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Biomedical subjects

D R Hemsley

Publications and source records attributed to D R Hemsley.

At least 37 records · Page 2Linked to original sources

Loss of the Kamin blocking effect in acute but not chronic schizophrenics.

Differences between research diagnostic criteria (RDC)-diagnosed acute and chronic schizophrenics and normal controls were studied using a Kamin blocking procedure. Blocking is an established animal learning procedure, thought by some researchers to reflect selective attention; decreased blocking indicates increased processing of irrelevant stimuli. It was predicted that this pattern would be obtained in acute schizophrenics, tested soon after admission, for two reasons: (1) evidence from previous clinical studies indicates that acute schizophrenics are more aware of nonsalient aspects of their environment than controls; and (2) blocking is disrupted in animals in a hyperdopaminergic state and restored by neuroleptic medication. This was the case: acute, but not chronic, schizophrenics showed disrupted blocking. This disruption was especially clear in those acute schizophrenics tested within 2 weeks of hospital admission. By the second test session (in a cross-over design), there was some evidence of normalization in performance in the acute schizophrenics. These findings are considered with regard to the dopamine hypothesis of schizophrenia.

Acute Disease↗

Gestalt perception in schizophrenia.

An experiment is described which investigates perceptual processing in schizophrenia. It examines the extent to which subjects employ top-down and bottom-up processing strategies in the interpretation of tachistoscopically presented images. The findings support the hypothesis that schizophrenic subjects do not benefit as controls do from the use of automatic, top-down processing of deeper level stimuli containing semantic information. However, it illustrates that, given sufficient processing time (up to 1000 ms), schizophrenics are able to compensate for this deficit by employing a bottom-up strategy requiring longer processing time. The findings suggest that the specific processing abnormalities in schizophrenia are amenable to detailed measurement, and some suggestions are made for further investigation.

Adult↗

Abolition of latent inhibition by a single 5 mg dose of d-amphetamine in man.

The performance of healthy volunteer subjects on an auditory latent inhibition (LI) paradigm was assessed following administration of a single oral dose of d-amphetamine or placebo. It was predicted that a low (5 mg), but not a high (10 mg), dose of d-amphetamine would disrupt LI. The prediction was supported with left ear presentation of the preexposed stimulus only. When the preexposed stimulus was presented to the right ear the predicted pattern of findings was not obtained. It is concluded that the dopaminergic system is involved in the mediation of LI in man and it is speculated that the interaction between amphetamine dose and ear of presentation of the preexposed stimulus may reflect normally occurring dopaminergic hemisphere asymmetry.

Acoustic Stimulation↗

Reasoning in deluded schizophrenic and paranoid patients. Biases in performance on a probabilistic inference task.

An experiment is described in which deluded subjects with a diagnosis of schizophrenia or of delusional disorder (paranoia) were compared with a nondeluded psychiatric control group and a normal control group on a probabilistic inference task. Factors relevant to belief formation and maintenance were investigated. Deluded subjects requested less information before reaching a decision and were more ready to change their estimates of the likelihood of an event when confronted with potentially disconfirmatory information. No differences were found between the two diagnostic groups of deluded subjects. The results are discussed in light of prevailing theories of the importance of abnormal experience rather than reasoning biases in the formation and maintenance of delusional beliefs. It is suggested that a reasoning abnormality is involved, which may coexist with perceptual abnormalities.

Adolescent↗

Contextual effects on choice reaction time and accuracy in acute and chronic schizophrenics. Impairment in selective attention or in the influence of prior learning?

Two hypotheses were tested concerning the nature of the cognitive dysfunction in schizophrenia: (a) that there is a broadening of selective attention; and (b) that there is an impairment in associational learning. RDC-diagnosed acute and chronic schizophrenics and normal controls carried out a choice reaction time (RT) task in which conflict between the correct response to a target (a letter in the centre of a computer screen) and that cued by simultaneously presented flankers (two letters either side of the target) increased RT. For 80 ('valid') trials, flankers and targets were consistent in the response cued (pressing a button with either left or right hand); on 8 ('invalid') trials they conflicted. On invalid trials there was a slowing of RT, and an increase of errors for left-hand responses. Chronic schizophrenics showed the same reactions to cue validity as normal controls, both groups differing significantly from acute schizophrenics. For the latter, the RT data supported hypothesis (b), but the error rates appeared to support hypothesis (a).

Acute Disease↗

Interhemispheric transfer of information and schizophrenia.

The interhemispheric transfer of stereognostic information was investigated in four groups of subjects: paranoid schizophrenics, non-paranoid schizophrenics, non-schizophrenic psychiatric patients, and normals. Previous work has raised the possibility that schizophrenia is characterised by a dysfunction of the corpus callosum, but there are several methodological problems associated with this research. A comparison of inter-manual and same-hand conditions on the experimental task revealed no evidence for impaired transfer of information in the schizophrenic groups. However, the performance of the non-paranoid schizophrenic group was markedly inferior to all other groups on the right hand/right hand no transfer condition, consistent with a left hemisphere dysfunction. Possible reasons for the failure to replicate previous findings are discussed.

Adult↗

The Kamin blocking effect, incidental learning and psychoticism.

The Kamin blocking effect consists in impaired learning of an association between a conditioned stimulus (CS2) and an unconditioned stimulus (UCS) if CS2 is presented simultaneously with a different CS (CS1) already associated with the UCS. It is well established with animal but not human subjects. In the two experiments presented here, the effect was clearly demonstrated with UCS = a computer-presented yellow square, CS1 = a blue square and CS2 = a noise (Expt 1) or two smaller white squares (Expt 2). The Kamin effect has, by some theorists, been attributed to switching of attention away from CS2, which conveys only redundant information. If so, the size of the effect should co-vary with indices of selective attention commonly used with human subjects. As predicted, the blocking effect was found to be smaller in subjects who displayed a high degree of incidental learning in either of two tasks in which intentional vs. incidental learning corresponded to (1) words vs. word position, or (2) a target initial word letter vs. non-target initial letters. We report elsewhere that the blocking effect is absent in acute schizophrenics. In the present experiments, however, there was no systematic relation between any of four measures of psychoticism, or intelligence, and either the blocking effect or incidental learning.

Adult↗

The characteristics of delusions: a cluster analysis of deluded subjects.

Using a group of 55 psychotic subjects, 11 belief characteristics of delusions were recently assessed. The present study describes a cluster analysis of these data to investigate whether subjects showing characteristic patterns of delusional experience form relatively distinct groups. Three sub-groups were generated, each of which was given a descriptive label: hebephrenic, paranoid and depressed. The characteristics of these groups are described, in terms of associations with measures of mental state and belief content.

Adolescent↗

Differential performance of acute and chronic schizophrenics in a latent inhibition task.

Differences between acute (N = 26) and chronic (N = 27) schizophrenics diagnosed by Research Diagnostic Criteria and normal controls (N = 53) were examined in a task measuring latent inhibition, i.e., the retardation of learning that normally occurs when a subject forms an association to a stimulus previously repeatedly presented without consequence. In rats, latent inhibition is disrupted by amphetamine and restored by neuroleptics. It was predicted that latent inhibition would be similarly disrupted in acute schizophrenics (presumably in a hyperdopaminergic state) but not in chronic, medicated schizophrenics. Each group was subdivided and assigned randomly to two experimental conditions, preexposure or non-preexposure. Preexposed subjects first heard 30 bursts of white noise through headphones while monitoring a list of nonsense syllables; non-preexposed subjects listened to the nonsense syllables without the white noise. Subjects in both conditions were then given the opportunity to learn that the noise signalled increments in a visually displayed number. Preexposed normals and chronic schizophrenics learned this association more slowly than non-preexposed subjects (latent inhibition); as predicted, acute schizophrenics failed to display this effect. After 6 to 7 weeks, 11 acute and 13 chronic patients were retested; both groups now showed latent inhibition. These results are discussed in relation to the dopamine hypothesis of schizophrenia.

Adult↗

Characteristics of delusional experience.

The characteristics of delusional experience were examined in a mixed group of 55 patients considered to be deluded; 11 belief characteristics were assessed by self-rating: conviction, preoccupation, interference, resistance, dismissibility, absurdity, self-evidentness, reassurance seeking, worry, unhappiness and pervasiveness. Only on level of conviction did no subject show a low score; on other dimensions there was considerable inter-subject variability. A principal components analysis indicated 4 components: distress, belief strength, obtrusiveness and concern. It is argued that delusions are most usefully regarded as multi-dimensional and, while characterised by conviction, vary considerably on other important dimensions.

Delusions↗

Schizophrenia: a failure to control the contents of consciousness?

Frith (1979) proposed that the 'positive' symptoms of schizophrenia, i.e. hallucinations, delusions, and though disorder, could be accounted for in terms of a defect in the mechanism(s) that controls and limits the contents of consciousness. The present study was designed to test one of the predictions derived from this model; that schizophrenics should fail to inhibit alternative meanings of ambiguous words. As a means of testing this prediction the effects of semantic priming on the 'availability' of subsequent target words to consciousness were assessed, measuring recognition thresholds. The priming conditions employed were expected to either facilitate or inhibit perception of target words in the control groups, normals and depressed patients without psychotic features. A strong priming effect was obtained in the control groups, but was much weaker in the schizophrenic group; this provides some support for the model.

Adult↗

The influence of depression on the processing of personal attributes.

Depressed, schizophrenic and normal subjects were tested for incidental recall and recognition of lists of positive and negative personal attributes. It was hypothesised that depressives would show a deficit in recall and recognition of words of which they had been asked a self-referential encoding question, but would show equivalent performance to controls on words of which they had been asked an other-referential, semantic or structural encoding question. The experiment was designed to enable a decision to be made between two possible explanations of the expected deficit: Davis's (1979) suggestion that it is due to disorganisation of the self-schema in depression, and the hypothesis of Beck et al (1979) that depression is characterised by the predominance of a negative self-schema. The expected deficit was observed on the recall but not on the recognition task. However, the precise pattern of the results raises problems for both of the above interpretations, and alternative explanations are considered.

Adult↗

Personality and reports of hallucination and imagery in a normal population.

The present report is of the relationships between personality measures, hallucinatory experiences, and hypnogogic/hypnopompic imagery in the normal population. 'Psychoticism' was significantly related to reports of hallucinatory experiences, and a measure of hallucinatory predisposition was significantly associated with strong hypnogogic/hypnopompic imagery.

Adult↗

Choice reaction time performance in hospitalized schizophrenic patients and depressed patients.

The choice reaction time performances of matched groups of hospitalized patients diagnosed schizophrenic or depressed were compared with normal controls to test a hypothesis concerning thought disorder specific to schizophrenia. Both patient groups were abnormal compared to controls providing evidence inconsistent with the diagnostic specificity issue. The results are discussed in terms of cognitive dysfunction in depression, the effects of institutionalization and the problems of diagnostic heterogeneity.

Adult↗

The relationship between alternative assessments of self-care ability in the elderly.

The self-care performance of 126 residents of old people's homes was assessed by self-report, informant rating and performance test. Scores on all three scales were related but associations were low and gross disagreements between measures were found in almost half of the cases. The associations between self-report and the other two measures were significantly lower than those between informant and performance ratings. There was no evidence of systematic bias in self-report related to cognitive or to affective impairment. It is probable that the three scales measure different aspects of dependency.

Activities of Daily Living↗

The retention of new information in senile dementia.

Paired associate learning performance of demented patients was assessed repeatedly over six months. Patterns of change of performance for repeated and for changing items were compared. Performance on changing items progressively declined, performance on repeated items was maintained at initial levels. This difference was significant and indicates that these patients are able to retain same information over one- and two-month intervals.

Alzheimer Disease↗