Normal Cognition Flashcards

1
Q

What is the historical belief of cognition and language ?

A

cognition & language were believed to be related but two different things

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2
Q

What is current belief of cognition & language?

A

Language comprehension & formulation are part of the cognitive system - may not be as distinct from cognition as previously thought

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3
Q

What is Cognition?

A

Umbrella term for all higher mental processes including:

  • attention
  • memory
  • executive function
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4
Q

What is Attention?

A

Definition: The ability to detect & respond to stimuli

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5
Q

What Theoretical Model of Attention is most widely referred to in SLP world?

A

Sohlberg & Mateer’s model (1987, 2001, 2010)

  • Sustained attention - ability to maintain attention during continuous and repetitive activities
  • Executive Control of Attention- includes:
    • selective
    • alternating
    • suppression
    • working memory
    • divided attention
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6
Q

What is sustained attention?

A

Description: ability to maintain attention during continuous and repetitive activities

Representative Task:

Monitoring a spoken list for target words

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7
Q

Selective Executive Control of Attention

A

Description:

Selectively process information while inhibiting responses to nontarget information

Representative Task:

Listening to a spoken passage in the presence of background noise and/or distracting visual stimuli

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8
Q

Alternating Executive Control of Attention

A

Description:

Ability to shift focus between tasks, stimuli, or response sets

mental flexibility

  • also includes divided attention

Task:

Switching back and forth between listening to a spoken passage and reading text

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9
Q

Suppression - Executive Control of Attention

A

Description:

Ability to control impulsive responding

Task:

Inhibiting automatic responses during a task;

“thinking before acting”

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10
Q

Working Memory - executive control of attention

A

Description:

Ability to hold and manipulate information in mind

Task:

Doing math in one’s head

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11
Q

Principles of Attention

A

Attention is:

  • always defined in relation to a stimulus
    • external or internal
  • modality of external stimulus should always be identified and noted
    • Modalities: auditory, visual, tactile, olfactory, gustatory
  • may function as a prerequisite to other cognitive linguistic operations
  • capacity limitation:
    • attention is a limited-capacity resource
  • Selection:
    • attention involves selection of relevant stimuli (others ignored/filtered)
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12
Q

Why does normal variability of attention occur?

A

Normal Variability occurs due to :

  • Modality: Auditory vs. visual attention
  • Time-based variability - can decrease over time
  • Effort level

Clinical translation: you may be seeing a difference rather than a disorder, since there’s alot of normal variation

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13
Q

What areas of the brain are devoted to attention?

A

Attention is essential for all cognitive functions, therefore large areas of brain are devoted to attention

  • Frontal lobe (prefrontal cortex)
  • Parietal lobe
  • Temporal lobe
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14
Q

What is Memory?

A

Definition:

the function of the brain to store and recall information

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15
Q

Theoretical Models of Human Memory

-Name Two

A
  • Stages Model
  • Systems Model
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16
Q

What is Stages Model?

A

A theoretical model of human memory

  • intended to describe various stages of information processing
    • encoding
    • storage
    • retrieval
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17
Q

Encoding

A
  • early processing of material to be learned
  • involves strategies such as rehearsal and organization
  • quality determines how well info is stored & later retrieved (e.g. depth of encoding, organization of material)
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18
Q

Storage

A
  • holding of information in the memory system for future use
  • short-term store temporary unless transferred to long-term store
  • encoding processes occur during short-term storage
  • long-term store considered to be permanent unless disrupted by pathological process
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19
Q

Retrieval

A
  • pulling information from storage (long-term store) in order to use it
  • delayed recall on memory tests
  • may be facilitated by presentation of information in recognition formats (e.g. multiple choice, yes/no)
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20
Q

Describe interaction between encoding, storage

and retrieval in the stages model

A
  • quality of encoding impacts storage and retrieval
    • information encoded deeply & associated with pre-existing knowledge is more likely to be encoded more effectively and efficiently
  • Information is better recalled under conditions similar to when it was learned (context-dependent memory or domain specific memory)
  • Repeated retrieval of information can increase probability of being retrieved at a later time
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21
Q

What is System Model of

Memory?

A

evolved from concerns that stage model was too simplistic & does not explain complexities of memory process

  • breakdowns occur in one component of system, while others are preserved
    • (e.g. patients with severe amnesia can have preserved digit span and recall of recent items, with inability to learn new material
  • Memory is comprised of sets of interrelated systems and subsystems
  • Types of System models
    • Working memory
    • long-term memory
22
Q

Describe Model of Working Memory

in System Model Theory

A

*previously short-term; Baddeley & Hitch, 1974

  • When information arrives via the sense organs (perceptually encoded), it goes to working memory
23
Q

Describe model of long-term memory

in

Systems Model theory

A

(Squire,1992; Tulving, 1985)

Some information is consolidated into long-term memory

Types:

  • Declarative/Explicit memory (conscious)
    • Semantic: knowledge of facts (e.g. multiplication tables)
    • Episodic: knowledge of personal experience (e.g. what you had for breakfast)
  • Non-Declarative/implicit memory (unconscious)
    • procedural memory : preserved learning even when you don’t recall learning it
24
Q

Name two types of

Long term memory

A

Declarative/Explicit memory (conscious)

  • Semantic: knowledge of facts (e.g. multiplication tables)
  • Episodic: knowledge of personal experience (e.g. what you had for breakfast)

Non-Declarative/implicit memory (unconscious)

  • procedural memory : preserved learning even when you don’t recall learning it
25
Memory Systems Table
pg. 57 in book
26
Where are memories stored?
* Temporal Lobe & Hippocampus - * important for storage of new memories & retrieal of existing memories * Frontal lobe & subcortical structures - * encoding of information & retrieving through their role in "executive" or "supervisory" functions (e.g. attention, organization; temporal memory) * retrieval process is mediated by frontal lobe * cortical & subcortical area associations trigger retrieval of memories * Multiple long-term memory sites * especially in integration areas of temporo-parietal lobes that are implicated in verbal and visual memory
27
Modality Specificity: Verbal vs. Visual memory
* Left hemisphere - * verbal memory & lexical information * Right hemisphere - * visual memory, * topographical memory, * non-verbal information
28
What is Executive Function?
Set of cognitive processes important in goal-directed and purposeful behavior * Assists with : * planning * organizing * initiating * adapting in a flexible manner, as situation demands
29
Theoretical Models of Executive Function
Many theories: * components of executive function not mutually exclusive * they interact & overlap * general agreement about primary cognitive processes comprising executive function
30
The action of beginning a goal-directed task
Initiation
31
Identifying the problem, generating potential solutions, choosing a solution, and evaluating the outcome
problem-solving
32
Ability to change a course of action or thought based on the shifting demands of a situation
Mental flexibility
33
Setting objectives & determining a course of action for achieving those actions
Planning
34
Being able to discern the potentially good and harmful aspects of a situation, and act in a way that makes sense
Judgement
35
The ability to select appropriate responses and suppress unwanted actions
Inhibition
36
The process of forming conclusions, judgements or inferences from facts or premises
Reasoning
37
the regulation of one's thoughts, emotional responses, actions & motivations in order to behave in an expected way for a given situation
self-regulation
38
awareness & understanding of one's own thoughts and skills and how you learn information
Meta-cognition
39
Key concepts of Executive Function
1. ***_Cognitive processing:_*** every task we perform requires activation of cognitive processes * automatic processing: effortless, rapid, unconscious, uses fewer resources * controlled processing: slow, effortful, conscious, uses more resources 2. ***_Regulation of cognitive resources_***: each cognitive process takes up some of the resources
40
Neuroanatomy of Executive Function
* Executive functions are associated with the frontal lobes and their connections * Prefrontal area is divided into subsections: * Dorsolateral * Ventrolateral * Orbitofrontal * Dorsomedial * Ventromedial
41
Dorsolateral Executive Function Neuroanatomy
**Connections (superior to inferior)** * Parietal cortex * Caudate nucleus * Global pallidus * Substantia nigra * Thalamus **Functions** * Monitors and adjusts behavior using working memory and executive functions **Consequences of Lesions:** * Executive function deficit * Disinterest/emotional reactivity * Decreased attention to relevant stimuli
42
Ventrolateral Executive Function Neuroanatomy
**Connections (superior - inferior):** * Temporal cortex * Amygdala * Posterior cingulate * parahippocampal gyrus * inferior parietal lobe **Functions:** * Response inhibition * Goal appropriate response selection * Attention conrol * Vigilance **Consequences of Lesions:** * Emotional dysregulation * poor attention * poor vigilance
43
Orbitofrontal Executive Function Neuroanatomy
**Connections (superior-inferior):** * temporal, parietal * insula * globus pallidus caudate nucleus * substantia nigra * amygdala * thalamus * cerebrocerebellar circuit **Function:** * Personality * Emotional input * social behavior * suppresion of distracting signals **Consequences of Lesion:** * emotional liability * disinhibition * distractibility * social inappropriateness
44
Dorsomedial Executive Function Neuroanatomy
**Connections (superior-inferior):** * temporal, parietal * caudate nucleus * global pallidus * substantia nigra * cingulate thalamus **Functions:** * arousal * motivation * initiation of activity **Consequences of Lesions:** * Apathy * decreased drive/awareness * Akinetic-abullic syndrome * mutism
45
Ventromedial Executive Function Neuroanatomy
**Connections:** * Amygdala * Temporal lobe * Prelimbic cortex **Functions:** * Emotional control * empathy **Consequences of Lesions:** * impaired judgement * inappropriate social behavior
46
Age Related Changes to Cognition
* some cognitive abilities improve with age (i.e. vocabulary) * others decrease with time * Processing speed * Attention * Memory * Executive function
47
Age related changes in processing speed
refers to speech with which cognitive activities are performed * begins to declien in third decade of life & continues throughout life * many cognitive changes reported in healthy older adults are due to slowed processing
48
Age related changes in Attention
* sustained attention - little decline with age * executive control - (selective & alternating attention) = more noticeable decline
49
Age related changes in Memory
most common complaint with aging * may be from slowed processing/reduced selective attention (inability to ignore relevant information) * Declarative memory (explicit) * episodic memory - decline throughout life * semantic memory - decline later in life * Nondeclarative memory (implicit) * remains unchanged across the lifespan
50
Age related changes in Executive function
* concept formation * abstraction * inhibition and mental flexibility * decline with age, especially after age 70 * Verbal & mathematic reasoning decline starting around 45 * ability to appreciate similarities and reason about familiar material = stable throughout life