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A functional systemic analysis of schizophrenia
i.'~ll-,i]ll(
staild lhc iidaptivc l )ll ri',~iit stltiilt~
pal I i¢.'litS,
tiolii
slri:iggli's of schizolht~
tlicir
i n a d a q 1l;~ic-ies l't~-
disordered
.life per-
t'Oi'lll~!iit'('. Sllt'ti iliidl:,rstaildiilg is /illailialll/" oii]v t]Irltugii Ill+<.-"nleiila], ill p a r t i c l i lily t h e l l l o l i v a t i O l i a ] itpl)l-Oa(.li. V¢iil'killg
willt
llte illvcsti~ative nlethod o| COllldccp inlrospectioii. This n i c t h o d s u p p l i e s at p r e s e n t t h e p r i m a r y ]):iSiS ft)r diagn~tsis aiid gives the besl C]II(I'N t() prol>icnls w]lich t ' i i l l ])e s(li%'l'd olllx b\" ilisl>ecti.nal (]~h.vsiological a n d Gt'n~'lic) i l . l ~ i r v . E v e n i | all the physiological t)rol~lei~ls of scllizophrtmia had tlllllliCatcd
])('('li sliCC'eSSflliiv w~lrked olll. tor t'f)rlt,liilillU, this k l , l w ] e d g e
tile llee(| w i t h
capiible. "l'llo
nit_'t}todological
diiced by adaptational
scht'llle
illtro-
psvehodvnaniics
f~n" sllidies oil st'tiizophrcilia is t'olilpose.d o f three p l l a s e s : (1 1 collc'clion ;tlid psx'chlih~gical o r d e r i n g of iiltr<~sI)ectional inforlnatioll: (:2) c~>llection alnd p h y s i c a l ~r(tering
F'H] I ) A Y A t r T E I I N ( ) ( ) N .
47"7
s c ] l i z o p h r c l t i c d~.sorders. T h e first ~mtlille of all a d a p t a t i o l l a d t l l c . r v s~, c ~ m s t r u c t e d has b c c n c a l h ' d "'schizotyt>al ~rgaliizati~m auid tim d e v e l o p m e n t a l .st'i-cs..~ . t~t" schiz,~tx]):t] l)eliavior.'" In tlic ])resellt s c i c n t i f c situ:ttion, rt~co g n i t i ( m of this adal)taticmal lll(-~n-v is r , ' t a r d c d by thr¢,: o b s t a c h ' s : t l} Ill(: hlvcstigatOl'S; traditi~n,ll a v o i d a n c e ~f t}le izJin~t-l~o¢lv g~,p. 0mrebv. Itiissi~lg t h e b r i d g e ~t a m o d u s ol,cratldi litilized ~lnd e r the a d a l ) t a t i o n a l the~wv.; ( 2 ) a v o i d a n t e c~t l h e p s y c l m a n a l y t i c irtvcs~ti~:ltivc m e t I , M , w h i c h alolm c a n raise t]l,+ lnolivati<~iia] appr+lac'h to the staHls of :i fti]lttedgcd br;ill(rll ()f ltlllli:lll l>it>lola): (3) lltist;,ikillg thtf ; l d m i t t e d l v nl}tho]ogica] illld a-l)iolo~ical speculalliolls
".29: 0 0 P..k I., l'~l).~B H U A I~ Y 2 8 , 1 9 6 4
,~essi
Chairntan: H o w A m ~ 11t'XT. P h . D . Recorder: Llssv J..~i~\uK, M . D . A lrunctional Systemic op'hrenia
Analysis of Schiz-
OcDr:x It. LLXt)SLlZY, P h 3 ) . , Itarvard
University A m e t h o d of a n a l y z i n g s c h i z o p h r e n i a b y l a b o r a t o r y r e c o r d i n g of t h e s i m u l t a n e ous i n t e r a c t i o n b e t w e e n s y m p t o m a t : i c a n d l m n s ) ' m p t o n m t i c reflex s y s t e m s is prcse,~te, d, ' C o n c e p t s e v o l v e d f r o m arm, I v z i n g s i m u l t a n e o u s r e c o r d s .of v o c a l a n d motor symptoms and operant responding, c o l l e c t e d d a i l y on t h e s a m e c h r o n i c
s c h i z o p h r e n i c p a t i e n t s s i r m e 1957. T a r g e t s y m p t o r n s a r e Iiot d e f i n e d t o p o g r a p h i c , ally (i.e_., " ' h a l l u c i n a t i n g " or "'paeillg'} b u t a r e f u n c t i o i m l l y d e f i n e d b y t h e deg r e e to w h i c h tliev, i n t e r f e r e w i t h l l o n n a l .djustive behavior. E x e m p l a r y s c h i z o p h r e n i c reflex system. i~lteractioris a n d s e i n e effects of wellk n o w n d n l g s on t h e s e i n t e r a c t i o n s are p r e s e r i t e d : I m p l i c a t i o n s for t h e o r y , res e a r c h , d i a g n o s i s , a n d t h e r a p y of schizop h r e n i c t ) e h a v i o r arc. d i s c u s s e d .
staild lhc iidaptivc l )ll ri',~iit stltiilt~
pal I i¢.'litS,
tiolii
slri:iggli's of schizolht~
tlicir
i n a d a q 1l;~ic-ies l't~-
disordered
.life per-
t'Oi'lll~!iit'('. Sllt'ti iliidl:,rstaildiilg is /illailialll/" oii]v t]Irltugii Ill+<.-"nleiila], ill p a r t i c l i lily t h e l l l o l i v a t i O l i a ] itpl)l-Oa(.li. V¢iil'killg
willt
llte illvcsti~ative nlethod o| COllldccp inlrospectioii. This n i c t h o d s u p p l i e s at p r e s e n t t h e p r i m a r y ]):iSiS ft)r diagn~tsis aiid gives the besl C]II(I'N t() prol>icnls w]lich t ' i i l l ])e s(li%'l'd olllx b\" ilisl>ecti.nal (]~h.vsiological a n d Gt'n~'lic) i l . l ~ i r v . E v e n i | all the physiological t)rol~lei~ls of scllizophrtmia had tlllllliCatcd
])('('li sliCC'eSSflliiv w~lrked olll. tor t'f)rlt,liilillU, this k l , l w ] e d g e
tile llee(| w i t h
capiible. "l'llo
nit_'t}todological
diiced by adaptational
scht'llle
illtro-
psvehodvnaniics
f~n" sllidies oil st'tiizophrcilia is t'olilpose.d o f three p l l a s e s : (1 1 collc'clion ;tlid psx'chlih~gical o r d e r i n g of iiltr<~sI)ectional inforlnatioll: (:2) c~>llection alnd p h y s i c a l ~r(tering
F'H] I ) A Y A t r T E I I N ( ) ( ) N .
47"7
s c ] l i z o p h r c l t i c d~.sorders. T h e first ~mtlille of all a d a p t a t i o l l a d t l l c . r v s~, c ~ m s t r u c t e d has b c c n c a l h ' d "'schizotyt>al ~rgaliizati~m auid tim d e v e l o p m e n t a l .st'i-cs..~ . t~t" schiz,~tx]):t] l)eliavior.'" In tlic ])resellt s c i c n t i f c situ:ttion, rt~co g n i t i ( m of this adal)taticmal lll(-~n-v is r , ' t a r d c d by thr¢,: o b s t a c h ' s : t l} Ill(: hlvcstigatOl'S; traditi~n,ll a v o i d a n c e ~f t}le izJin~t-l~o¢lv g~,p. 0mrebv. Itiissi~lg t h e b r i d g e ~t a m o d u s ol,cratldi litilized ~lnd e r the a d a l ) t a t i o n a l the~wv.; ( 2 ) a v o i d a n t e c~t l h e p s y c l m a n a l y t i c irtvcs~ti~:ltivc m e t I , M , w h i c h alolm c a n raise t]l,+ lnolivati<~iia] appr+lac'h to the staHls of :i fti]lttedgcd br;ill(rll ()f ltlllli:lll l>it>lola): (3) lltist;,ikillg thtf ; l d m i t t e d l v nl}tho]ogica] illld a-l)iolo~ical speculalliolls
".29: 0 0 P..k I., l'~l).~B H U A I~ Y 2 8 , 1 9 6 4
,~essi
Chairntan: H o w A m ~ 11t'XT. P h . D . Recorder: Llssv J..~i~\uK, M . D . A lrunctional Systemic op'hrenia
Analysis of Schiz-
OcDr:x It. LLXt)SLlZY, P h 3 ) . , Itarvard
University A m e t h o d of a n a l y z i n g s c h i z o p h r e n i a b y l a b o r a t o r y r e c o r d i n g of t h e s i m u l t a n e ous i n t e r a c t i o n b e t w e e n s y m p t o m a t : i c a n d l m n s ) ' m p t o n m t i c reflex s y s t e m s is prcse,~te, d, ' C o n c e p t s e v o l v e d f r o m arm, I v z i n g s i m u l t a n e o u s r e c o r d s .of v o c a l a n d motor symptoms and operant responding, c o l l e c t e d d a i l y on t h e s a m e c h r o n i c
s c h i z o p h r e n i c p a t i e n t s s i r m e 1957. T a r g e t s y m p t o r n s a r e Iiot d e f i n e d t o p o g r a p h i c , ally (i.e_., " ' h a l l u c i n a t i n g " or "'paeillg'} b u t a r e f u n c t i o i m l l y d e f i n e d b y t h e deg r e e to w h i c h tliev, i n t e r f e r e w i t h l l o n n a l .djustive behavior. E x e m p l a r y s c h i z o p h r e n i c reflex system. i~lteractioris a n d s e i n e effects of wellk n o w n d n l g s on t h e s e i n t e r a c t i o n s are p r e s e r i t e d : I m p l i c a t i o n s for t h e o r y , res e a r c h , d i a g n o s i s , a n d t h e r a p y of schizop h r e n i c t ) e h a v i o r arc. d i s c u s s e d .