Breslow L, Cowan P A
Child Dev. 1984 Feb;55(1):226-35.
This study describes a strategy for examining cognitive functioning in psychotic and normal children without the usual confounding effects of marked differences in cognitive structure that occur when children of the same age are compared. Participants were 14 psychotic children, 12 males and 2 females, mean age 9-2, matched with normal children at preoperational and concrete operational stage levels on a set of Piagetian classification tasks. The mean age of the normal children was 6-4, replicating the usually found developmental delay in psychotic samples. Participants were then compared on both structural level and functional abilities on a set of tasks involving seriation of sticks; the higher-level children were also administered a seriation drawing task. Analysis of children's processes of seriating and seriation drawings indicated that over and above the structural retardation, psychotic children at all levels showed functional deficits, especially in the use of anticipatory imagery. The implications for general developmental theory are that progress in structural development is not sufficient for imaginal development, and that structural development of logical concepts is relatively independent of the development of imagery. It was suggested that "thought disorder" may not be a disordered structure of thinking or a retardation in psychotic populations but rather a mismatch between higher-level logical structures and lower-level functions.
本研究描述了一种用于检查精神病儿童和正常儿童认知功能的策略,该策略避免了在比较同龄儿童时通常会出现的认知结构显著差异所带来的混淆效应。研究参与者为14名患有精神病的儿童,其中12名男性,2名女性,平均年龄9岁2个月,他们在一组皮亚杰分类任务上与处于前运算阶段和具体运算阶段水平的正常儿童相匹配。正常儿童的平均年龄为6岁4个月,这重现了在精神病样本中通常发现的发育迟缓现象。然后,让参与者在一组涉及木棍排序的任务中,在结构水平和功能能力两方面进行比较;年龄较大的儿童还接受了一项排序绘图任务。对儿童排序过程和排序绘图的分析表明,除了结构发育迟缓外,各级精神病儿童均表现出功能缺陷,尤其是在运用预期表象方面。这对一般发展理论的启示是,结构发展的进步不足以促进想象发展,而且逻辑概念的结构发展相对独立于表象发展。研究表明,“思维障碍”在精神病群体中可能并非思维结构紊乱或发育迟缓,而是高级逻辑结构与低级功能之间的不匹配。