Abstract

The CST was initially developed to elicit more verbalizations from highly disturbed adolescent patients in an effort to better understand, diagnose, and treat their maladaptive patterns of thoughts, feelings, and actions. Schizophrenic and psychotic patients’ attachment to fragmented, seemingly disconnected objects, inanimate objects, and their particular propensity to animate the inanimate world spawned the original idea behind the formulation of the CST. The fact that these patients easily thought in incongruencies, and were often comfortable holding two opposing ideas in their mind, with a minimal need for resoution, further influenced the development of the technique. Thus, the examination of cognitive processes in terms of incongruent linking phenomena and specific disruptions in goal-directed thinking became a focus in the design of the test.

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