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)     

Selective attention in schizophrenic and manic psychoses: The effect of distraction on information processing.

Attempted to identify the general level of cognitive processing that is especially vulnerable to distraction in schizophrenia. The extent and nature of distraction were compared in 12 schizophrenic patients (mean age, 27.8 yrs), 12 manic patients (mean age, 28.2 yrs), and 12 controls (mean age, 26.7 yrs) using neutral and distractor word-span tests. Also, all patients were evaluated by the Nurse's Observation Scale for Inpatient Evaluation, and 10, 11, and 12 controls, schizophrenics, and manics, respectively, completed the MMPI. On one set of tests, serial position curves indicated that in the presence of distraction the overall deterioration in schizophrenics' performance reflected their tendency to forget early, and not late, items in the lists. On a 2nd set of tests, both schizophrenics and manics were abnormally distracted, regardless of the speed of presentation. Although the controls were also somewhat distracted by irrelevant words, their impairment was significantly diminished at slower rates of presentation. With distraction, schizophrenics and manics were less able to use the extra time in slow presentations for active mental operations such as rehearsal. Both groups made more intrusive errors than normal Ss. Results indicate that distraction interferes with schizophrenics' and manics' information processing at some level beyond the comparatively passive stages of recognition and sensory storage. Problems in selective attention seem to be more closely related to thought disorder than to diagnostic categories. (25 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Defective interhemispheric transfer in schizophrenia.

Groups of schizophrenics, nurses, and psychiatric controls were trained to perform a manual shape discrimination task. The 20 schizophrenics included 17 outpatients and 3 short-term inpatients: 10 males (mean age 36 yrs) and 10 females (mean age 37.6 yrs). Nurse control Ss were 10 male (mean age 26.3 yrs) and 10 female (mean age 22 yrs) psychiatric nurses or student nurses. Psychiatric control Ss were 8 males (mean age 36.1 yrs) and 10 females (mean age 32.6 yrs). On both of the tasks included in the experiment, the schizophrenic group, but not the control groups, displayed defective intermanual transfer. The performances of the schizophrenics resembled those previously obtained with split-brain monkeys on similar tasks; therefore, it is concluded that the schizophrenics tested suffered from incomplete transfer of stereognostic shape information from 1 cerebral hemisphere to the other. Experiments suggesting poor interhemispheric transfer on auditory tasks in schizophrenics are discussed along with the possibility that certain schizophrenic symptoms are related to defective interhemispheric communication. (21 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The syntactic role of pauses in the speech of schizophrenic patients with alogia.

Examined the relation between alogia and pausing. The authors analyzed the flow of speech of 17 male schizophrenic patients during an interview, particularly the pauses that occurred within and between syntactic clauses and those that occurred as the turn switched from the interviewer's question to the patient's response. The strongest predictor of alogia ratings was the duration of switching pauses; the frequency of long within-clause pauses was also significantly related to alogia, but the frequency of between-clause pauses showed a trend toward a negative relation with alogia. Words following within-clause pauses were more likely to be content words than function words, and the content words were less frequent in the English language than the speaker's other words. This suggests that alogic patients have difficulty in word finding and in thought formulation, as well as a general increase in the duration of all pauses. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Features that distinguish the smooth-pursuit eye-tracking performance of schizophrenic, affective-disorder, and normal individuals.

Examined the eye-tracking records of 25 schizophrenic (mean age 37.6 yrs), 25 unipolar (mean age 37.9 yrs), 24 bipolar (mean age 36 yrs), and 46 medical control (mean age 35 yrs) patients. All the psychiatric patients were in symptom remission. All three psychiatric groups produced more oscillations than controls, and spiky tracking was correlated with poor performance as indexed by the production of large saccades. Schizophrenics did, however, produce smaller saccades and tracked with more phase lag than did each of the other groups. Results suggest that the smooth-pursuit system of schizophrenics is functionally different from that of normal people. Use of the phase lag as a potential marker of schizophrenia is discussed. (33 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Hesitation patterns in the speech of thought-disordered schizophrenic and manic patients.

Conventional hesitations (those between clauses) and idiosyncratic hesitations (those occurring within clauses) were measured in speech samples obtained from thought-disordered schizophrenics, thought-disordered manics, undergraduate students, and nonstudent normal Ss (10 Ss/group). Ss' mean ages were 28.0, 26.5, 21.6, and 30.8 yrs, respectively. Findings are consistent with a report by S. R. Rochester et al (1977): The conventional hesitations of thought-disordered schizophrenics were longer than those of the undergraduate normals. They were not, however, significantly longer than the conventional hesitations of nonstudent normals who were demographically more similar to the schizophrenic Ss. The conventional hesitations of the schizophrenics were longer than those of the manic Ss, in spite of the fact that the manics were also considered thought-disordered. An examination of the relation between hesitation durations and various specific subtypes of thought-disorder within each S group indicated that longer conventional hesitations were not significantly related to phenomena such as derailment, circumstantiality, and loss of goal. Contrary to Rochester's hypothesis, results indicate that the cognitive mechanisms associated with extended conventional pause times are not clearly related to the verbal communication problems that are often experienced by schizophrenics. (17 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Emotions, defenses, coping mechanisms, and symptoms.

Used L. A. Gottschalk and G. C. Gleser's (1969) method of content analysis to examine 5-min samples of speech elicited from 6 different groups of Ss: 30 young normal men (mean age 25.7 yrs), 30 normative adults (aged 20–50 yrs), 30 normative schoolchildren (aged 6–26 yrs), 20 adults with psychoneuroses, 44 emotionally disturbed criminal offenders (mean age 25.6 yrs), and 22 acute schizophrenics (aged 21–55 yrs). Ss were given purposely ambiguous standardized instructions simulating the request to free-associate. Findings indicate that displacements and denials in mentally healthy individuals are more likely to function as coping mechanisms in contrast to their function as defenses or symptoms in mentally disordered people. No significant effects of sex, age, intelligence, or state of consciousness were found. (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)     

Schizophrenic thought disorders and impaired perspective.

Hypothesized that impaired perspective on the idiosyncracy of their own behavior is a central factor in the speech and thought pathology of schizophrenics and bizarre patients. 30 schizophrenic and 29 nonschizophrenic patients (mean age 25 yrs) rated the typicalness of their own and other patients' responses to proverbs. An index of perspective was calculated by correlating these ratings with trained judges' ratings of the idiosyncracy of the responses. Perspective on patients' own responses was significantly lower among schizophrenics and bizarre patients than among nonschizophrenics and nonbizarre patients. Poorer perspective occurred in patients' ratings of their own responses than in their ratings of other patients' responses. Results suggest that (a) loss of global perspective concerning the idiosyncracy of one's own verbalizations is closely associated with a tendency toward disordered speech. (b) Somewhat impaired perspective on what behavior is socially appropriate is common to all types of disturbed patients but is more severe in schizophrenics. (c) The impairment in schizophrenics is selective, involving difficulty in maintaining perspective on their own behavior, with better perspective when assessing others' behavior. (40 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Visual pattern integration in psychiatric patients.

Tested 32 psychiatric inpatients (approximate mean age 23 yrs) with a modification of C. Eriksen and J. Collins's visual pattern integration test (1967). Ss were divided into schizophrenic and nonschizophrenic groups and were compared with 20 hospital staff and 20 college students. The visual pattern integration functions of schizophrenics were found to be different from those of college students, but no other group differences were found. Among the inpatients, no correlations were found between visual pattern integration and premorbid adjustment, symptomatology, or various clinical/demographic factors. The one group difference appears to be the result of variables such as age and task motivation. It is concluded that icon-processing abnormalities, as represented by visual pattern integration deficits, cannot account for posticonic abnormalities found in schizophrenics. (27 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Representational boundaries in role portrayals among paranoid and nonparanoid schizophrenic patients.

Studied the boundary properties of self and other representations in 31 normal Ss (mean age 18.8 yrs) and in 18 paranoid (mean age 21.2 yrs), 14 intermediate (mean age 21.9 yrs), and 16 nonparanoid (mean age 22.1 yrs) inpatient schizophrenics, using a dramatic role-playing technique. Role test and Rorschach responses were scored for presence of fluid and rigid boundaries between representations of human characters. Paranoid schizophrenics evidenced higher levels of rigid boundaries, nonparanoid schizophrenics had higher levels of fluid boundaries, and normal Ss showed fewer fluid or rigid boundaries. Rorschach and role test measures of boundary disruption were significantly correlated with each other and with other measures of psychopathology. Findings suggest that the relative balance between fluid and rigid representational boundaries is an effective discriminator of paranoid and nonparanoid subtypes and that the presence of either type of boundary imagery discriminates schizophrenics from normal Ss. (31 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A study of childhood social competence, adult premorbid competence, and psychiatric outcome in three schizophrenic subtypes.

Used school records covering Kindergarten–Grade 12 and hospital records to examine childhood social competence, adult premorbid competence, and psychiatric outcome in adult schizoaffective, paranoid, and undifferentiated schizophrenics. 58 Ss were taken from a computer list of patients aged 15–34 yrs who were first admitted to any inpatient psychiatric facility in Massachusetts during 1958–1964 and who received a hospital diagnosis of schizophrenia. There was a significant difference in childhood interpersonal competence and adult social competence (especially marital status) among the subtypes. Adult schizoaffectives exhibited the highest level of social competence; undifferentiated, the lowest level; and paranoids were intermediate between the two. There was a significant Sex-by-subtype effect on the length of first hospitalization. Schizoaffectives had the shortest hospitalization among male subtypes, whereas they had the longest hospitalization among female subtypes. Subtypes did not differ in outcome as measured by total days of hospitalization and a global outcome rating. Results reflect longitudinally consistent subtype differences in social competence, a finding consistent with developmental views of schizophrenic subtypes. (57 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Reduced sensitivity to linguistic context in schizophrenic thought disorder: evidence from on-line monitoring for words in linguistically anomalous sentences

The use of linguistic context in positively thought-disordered (TD) schizophrenics was investigated through examination of their performance on an on-line word-monitoring task. Controls and non-TD schizophrenics took longer to recognize words preceded by linguistic anomalies compared with words in normal sentences. Compared with both other groups, TD schizophrenics showed significantly smaller differences in reaction time, suggesting that they were relatively insensitive to linguistic violations. TD schizophrenics were also less sensitive to linguistic violations in an off-line version of the task, in which they judged whether the sentences "made sense." Finally, these participants produced more errors on a verbal fluency task than did non-TD schizophrenics or normal controls. These findings are consistent with the theory that schizophrenic thought disorder arises from a deficit in the use of linguistic context to process and produce speech.     

Encoding orientation and the remembering of schizophrenic young adults.

Schizophrenic memory following an experimenter-imposed encoding task was examined in a levels-of-processing framework. In Session 1, 17 schizophrenics (mean age 23.5 yrs), 17 nonschizophrenic psychiatric patients (mean age 24.3 yrs), and 17 normal college students (mean age 20.0 yrs) were required to make yes–no judgments about whether a probe word contained 2 letters, rhymed with a word, belonged to a conceptual category, or fitted into a sentence. In Session 2, they were required to produce an appropriate word for each question. The 3 groups recalled semantically processed words better than nonsemantically processed words and "yes" words better than "no" words and revealed similar recall and recognition patterns over the different levels of encodings. However, the schizophrenics' recall for "yes" words (Session 1) and for the self-generated words (Session 2) was inferior to that of normals. Theoretical implications are discussed. (31 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effects of intramodal and crossmodal stimulus diversity on the reaction time of chronic schizophrenics.

Compared 16 chronic schizophrenics (mean age 42.7 yrs), 16 alcoholic inpatients (mean age 37.6 yrs), and 16 healthy Ss (mean age 36.9 yrs) with respect to their RTs to stimuli from 1 (ipsimodal condition) or 2 (crossmodal condition) modalities. In the ipsimodal condition, a low-pitched sound presented to one ear and a high-pitched sound presented to the other ear served as imperative stimuli, alternating randomly. In the crossmodal condition, a light or a sound was presented. In responding to the sound imperative stimuli, schizophrenics were more retarded than were comparison groups when the preceding imperative stimulus was a light or a different sound, relative to when it was the same sound. With the inclusion of warning stimuli of either modality into the crossmodal condition, both comparison groups were more retarded than were schizophrenics when the preceding imperative stimulus was a light, relative to when it was the same sound. (20 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Prognostic expectations and treatment outcome.

Studied the relationship between recovery (symptom reduction) from serious psychiatric disorder and patient-held and therapist-held expectations for recovery. Objective measures of prognostic expectations were taken from 150 patients (mean age, 32.6 yrs) upon hospital admission and from 14 staff therapists shortly thereafter. Expectations stated by both groups were factor analyzed, and 2 sets of 6 weighted factor scores were calculated for each patient. Multiple regression analyses were employed to test for association between sets of factor scores and symptom reduction through hospitalization. Changes in MMPI and Brief Psychiatric Rating Scale scores (admission to discharge) were used as measures of symptom reduction. It was found that therapists', but not patients', expectations were reliably associated with symptom reduction. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Residual performance deficit in clinically remitted schizophrenics: A marker of schizophrenia?

The study of remitted schizophrenic outpatients is proposed as a way of minimizing the effects of the "nuisance variables" that confound the study of hospitalized schizophrenics. 20 hospitalized acutely disturbed schizophrenics (mean age, 37.0 yrs), 20 schizophrenic outpatients in clinical remission (mean age, 42.8 yrs) and 20 normal controls (mean age, 35.1 yrs) were administered a span of apprehension test and the Continuous Performance Test (CPT). All Ss were controlled for sex and WAIS scores and schizophrenics were rated with Phillips Prognostic Rating Scale. On the CPT, both acute and remitted schizophrenics made significantly more errors of omission and commission than did the normal controls. On the span of apprehension, both groups of schizophrenics showed a significantly greater decrement in accuracy of detection of the target stimuli than did normal controls. The same pattern of results has been observed in children at risk for schizophrenia, which suggests that the span of apprehension may be sensitive to core schizophrenic processes that are independent of clinical state. The cross-sectional study of the 3 stages of schizophrenia—the premorbid, acute, and remitted—is proposed as a way of identifying "core" schizophrenic processes and markers of vulnerability to schizophrenia. The adequacy of a general "attentional impairment" interpretation of schizophrenic deficit is questioned. (43 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Expectancies, mood, and performance of depressed and nondepressed psychiatric inpatients on chance and skill tasks.

The learned helplessness model of depression predicts that, compared with nondepressed patients, depressed patients will demonstrate psychomotor deficits, provide lower subjective evaluations of their performance, and perceive reinforcement in skill tasks as more response independent. These predictions were tested in 32 depressed (mean age 35 yrs) and 32 nondepressed (mean age 38 yrs) psychiatric inpatients, who had been administered the Quick Test and the Beck Depression Inventory. Ss performed card- and peg-sorting tasks in which measures of performance, ratings of mood and expectancy of success, and subjective evaluations of performance were obtained under chance and skill reinforcement conditions. Although some support was obtained for the prediction that depressives provide lower evaluations of their performance than nondepressives, the other predictions were not supported. Comparisons between depressed and nondepressed schizophrenics indicate that the mood of depressed schizophrenics was especially sensitive to task outcome for both skill and chance conditions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

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)