Hostname: page-component-cd9895bd7-8ctnn Total loading time: 0 Render date: 2024-12-26T08:02:06.809Z Has data issue: false hasContentIssue false
  • English
  • Français

Premorbid competence, thought-action orientation, and outcome in psychiatric patients with mild mental retardation

Published online by Cambridge University Press:  04 March 2009

Marion Glick  and
Edward Zigler
Marion Glick
Affiliation:
Yale University
Edward Zigler*
Affiliation:
Yale University
*
Edward Zigler, Yale University, Department of Psychology, P.O. Box 208205, New Haven, CT 06520.
Get access Rights & Permissions [Opens in a new window]

Abstract

In a sample of 112 psychiatric inpatients with mild mental retardation, lower premorbid social competence was significantly related to symptom expression in action compared to thought. Both of these variables were correlated with length of current hospitalization. Premorbid social competence and thought-action orientation have been major variables in developmental research on psychopathology in patients without mental retardation. These results indicate that these variables can be applied to differentiate developmental level among inpatients with mild mental retardation and that these developmental distinctions are related to other clinical variables, as has been found for inpatients without mental retardation. The findings also attest to the heterogeneity in developmental level among inpatients with mild mental retardation.

Type
Articles
Information
Development and Psychopathology , Volume 8 , Issue 3 , Summer 1996 , pp. 585 - 595
Copyright
Copyright © Cambridge University Press 1996

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Achenbach, T., & Edelbrock, C. (1978). The classification of child psychopathology: A review and analysis of empirical efforts. Psychological Bulletin, 85, 1275–1301.Google Scholar
Achenbach, T., & Edelbrock, C. (1981). Behavior problems and competencies reported by parents of normal and disturbed children aged four through sixteen. Monographs of the Society for Research in Child Development, 46 (Serial No. 188).Google Scholar
Aman, M. G. (1991). Working bibliography on behavioral and emotional disorders and assessment instruments in mental retardation. Rockville, MD: U.S. Department of Health and Human Services.Google Scholar
American Psychiatric Association. (1980). DSM III: Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author.Google Scholar
American Psychiatric Association. (1987). DSM III R: Diagnostic and statistical manual of mental disorders (3rd rev., ed.). Washington, DC: Author.Google Scholar
Cicchetti, D., & Beeghly, M. (Eds.). (1990). Children with Down Syndrome: A developmental perspective. New York: Cambridge University Press.Google Scholar
Cicchetti, D., & Pogge-Hesse, P. (1982). Possible contributions of the study of organically retarded persons to developmental theory. In Zigler, E. & Balla, D. (Eds.), Mental retardation: The developmental-difference controversy (pp. 277–318). Hillsdale, NJ: Erlbaum.Google Scholar
Cicchetti, D., & Sparrow, S. (1981). Developing criteria for establishing interrater reliability of specific items: Application to assessment of adaptive behavior. American Journal of Mental Deficiency, 86, 127–137.Google Scholar
Cohen, J. (1968). Nominal scale agreement with provision for scaled disagreement or partial credit. Psychological Bulletin, 70, 213–220.CrossRefGoogle ScholarPubMed
Doll, E. A. (1965). Vineland Social Maturity Scale. Circle Pine, MN: American Guidance Service.Google Scholar
Glick, M. (in press-a). A developmental approach to psychopathology in people with mild mental retardation. In Hodapp, R. M., Zigler, E., & Burack, J. (Eds.), Handbook of mental retardation and development. New York: Cambridge University Press.Google Scholar
Glick, M. (in press-b). The developmental approach to adult psychopathology. In Luthar, S., Burack, J., Cicchetti, D., & Weisz, J. (Eds.), Developmental psychopathology: Perspectives on Risk and Disorder. New York: Cambridge University Press.Google Scholar
Glick, M., Mazure, C., Bowers, M., & Zigler, E. (1993). Premorbid social competence and the effectiveness of early neuroleptic treatment. Comprehensive Psychiatry, 34, 396–401.CrossRefGoogle ScholarPubMed
Glick, M., & Zigler, E. (1986). Premorbid competence and psychiatric outcome in male and female nonschizophrenic patients. Journal of Consulting and Clinical Psychology, 54, 402–403.CrossRefGoogle ScholarPubMed
Glick, M., & Zigler, E. (1990). Premorbid competence and the courses and outcomes of psychiatric disorders. In Rolf, J., Masten, A., Cicchetti, D., Nuechterlein, K., & Weintraub, S. (Eds.), Risk and protective factors in psychopathology (pp. 497–513). New York: Cambridge University Press.Google Scholar
Glick, M., & Zigler, E. (1995). Developmental differences in the symptomatology of psychiatric inpatients with and without mild mental retardation. American Journal on Mental Retardation, 99, 407–417.Google Scholar
Glick, M., Zigler, E., & Zigler, B. (1985). Developmental correlates of age on first hospitalization in nonschizophrenic psychiatric patients. Journal of Nervous and Mental Disease, 173, 677–684.Google Scholar
Hodapp, R. M., Burack, J. A., & Zigler, E. (1990). Issues in the developmental approach to mental retardation. New York: Cambridge University Press.CrossRefGoogle Scholar
Hodapp, R. M., & Zigler, E. (1995). Past, present and future issues in the developmental approach to mental retardation and developmental disabilities. In Cicchctti, D. & Cohen, D. (Eds.), Manual of Developmental Psychopathology (Vol. 2, pp. 299–331). New York: Wiley.Google Scholar
Hodapp, R. M., & Zigler, E. (in press). New issues in the developmental approach to mental retardation. In MacLean, W. E. Jr. (Ed.), Handbook of mental deficiency, psychological theory and research (3rd ed.). Hillsdale, NJ: Erlbaum.Google Scholar
Kagan, J., Snidman, N., Arcus, D., & Reznick, J. S. (1994). Galen's Prophecy. New York: Basic Books.Google Scholar
Katz, P., Zigler, E., & Zalk, S. (1975). Children's self-image disparity: The effects of age, maladjustment, and action-thought orientation. Developmental Psychology, 11, 546–550.CrossRefGoogle Scholar
Lerner, P. M. (1968). Correlation of social competence and level of cognitive perceptual functioning in male schizophrenics. Journal of Nervous and Mental Disease, 146, 412–416.Google Scholar
Matson, J. L., & Barrett, R. P. (1982). Psychopathology in the mentally retarded. New York: Grune & Stratton.Google Scholar
Nihira, K., Foster, R., Shellhaas, M., & Leland, H. (1974). AAMD Adaptive Behavior Scale (Rev. ed.). Washington, DC: American Association on Mental Deficiency.Google Scholar
Peebles, M. J. (1986). Low intelligence and intrapsychic defenses: Psychopathology in mentally retarded adults. Bulletin of the Menninger Clinic, 50, 33–49.Google Scholar
Phillips, L., Broverman, I. K., & Zigler, E. (1968). Sphere dominance, role orientation, and diagnosis. Journal of Abnormal Psychology, 73, 306–312.Google Scholar
Phillips, L., & Zigler, E. (1961). Social competence: The action-thought parameter and vicariousness in normal and pathological behavior. Journal of Abnormal and Social Psychology, 63, 137–146.CrossRefGoogle Scholar
Phillips, L., & Zigler, E. (1964). Role orientation, the action-thought dimension and outcome in psychiatric disorder. Journal of Abnormal and Social Psychology, 68, 381–389.CrossRefGoogle ScholarPubMed
Piaget, J. (1951). Principle factors in determining evolution from childhood to adult life. In Rapaport, D. (Ed.), Organization and pathology of thought (pp. 154–175). New York: Columbia University Press.CrossRefGoogle Scholar
Quinlan, D. M., Rogers, L. R., & Kegan, R. G. (1980, 04). Developmental dimensions of psychopathology. Paper presented at the convention of the Eastern Psychological Association, Hartford, CT.Google Scholar
Reiss, S. (1990). Special section on dual diagnosis. American Journal on Mental Retardation, 94, 577.Google Scholar
Reiss, S., Levitan, G. W., & McNally, R. J. (1982). Emotionally disturbed mentally retarded people: An underserved population. American Psychologist, 37, 361–367.Google Scholar
Santostefano, S., & Baker, H. (1972). The contribution of developmental psychology. In Wolman, B. (Ed.), Manual of child psychopathology (pp. 1113–1153). New York: McGraw-Hill.Google Scholar
Sparrow, S., Balla, D., & Cicchetti, D. (1984). Vineland Adaptive Behavior Scales. Circle Pines, MN: American Guidance Service.Google Scholar
Wechsler, D. (1955). Wechsler Adult Intelligence Scale. New York: The Psychological Corporation.Google Scholar
Wechsler, D. (1981). Wechsler Adult Intelligence Scale-Revised. New York: The Psychological Corporation.Google Scholar
Werner, H. (1948). Comparative psychology of mental development. New York: Follett.Google Scholar
Wilkinson, L., Zigler, E., & Glick, M. (1985). A premorbid social competence scale for patients with mental retardation. Unpublished manuscript, Yale University.Google Scholar
Zigler, E. (1969). Developmental versus difference theories of mental retardation and the problem of motivation. American Journal of Mental Deficiency, 73, 536–556.Google Scholar
Zigler, E., & Burack, J. (1989). Personality development and the dually diagnosed person. Research in Developmental Disabilities, 10, 225–240.CrossRefGoogle ScholarPubMed
Zigler, E., & Glick, M. (1986). A developmental approach to adult psychopathology. New York: Wiley.Google Scholar
Zigler, E., Glick, M., & Marsh, A. (1979). Premorbid social competence and outcome among schizophrenic and nonschizophrenic patients. Journal of Nervous and Mental Disease, 167, 478–483.Google Scholar
Zigler, E., & Hodapp, R. (1986). Understanding mental retardation. New York: Cambridge University Press.Google Scholar
Zigler, E., & Levine, J. (1981). Premorbid competence in schizophrenia: What is being measured? Journal of Consulting and Clinical Psychology, 49, 96–105.CrossRefGoogle ScholarPubMed
Zigler, E., & Phillips, L. (1960). Social effectiveness and symptomatic behaviors. Journal of Abnormal and Social Psychology, 61, 231–238.CrossRefGoogle ScholarPubMed
Zigler, E., & Phillips, L. (1961a). Case history data and psychiatric diagnosis. Journal of Consulting Psychology, 25, 258.CrossRefGoogle Scholar
Zigler, E., & Phillips, L. (1961b). Social competence and outcome in psychiatric disorder. Journal of Abnormal and Social Psychology, 63, 264–271.CrossRefGoogle Scholar