No abstract

Patterns of reflective LEM's have been correlated to a number of cognitive and personality variables, bu the relationship to sex, education, and mental illness is unclear. In this study females produced significantly more R-LEM overall indicating a preferential use of left hemisphere mechanisms when they initiate reflective thought. Females also produced more R-LEM for verbal nonemotional material, suggesting stronger lateralization of language abilities to their left hemisphere. Emotional and spatial stimuli were less well lateralized to the right hemisphere in females, and education was an unimportant variable for both sexes. Schizophrenia was independently associated with increases in total R-LEM indicating increased left hemisphere activity in this group.

Subjects performed a signal discrimination task under four conditions: normal pace, accuracy, speed, and SATO (equal effort to speed and accuracy). Characteristically, schizophrenics demonstrated decreased accuracy, poorer compliance, increased total response time, and increased simple reaction time. Surprisingly, central processing time (decision time) was equivalent. Analysis of processing resource allocation identified significant group differences only under the SATO condition. Here, controls balanced attentional resources but patients worked almost exclusively for speed. Under conjoint performance conditions, patients apparently minimize categorical processing time at the expense of accuracy. These data are interesting as they identify specific circumstances under which schizophrenics manifest an attentional deficit.

Binary-choice paradigms are classificatory problems of basic importance to the understanding of elementary decision processes. Generally when subjects decide if two visual stimuli are identical or differ by as little as one element, the decision of "Different" takes longer. This finding is unexpected as decisions of "Different" should not require an exhaustive matching of elements. Using stimulus presentation to the right and left cerebral hemispheres, the right hemisphere initiated fast selections of "Same" for figural material and alone was responsible for the "Same"/"Different" response differential. Exp. 1 (n = 22) gave no differences for same-different, unilateral-bilateral stimulation, and left-right hemispheres. Exp. 2, using word meaning as the binary-choice task, also showed faster decisions for "Same" but a different left-hemisphere-dependent strategy. The nature of information processing in relation to binary-choice tasks is discussed and the utility of bihemispheric paradigms is demonstrated.

The need to augment the number of primary care physicians throughout the nation has been well documented. Moreover, there is increasing recognition of the importance of mental health in primary care practice. The authors present a working definition of primary care practice, discuss the role of mental health in primary care, and describe an innovative program developed in Houston which integrates primary care mental health training into the education of primary care physicians and mental health professionals.