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July 1965

Thought Disturbance in Schizophrenia: Replication Study Utilizing Piaget's Theories

Author Affiliations

Formerly Fellow in Child Psychiatry, Massachusetts Mental Health Center and teaching fellow in Psychiatry, Harvard Medical School.

Arch Gen Psychiatry. 1965;13(1):9-18. doi:10.1001/archpsyc.1965.01730010011002

BLEULER2 focused attention on thought disorder making it one of the primary symptoms in his conceptualization of the syndrome schizophrenia. There have been recent attempts to understand thinking disturbance in schizophrenia from the context of intrafamilial relationships. Bateson et al1 proposed the classic double-bind hypothesis in 1956 delineating peculiarities in the communication between parents and schizophrenic offspring. Wynne et al41 and Lidz et al15 focused attention on the possibility that thought disturbance in schizophrenia reflected the intrafamilial organization and relationships of the family-schizophrenic offspring in 1958. This thesis has been elaborated,42,43 and in 1963 Singer and Wynne demonstrated schizophrenic features, especially thought disorder, in the Rorschachs of parents of young adult schizophrenics in 95% (38 of 40) of the parents studied.36 Wynne and Singer summarized the conceptual and clinical basis for the hypothesis that specific links exist be

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