Marini, A., Spoletini, I., Rubino, I. A., Ciuffa, M., Bria, P., Martinotti, G., Banfi, G., Boccascino, R., Strom, P., Siracusano, A., Caltagirone, C., & Spalletta, G. (2008). The language of schizophrenia: An analysis of micro and macrolinguistic abilities and their neuropsychological correlates. Schizophrenia Research, 105, 1, 3, 144–155.

    Article  Google Scholar 

  • Mazza, M., Di Michele, V., Pollice, R., Roncone, R., & Casacchia, M. (2008). Pragmatic language and theory of mind deficits in people with schizophrenia and their relatives. Psychopathology, 41(4), 254–263.

    Article  Google Scholar 

  • Mo, S., Su, Y., Chan, R. C. K., & Liu, J. (2008). Comprehension of metaphor and irony in schizophrenia during remission: The role of theory of mind and IQ. Psychiatry Research, 157, 1, 3, 21–29.

    Article  Google Scholar 

  • Moro, A., Bambini, V., Bosia, M., Anselmetti, S., Riccaboni, R., Cappa, S. F., Smeraldi, E., & Cavallaro, R. (2015). Detecting syntactic and semantic anomalies in schizophrenia. Neuropsychologia, 79, 147–157.

    Article  Google Scholar 

  • Parola, A., Salvini, R., Gabbatore, I., Colle, L., Berardinelli, L., & Bosco, F. M. (2020). Pragmatics, theory of mind and executive functions in schizophrenia: Disentangling the puzzle using machine learning. PLoS One, 3, 1–11.

    Google Scholar 

  • Piro, S. (1967). Il linguaggio schizofrenico. Feltrinelli.

    Google Scholar 

  • Piro, S. (1992). Parole di follia. Storie di persone e linguaggi alla ricerca del significato e del senso. Franco Angeli.

    Google Scholar 

  • Premack, D., & Woodruff, G. (1978). Does the chimpanzee have a theory of mind? Behavioral and Brain Sciences, 1(4), 515–526.

    Article  Google Scholar 

  • Sacco, K., Angeleri, R., Bosco, F. M., Colle, L., Mate, D., & Bara, B. G. (2008). Assessment battery for communication – ABaCo: A new instrument for the evaluation of pragmatic abilities. Journal of Cognitive Science, 9(2), 111–157.

    Article  Google Scholar 

  • Sarfati, Y., & Hardy-Baylé, M. C. (1999). How do people with schizophrenia explain the behaviour of others? A study of theory of mind and its relationship to thought and speech disorganization in schizophrenia. Psychological Medicine, 29(3), 613–620.

    Article  Google Scholar 

  • Searle, J. R. (1969). Speech acts. Cambridge University Press.

    Book  Google Scholar 

  • Searle, J. R. (1974). Chomsky’s revolution in linguistics. In G. Herman (Ed.), On Noam Chomsky: Critical essays (pp. 2–33). Anchor-Doubleday.

    Google Scholar 

  • Searle, J. R. (1975). Indirect speech acts. In P. Cole & J. Morgan (Eds.), Syntax and semantics: Speech Actes (pp. 59–82). Academic.

    Google Scholar 

  • Searle, J. R. (1976). A classification of illocutionary acts. Language in Society, 5(1), 1–23.

    Article  Google Scholar 

  • Sponheim, S. R., Surerus-Johnson, C., Leskela, J., & Dieperink, M. E. (2003). Proverb interpretation in schizophrenia: The significance of symptomatology and cognitive processes. Schizophrenia Research, 65(2-3), 117–123.

    Article  Google Scholar 

  • Wilkinson, S., & Bell, V. (2016). The representation of agents in auditory verbal hallucinations. Mind & Language, 31(1), 104–126.

    Article  Google Scholar 

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Cavalieri, R., Bucca, A. (2023). Beyond the Meaning of Words: Issues in Neuropragmatics, Clinical Pragmatics and Schizophrenic Language. In: Capone, A., Penna, A. (eds) Exploring Contextualism and Performativity. Perspectives in Pragmatics, Philosophy & Psychology, vol 30. Springer, Cham. https://doi.org/10.1007/978-3-031-12543-0_12

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