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Language in Psychiatry
A Handbook of Clinical Practice
This book is designed to enable clinicians and clinicians in training to become sensitive to a range of language phenomena that are important for the diagnosis, treatment and research of psychiatric disorders. The introductory chapters assume no prior knowledge of linguistics and outline an approach to language that focuses on meaning and communication, ranging from cultural issues to syntax and intonation. The volume deals in turn with the major categories of syndromes in psychiatry which have language as an important characterizing feature. Linguistic concepts are keyed to diagnostic criteria to make the material accessible to the practitioner. For each disorder, the diagnostic criteria that are related to language are outlined in specific linguistic terms. Thus the familiar diagnostic criteria are enriched by linguistic descriptions that range from aspects of culture that constrain what can make sense in society to aspects of intonation and wording. The volume is supplemented with appendices that link the diagnostic criteria to the language features that are heard. Over 50 tables and diagrams provide summary information linking psychiatric categories, language features and language examples.
Foreword by Professor Bill Fraser
1 Listening for meaning in context
2 The kinds of meanings to be heard
3 Meaning oddly: How a speaker can sound strange
4 Communication disorders
5 Pervasive developmental disorders
6 Attention deficit / hyperactivity disorder
7 Psychotic disorders
8 Mood disorders
9 Personality disorders
10 The partnership of language and psychiatry
A: Language systems grouped by the metafunctions of ideational, interpersonal, textual meaning
B: DSM-IV diagnostic categories with language systems that are at risk
‘Psychiatrists could better help their patients by adding linguistic analysis, which is well introduced here, to listening to their patients.’
Andrew Sims, Royal College of Psychiatrists, The British Journal of Psychiatry, Volume 192, issue 3, March 2008
'Chapters carefully and in great detail describe the peculiar and abnormal aspects of language use, verbal and nonverbal, that typify neuropsychiatric disorders. The author provides clear-cut examples derived from patients to illustrate the linguistic features that he describes... This book is interesting and stimulating, especially for those psychiatric practitioners who pay attention to and are fascinated by the ever-challenging connections between verbal and nonverbal communications as they characterize and help identify neuropsychiatric disorders.'
Louis A. Gottschalk,MD, PhD, The Journal of Nervous and Mental Disease, Volume 195, Number 8, August 2007
'Fine has a high reputation for publishing across a range of clinical conditions from anxiety states to the Pervasive Developmental Disorders and is possibly the most currently highly qualified professional to write this handbook. He has used everyday language and clear examples of normal and deviant texts to describe and explain problems of intonation, meaning, phonology, grammar and pragmatics. The clinician and general practitioner (general practitioner or Psychiatrist) could open this book and find out forthwith why his/her patient sounds odd.'
Bill Fraser, Emeritus Professor of Psychiatry, Cardiff University
'This interesting and enlightening book covers the linguistic features of the verbal discourse in patients with psychiatric disorders. Written and edited by an internationally recognized linguist who focuses on psychopathology, this book is a welcome addition to the psychiatric literature... An excellent neew book covering an important manifestation of psychopathology. Psychiatrists interested in improving their clinical skills would benefit from reading this valuable book.'
Michael J. Schrift, University of Illinois at Chicago College of Medicine, Doody's Notes, January 2007
'As it stands, given the research tradition it situates itself in, and the audience/s it targets, the volume serves its purpose very well, and I applaud Fine for moving this research area forward.'
Vaidehi Ramanthan, University of California, Davis, in Applied Linguistics Review, 2008
'Demonstrates the importance of linguistic abilities in psychiatric intervention. This book presents innovative approaches to listening during psychiatric diagnosis and interventions.'
International Journal of Social Psychiatry, Vol. 55, No. 1, 2009