Fluid and rigid boundaries of paranoid and nonparanoid schizophrenics on a role-playing task

The concepts of fluid and rigid boundaries were assessed in an improvisational role-playing task in an attempt to differentiate paranoid from nonparanoid schizophrenics. Thirty-one schizophrenic patients divided into paranoid, intermediate, and nonparanoid groups were given an improvisational role-playing task. The resulting scenes were analyzed by Fluid Boundary and Rigid Boundary scales, which were developed on the basis of specific aspects of the physical and verbal representations of characters, objects, and settings. The hypothesis that variations in the disruption or emphasis of representational boundaries differentiate paranoid and nonparanoid symptomatology received support. Paranoid schizophrenics scored higher on the Rigid Boundary scale, i.e erecting and/or exaggerating physical and interpersonal boundaries; and nonparanoid schizophrenics scored higher on Fluid Boundary scale, i.e. showing fused and fluid representations of characters, objects, and settings. Improvisational role-playing seems to hold promise as a medium with diagnostic value.     

Creativity and schizophrenia: An equivalence of cognitive processing.

Two tests of creativity were given to 10 paranoid and 10 nonparanoid schizophrenics, 10 nonpsychotic psychiatric controls, and 10 normal Ss. Ss were aged between 18 and 50 yrs. Scores on vocabulary and similarities tests, as well as education, medication, marital status, socioeconomic background, and age, were examined. Results indicate that nonparanoid schizophrenics were significantly more creative than paranoids and psychiatric controls on one creativity measure, a graded level measure of the Alternate Uses Test. Also, nonparanoid schizophrenics produced a significantly higher percentage of "highly creative" responses than did normals. Nonparanoid schizophrenics also scored higher than the other groups on the Welsh Figure Preference Test, but this finding was found to be related to age rather than to schizophrenia. The superior performance of the nonparanoid schizophrenic is discussed in terms of the encouragement that a supportive, nonjudgmental testing environment provides. (35 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Multivariate cognitive performance levels and response styles among paranoid and nonparanoid schizophrenics.

Examined paranoid and nonparanoid schizophrenic performance on a battery of information processing measures spanning precategorical processing, short-term memory, and long-term memory. 20 paranoid (mean age 30.9 yrs) and 20 nonparanoid (mean age 29.3 yrs) schizophrenics and 40 normals (mean age 26.69 yrs) were administered the Symptom-Sign Inventory and the Psychotic-Neurotic Discriminator Scale. Multivariate analyses of the multiple processing indexes revealed 2 performance dimensions. The 1st represented "processing efficiency" maximally separating the paranoids and nonpatients with the nonparanoids falling in between. The 2nd dimension reflected a response style of propensity toward stating the presence of stimuli or stimulus properties, with the most extreme separation occurring between the paranoids (higher propensity) and nonparanoids. Though closer to the paranoids, the nonpatients fell between the 2 schizophrenic groups. Discussion draws on the bidimensional characterization of the paranoids and nonparanoids as well as on their differential performance on individual measures. (50 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Schizophrenic memory-search performance involving nonverbal stimulus properties.

Investigated schizophrenic memory-search performance by conducting a memory-search choice-reaction-time (CRT) task involving nonverbal stimulus properties (real-life sizes of items). Procedures were designed to diminish ambiguities concerning previous evidence of possible schizophrenic impairment in scanning and comparison operations involving memory-held items. Ss (aged 18–60 yrs) were 20 paranoid and 20 nonparanoid schizophrenics, 20 psychiatric controls, and 20 normal Ss. Results indicate that scanning and comparison operations proceeded at comparable rates among the schizophrenics and controls. On the other hand, rates of encoding the presented stimulation for a given trial (the trial's probe item) into a task-facilitative format proceeded at a slower rate among the paranoid Ss in particular. Discussion focuses on specific memory-search CRT paradigmatic conditions in which intact speed of memorial item comparisons tended to be most evident among these patients. Results resemble earlier observations of the present 2nd author (see record 1978-31872-001) on memory-search CRT performance among paranoid and nonparanoid schizophrenics when probe stimulation has remained in view throughout each trial. (38 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Perceptual grouping in schizophrenia: Replication of Place and Gilmore.

E. Place and G. Gilmore (see record 1980-25819-001) found that schizophrenics, unlike control Ss failed to utilize gestalt grouping principles in a task involving line counting. The present investigation was a replication of that study but with several methodological refinements, including the subtyping of schizophrenics, a fixed exposure duration of 15 msec, and analyses of both raw and arcsin transformed data. Ss were 10 paranoid schizophrenic, 10 nonparanoid schizophrenic, and 10 nonschizophrenic patients (mean age 31 yrs) and 10 normal undergraduates. The basic findings of Place and Gilmore held, and the refinements utilized made no difference. Results are discussed in terms of a 2-stage model of perceptual processing that describes normal perception in terms of an intitial global structuring of the stimulus field and a secondary local analysis. Schizophrenics appear to use the 2nd processing stage regardless of the stimulus condition. (14 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Left hemisphere dysfunction and left hemisphere overactivation in schizophrenia.

Reports 2 experiments relating schizophrenia to functional brain asymmetry. In Exp I, 24 schizophrenics (mean age, 30.8 yrs) were compared to 24 matched controls (mean age, 37.3 yrs) on 2 tachistoscopic tasks (Syllable Test and Dot Location Test) designed to measure verbal and spatial information processing in the 2 hemispheres. Unlike the controls, the schizophrenics showed a right hemisphere superiority both on the verbal and on the spatial tests, indicating left hemisphere dysfunction in the initial processing of verbal information. In Exp II, lateral eye movements, as an index of contralateral hemispheric activation, were measured in a group of 24 paranoid schizophrenics (mean age, 28.9 yrs), 24 nonparanoid schizophrenics (mean age, 32.7 yrs), and 24 matched controls (mean age, 31.2 yrs). The eye movements were elicited by presenting the Ss with verbal neutral, verbal emotional, spatial neutral, and spatial emotional questions. The schizophrenics had significantly more rightward eye movement, compared to controls, regardless of question type, indicating left hemisphere overactivation. Results suggest that schizophrenia is associated with a pattern consisting of both left hemisphere dysfunction and overactivation. (63 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Reduced range of sensory sensitivity in chronic nonparanoid schizophrenics.

Used a forced-choice auditory signal-detection method to test the hypothesis that, compared to acute paranoid schizophrenics, chronic nonparanoid schizophrenics would show a restricted range of sensitivity to environmental cues. 40 male chronic nonparanoid and paranoid schizophrenics served as Ss. Ability to detect the presence of an auditory cue, while concurrently tracking a visual stimulus, was measured under 2 conditions, auditory monitoring being given primary or secondary importance. In this task, a narrowed range of sensitivity implies a greater deficit in ability to detect the auditory cue when the primary focus is placed elsewhere. This deficit was significantly greater in the chronics in both initial and replication experiments. The function of restricted sensitivity in limiting the range of both relevant and distracting stimuli that are responded to by chronic nonparanoid schizophrenics is discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A multidimensional scaling analysis of schizophrenics' and normals' perceptions of verbal similarity.

Compared the judgments of similarity of words by 14 paranoid and 14 nonparanoid schizophrenics (mean ages, 29.43 and 30.64 yrs, respectively) with those by 14 normals (mean age, 32.79 yrs). The judgments were analyzed using an individual-differences multidimensional scaling procedure. A greater judgmental consistency was obtained among the normals than among the paranoid schizophrenics and larger differences among stimulus dimensions, in their contributions to predictable judgmental variance, were obtained for the normals as compared with the schizophrenics, especially the paranoid schizophrenics. Stimulus dimensions resembling the potency, activity, and evaluative dimensions of the semantic differential were less influential in the judgments of the schizophrenics, especially those classified as paranoid, than in the judgments of the normals. Results are discussed in terms of overinclusiveness among schizophrenics in multidimensional similarity judgments, as well as in terms of the potential importance to schizophrenics' deficiencies in semantic interpretations of the reduced influence of relevant dimensions of meaning. (37 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cognitive appraisal of stress and schizophrenic subtype.

Studied differences in patterns of cognitive appraisal and response to stress in a total of 19 male nonparanoid process schizophrenics and paranoid reactive schizophrenics. Paranoids evidenced greater heart-rate response to stress stimuli while rating the stress categories as less disturbing than did nonparanoid Ss. Comparison of autonomic measures and verbal ratings of the slides indicated that paranoids underrated their autonomic response to stress stimuli while nonparanoid Ss overrated it. Results suppport the clinical literature on defensive styles of the 2 groups. (15 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Neuropsychological performance and positive and negative symptoms in schizophrenia.

Examined cognitive functions in 11 positive-symptom (mean age 36 yrs), 10 negative-symptom (mean age 33.8 yrs), and 23 mixed-symptom (mean age 31.4 yrs) schizophrenics; 15 bipolar patients (mean age 34.7 yrs); and 12 normal controls (mean age 34.8 yrs) to explore the relation between symptoms and performance. Ss were administered a neuropsychological test battery including the Purdue Pegboard, the Revised Visual Retention Test, and the Block Design subtest of the Wechsler Adult Intelligence Scale—Revised (WAIS—R). Group comparisons revealed generalized deficits in schizophrenics. Positive-symptom schizophrenics scored below normal Ss and negative-symptom Ss on 2 measures tapping verbal memory. Multiple regression analyses revealed that negative symptom ratings were inversely associated with performance on visual-motor tasks, whereas positive symptoms were inversely associated with verbal memory performance. Findings are not consistent with the notion that cognitive deficits are uniquely associated with negative symptoms. Instead, results suggest that there may be specific cognitive correlates of both the positive and negative symptom dimensions. (38 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Stress responses and coping propensity among paranoid and nonparanoid, episodic, and remitted schizophrenics.

28 remitted and 28 episodic paranoid and nonparanoid schizophrenics performed a "coping task" consisting of a simple tapping response purported to affect the duration of stressing loud sounds. Cognitive appraisals of the effectiveness of the available response, and task-performance measures of propensity (vis-à-vis reticence) to engage in the response were monitored. Results indicate both paranoid and nonparanoid Ss appraised the available coping response as being less effective than did controls; behavioral measures indicated generally lower propensity to cope among the nonparanoid Ss; the paranoid Ss were similar to controls on selected coping-propensity measures. These differences remained constant across episodic and remitted stages of illness. Psychophysiological evidence of stress arousal (heart-rate acceleration) indicated elevated responsivity specifically among the episodic patients. Results were discussed in terms of current formulations concerning vulnerability to schizophrenic episodes and efforts to cope with environmental stressors. (French abstract) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Age on first hospitalization of schizophrenics: A developmental approach.

Compared ages at 1st hospitalization of 3 groups of schizophrenics: 64 males in a VA hospital and 60 male and 60 female patients in a state hospital. Paranoid Ss were approximately 8 yrs older when first admitted than the nonparanoids. In both diagnostic categories males were hospitalized about 5 yrs earlier than females. Working females with a diagnosis of paranoia were hospitalized approximately 10 yrs later than the paranoid females who remained at home and the nonparanoid females of either employment status. State hospital males were younger on 1st admission than VA hospital males. The ages of the 2 diagnostic groups in the VA were comparable, whereas in the state hospital the nonparanoid group was younger than the paranoid group by about 8 yrs. The need to pay greater attention to the differences between schizophrenic males and females and to scrutinize more closely differences between state and VA hospital patients is emphasized. (48 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Association of social competence with episodic vs remitted status in paranoid and nonparanoid schizophrenia.

Assessed 4 groups of schizophrenics—episodic paranoid, episodic nonparanoid, remitted paranoid, and remitted nonparanoid (mean ages 26.57, 25.57, 31.79, and 30.93 yrs, respectively)—on E. Zigler and J. Levine's (1973) scale of social competence. Additional measures included a symptom sign inventory and the Maine Scale of Paranoid and Nonparanoid Schizophrenia. The paranoids and nonparanoids were not significantly different from one another. However, the remitted patients were significantly more socially competent than the episodic patients. Implications are discussed for the relationship between symptom severity, hospitalization, and social competence. (French abstract) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Visual and memory search by process schizophrenics.

Compared the response times (RTs) of 20 process schizophrenics (10 paranoid and 10 nonparanoid) and 20 nonhospitalized controls (mean ages 39.2, 30.0, and 34.1 yrs, respectively) on a hybrid visual and memory search task in which Ss searched displays of up to 15 letters, reporting whether or not displays contained a target, which in different conditions was drawn from a memorized set of 1, 3, or 6 letters. RTs of all groups increased linearly with the product of the number in the memorized target set and the number of displayed letters. Although the intercepts and RTs of the schizophrenics (there were no paranoid–nonparanoid differences) exceeded those of controls, no group differences were found in slopes or in rates of increase in RT as a function of the number of memorized or displayed items. Results are interpreted in terms of a model proposed by W. Schneider and R. M. Shiffrin (1977), which indicates that process schizophrenics are retarded in processes associated with response production but not in a variety of processing stages involved in the comparison of displayed and memorized information. (10 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Disappearance of paranoid symptoms with chronicity.

Investigated the finding of a reduced proportion of paranoids in chronic samples. Whether this change is due to the disappearance of paranoid patients or of paranoid symptomatology is unclear. Data from 50 multi-admitted paranoid schizophrenics firmly support the notion that paranoid symptomatology disappears. Although half of the patients remained paranoid across 10 yrs of illness, the other half changed to nonparanoid status around the 3rd hospitalization and about 6 yrs after 1st admission. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Schizophrenia and the scanning cognitive control: A reevaluation.

In recent studies it has been inferred from performance on perceptual tasks, that paranoid schizophrenics showed extensive scanning and nonparanoid schizophrenics showed minimal scanning. Eye movements during free-search and size-judgment tasks were recorded for 14 paranoid and 14 nonparanoid schizophrenics, 14 psychotic depressives, and 14 control Ss. Medicated Ss showed lower eyemovement rate and fixation rate than nonmedicated Ss and controls, but there were no significant differences due to schizophrenia. There was a significant interaction between patient type and medication for size-judgment means, but all such differences were reduced to nonsignificance by training. Even after training, Ss showed greater variability in size judgments than controls. Results failed to support the notion of extensive or minimal scanning behavior of schizophrenics. Errors by the psychotic patients in making size judgments were not correlated with scanning behavior. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Use of the SADS—C as a diagnostic and symptom severity measure.

Examined the reliability of an abbreviated form of the full Schedule for Affective Disorders and Schizophrenia (SADS), the SADS—C, in 2 studies. A total of 120 nonparanoid and paranoid schizophrenic, bipolar manic, and unipolar depressed patients and 26 normal Ss (mean age for all groups 31.8 yrs) were interviewed using the SADS—C and a number of other diagnostic instruments. Results of both studies suggest that the SADS—C is a reliable brief rating instrument capable of differentiating among psychopathological groups. (20 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Speech competence in manic and schizophrenic psychoses: The association between clinically rated thought disorder and cohesion and reference performance.

Compared 20 thought-disordered (TD) manics and schizophrenics (mean age 31 yrs) to 20 manic and schizophrenic patients (mean age 31.25 yrs) without thought disorder (NTD) and to 10 normal Ss (mean age 30.9 yrs) normal on the rating scales of cohesion and reference performance in speech developed by S. R. Rochester and J. R. Martin (1979). TD manics and schizophrenics differed from NTD Ss and the normal group in their more frequent use of unclear references as well as in their less frequent use of effective cohesion and reference strategies. Speech elements of the TD Ss were classified into disordered and nondisordered segments, and the same natural language analysis was completed for each category of speech segments. Nondisordered speech segments of TD Ss were quite similar to the overall speech performance of NTD Ss and the normal group. There were no cohesion or reference performance differences between TD manics and TD schizophrenics in their disordered speech segments. Findings are interpreted as validation of the usefulness of the Rochester and Martin rating system for identifying aspects of speech performance that are related to clinically rated thought disorder. (22 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Number and position of visual stimuli as determinants of reaction time in schizophrenia.

Notes that RT in normal Ss has been shown to be linearly related to stimulus complexity, defined as the log of the number of equally probable stimuli to which a response may be made. Data from an earlier study of 40 short- and long-term paranoid and nonparanoid male schizophrenics and 10 male hospital employees were reanalyzed and compared with P. Venable's (see record 1959-10789-001) study of schizophrenic deficit. Although experimental procedures were dissimilar, both studies found that increased complexity did not result in schizophrenics having steeper regression slopes than normal Ss. Consideration of the position of the critical stimulus, however, clearly indicated that long-term, nonparanoid schizophrenics narrow attention to central cues when confronted by an increase in complexity. (French summary) (PsycINFO Database Record (c) 2010 APA, all rights reserved)