Richardson A J, Gruzelier J
Department of Psychiatry, Charing Cross and Westminister Medical School, London, UK.
Int J Psychophysiol. 1994 Dec;18(3):227-39. doi: 10.1016/0167-8760(94)90009-4.
There is an association between positive features of schizotypy and dyslexia, largely involving distortions of visual and auditory perception and associated cognitive anomalies. In dyslexia, there is strong evidence for a disorder of subcortical magnocellular pathways, which may underlie these perceptual aberrations. Here we investigated visual processing in relation to three syndromes of schizotypy-Active, Withdrawn and Unreality-in normal adults, using a "dot localization" test of visual direction sense on which dyslexics perform poorly, and which should be sensitive to magnocellular dysfunction. Results showed that increased error scores were associated with both the positive syndromes, Active and Unreality, which in this study were highly correlated. There were also interactions between each syndrome and the direction of errors, such that high scorers on the Unreality and Active syndromes made more errors on leftward trials, while high Withdrawn subjects made fewer left and more right errors. Mixed handers also showed poorer performance than consistent handers. The evidence of poor visual direction sense in relation to positive syndromes of schizotypy and mixed handedness is consistent with the previous results for dyslexics, who also show these features. The opposite lateralization of errors in the positive v negative syndromes of schizotypy is in keeping with the model of hemisphere imbalance and patterns of cognitive asymmetry which distinguish Active from Withdrawn syndromes. These results are considered in relation to the proposal that a disorder of magnocellular function may underlie the perceptual distortions which are common to dyslexia and positive syndromes of schizotypy.
精神分裂症型人格障碍的阳性特征与阅读障碍之间存在关联,主要涉及视觉和听觉感知的扭曲以及相关的认知异常。在阅读障碍中,有强有力的证据表明存在皮质下大细胞通路紊乱,这可能是这些感知异常的基础。在此,我们对正常成年人进行了一项关于视觉方向感的“点定位”测试,该测试对大细胞功能障碍敏感,阅读障碍者在该测试中表现较差。我们利用这项测试研究了与精神分裂症型人格障碍的三种类型——活跃型、退缩型和虚幻型相关的视觉加工。结果显示,错误分数的增加与活跃型和虚幻型这两种阳性类型均相关,在本研究中这两种类型高度相关。每种类型与错误方向之间也存在交互作用,即虚幻型和活跃型得分高的受试者在向左的试验中错误更多,而退缩型得分高的受试者向左的错误较少,向右的错误较多。混合利手者的表现也比惯用单一手的人差。与精神分裂症型人格障碍阳性类型和混合利手相关的视觉方向感较差的证据与阅读障碍者的先前结果一致,阅读障碍者也表现出这些特征。精神分裂症型人格障碍阳性与阴性类型中错误的相反偏侧化与半球失衡模型以及区分活跃型与退缩型的认知不对称模式相一致。这些结果与以下观点相关,即大细胞功能障碍可能是阅读障碍和精神分裂症型人格障碍阳性类型共有的感知扭曲的基础。