Martin S. Kesselman

Asymmetry of information processing in hallucinators and nonhallucinators.

In previous work we had developed evidence suggesting that hallucinating schizophrenics differ from nonhallucinators in the pattern of errors made in a shadowing task. Nonhallucinators appeared to be less willing to guess when they were unsure. The errors of the hallucinators seemed more semantically elaborate. The experiment had not been designed to study these factors and the current experiment was conducted using a technique reported by Pisoni et al. These workers had studied normal Ss in an immediate recall task, using semantically well integrated (SWI) or poorly integrated (SPI) sentences. Pisoni et al. had shown that right ear presentation produced more accurate recall of SWI as compared to SPI sentences, whereas left ear presentation failed to discriminate these sentences. Utilizing the methods of Pisoni et al., we replaceted their findings in a normal control group. The results from our hallucinating and nonhallucinating groups were different from each other, the nonhallucinators being less accurate, discriminating semantic integration level on left rather than right ear input, and making more fragmented errors. Little support could be found for attributing this pattern of performance to nonspecific aspects of the procedures. It appears that the nonhallucinators process information differently from hallucinators. These differences may reflect alterations in language development. It is speculated that such differences might be consistent with interference with the development of brain asymmetry.

Predicting psychiatric admission from an emergency room. Psychiatric, psychosocial, and methodological factors.

The determinants of psychiatric hospitalization, especially nonspecific issues, have been studied extensively. The methodological problem of correlational non-cross-validated findings are seen as contributing to our uncertainties about the critical issues involved in the decision to admit. A cross-validated multiple regression analysis of determinants of hospitalization in an inner-city municipal hospital revealed two determinants of hospitalization: severity of schizophrenic symptoms and active suicidal and/or homicidal ideation. They accounted for one third of the variance without shrinkage. Quasi-experimental designs may be the most efficient means of studying the remaining unexplained variance.

Correlation between extrapyramidal and therapeutic effects of neuroleptics

Abstract The ability to elicit extrapyramidal side effects appears to be a necessary (although not a sufficient) characteristic of the major tranquilizers. The relations between these effects and therapeutic action is not well established. During the first weeks of treatment in a homogenous (for age, sex and chronicity) group of schizophrenics, a fixed dose incremental schedule of trifluoperazine was followed. Extrapyramidal effects were measured through quantitative analysis of digital tremor. Treatment response was measured after four weeks of medication. Evidence developed suggests that patients who show a better treatment response are less vulnerable to extrapyramidal effects. A number of methodological issues, placing restraints on the generalization of the data, are discussed.