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INTELLIGENCE AND MENTAL ILLNESS A Thesis Submitted to the Faculty of Purdue University by Charles F. Mason In Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy August, 1950 ^ 2■'hSC, P 1R D U E UNIVERSITY THIS IS TO CERTIFY THAT THE THESIS PREPARED UNDER MX SUPERVISION by Charles P. Mason INTELLIGENCE AND MENTAL ILLNESS entitled COMPLIES WITH THE UNIVERSITY REGULATIONS ON GRADUATION THESES AND IS APPROVED BY ME AS FULFILLING THIS PART OP THE REQUIREMENTS FOR THE DEGREE OF Doctor of Philosophy \ o $ L T n . Professor in Charge of Thesis G < 2 - n t. Head of School or Department TO THE LIBRARIAN:----- *S- THIS THESIS IS NOT TO BE REGARDED AS CONTIDENTIAL. PBOFKSSOB nr CBAXOB GBAD. SCHOOL FORM B—3-40—1H ACKNOWLEDGMENTS In carrying out this study I have relied heavily on the cooperation and aid of several organizations and in­ dividuals. The Veterans Administration and the personnel of the hospital at Marion, Indiana have been very cooperative throughout. Members of the Registrar Division have been of great aid in the collection of data. My colleagues on the Psychology staff have taken an interest in the project in all its phases which has been extremely helpful. The staff of the Office of the Adjutant General has been very helpful in providing necessary information. The Records Administration Center was always prompt in provid­ ing the basic data for the study. The members of my committee and especially Dr. John M. Hadley, the chairman, have assisted me greatly with advice and criticism. Acknowledgment is given to these persons for their services for which I am very grateful. This is their study as much as my own. C.F.M* VITA Academic. AB, The State University of Iowa, December 194-2* Psychology major. MS, Psychology, Purdue U n iv ersity , August 194-7* In d u strial Psychology major* Experience in Psychology. Graduate assistant, General and Experimental Psychology, Purdue University, September 194-& to June 194-7* Psychologist, interne, Veterans Administration Training Progran in Clinical Psychology, September 194-7 bo September 1950* Internship at Billings VA Hospital, Indianapolis, VA Mental Hygiene Clinic, Indianapolis, and VA Hospital, Marion, Indiana; in cooperation with Purdue University. Instructor, General Psychology, Indiana University Extension, Septanber 194-9 to June 1950* Organizations. American Psychological Association Sigma Xi Midwest Psychological Association TABLE OF CONTENTS Page ABSTRACT ...................................................................... * INTRODUCTION * • 1 Purpose • •............. . . . . ............................................... 1 Intelligence and Mental Health ...................... 1 Intelligence and Type of Mental Illness .................. 3 Experimental Design ........................................... I4. STATEMENT OP THE PRO BLEM ...................................................... 8 PROCEDURE................................................................... 12 Control Distribution ••••................................................................. 12 Requirements of the Sample . . . ............ II4- Drawing the Sample .................... 15 Statistical Procedures ...................................................... 17 The Question of Pre-illness Intelligence . ........ 18 RESULTS ......................................................................... 21 Patients versus Soldiers •...•••.•............................. 21 Breakdown by Diagnostic Categories ..................... 21 DISCUSSION ................................................................................... 27 The Causal Interpretation ................... 29 The Concomitant Interpretation ............................. 29 Emphasis on Diagnosis Rather than Symptoms ....... 31 SUMMARY AND CONCLUSIONS ..................................................... 33 APPENDIX. TABLES 5 THROUGH 15 ......................................... 3^ BIBLIOGRAPHY.. ................................................... ij.6 SUPPLEMENTARY BIBLIOGRAPHY . . ..................................................... ij.8 M sm LISTS OP TABLES AND FIGURES List of Tables able Pag® 1* Standard score equivalents of Army grades . ... 10 2* Distributions of control data • *................*............ 13 3* Percentage distributions of AGGT scores for various diagnostic categories . . . . . . . . . . . . . 23 I4.* Results of chi-square comparisons for ail patients and for diagnostic breakdowns • ••* 2q. 5* Home states of 200 Marion hospital patients .. 35 6. Correlation data, pre-hospital service vs* total serviee ............................ 3& 7* A nalysis o f variance, length, o f serv ice vs* AGCT....................................................................... 37 8 * Chi-square table, patients vs. controls *••••» 33 9* Chi-square table, schizophrenics vs. controls 39 10* Chi-square table, non-schizophrenics vs* controls ................................. ii-0 11* Chi-square table, hebephrenies and catatonies vs* controls .......... ip- 12* Chi-square table, psychoneurotics vs. controls ip 13* Chi-square ta b le , paranoid sch izop h ren ics, character and behavior disorders vs. con­ trols ...................... if3 li|.* Chi-square table, simple schizophrenics vs* controls * * * ....................................... •». • • • ip 15* Ghi-square ta b le, other sch izop h ren ics, chronic alcoholics, manie-depress!ves vs* controls . . . . . . . . . . . . . , .. * . . ...... ... - 45 List of Figures 1* Graphic representation of AGGT distributions for con trols and p a tien ts * . . • • • • • . . . . . . * • • 22 ABSTRACT Mason, Charles P. INTELLIGENCE AND MENTAL ILLNESS, August 1950, 53 15 ta b le s, 1 fig u re, 24 t it le s in the bibliography. The question of relationship between intelligence and mental health is extremely popular both in scientific literature and non-scientific thought. Published evidence and opinion on the topic shows disagreement. This study was designed to collect further evidence bearing on the topic. A representative sample of functionally diagnosed, male, World War II, Army veterans was drawn from the files of the Veterans Administration neuropsychiatric hospital at Marion, Indiana. Army General Classification Test scores of these subjects were obtained from the Army* Analysis of the data led to the following conclusions: 1. The data showed no evidence of a definite relation­ ship between AGCT intelligence and adjustment. 2. A relationship was found between AGCT Intelligence and type of mental illness* a* Schizophrenics, with the exception of paranoids, tend to have scored low on the AGCT* b* Manic-depressives tend to have scored high on the AGGT. INTELLIGENCE AND MENTAL ILLNESS INTRODUCTION Purpose* The purpose of the present study is three­ fold: (1) to gather evidence bearing on the question of whether or not there is relationship between "intelligence" and "mental illness;" (2) if any evidence of such relation­ ship is found, to investigate it as to extent and nature; (3) to investigate for systematic differences in "intelli­ gence" among various diagnostic groups among the "mentally ill." Intelligence and mental health. The question of re­ lationship between intelligence and mental health as two aspects of personality is extremely popular both in scientific literature and non-scientific thought. There is, for example, the age old proposition of a kinship be­ tween genius and insanity. Witty and Lehman A 23) have dis­ cussed the evidence bearing on this question in detail. On the other hand, this investigator has been struck by the failure of a large percentage of mental hospital patients, as well as other lay groups, to differentiate between insanity and stupidity. After considerable discussion of the question and a review of the literature on the subject, it appears to this investigator that casual and experimental hypotheses usually embody one or both of two general principles. The first of these general principles is designated by Chassell (1) as "the principle of the mutual relationship of desirable qualities." An application of this principle to the question at hand is made by Lorge (12) as follows: Intelligence is a positive trait and good adjustment is a positive trait. It seems reasonable to infer that whenever personality is measured in terms of goodness of adjustment or of integration a positive correlation will be the result. The second of these two general principles is that "the maximum is not the optimum." Hollingworth (8 ) may be cited as representing this position: In studying the eccentric Influence of deviating in­ telligence, at both extremes, the concept arises of an optimal intelligence /Ser italics^ that is neither minimum nor maximum. The problem for social psychology is to fix the limits of this optimum in texms of IQ. It is a situation in which there can be either too much or too little of a good thing ("good," that is, for interaction with other persons, and hence for per­ sonality adjustment). Prom observations recorded in the literature to this time, the hypothesis may be offered that optimal in­ telligence, in the sense just referred to, lies above average, rather than at or below average, and centers approximately 3 to 5 EE above the mean--that is, be­ tween 130 and 150 IQ (Stanford Binet). Within this range, the person comprehends more clearly, but not too much more clearly, than the majority of his fellow men, and can thus get himself accepted as a supervisor and leader of human affairs generally, with accompany­ ing emoluments and privileges. His vocabulary, his Interests, and his hopes have, at this point, still enough in common ^Ker italics/ with his contemporaries to enable and warrant cooperation. Beyond this range, however, mutual rejection begins to appear between the deviate and nearly all his contemporaries. The experimental evidence bearing on this subject is conflicting in many respects. Lorge (12) has reviewed the literature on the general relationship between intelligence and various measures or estimates of personality. In an analysis of some 200 correlation coefficients he found a range of from -.J|9 to .70 with a median of *0ij.. Of these findings he says that the range is so "extraordinary that anybody can make any statement." Hollingworth and Bust (9) have found very intelligent college students to be "much less neurotic" than controls. Wrenn, Ferguson, and Kennedy (2if) studied junior college students and found that "ex­ tremes of intelligence do not seem to be associated with differences in emotional stability." Neustatter (13) studied children of different Income groups and found some­ what less "nervousness" among the poor than among the well- to-do families. If the usual relationship between socio­ economic level and intelligence discussed by Goodenough (7 ) applies to Neustatter’s samples we may think of this study as bearing on the question at hand. Intelligence and type of mental illness. Most of the studies relevent to the relationship between intelligence and type of mental illness have been of a sociological nature. Some measure of socio-economic level has been studied rather than any direct measure of intelligence. An example of this type of study is the work of Hyde and Kingsley (10). They found that: "The ^rejectio^T* rate for psychoneurosis showed no consistent variation with socioeconomic level; only the intermediate level

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