Agnosia and Prosopagnosia Flashcards
what is agnosia
agnosia is when object recognition fails and typically occurs after damage to the occipital or inferior temporal cortex
Apperceptive Agnosia: Mr S
- Able to move about and negotiate obstacles without difficulty
- Their grasp reveals knowledge of size and shape (Goodale & Milner,2004)
- Low-level binding of feature appears to be absent
- Unable to perform basic copying and matching tasks
what is Apperceptive Agnosia
where a person has difficulty recognizing objects due to problems with perception. Even though their eyesight may be fine, they struggle to piece together visual information to understand what they’re looking at.
where in the visual system model would damage resulting in apperceptive agnosia occur?
stage 2 : shape representation; can’t integrate local features
Associative Agnosia: LH
- Copying and matching skills are unimpaired
- Patient unable to name the object despite intact knowledge
- Involves a failure in accessing knowledge about the objects
- But… apperceptive vs. associative is an oversimplification– there are many other “types” of agnosia
where in the visual system model would damage resulting in associative agnosia occur
stage 3 = object representation
what is prosopagnosia
Profound loss in ability to recognize faces usually due to a right inferotemporal lesion.
- Though unable to recognize previously familiar faces via visual input, recognition by other modalities remains intact. Thus, individuals can be identified by their voices.
- Note that the ability to recognize faces is tested through overt behavioral measures [essentially just asking ‘do you know who this is?’] .
covert recognition
Peak skin conductance responses (SCRs) occur 1-5 seconds after a face has been presented (red arrows).
- Peak amplitudes are larger for a familiar relative to an unfamiliar face (Tranel et al., 1985).
- Similar patterns have been observed for prosopagnosic patients (Ellis et al., 1993)
what is peak skin conductance
an objective, transient indication of autonomic nervous system arousal in response to a stimulus - [simply how sweaty you are…]
Recognition without feeling: Capgras delusion
Patients with Capgras delusion both recognize a face and yet deny the identity of the individual. — a person believes that someone they know, has been replaced by an identical impostor. The person feels strongly convinced of this, even though there’s no evidence to support it.
covert= the person feels familiar to them
difference between prosopagnosia and capgras delusion
so in prosopagnosia, the person subconsciously knows them but can’t recall them
but in capgras delusion, the person can recognise the person but they don’t feel familiar to them leading to the delusion of an imposter
covert= the person feels familiar to them
normal route for face processing
**dorsal route **
1. visual cortex
2. STS
3. IPL
4. Cingulate gyrus
5. Hypothalamus
**Ventral route **
1. visual cortex
2. amygdala
3. hypothalamus
what happens to the normal route for face processing in prosopagnosia
loss in the ventral stream
what happens to the normal route for face processing in capgras delusion
loss in the dorsal stream