Green M F, Nuechterlein K H, Mintz J
Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles.
Arch Gen Psychiatry. 1994 Dec;51(12):945-51. doi: 10.1001/archpsyc.1994.03950120017004.
The backward masking procedures that have been used in psychopathology research have confounded two types of masking mechanisms (integration and interruption) and two types of visual channels (transient and sustained). In an earlier study, we attempted to limit the masking mechanism to interruption. The current study limited the role of sustained (parvocellular) visual channels to masking performance.
Masking procedures were altered in the following two ways to reduce reliance on sustained visual channels: (1) the spatial frequency was lowered by blurring the target and (2) a location task was used instead of an identification task. Manic patients were included to examine the specificity of deficits on these tasks to schizophrenia and to test the hypothesis that mania is associated with abnormalities on visuospatial tasks.
Schizophrenic patients differed significantly from normal controls on both masking conditions. Manic patients also showed deficits relative to normal controls. Manic patients showed a significantly different masking function from that of schizophrenic patients on the location condition.
Schizophrenic deficits within masking paradigms may involve abnormalities in transient, as opposed to sustained, visual channels. Masking performance deficits were also found in manic patients, but the underlying processes are probably different. A reformulation is offered concerning the nature of early visual processing deficits in schizophrenia.
精神病理学研究中使用的反向掩蔽程序混淆了两种掩蔽机制(整合和中断)以及两种视觉通道(瞬态和持续)。在早期的一项研究中,我们试图将掩蔽机制限制为中断。当前的研究则将持续(小细胞)视觉通道在掩蔽表现中的作用进行了限制。
通过以下两种方式改变掩蔽程序,以减少对持续视觉通道的依赖:(1)通过模糊目标来降低空间频率;(2)使用定位任务而非识别任务。纳入躁狂症患者以检验这些任务上的缺陷对精神分裂症的特异性,并检验躁狂症与视觉空间任务异常相关的假设。
在两种掩蔽条件下,精神分裂症患者与正常对照组均存在显著差异。躁狂症患者相对于正常对照组也表现出缺陷。在定位条件下,躁狂症患者表现出与精神分裂症患者显著不同的掩蔽功能。
掩蔽范式中的精神分裂症缺陷可能涉及瞬态而非持续视觉通道的异常。在躁狂症患者中也发现了掩蔽表现缺陷,但潜在过程可能不同。针对精神分裂症早期视觉加工缺陷的性质提出了一种重新表述。