Some Aspects of the Schizophrenic Formal
Disturbance of Thought
(1st part)
Of late much work has been done in the field
of the schizophrenic thought disturbance.
In comparing many of these investigations
with the concrete clinical material one often
has the feeling of a strange contrast between
the academic thinness of the former and the
full richness of the latter. The investigations
are thorough, but the strange, sometimes
beautiful vitality of the original spontaneous
material often seems to have escaped.
Gestalt Psychology assumes that this result
is due to a fundamental assumption common
to most of the current approaches to thinking.
This is the hypothesis that thinking is essentially
the piecemeal addition, by "association",
of a sum of basic elements which have no
objectively understandable, intrinsic logical
relation to each other but are linked together
merely by blind habit - simply because of
the past experience of their equally unintelligible
frequent coincidence. The classic example
of this approach is the nonsense syllable
experiment.
In contrast to this, Gestalt theory assumes
that original thinking is a process of achieving
a clear structural understanding of the organization
of its object or problem as a genuine whole,
the parts of which are defined functionally
by their place and role in the whole, and
not in piecemeal identity as basically unrelated
bits. Thinking is assumed to have its own
whole-structure and whole-dynamics which
are lost if one focusses only on the 'elements'.
In the following pages an attempt has been
made to understand a few features of the
schizophrenic thought disturbance on the
basis of this theory.
A young man was admitted to the hospital
and given a physical examination. At first
he was friendly and cooperative and answered
the necessary questions correctly. At one
point, however, he suddenly began to shiver
violently. He was asked, "Why are you
shivering? Are you cold?"
"Can an introvert ever be an extrovert?"
he answered.
This was said with a somewhat defiant, sarcastic
grin. The doctor felt uncomfortable. There
was something strange in this answer.
How can such a case be completely understood?
What factors decide that one answer is right,
another wrong? Certainly before dealing with
so queer an example one has to know something
about the normal, the good case of question
and answer. What happens when a question
is asked?
An ordinary question intends its answer.
It calls for it, requires it. In itself it
is incomplete and establishes a vector towards
completion. Once a proper answer is given,
question and answer form a complete closed
whole. [1] As long as the answer is missing
the whole is incomplete, has a gap which
is not simply a hole but is a dynamic gap
that needs and wants to be filled. The question
is not an isolated piece but the opening
part of an intended whole.
The questioner may not know the answer. A
number of answers may be possible, but not
just any answer at all will fit into the
gap. [2] If the question is "How is
your health?" the answer, "Thank
you, two times two is four," does not
fit.
Fig. 1.
Q = question
? = gap
Fig. 2.
Q: How is your health?
A: Two times two is four.
Obviously the question contains factors which
determine what answer is consistent and what
is not. Firstly, the answer must have something
to do with the question, it must deal with
the question's topic. But that does not suffice.
The answer, "My health depends on the
number of calories I get," is concerned
with the same topic as the question, but
still it does not fit. It deviates from the
direction of the question and is not a "good
continuation" [3] of this direction.
[4] The vector set up by the question really
tends in a different logical direction, and
the direction of the answer must be in good
continuation of the question in order to
achieve its closure. The answers, "My
health is fine," or, "I have terrible
pains," fit into the gap both with regard
to the identity of the topic and direction
of the question. They meet the requirements
of the whole and complete it. In the other
two cases the gap is not fittingly filled,
continues to be sensed, and the whole remains
incomplete.
Fig. 3.
Q: How is your health?
A: It depends on the calories.
Fig. 4.
Q: How is your health?
A: It is fine.
This is true only for simple cases. In more
complicated cases, as, for instance, in that
of a scientific question, the answer to which
requires a lengthy paper, detours involving
temporary changes of the topic as well as
of the direction may become necessary. But
what these changes are is not arbitrary but
determined by the inner nature and structure
of the problem and by the whole-structure
of the problem of which each detour is a
part. And, too, these detours must fit into
the complex question-answer system as a whole;
they are determined by, and must be consistent
with, the structural requirements of the
gap.
Sometimes a change of topic and direction
may be sensible, if, for instance, the question
itself does not go to the heart of the problem.
The question may be just too peripheral,
too unessential, it may not fit right, it
may not face the problem squarely enough.
If the answer improves upon the question
in the direction of the structural requirements
of the problem situation it is a good answer
even if, or just because, it does not stick
to the topic and direction of the original
question.
Glancing back at the patient's answer it
can now be said that it is irrelevant, wrong,
queer, because it does not meet the structural
requirements of the intended question-answer
system either with regard to the identity
of topic or with regard to the factor of
good continuation. This answer is a case
of Fig. 2.
The question of what determined this strange
answer remains. Why did he give it? Do such
answers also occur in normal cases and under
what circumstances?
"How do you do, Dr. X.?"
"Thank you, I am having a drink right
now."
Here one feels that somehow the answer makes
sense, is possible, although somewhat peculiar.
Yet, in itself, and as long as no other data
are given, the answer neither fits the question
with regard to the topic nor with regard
to good continuation of direction. It should
sound irrelevant, but it does not. In this
case one feels at once that the question-answer
system points to a surrounding social situation
as a part of which it must have occurred.
It is unnatural to look at it piecemeal,
in artificial isolation. Actually this conversation
took place when two gentlemen met at a party
which was already well under way. The man
who answered was just having a drink. Now
the answer jumps into place and fits. In
its setting as a part of this situation it
simply means "I'm having a drink and
I'm very well as you see."
It seems that in many cases one must not,
and frequently simply is not able to, look
at such a question-answer system in a piecemeal
fashion, in isolation from the concrete social
situation in which it arises. In these cases
the question-answer system is not an independently
closed whole but essentially a functional
part of the field factors and field events
which play a role in determining what questions
are being asked at a certain moment and what
answers will fit. In extreme cases a question-answer
system may appear completely meaningless
and nonsensical as long as it is taken in
isolation, while one grasps its meaning at
once if it is seen in its place and role
within its social field. The inner logic
of the system remains hidden unless it is
experienced as part of the dynamic structure
of the field. [5]
Footnotes:
[1] Only simple cases are covered by this
simple formulation. In more complex situations
the formulation may have to be changed without
effecting the principle. [- back to text]
[2] The features of structural fitting and
requirement, and of the gap, will be dealt
with extensively in a forthcoming book by
Max WERTHEIMER on productive thinking. [-
back to text]
[3] WERTHEIMER, Max. Untersuchungen zur Lehre
von der Gestalt, II, Psychol. Forsch. (1923)
4:301-350 - in particular, p. 324. There
is an English abstract in Ellis, Willis D.,
A Source Book of Gestalt Psychology; New
York, Harcourt, Brace, 1938 (xiv and 403
pp); pp. 71-88 - in particular, pp. 81-83.
[- back to text]
[4] MAIER, Norman R. F., Reasoning in Humans.
I. On Direction. J. Comparative Psychol.
(1930) 10:115-143. [- back to text]
[5] ELLIS, Willis D., A Source Book, reference
footnote 3; pp. 1-11 - in particular, p.
6. KOFFKA, Kurt, Principles of Gestalt Psychology;
New York, Harcourt, Brace, 1935 (xi and 720
pp.) - in particular, p. 42. LEWIN, Kurt,
Principles of Topological Psychology; New
York and London, McGraw-Hill, 1936 (xv and
231 pp.) SCHULTE, Heinrich, Versuch einer
Theorie der paranoischen Eigenbeziehung und
Wahnbildung. Psychol. Forsch. (1924) 5:1-23.
There is an English abstract in Ellis, Willis
D., reference footnote 3, pp. 362-369. LEVY,
Erwin, A Case of Mania with Its Social Implications,
Social Research (1936) 3:488-493. [- back
to text]
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