A Group Method for the Rapid Screening of Chronic Psychiatric Patients

Rackow, Leon L.; Napoli, Peter J.; Klebanoff, Seymour G.; Schillinger, Arnold A.

doi:10.1176/ajp.109.8.561

Cited by 11 publications

(4 citation statements)

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“…All patients were chronic, with an average hospitalization of 9.2 years (SD = 8.9) for the clear samples, and 15.7 years (SD -6.5) for the confused. Patients were selected for these categories on the basis of: the judgment of the ward physician and/or psychologist that the patient concerned belonged at either extreme of the "clear, welloriented to confused, deteriorated" continuum; score on the Montrose Rating Scale (MRS; Rackow, Napoli, Klebanoff, & Schillinger, 1953) filled out by the physician or psychologist on each patient. With possible MRS scores ranging between 0-28, all the confused patient's ratings ranged between 0-9, all clear patients between 13-28.…”

Section: Subjectsmentioning

confidence: 99%

Race and examiner as significant influences on basal skin impedance.

Bernstein¹

1965

Journal of Personality and Social Psychology

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Section: Subjectsmentioning

confidence: 99%

Race and examiner as significant influences on basal skin impedance.

Bernstein¹

1965

Journal of Personality and Social Psychology

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“…In part, this pattern is consistent with the hypothesis offered earlier by McReynolds (1960) and by Bernstein (1964), that some schizophrenics might reduce or control their level of anxiety by constricting the intake of information from the environment. While such patients can be distinguished from other chronic schizophrenics on the basis of the broad clinical-behavioral aspects of responsiveness to the environment which characterize the Montrose scale (Rackow et al, 1953), the description of each patient by his ward doctors suggests another dimension. Lo MRS patients were almost invariably described in the following terms: "wholly or partially disoriented," "regressed," "disorganized," "tangential," or "incoherent" speech (mutism in some), and "physical untidiness."…”

Section: Discussionmentioning

confidence: 99%

Electrodermal base level, tonic arousal, and adaptation in chronic schizophrenics.

Bernstein¹

1967

Journal of Abnormal Psychology

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Electrodermal arousal was studied at rest and during repetitive stimulation in chronic schizophrenics who were rated at either extreme of the Montrose Rating scale (MRS), either receiving a phenothiazine or no drugs, and in a control normal sample. Resting base level was significantly higher among Hi than Lo MRS, and among Nondrug than Drug patients: no patient sample was reliably below Control level. Nondrug patients showed no impairment in tonic arousal relative to Controls, even when such patients showed impaired phasic response (though the drug was seemingly associated with diminished tonic response). Considerable independence was demonstrated between phasic and tonic electrodermal functions. Unlike Controls (or Drug patients), Nondrug patients showed a general heightening of electrodermal arousal during repetitive innocuous stimulation. A vigilance hypothesis was offered suggesting that sensitivity to the general demands of the environment remains high among chronic patients, even where there may be a reduction in the input of specific items of information from that environment.The psychophysiological correlates of schizophrenia have been under study for several decades, and the pertinent literature has been reviewed repeatedly, most recently by Lang and Buss (1965) and by Stern and McDonald (1965).The results have been widely divergent and in frequent conflict. Schizophrenia has been associated with impairment in metabolic and endocrine functions as well as in autonomic and central nervous systems (Haskins, 1946) ; with "sluggish" sympathetic centers and parasympathetic dominance (Gellhorn, 1953); with deficient responsiveness in either, or both, sympathetic and parasympathetic divisions (Rubin, 1962); and with sympathetic dominance and excessive reactivity (Gunderson, 1953).Using electrodermal measures, the present study examines activation and adaptation among chronic, long-hospitalized schizophrenics. Earlier investigations of various components of autonomic arousal in chronic paauthor is indebted to Jacob Cohen for statistical guidance, to

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“…During the first session he was interviewed by the senior author. On the basis of the interview he was evaluated on the IMPS (Lorr & Klett, 1965), the Wing Scale (Wing, 1961), and the Montrose Rating Scale (Rackow et al, 1953). 2 2 In a pilot study of reliability of a group of three trained raters, which included the interviewer (Schooler), the average interobserver correlation was greater than .90 for all but one of the IMPS factors (Motor Retardation = .74) ; the average intercorre-A battery of perceptual procedures and WAIS subtests were administered in the subsequent two testing sessions; each session lasted about 90 min.…”

Section: Methodsmentioning

confidence: 99%

“…Other independent variables, effective in predicting the performance of schizophrenics in other studies, were included in an attempt to evaluate other aspects of abnormal behavior in relation to perceptual style. Central among these were measures of intellectual functioning: the Digit Span, Similarities, and Vocabulary subtests of the Wechsler Adult Intelligence Scale (WAIS; Wechsler, 1955), and a clinical interview-based rating of adjustment (Rackow, Napoli, Klebanoff, & Schillinger, 1953). All of these measures are concerned with the degree of efficiency with which the schizophrenic patient deals with his environment.…”

mentioning

confidence: 99%