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Speech behavior and experienced communication in psychoanalytic interview with psycho somatic patients as related to the concept of pensee operatoire

, : Speech behavior and experienced communication in psychoanalytic interview with psycho somatic patients as related to the concept of pensee operatoire. Zeitschrift fuer Psychosomatische Medizin und Psychoanalyse 27(1): 45-58

This pilot study was concerned with differences in speech behavior and communication as experienced in psychoanalytically oriented initial interviews. In line with the ideas of Marty, Fain, de M'Uzan, David and Sami-Ali, 38 patients were divided into 3 diagnostic groups according to the extent of pensee operatoire and the level of functioning of the psychic sphere in each case. The communication experienced was recorded with the help of a communication questionnaire developed in Giessen. The speech behavior for the interview as a whole and in its development over time was registered automatically and recorded in 29 categories by the Giessen Speech Analyzer. The 2 groups with more extensive "pensee operatoire" (A1, A2) differed from the character-neurotic patients in 13 of the 29 speech categories registered. The differences between groups A1 and A2 were not significant. The communication as experienced by the patients did not differ between groups but the therapist experienced the patients from the 3 diagnostic groups differently. The information gathered from the therapist in the communication questionnaire agreed by and large with the data collected automatically. For the development of the interview over time, characteristic changes in the frequency of various speech categories were found but these were in the main unrelated to the diagnostic groupings.

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