양성 및 음성 정신분열병 아형에서 사고의 정신병리적 특성에 관한 비교연구

The Comparative Study of the Nature of Thought between the Positive and Negative Subtypes of Schizophrenia

The authors have studied the content and severity of thought disorder between the subjects of the positive and negative subtypes of schizophrenia. It’s hypothetical ground is that the positive and negative subtypes of schizophrenics might bear highly significant differences in the pathogenesis, pathophysiology, psychopathology, also therapeutic and prognostic terms. In that regard, the author reported the neuropsychological significance in differentiating the two subtypes from each other, such that the negative subtype showed the worse function in the short-term recall against the auditory stimuli than the positive. To comparatively analyze the content and severity of thought disorder between the two subtypes, the authors utilized the Thought Disorder Index (T D I) scores and Holt’s scale of the primary process thinking content The results were as follows: 1) The total score of TDI as a whole, showed somewhat more thought disorder in the positive subtype subjects than the negative, though this failed to reach the statistical significance. In 0.75 level of TDI, the positive subtype subjects showed statistically significantly worse thought disorder than the negative. 2 ) In the comparative study of the primary process thinking content, the positive subtype subjects showed higher degree in the aggressive content but lower degree in the anxiety content than the negative subtype subjects with statistical significance. 3) In the correlation study, 0.5 level of TDI correlated with the libidinal content of the primary process thinking significantly. The anxiety content of the primary process thinking corelated with blunted affect and the aggressive content with lack of spontaneity and flow of conversation. The above result might suggest that the positive subtype of schizophrenia demonstrated more severe thought disorder, if we regard that responses scored at the 0.75 level of TDI represent clear thought disturbances. The negative subtype of schizophrenia tends to possess higher anxious and libidinal content of the primary process thinking