DSM-5 – What is Disorganized Thinking (Speech)?

By 20 February 2019DSM-5

DSM-5 – What Is Disorganized Thinking (Speech)?

Published on 7th August 2018
Joseph-S-R-de-Saram

Joseph S R de Saram (JSRDS)

Information Security Architect / Intelligence Analyst / Computer Scientist / Human Rights Activist / COMSEC / SIGINT / TSCM
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Joseph de Saram discusses Thought disorder (TD) refering to disorganized thinking, as evidenced by disorganized speech. Specific thought disorders include derailment, poverty of speech, tangentiality, illogicality, perseveration, and thought blocking. Psychiatrists consider formal thought disorder as being one of two types of disordered thinking, with the other type being delusions. The latter involves “content” while the former involves “form“. Although the term “thought disorder” can refer to either type, in common parlance it refers most often to a disorder of thought “form” also known as formal thought disorder.

“Disorganised thinking (formal thought disorder) is typically inferred from the individual’s speech. The individual may switch from one topic to another {derailment or loose associations).

Answers to questions may be obliquely related or completely unrelated (tangentiality). Rarely, speech may be so severely disorganized that it is nearly incomprehensible and resembles receptive aphasia in its linguistic disorganization {incoherence or “word salad”).” – DSM-5

“Because mildly disorganised speech is common and nonspecific, the symptom must be severe enough to substantially impair effective communication. The severity of the impairment may be difficult to evaluate if the person making the diagnosis comes from a different linguistic background than that of the person being examined.

Less severe disorganized thinking or speech may occur during the prodromal and residual periods of schizophrenia.” – DSM-5

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Joseph-S-R-de-Saram

Joseph S R de Saram (JSRDS)

Information Security Architect / Intelligence Analyst / Computer Scientist / Human Rights Activist / COMSEC / SIGINT / TSCM
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