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Verity C Leeson

Publications and source records attributed to Verity C Leeson.

9 recordsLinked to original sources

Executive inhibition and semantic association in schizophrenia.

Research indicates that some patients with schizophrenia display aberrant inhibition of semantic memory, which may underpin formal thought disorder (FTD). We administered a novel Stroop-like paradigm to three groups of participants: 15 schizophrenic patients with formal thought disorder (FTD), 16 with low FTD ratings, and 15 healthy matched controls. They were required to inhibit a prepotent response for a (previously instructed) required response. Four conditions examined the effect of executive demands by manipulating the relatedness between prepotent and required responses (i.e., identical, semantically related, or unrelated). Two further conditions examining executive function working memory demands required the naming of real or abstract pictures that did and did not necessitate inhibition, respectively. Patients with and without FTD experienced increased difficulty when executive function working memory was required. Moreover, those with FTD also showed increased executive inhibition, but the pattern of errors suggested that the result of this was an automatic activation of semantically related representations. The findings support the notion that increased inhibition underpins the disorganised access to semantic memory in patients with FTD.

Association↗

When is category specific in Alzheimer's disease?

Mixed findings have emerged concerning whether category-specific disorders occur in Alzheimer's disease. Factors that may contribute to these inconsistencies include: ceiling effects/skewed distributions for control data in some studies; differences in the severity of cognitive deficit in patients; and differences in the type of analysis (in particular, if and how controls are used to analyse single case data). We examined picture naming in Alzheimer's patients and matched elderly healthy normal controls in three experiments. These experiments used stimuli that did and did not produce ceiling effects/skewed data in controls. In Experiment 1, we examined for category effects in individual DAT patients using commonly used analyses for single cases (chi2 and z-scores). The different techniques produced quite different outcomes. In Experiment 2a, we used the same techniques on a different group of patients with similar outcomes. Finally, in Experiment 2b, we examined the same patients but (a) used stimuli that did not produce ceiling effects/skewed distributions in healthy controls, and (b) used statistical methods that did not treat the control sample as a population. We found that ceiling effects in controls may markedly inflate the incidence of dissociations in which living things are differentially impaired and seriously underestimate dissociations in the opposite direction. In addition, methods that treat the control sample as a population led to inflation in the overall number of dissociations detected. These findings have implications for the reliability of category effects previously reported both in Alzheimer patients and in other pathologies. In particular, they suggest that the greater proportion of living than nonliving deficits reported in the literature may be an artifact of the methods used.

Aged↗

Storage and access procedures in schizophrenia: evidence for a two phase model of lexical impairment.

Evidence has accumulated to show that schizophrenia is characterized by lexical-semantic difficulties; however, questions remain about whether schizophrenics have problems in accessing intact representations or a loss of the representations themselves. Both access and storage types of disorder have been reported and it has been speculated that this may reflect a transition from the former to latter with increasing length of illness. This study investigated whether illness duration, age or estimated premorbid IQ predict the size and accessibility of the lexical store. Fifty-six schizophrenic patients (chosen to represent a wide range of illness duration from 3-40 years) and 24 matched healthy controls were asked to name 120 pictures on two occasions. Estimates of store size and retrieval probability were derived from a two parameter stochastic Markov chain model. This revealed that even early in the course of illness, schizophrenics appear to have suffered a reduction in lexical store size and that those with longer length of illness show deficits in both their store size and their ability to retrieve names from that store.

Adult↗

Basic-level visual similarity and category specificity.

The role of visual crowding in category deficits has been widely discussed (e.g.,;; ). Most studies have measured overlap at the superordinate level (compare different examples of 'animal') rather than at the basic level (compare different examples of 'dog'). In this study, we therefore derived two measures of basic-level overlap for a range of categories. The first was a computational measure generated by a self-organising neural network trained to process pictures of living and non-living things; the second was a rating of perceived visual similarity generated by human subjects to the item names. The computational measure indicated that the pattern of crowded/uncrowded does not honour a living/non-living distinction. Nevertheless, different superordinates showed varied degrees of basic-level overlap, suggesting that specific token choice affects some superordinates more than others e.g., individual fruit and vegetable tokens show greater variability than any other items, while tools and vehicles produce more reliable or overlapping basic-level visual representations. Finally, subject ratings correlated significantly with the computational measures indicating that the neural model represents structural properties of the objects that are psychologically meaningful.

Humans↗

The influence of surface and edge-based visual similarity on object recognition.

The role of 'visual similarity' has been emphasised in object recognition and in particular, for category-specific agnosias. [Laws and Gale, 2002] recently described a measure of pixel-level visual overlap for line drawings (Euclidean Overlap: EO[line]) that distinguished living and nonliving things and predicted normal naming errors and latencies ( [Laws et al., 2002]). Nevertheless, it is important to extend such analyses to stimuli other than line drawings. We therefore developed the same measure for greyscale versions of the same stimuli (EO[grey]), i.e., that contain shading and texture information. EO[grey], however, failed to differentiate living from nonliving things and failed to correlate with naming latencies to the greyscale images. By contrast, EO[line] did correlate with the naming latencies. This suggests that similarity of edge information is more influential than similarity of surface characteristics for naming and for categorically separating living and nonliving things (be they line drawings or greyscale images).

Discrimination, Psychological↗

Inflated and contradictory category naming deficits in Alzheimer's disease?

Although some studies have documented category-specific deficits in patients with Alzheimer's disease, others have not. One possible reason is that where control groups have been used in previous studies, they have performed at ceiling; and this may spuriously affect the incidence and type of deficit reported (especially with common statistical techniques such as z-scores). We examined this issue in 18 Alzheimer's patients and 26 elderly controls, who named two picture sets: a simple set that typically produces ceiling effects (Set 1) and one that produces a normal distribution in controls (Set 2). Sets 1 and 2 produced inconsistent and even contradictory deficits in the same patients. The results also show that ceiling effects may inflate the number of living thing deficits and hence, distort the reported ratio of living to nonliving cases.

Aged↗

Intellectual differences between schizophrenic patients and normal controls across the adult lifespan.

A debate persists about whether IQ declines during the duration of schizophrenia or whether an early deficit remains static across the lifespan. To examine this, we measured estimated current IQ (Quick Test Revised: QTR) and estimated premorbid IQ (National Adult Reading Test: NART) in schizophrenic patients (n=110) and matched healthy controls (n=71) across a wide age range (20-88). Age correlated negatively with NART and QTR IQ for schizophrenic patients, but not for controls. A subset of 23 schizophrenic patients was also retested on the NART after 4 years to determine NART stability and they showed no significant change. We propose that the lower NART IQ in older patients reflects a lower 'starting point' and that this may be related to lower educational opportunities in older patients.

Adult↗

The effect of 'masking' on picture naming.

It is frequently assumed that because compared to nonliving things, living things are less familiar, have lower name frequency, and are more visually complex, this makes them more difficult to name by patients and normal subjects. This has also been implicitly accepted as an explanation for the greater incidence of living thing disorders. Patient studies do not, however, typically contain any premorbid data and so, we do not know that the same variables would have necessarily predicted their 'normal' performance. To examine this issue, we measured picture-naming latencies in normal subjects presented with unmasked and masked versions of the same line drawings. In accord with other recent studies, living things were named faster than nonliving things. Furthermore, contrary to some theories of category naming, the living thing advantage persisted regardless of whether stimuli were undegraded, degraded or the density of degradation. Finally, multiple simultaneous regression analyses showed that one visual variable (Euclidean Overlap) and one linguistic variable (Age of Acquisition) predicted naming latencies across all masked and unmasked conditions. Other variables either had no predictive value (Contour Overlap; Name Frequency; Category); predicted only high masking (Visual Complexity; Familiarity), or normal and low masking (Number of Phonemes). These findings imply that the more commonly documented deficits for living things do not reflect an exaggeration of the normal profile (be it with masked or unmasked stimuli) or the influence of the same variables that affect normal naming.

Adult↗