The generation of vibrotactile patterns on a linear array: influences of body site, time, and presentation mode.

In order to provide information regarding orientation or direction, a convenient code employs vectors (lines) because they have both length and direction. Potential users of such information, encoded tactually, could include persons who are blind, as well as pilots, astronauts, and scuba divers, all of whom need to maintain spatial awareness in their respective unusual environments. In these situations, a tactile display can enhance environmental awareness. In this study, optimal parameters were explored for lines presented dynamically to the skin with vibrotactile arrays on three body sites, with veridical and saltatory presentation modes. Perceived length, straightness, spatial distribution, and smoothness were judged while the durations of the discrete taps making up the "drawn" dotted lines and the times between them were varied. The results indicate that the two modes produce equivalent sensations and that similar sets of timing parameters, within the ranges tested, result in "good" lines at each site.

Defining new frameworks for psychosocial intervention.

The personal experiences of individuals with schizophrenia have been neglected in the psychiatric literature. Disappointingly, ideas about the impact of the illness on the experience of "self" have either been devalued or based primarily on the impressions of theorists rarely collaborating with individuals with the illness. Rather than making assumptions about the subjective experience of mental illness, we must enter a meaningful dialogue with our clients so that they can tell us about their situations using their own voices. This study presents life-history interviews with 15 individuals diagnosed with schizophrenia and describes the explanatory models they use to give coherence to their experiences of psychosis. The struggle for control emerges as a central theme with effects on the management of symptoms, self-image, feelings of social competence, and dealing with others' expectations. Respondents speak about the possibility of recovery from illness through engaging in a process of internal and external reorganization. These individuals echo the assertions in the literature generated by consumers and other investigators of subjective experience and advocate for recovery-based models of care including therapeutic discourse with clients.

Insight, neurocognitive function and symptom clusters in chronic schizophrenia.

Only recently has there been interest in the systematic study of insight in schizophrenia. The present investigation was designed to evaluate the specific relationship between psychopathological symptoms, neurocognitive deficits and awareness of illness in chronic schizophrenia. Fifty-eight outpatients with the DSM-III-R diagnosis of schizophrenia were rated on David's Schedule for Assessing Insight, the Positive and Negative Syndrome Scale (PANSS), the Calgary Depression Scale and the Wisconsin Card Sorting Test (WCST). Results indicate that there is a significant association among these variables and that approximately 44% of the variance in the dependent variable could be explained by this combination of independent variables. Notably, however, negative symptoms were only moderately inversely correlated with awareness of illness, and they were not associated with scores on the WCST. Moreover, neither negative symptoms nor per cent perseverative errors contributed significantly to the prediction of insight in schizophrenia. These findings argue against the notion that unawareness of illness is the product of neuropsychological dysfunction in the frontal lobes. Instead, the most significant associations and predictors of insight were related to the positive symptoms of schizophrenia.

Individual differences in the vibrotactile perception of a "simple" pattern set.

Discriminative capacities for vibrotactile spatiotemporal patterns were examined in 62 college students with three tasks: identification, masking, and discrimination of the letters "X" and "O" presented tactually on the Optacon, a reading machine for blind persons. Individual differences in performance and interrelations among scores within and across paradigms were explored. In identification, most persons quickly achieved consistently better than 90% performance, but others failed to identify the patterns above 80%, even after prolonged training. The same performance variance was found when the task was repeated by 23 Naval student pilots. Masking and discrimination measured susceptibility to interference when patterns followed one another closely in time. The resulting functions were typical, with poorest performance at short stimulus onset asynchronies. Again, a wide range of performance was seen. Individual performance, however, appeared to be consistent across tasks, suggesting that abilities in a variety of pattern-perception tasks might be predictable.

Depression in schizophrenia: a comparison of three measures.

Depression, as a feature of schizophrenia, is well established. However, clarifying the exact nature of this relationship has been problematic. The clinical measures routinely utilized to evaluate depression have not been specifically designed for use in schizophrenia, and it is well recognized that a variety of depressive symptoms overlap with other features common to this illness, e.g. negative symptoms, neuroleptic induced side effects. The present study compared three commonly used measures of depression (Hamilton Depression Rating Scale (Ham-D), Calgary Depression Scale (CDS) and the depression subscale of the Positive and Negative Syndrome scale (PANSS-D) in a group of outpatients with schizophrenia, evaluating the degree of association between the scales. Additionally, the relationship between each of the depression measures, negative symptoms and extrapyramidal symptoms (EPS) was calculated. Results revealed that all three measures of depression were significantly correlated, although the CDS was unique in its ability to distinguish between depression, negative symptoms and EPS. It is concluded that the CDS, when compared with the HAM-D and the PANSS-D, is the most suitable measure of depression in schizophrenia.

Vibrotactile threshold in young and old observers: the effects of spatial summation and the presence of a rigid surround.

Human psychophysical detection thresholds for ten frequencies of sinusoidal vibration ranging from 10 to 400 Hz were obtained on the left index fingertip and thenar eminence of young and older observers using a three-alternative forced-choice tracking procedure. The first experiment utilized a 7-mm (0.38 cm2) contactor and rigid surround with 1-mm gap. In the second experiment, three contactor sizes (1.6-, 7.0-, and 25.4-mm diameter) and two surround configurations (1-mm gap between contactor and surround, and no surround) were used. The results indicate that, although the shapes of the threshold versus frequency functions were similar in the two age groups, there was a reduction in sensitivity for the older group at all frequencies. Furthermore, taking into account the difference in sensitivity between the two age groups, spatial summation and the effects of a surround did not seem to differ between the two groups. These results are discussed in the context of physiological models of cutaneous sensitivity and changes in receptor function with age.

Vibrotactile pattern discrimination and communality at several body sites.

In a series of experiments, the effects of spatial layout on vibrotactile pattern perception were explored by testing the ability to discriminate between two sequentially presented patterns that share active elements in the same spatial locations. Two-dimensional displays were used in order to examine the functional relationship between discrimination performance and pattern communality, defined as the sharing elements, on different body sites. Accuracy of discrimination judgments was inversely proportional to communality, regardless of the number of pattern elements. For compact arrays fitted to the finger, palm, and thigh, the effects of communality appeared equivalent. The similarity between finger and thigh functions is remarkable, considering the dramatic differences between these sites in receptor components and structure. When these data were compared with those from arrays with distributed contactors, performance was substantially better with well-separated pattern elements. Such findings help to explicate how information from apposed patterns can best be delivered to the skin through tactile communication systems.

The shape of the vibrotactile loudness function: the effect of stimulus repetition and skin-contactor coupling.

In the psychophysical literature describing the relationships between physical and psychological magnitudes, as physical intensity increases, perceived intensity often grows much faster near threshold than at higher levels. In this laboratory, however, the loudness curve for sinusoidal vibrotactile stimuli was best fit by a single-limbed function rather than by the expected two-limbed function. In the present study, we measured the growth of vibrotactile loudness of 250-Hz sinusoidal stimuli by the method of absolute magnitude estimation to explore the source of the one- versus two-limbed discrepancy. The number of times that the stimulus was presented was varied, as well as whether the stimulator contacted the skin with constant force or constant penetration. Neither of these manipulations affected the shape of the loudness function consistently. Number of repetitions influenced the shapes of the magnitude estimation functions, but only for a few individuals. Skin-contactor coupling did not affect the shapes of the functions, although the absolute level (vibrotactile loudness) was consistently greater for constant indentation.

The localization of low- and high-frequency vibrotactile stimuli.

Four experiments were conducted to determine whether spatial localization on the skin varied in acuity as a function of frequency of vibratory stimulation. The glabrous skin of the palm over the hypothenar eminence was selected as the site for stimulation by two frequencies, one at 25 Hz to stimulate non-Pacinian receptors, and one at 250 Hz to excite Pacinian receptors. Because the Pacinian receptors have larger receptive fields than the non-Pacinians, it was thought that the subjects' ability to localize would be poorer when the Pacinians were the class of receptor stimulated. In addition to frequency of vibration, the presence of a surround, the site of stimulation, the separation of the stimulator pair used in the 2AFC method, and the use of an impulse stimulus were all conditions varied to determine whether a simple direct correlation exists between receptor category and spatial acuity for vibratory stimuli. A significant difference in acuity was found as a function of vibration frequency at a proximal locus on the palm, but this vanished at a distal locus. The results have been interpreted to suggest that receptor density and its gradient across the skin areas involved may be as important as receptor type in the determination of spatial acuity.

The measurement of loudness in individual children and adults by absolute magnitude estimation and cross-modality matching.

Twelve adults and 11 children (age range 4-7 years) performed absolute magnitude estimation of the apparent lengths of lines and the loudnesses of 1000-Hz tones as well as cross-modality matching between loudness and apparent line length. Consistent with the notion that children and adults have similar impressions of loudness, there were no major differences between the absolute magnitude estimation (AME) and cross-modality matching (CMM) data of the adults and children. A direct comparison between the exponents for loudness by AME and CMM was made when a correction factor was employed to eliminate the effects of idiosyncratic use of numbers from the AME exponents. The results support the hypothesis that, with proper instructions, both children and adults can judge stimuli on an absolute scale. Specifically, for 9 out of 12 adults and 9 out of 11 children, lines and tones assigned the same number in absolute magnitude estimation were judged to be subjectively equal in cross-modality matching.