424 BIOL PSYCHIATRY
1991 ;30:424-426
impaired Neuropsychological
Symptomatic Volunteers with
Preliminary Findings
Functioning
Schizotypy:
in
Michael J. Lyons, Mary E. Merla, Leslie Young, and
William S. Kremen
Introduction
Rado's concept of schizotypy was used by Meehl
(1962) to describe individuals who are not psy-
chotic but are vulnerable to schizophrenia. Meehl
hypothesized that those with the vulnerability,
though not schizophrenic, might have cognitive
or psychophysiological charzcteristics reflecting
an association with schizophrenia. Consistent
with Meehl's theory, abnormalities in eye trac'
if-L: sustained attention, and visual masking h. •
been well documented in both schizophrer:~ and
schizotypy. Impaired Wisconsin Card ~ ag
Test (WCST) (Grant and Berg 1948) pe~~ r_
mance has also been found in schizophrenia.
The WCST requires concept formation and cog-
nitive flexibility, and performance appears to be
associated with relatively selective activation of
dorsolateral prefrontal cortex (Weinberger et al
1986). The WCST is of interest vis-h-vis schi-
zotypy because of its cognitive demands and its
link to a brain region implicated in schizophre-
nia. Spaulding et al (1989) found impairment
on a modified WCST in Minnesota Multiphasic
Personality Inventory (MMPI)-defined schizo-
From Boston University (MJL, MEM, LY) and Harvard Medical
School (MJL, MEM, WSK) and Brockton--West Roxbury V.A.
Medical Center (WSK), Boston, MA.
Address reprint requests to Michael Lyons: Ph.D., Department of
Psychology, BostonUniversity, 64 CummingtonSt., Boston, MA
02215.
Received March 23, 1991; revised April 27, 1991.
typy. We report on WCST performance in schi-
zotypic su~ects recruited using a novel method.
;~Aethods
Measures
The StructurM hi~erview for Schizotypy (SIS)
(Kendler et al 1989) was developed to assess
schizotypal signs and symptoms. Each symptom
is rated on a seven-point scale from "absent" to
"severe." The WCST tests the ability to estab-
lish and shift mental sets. Subjects sort cards
on the basis of color, form, or number. They
are not told of the correct sorting principle but
are simply told whether each sort is correct. Ten
correct consecutive sorts constitute a completed
category. After completion of a category, the
sorting principle changes; however, the exam-
inee is not informed of the change and must
discern the principle only by examiner feed-
back. The WCST was scored according to Hea-
ton's (1981) rules.
Subjects
Undergraduate students aged 18-22 were re-
cruited through an advertisement in a university
newspaper and from volunteers taking Intro-
ductory Psychology. The advertisement solic-
ited subjects who believed they had "ESP, te-
© 1991 Society of Biological Psychiatry 0006-3223/91/$03.50