SAPS: Positive Formal Thought Disorder Subscale

Nancy C. Andreasen · 1984

The Positive Formal Thought Disorder subscale of Andreasen's SAPS, for tagging disorganized speech in interview transcripts.

Positive Formal Thought Disorder is the group of items within Andreasen's Scale for the Assessment of Positive Symptoms (SAPS) that describes disorganized speech — the observable output that clinicians read as disordered thinking. These items overlap the standalone TLC scale but are defined here fresh from the SAPS framework.

Every item is an instance-mode span-annotation target: each corresponds to an identifiable utterance type an annotator (or an agent) can highlight and label in the subject's speech — ideas slipping off track (Derailment), oblique replies (Tangentiality), incomprehensible speech (Incoherence), faulty inference (Illogicality), over-detailed but goal-reaching speech (Circumstantiality), rapid hard-to-interrupt speech (Pressure of Speech), topic changes cued by nearby stimuli (Distractible Speech), and sound-governed word choice (Clanging). Some items overlap closely — see each item's Contrastive Learning section. Rate over the interview sample, scaling proportionally for shorter samples.

Domains (8)

DerailmentDER

Ideas slip off track onto obliquely related or unrelated topics, without the speaker noticing.

Curated skill
TangentialityTAN

Answering a question in an oblique or irrelevant way; the question is never actually answered.

Curated skill
IncoherenceINC

Speech that is incomprehensible at times — words and phrases joined without logical or grammatical connection.

Curated skill
IllogicalityILL

Conclusions reached that do not follow logically — non-sequiturs and faulty inferences.

Curated skill
CircumstantialityCIR

Very indirect, delayed reaching of the goal idea, weighed down with tedious detail — but the point is eventually made.

Curated skill
Pressure of SpeechPRS

Increased, rapid, hard-to-interrupt speech, often with an increased amount of talk.

Curated skill
Distractible SpeechDST

Stopping mid-sentence and changing the subject in response to a nearby stimulus.

Curated skill
ClangingCLA

Sound rather than meaning governs word choice — rhyming and punning drive the associations.

Curated skill
Andreasen NC. The Scale for the Assessment of Positive Symptoms (SAPS). Iowa City: University of Iowa; 1984.

University of Iowa instrument (Andreasen 1984); freely reproduced with citation. Cite Andreasen.