W2 - Cognitive Neuropsychology Flashcards
(85 cards)
Where does cog neuropsych originate from?
Who was the pioneer of early cog neuropsych experiments?
- 19th century neurology
- Mid-20th century: Teuber with his psychophysical lab in New York, assessed BD patients from bullet wounds
What 5 things were unique and important about Teuber’s approach?
(Considered to be the founder of contemporary neuropsychology)
- used case studies in experimental neuropsychology
- Used matched control groups
- Follow up tests beyond acute stages
- Used non-verbal tests (in both humans and primates)
- Studying patients due to overall brain damage not just symptoms
How is neuropsych similar to neurology in its aim?
(In Neuropsychologia, neuropsychology was considered to be a particular area of neurology)
- Neuropsychology aims to study physiological correlates of behaviour, similar to behavioural neurology
How was brain damaged treated in the early to mid 20th century?
- Most clinicians treated brain damage as a unitary phenomenon
whereby you had or didn’t have brain damage - BD was quantified as more or less damage, neglecting the location in the brain or the impact on behavioural symptoms (Lezak)
- Was considered an organic problem, not a psychiatric problem
How did Teuber consider both localisation and lateralisation?
- Teuber agreed that brain damage from neocortical lesions (lesions to the lobes) could produce localised damage impacting specific functions and general damage depending on the size/extent of the lesion
- Paid close attention to skeptics of localisation of function, eg., Karl Lashley
What was Lashley’s 1st argument regarding lateralisation?
1.One function might be localised in a small brain region, but a second function might be localised in a larger region that includes part of the first brain region
How does Lashley argue for partial localization, while other functions are not localised?
- Some functions are localised, eg,. brightness discrimination is localised to the area striata, but maze learning is not localised, as it can be impaired by damaging any area in the cortex
As 2 functions may be localised in the same region OR the whole cortex
- complex maze spatial orientation is significantly impaired when any 15% of cortex is destroyed
- Simple maze spatial orientation is not affected by lesions even up to 50% of the cortex
the easier task can be kept intact from brain damage compared to the more complex region
Imagine brain region R is damaged, performance on task 1 is impaired, but task 2 is intact.
Can you conclude that task 1 is localised to region R?
- No = task 1 might just be more vulnerable to brain damage, and may performance on task 1 may also be impaired by brain damage to other regions
- As Task 1 performance has not been assessed in patients with other brain damage, it cannot be localised to brain region R
Alternative explanations
* Task 1 might be localised in a much larger region, including R
* Can’t conclude localisation from single dissociation only
Imagine brain region R is damaged, performance on task 1 is impaired, but task 2 is intact.
Can you conclude region R is dedicated to task 1?
- No = as you have only compared task 1 and task 2, such that brain region R may also be dedicated to other cognitive tasks that haven’t been assessed yet
- Consider task difficulty: task 2 might unjust be easier to perform well at than task 1, less vulnerable to showing deficits after brain damage
Finding: One-way dissociation of impairments is NOT sufficient to assert region R is dedicated to Task 1
What does Teuber argue about localisation?
- Simple one-way dissociation only supports a case of HIERARCHY of function (for complex vs. simple functioning) rather than a case of localisation
- Requires evidence for one-way dissociation and reverse/double dissociation
Example - What does Teuber argue about dedication/specificity of functions?
- To demonstrate specificity of the temporal lobes to visual discrimination, we need to do more than show that other kinds of discrimination (eg,. tactile) are unimpaired (this is only a single dissociation)”
- Single dissociations do not provide sufficient evidence for dedication/specificity, since could argue visual discrimination is more vulnerable to being impacted by temporal lesions than tactile discrimination
What is the definition of double dissociation in relation to brain damage? (Teuber)
- Patient A has a lesion site on R1, showing impaired performance on Task 1 but intact performance on task 2
- Patient B has a lesion site on R2, showing intact performance on Task 1, impaired performance on Task 2
Can you have conclusive proof for localisation with single and double dissociations?
No its only supporting evidence, raising likelihood for one hypothesis over another hypothesis - Task 1 and 2 might be localised to smaller or larger regions within R1 and R2
You can never get conclusive proof in empirical science
What might Operated control subjects and control tasks be? (speculative)
- Operated control subjects = either normal controls, controls with different psychosurgery, animals with psychosurgery, or controls with other neurological problems
- Control tasks = different cognitive tasks to the cognitive task in question
What are the 2 main applications of neuropsychology?
- Clinical neuropsych assessment
- Cognitive neuropsychology
Lezak: How does neuropsychological assessment differ to traditional neurological examinations?
- studies behaviour to make inferences of brain function
- non-invasive brain examination
- kinship with psych assessment
- differs from psych as uses a different frame of reference, taking brain function as starting point
How is neuropsychology a specialisation of clinical psychology?
it is a specialisation within clinical psychology interested in assessment and rehabilitation of people with brain injury
What is the aim of COGNITIVE neuropsychology?
learning how the mind works - forming descriptions of the processes of the execution of mental activities such as identifying objects, speaking, planning, memorising…
What are the core tools in cognitive neuropsychology?
- Information is encoded by mental representations
- Some modules store and maintain mental representations (storing info)
- Other modules manipulate and utilising mental representations
What are the old and new methods used in cognitive neuropsychology?
- Old = descriptions of mental activities using the information processing approach
* specific component processes, different series stages for storage, retrieval or combination of information - New = experiments with BD and neurologically healthy subjects
- useful to test a theory’s ability to explain how/why a cognitive ability is impaired in BD patients
How does clinical and cognitive neuropsych differ slightly from traditional cognitive psych?
- Cog neuropsych uses data from BD patients to evaluate theories of normal cognition
- Clinical uses BD data for treatment/rehab for BD patients
- Cog neuropsych uses BD data to inform theories of normal cognition.
When did cognitive neuropsychology start?
How does clinical NP differ to cognitive NP?
- In 70s/80s, from cognitive psychology (same theoretical base) and clinical neuropsychology (same methods)
- Clinical neuropsych is more of an APPLIED science
- Cog neuropsych and cog psych are THEREOTICAL sciences
What are the 2 aims of Cognitive Neuropsychology?
- To test and evaluate models of normal cognition by exploring performance from BD patients data
* impair/intact of function is the double dissociation of impairments
* similar DD definition to Teuber, but do not mention the brain - To offer theoretical explanations of what has gone wrong and what is intact in BD patients in the multi- component mental system
What was the old assumptions of memory before the findings of HM and KF?
- Old idea = hierarchical model of memory: from STM (Task 1) and LTM (Task 2), assuming:
* processes in Task 1 occur before processes in Task 2, and Task 2 needs every process from Task 1 + more
* If Task 1 (STM) is spared, Task 2 (LTM) could be impaired,
* but if STM (Task 1) is impaired than LTM (Task 2) will also be impaired