Abstract
Unlike such cognitive impairments as autism and schizophrenia, the speech pattern in obsessive–compulsive disorder (OCD) has largely remained underrepresented. We examined the pragmatic competence of OCD-affected individuals under two variant modes: pragmatic recognition and pragmatic production. In the recognition phase, the informants completed a discourse completion test around two speech acts of request and apology (20 high power distance situations). The production phase was carried out through an interview during which the informants’ communication behaviors were rated on the basis of the Orion’s pragmatic language skills checklist (OPLS) subscales. No significant difference was observed between the normal and OCD groups in terms of pragmatic recognition. Moreover, considering the OPLS subscales, although the normal controls significantly outperformed in non-verbal communication and expressive skills, the overall pragmatic production ability of the two groups was statistically alike. The results are discussed in relation to the two competing disorders of autism and social anxiety.
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Notes
Peyvand Neurofeedback Training Center, Kerman, Iran.
The counseling center resides in the only state-run university in the city of Kerman, namely Shahid Bahonar University.
References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders. Washington, DC, USA.
Baron-Cohen, S. (2000). Theory of mind and autism: A 15-year review. In S. Baron-Cohen, H. Tager-Flusberg, & D. Cohen (Eds.), Understanding other minds: Perspectives from developmental cognitive neuroscience. Oxford: Oxford University Press.
Birjandi, P., & Rezaei, S. (2010). Developing a multiple-choice discourse completion test of interlanguage pragmatics for Iranian EFL learners. ILI Language Teaching Journal, 6, 43–58.
Blum-Kulka, S., & Olshtain, E. (1984). Requests and apologies: A cross-cultural study of speech act realization patterns. Applied Linguistics, 5, 196–213.
Boucher, J., Lewis, V., & Collis, G. (1998). Familiar face and voice matching and recognition in children with autism. Journal of Child Psychology and Psychiatry, 39(2), 171–182.
Cohen, S., & Hammer, J. (2006). Parents of children with Asperger syndrome: What is the cognitive phenotype? Journal of Cognitive Neuroscience, 9(4), 548–554.
Cullen, B., Samuels, J., Grados, M., Landa, R., Bienvonenu, O., Liang, K., et al. (2008). Social and communication difficulties and obsessive–compulsive disorder. Psychopathology, 41(3), 194–200.
Dirson, S., Bouvard, M., Cottraux, J., & Martin, R. (1995). Visual memory impairment in patients with obsessive–compulsive disorder: A controlled study psychotherapy and psychosomatics. Psychotherapy Psychosomatics, 63(1), 22–31.
Fitzgerald, M. (2008). Autism: Asperger’s syndrome—History and first descriptions. In J. Rausch, M. Johnson, & M. Casanova (Eds.), Asperger’s disorder. New York: Informa.
Frost, R., & Steketee, G. (2002). Cognitive approaches to obsessions and compulsions: Theory, assessment, and treatment. Oxford: Pergamon/Elsevier.
Gava, I., Barbui, C., Aguglia, E., Carlino, D., et al. (2009). Psychological treatments versus treatment as usual for obsessive compulsive disorder (OCD). The Cochrane Library.
Grados, M., Riddle, M., Samuels, J., Liang, K., et al. (2001). The familial phenotype of obsessive–compulsive disorder in relation to tic disorders: The Hopkins OCD family study. Biological Psychiatry, 50(8), 559–565.
Head, D., Bolton, D., & Hymas, N. (1989). Deficit in cognitive shifting ability in patients with obsessive–compulsive disorder. Biological Psychiatry, 25(7), 929–937.
Henry, J. (2006). A meta-analytic review of Wisconsin card sorting test and verbal fluency performance in obsessive–compulsive disorder. Cognitive Neuropsychiatry, 11(2), 156–176.
Hepburn, S., Philofsky, A., Fidler, D., & Rogers, S. (2008). Autism symptoms in toddlers with down syndrome: A descriptive study. Journal of Applied Research in Intellectual Disabilities, 21, 48–57.
Hoffman, R., Hogben, G., Smith, H., & Calhoun, W. (1985). Message disruptions during syntactic processing in schizophrenia. Journal of Communication Disorder, 18(3), 183–202.
Hoffman, R., Kirstein, L., Stopek, S., & Cicchetti, D. (1982). Apprehending schizophrenic discourse: A structural analysis of the listener’s task. Brain and Language, 15(2), 207–233.
Hyman, B., & Pedrick, C. (2011). The OCD workbook: Your guide to breaking free from obsessive compulsive disorder. Oakland: New Harbinger Publications.
Insel, T., Donnelly, E., Lalakea, M., Alterman, I., & Murphy, D. (1983). Neurological and neuropsychological studies of patients with obsessive–compulsive disorder. Biological Psychiatry, 18(7), 741–751.
Jurado, M., Junqué, C., Vallejo, J., & Salgado, P. (2001). Impairment of incidental memory for frequency in patients with obsessive–compulsive disorder. Psychiatry Research, 104(3), 213–220.
Lord, C., & Paul, R. (1997). Language and communication in autism. In D. Cohen & F. Volkmar (Eds.), Handbook of autism and pervasive development disorders. New York: Wiley.
Lorenz, M., & Cobb, S. (1954). Language patterns in psychotic and psychoneurotic subjects. Archives of Neurology and Psychiatry, 72(6), 665–673.
Ludlow, C., Bassaich, C., Connor, N., & Rapoport, J. (1989). Psycholinguistic testing in obsessive–compulsive adolescents. In J. Rapoport (Ed.), Obsessive–compulsive disorder in children and adolescents. Washington, DC: American Psychiatric Press.
Luyster, R., Kadlec, M., Carter, A., & Tager-Flusberg, H. (2008). Language assessment and development in toddlers with autism spectrum disorders. Journal of Autism Developmental Disorder, 38(8), 1426–1438.
Lyons, V., & Fitzgerald, M. (2005). Asperger’s syndrome, gift or curse?. New York: Nova Scientific.
Manassis, K., Fung, D., Tannock, R., Sloman, L., Fiksenbaum, L., & McInnes, A. (2003). Characterizing selective mutism: Is it more than social anxiety? Depression and Anxiety, 18(3), 153–161.
Marini, A., Spoletini, I., Rubino, I., Ciuffa, M., Bria, P., Martinotti, G., et al. (2008). The language of schizophrenia: An analysis of micro and macrolinguistic abilities and their neuropsychological correlates. Schizophrenia Research, 105, 144–155.
Mey, J. (2001). Pragmatics: An introduction. Oxford: Backwell.
Montserrat-Esteve, S. (1995). Lenguaje del enfermo obsessivo. Barcelona: Mason.
Mundy, P., Sigman, M., Ungerer, J., & Sherman, T. (1986). Defining the social deficits of autism: The contributions of non-verbal communication measures. Journal of Child Psychology and Psychiatry, 27(5), 657–669.
Noggle, C., & Dean, R. (2013). The neuropsychology of psychopathology: Contemporary neuropsychology. New York: Springer.
Persons, J., & Foa, E. (1984). Processing of fearful and neutral information by obsessive–compulsives. Behavior Research and Therapy, 22, 259–265.
Piacentini, J., & Langley, A. (2004). Cognitive-behavioral therapy for children who have obsessive–compulsive disorder. Journal of Clinical Psychology, 60(11), 1181–1194.
Piven, J., & Palmer, P. (1999). Psychiatric disorder and the broad autism phenotype: Evidence from a family study of multiple-incidence autism families. American Journal of Psychiatry, 156(4), 557–563.
Rapee, R., & Heimberg, R. (1997). A cognitive-behavioral model of anxiety in social phobia. Behavior Research and Therapy, 35(8), 741–756.
Reed, G. (1977). Obsessional personality disorder and remembering. British Journal of Psychiatry, 130, 177–183.
Rider, J., Wright, H., Marshall, R., & Page, J. (2008). Using semantic feature analysis to improve contextual discourse in adults with aphasia. American Journal of Speech-Language Pathology, 17, 161–172.
Roever, C. (2009). Teaching and testing pragmatics. In M. Long & C. Doughty (Eds.), The handbook of language teaching. Oxford: Blackwell.
Roever, C. (2014). Testing ESL pragmatics. Frankfurt: Peter Lang Inc.
Rutter, M. (1983). Cognitive deficits in the pathogenesis of autism. Journal of Child Psychology and Psychiatry, 24(4), 513–531.
Schmidt, R., & Richards, J. (1980). Speech acts and second language Learning. Applied Linguistics, 1(2), 129–157.
Schmidtke, K., Schorb, A., Winkelmann, G., & Hohagen, F. (1998). Cognitive frontal lobe dysfunction in obsessive–compulsive disorder. Biological Psychiatry, 43(9), 666–673.
Schneier, F., Rodebaugh, T., Blanco, C., Lewin, H., & Liebowitz, M. (2011). Fear and avoidance of eye contact in social anxiety disorder. Comprehensive Psychiatry, 52(1), 81–87.
Schulze, L., Renneberg, B., & Lobmaier, J. (2013). Gaze perception in social anxiety and social anxiety disorder. Frontiers in Human Neuroscience, 7, 1–5.
Sher, K., Frost, R., & Otto, R. (1983). Cognitive deficits in compulsive checkers: An exploratory study. Behavior Research and Therapy, 21(4), 357–363.
Smalley, S., McCracken, J., & Tanguay, P. (1995). Autism, affective disorders, and social phobia. American Journal of Medical Genetics, 60(1), 19–26.
Stein, D. (2002). Obsessive–compulsive disorder. Lancet, 360, 397–405.
Stewart, K. (2007). Helping a child with nonverbal learning disorder or Asperger’s disorder: A parent’s guide. Oakland, CA: New Harbinger Publications.
Tager-Flusberg, H. (1996). Current theory and research on language and communication in autism. Journal of Autism and Developmental Disorders, 26(2), 169–172.
Tager-Flusberg, H., & Anderson, M. (1991). The development of contingent discourse ability in autistic children. Journal of Child Psychology and Psychiatry, 32(7), 1123–1134.
Van Lancker, D., Cornelius, C., & Krieman, J. (1989). Recognition of emotional-prosodic meanings in speech by autistic, schizophrenic, and normal children. Developmental Neuropsychology, 5, 207–226.
Wetherby, A. (1986). Ontogeny of communication functions in autism. Journal of Autism and Developmental Disorders, 16(3), 295–316.
Wetherell, D., Botting, N., & Conti-Ramsden, G. (2007). Narrative in adolescent specific language impairment (SLI): A comparison with peers across two different narrative genres. International Journal of Language and Communication Disorders, 42, 583–605.
Wing, L. (1976). Diagnosis and definition. In L. Wing (Ed.), Early childhood autism. Oxford: Pergamon.
Wykes, T., & Leff, J. (1982). Disordered speech: Difference between manics and schizophrenics. Brain and Language, 15(1), 117–124.
Zandt, F., Prior, M., & Kyrios, M. (2007). Repetitive behavior in children with high functioning autism and obsessive compulsive disorder. Journal of Autism Development Disorder, 37, 251–259.
Acknowledgements
We acknowledge the following for their contribution in data collection: Counseling Center of Shahid Bahonar University, Dr. Hassan Baniasad, Dr. Abdolreza Sabahi, Dr. Mohamadreza Samsami, Ms. Amani, and the clinical psychotherapist, Mr. Naderi. We also express our appreciation to the participants.
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Ghahari, S., Hassani, H. & Purmofrad, M. Pragmatic Competency and Obsessive–Compulsive Disorder: A Comparative Assessment with Normal Controls. J Psycholinguist Res 46, 863–875 (2017). https://doi.org/10.1007/s10936-016-9467-6
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DOI: https://doi.org/10.1007/s10936-016-9467-6