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Social communication deficits have been robustly documented in schizophrenia spectrum disorders. Historically, attempts to lessen this dysfunction have focused almost exclusively on modifying the person with schizophrenia’s own behaviors and cognition. However, social communication is inherently dyadic, and this approach leaves unaddressed the role of the neurotypical interlocutor in communication breakdown. In this position piece, we review psycholinguistic theories and research in order to propose a more comprehensive and equitable understanding of the social dysfunction that people with schizophrenia experience. We do so by drawing attention to the manner in which neurotypical individuals may drive communication failure in schizophrenia. Stigma is proposed to be a major component of this phenomenon. In addition to an overview of our theoretical framework, we provide a research agenda to test the hypotheses this framework has produced. We hope this piece can inform future research directions within psycholinguistics.

The overall goal of conducting this scoping review is to better understand the relation between motivation, treatment engagement, and functioning in people diagnosed with a schizophrenia-spectrum disorder. To this end, we will review the literature to identify predictors of motivation in this population and how motivation relates to functioning (i.e., social, occupational) cross-sectionally and longitudinally. By elucidating what is known, we hope to identify areas where interventions to increase motivation may improve functioning and long-term outcome.