정신분열병 환자에서 아이러니와 은유의 이해 (Understanding of Irony and Metaphor in Schizophrenia)

서지정보

· 발행기관 : 대한생물치료정신의학회
· 수록지 정보 : 생물치료정신의학 / 14권 / 1호 / 85 ~ 93페이지
· 저자명 : 김성훈, 유병국, 김양태, 권도훈, 조성남

초록

본 연구에서는 아이러니 및 은유 과제를 사용하여 정 신분열병 환자들에서 아이러니와 은유를 이해하는 능력 에 장애가 있음을 확인하였다. 또한 아이러니와 은유를 이해하는 능력은 타인의 믿음보다 의도를 추론하는 것 과 연관되어 있음을 확인하였다.

영어초록

Objectives：Irony is a subtle form of humor which involved saying things that you do not mean. A metaphor is an imaginative way of describing something by referring to something else that is the same in a particular way. There has not been much study examining irony and metaphor in patients with schizophrenia in Korea. The aim of the study was to investigate the ability to understand irony and metaphor in schizophrenic patients. In addition, it was aimed to examine whether impairments in understanding of irony and metaphor are related to theory of mind within schizophrenia.
Methods：Thirty-five stable schizophrenic patients and thirty-nine healthy subjects participated in this study. Psychiatric patients were recruited from the Department of Psychiatry of Bugok National Hospital. Consensus diag¬noses, according to DSM-IV criteria, were obtained by two psychiatrists. Normal controls were chosen based on age, sex, education and IQ similarities with schizophrenic patients. All participants were administrated to the Irony and Metaphor Task, the False-Belief Task and the Hinting Task. They also underwent computerized versions of the Wisconsin Card Sorting Test, as the measure of working memory.
Results：The schizophrenic group performed poorly on the Irony and Metaphor Task, the False-Belief Task, the Hinting Task, and the Wisconsin Card Sorting Test relative to controls. There was a significant relationship between the Irony and metaphor Task and the Hinting Task within schizophrenic group. However, we didn’t find any relation¬ships between the Irony and metaphor Task performance and the False-Belief Task within schizophrenia. The per¬formance on the Wisconsin Card Sorting Test in schizophrenia did not correlate with the Irony and Metaphor Task, the False-Belief Task and the Hinting Task.
Conclusion：These data suggest that schizophrenia have a specific deficits in understanding of irony and metaphor. In addition, the ability to understand irony and metaphor is likely to be more related to infer other’s inten¬tion than belief.

참고자료

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