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Slang or Addled Mental State?
Grant Barrett
San Diego, California
1532 Posts
(Offline)
1
2008/01/04 - 4:41am

A report in the British Medical Journal discusses a medical case where a 26-year-old man used so much slang that his doctor thought he might have schizophrenia:

Detailed and repeated assessment of his mental state found a normal affect, no delusions, hallucinations, or catatonia, and no cognitive dysfunction. His speech, however, was peppered with what seemed (to his middle class and older psychiatrist) to be an unusual use of words, although he said they were street slang (table). It was thus unclear whether he was displaying subtle signs of formal thought disorder (manifest as disorganised speech, including the use of unusual words or phrases, and neologisms) or using a "street" argot. This was a crucial diagnostic distinction as thought disorder is a feature of psychotic illnesses and can indicate a diagnosis of schizophrenia.

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