Assessment & Research

Schizophrenic children's utilization of images and words in performance of cognitive tasks.

Carter et al. (1982) · Journal of autism and developmental disorders 1982
★ The Verdict

Schizophrenic children learn picture pairs better than word pairs, so lean on visuals when you teach new concepts.

✓ Read this if BCBAs working with school-age in-patients who have schizophrenia or severe psychiatric disorders.
✗ Skip if Clinicians who only serve clients with pure developmental disabilities and no thought-disorder history.

01Research in Context

01

What this study did

Reiss et al. (1982) tested how schizophrenic children use pictures and words while learning. They gave kids a paired-associate task. Kids had to match new picture-word pairs and word-word pairs.

Researchers compared the scores of schizophrenic in-patients with scores from other hospitalized children who did not have schizophrenia.

02

What they found

The schizophrenic group scored lower on the learning task overall. The gap was larger when the pairs were made of words instead of pictures.

The same children also scored lower on a performance IQ test.

03

How this fits with other research

Channell et al. (2013) and Grove et al. (2017) later saw a similar word weakness in children with intellectual disability. They showed that poor phonological skills explain the reading gap. The 1982 study adds schizophrenia to the list of disorders that show a verbal-processing hitch.

Farley et al. (2022) widened the lens to children with mild-borderline ID plus other psychiatric diagnoses. Like L et al., they found large processing-speed and working-memory deficits. Both papers warn that these cognitive scores do not predict behaviour problems, so do not use them to guess how a child will act.

Steinbrink et al. (2014) and Tong et al. (2019) used quasi-experimental designs with dyslexic children. They also found negative results on auditory and visual tasks. The pattern across decades shows that many clinical groups struggle with basic verbal or visual cues, not just kids with schizophrenia.

04

Why it matters

When you test a child with schizophrenia, present new skills with pictures first, then fade in words. Check both visual and verbal memory, but place more teaching time on the verbal side. Do not assume a low score means poor effort; it may reflect a built-in learning style. Use errorless prompting and quick picture cues to bridge the gap.

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Start your session with picture flashcards for new vocabulary, then slowly swap in written words while keeping the pictures as cues.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
33
Population
other
Finding
negative

03Original abstract

Hospitalized schizophrenic (N = 15) and nonschizophrenic (N = 18) youngsters were compared on measures of verbal and imagery development as well as on four paired-associate learning tasks involving combinations of word and picture stimuli pairs. The results showed the schizophrenic group to be similar to the controls on verbal and full-scale intelligence measures but significantly inferior on performance measures. The schizophrenic group also showed a general disadvantage in paired-associate learning, with a trend toward specific differential difficulty with words as stimulus items. Results suggest the presence of nondominant hemisphere deficit in the target group and also provide weak support for theories of dominant hemisphere dysfunction in schizophrenia.

Journal of autism and developmental disorders, 1982 · doi:10.1007/BF01531373