Module 2 Flashcards

1
Q

Attention is the human mind’s ability to select among ? and within certain ?

-
-

A

competing stimuli and within certain capacity limitations

single entity
-networks
-processes
-forms

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2
Q

Initial Observations on Attention:
attention is always defined in relation to a stimulus which could be:
ex..
in..

-
-
-

attention is closely connected to other processes such as :

A

external (originating from environment)
internal (originating from within individual)

visual
auditory
tactile
other

language, memory, exec function

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3
Q

Central Principles of Attention:
attention is taking possession by the mind in clear and vivid form, of one out of what seem several simultaneously possible objects or trains of thoughts

what are of its essence

it implies withdrawal from some things in order to deal effectively with ? and is a condition which has a real opposite in the ?

A

focalization , concentration

others/ confused, dazed, scatterbrained state

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4
Q

Capacity limitation and selection:
attention is a ? resource

attention involves selection of ?

there are both .. factors

A

limited capacity

relevant stimuli

external and internal factors

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5
Q

Theories and models of attention:
general models for attentional mechanisms:
the cocktail party problem:

spotlight theory: an object in one area of visual field receives ?

object formation: in order to attend to people/things we must first use the ?

A

3 additional theories from this work

enhanced processing

sensory information available to use to form perceptual objects

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6
Q

Cocktail Party problem:
the challenge to attending to a target talker in a complex acoustic environment: this task:
requires
is made more difficult if irrelevant sounds consist of ?
may cause confusion for the listener even when the target talker is?

A

selective auditory attention

other intelligible talkers

fully audible

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7
Q

3 theories from cocktail problem:
Early filter theory: irrelevant stimuli are ?

filter attenuation model: irrelevant stimuli are ?

late filter theory: selection of target stimuli occurs

A

filtered out early on

attenuated but still monitored

later

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8
Q

General Models for capacity limitations:
resource allocation theory: we flexibly allocate resources fro a single cognitive pool ?

central bottleneck model: resource must be sequentially -

A

of resources to various tasks

simultaneously - allocated to various tasks

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9
Q

Models for types of attention:

-

A

Sohlberg and Mateers model

sustained attention (attending to a single set of stimuli for period of time)
exec. control of attention: including working memory, sleective attention, suppression and alternating attention

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10
Q

Attention subsystems:
Alerting

orienting:
..
…driven
..
..
..

executive control:
.. to …
task set ?

A

voluntary, goal directed
stimulus driven
disengaging
shifting
engaging

moment to moment
task set maitenance

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11
Q

Sustained attention: ability to maintain attention during

executive control:
selective: selectively process information while ?
alternating: shift focus between?
-… flexibility
suppression: ability to control ?

working memory: ability to ?

A

continuous and repetitive activities

inhibiting responses to nontarget information

tasks, stimuli or response sets
mental flexibility

impulsive responding

hold and manipulate information in mind

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12
Q

Clinical implication of deficits in attention:

debate over attention continues regarding two theories
Is attention a capacity limited system?
-performance on a task will suffer if there are not ?
-performance on a task will suffer if attention to a task is ?

is attention a cognitive bottleneck:
there is agreement among researchers regarding the ?

A

enough attentional resources
allotted in an insufficient or inappropriate manner

multidimensional aspects of attention

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13
Q

Basic functions of attention:
sustained attention: waiting for your number to be

selective/focused attention: studying for exam while someone nearby i s

divided attention: taking notes while

attention switching: shifting attentional focus back and forth from?

A

called at deli line

talking o phone

listening to lecture

one task to another

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14
Q

Sohlberg and Mateer model:
sustained attention: attending to set of stimuli for a period of ?

executive control of attention:
working memory: holding and ?

selective attention: focusing on stimuli while filtering out ?

suppression: controlling an ?

alternating attention: shifting focus from

A

time

manipulating info in your mind

competing stimuli

impulse of impulsive response

one task to another

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15
Q

Neural Bases of Attention:
a diffuse network that supports primarily ?

right hemisphere network that mediates attention allocation to ?
-the right frontal lobe seems to be more dominant for ?
the left prefrontal cortex provides a principal role in ?
anterior structures of the right hemisphere contribute to ? including

the right posterior parietal cortex, prefrontal cortex, cingulate gyrus and subcortical structures are essential components of
posterior parietal:
pulvinar nucleus of the thalamus:
superior colliculus:

this is why attentional skills are negatively impacted by ?

A

more basic attention

focal spatial stimuli
-sustained attention
-attention-switching functions
-complex spatial attention abilities including scanning and selection

right hemisphere attention network
-designating attention
-sustained and alternating attention
alternating visual attention

right hemisphere stroke

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16
Q

Frontal Lobe: other cortical structures
premotor cortex: attention, .. and .. of movements

anterior cingulate cortex:
affect, .. attention,… and.. interactions
sandwhiched between?
is part of the … system and has connectiosn to the ? and?

there appears to be a filter and focus cognitive and emotional process:
anterior parts ?
posterior parts: ..memory, managing.. and emotional ?

works together with DPFC to integrate:

responsible for:
.. attention
.. and spontaneous thought
..behaviors
conflict? and ?

A

shifting, coordination, movement

selective attention, empathy, and social interactions
corpus callosuma nd frontal and parietal lobes
limbic system and connections to prefrontal cortex and hippocampus

filter out info - cog. control, detecting errors, and problem solving
detect info - autobiographical memory, managing risky behavior, and emotional processing

cogntiive behavioral functions and emotional autonomic motor network s

body directed attention
conceptualization and spontaneous thought
motivated behaviors
monitoring and error detection

17
Q

Assessment of attention: considerations
the modality being tested
attention may or may not eb ?

attention related to ?

must consider impairment specific needs and challenges when:
determining what typeof attention you want to
taking pt current?

construct ? and ecological ? of specific measures

how to separate assesment of possible ? from known ?:

.. of eval. ?

A

stable over time

effort

assess
current abilities into account
validity
attention deficits /memory function/language skills of pt
purpose/goal

18
Q

Impairment specific attention: TBI
a heterogenous ? however attention impairments common at ?
in this pop. it may be difficult to separate attention from?

importance of assessing how attention impairments manifest during ?

specificity of impairments drive ?
mild deficits may have the most ?
fatigue significantly impacts ?

A

pop. / all levels of severity for TBI
overall slowed processing

ADLs and other everyday tasks

assessment selections and therapy goals
-negative functional impact on cognition
attention

19
Q

Impairment specific attention: aphasia
although aphasia is a language impairment, many patients with aphasia also show?
patients with aphasia may have diff. allocating attention to ? or maintaining
visual attention in aphasia may impact use of ?

the relationship between attention and language in this pop. is not ?
attention may not be ?
any attention testing and tx should be selected or designed with?

new tx’s incorporating both language and attention components are ?

A

attention impairments
-diff. tasks/ consistent attention over time
-AAC

fully understood
-main concern
-pt’s language abilities in mind

emerging

20
Q

Impairment specific attention: dementia

attention deficits are not a diagnostic criterion for most ? however deficits are present even at?

deficits in attention vary depending on?

in any type of dementia attention may become an issue in later stages and .. important to provide strategies

A

types of dementia / early stages

type of dementia (LEWY BODY - fluctuations in attention are typical)

caregiver training is important to provide strategies

21
Q

Impairment specific attention: right hemisphere CVA
Deficits in attention is the most commonly ?
all aspects of attention are ?
identification of specific deficits attention help to ?
.. syndrome
.. is prominent?

A

impaired cog ability
neg. impacted
drive interventions
negelct syndrome
hemi spatial neglect prominent

22
Q

Visual Fields:
both eyes ca see the majority of the ?
R eye gets vis. info from ?
L eye from ?

each eye misses the ?

A

full visual field

L visual field and own periphery

R visual field and own periphery

opposite visual field

23
Q

Hemianopsia:
a portion or the ensure side of the ? is limited

the training of compensations targets body and head movements to ? in the left visual field. Obtaining results from this vital visual tests results from ?

A

visual field is limited

register stimuli in left visual field/ occupational therapist guide SLPs in providing tx

24
Q

Assessment of attention: formal assessment

test of ?
-involves eight subtests assessing ?
… high?
limited

Attention…
highly structured assessment of types of attention identified in the?

brief test of ?
involves ?
good .. but also taps into ?

symbol digit ?
involves
is mostly ? but involves ?

A

everyday attention
-different types of visual and auditory attention
theory based, construct validity
ecological validity

processing training test
-identified in original model

attention
-listening for and counting letters/numbers
construct validity/ language comprehension and working memory

modalities test
-matching symbols to digits
nonverbal/ visual scanning abilities

25
Q

Assessment of Attention: formal continued
conners continuous performance test:
originally designed for use in ?
involves responding to ?

test of everyday attention:
has multiple subtests that assess ?
can be difficult to differentiate the types of attention which can result in ?

A

children but can be used with adults
everything except speficied target

subtests that assess specific types of attention
conflicting interpretations of results

26
Q

Assessment of attention: assessment tasks:
digit span:
very?
also taps into ?
may be difficult for ?

paced auditory serial addition test
involves?
sensitive to ?

A

widely used
immediate verbal memory
individuals with language deficits

holding digits in working memory and addign them together
mild deficits in TBI patients

27
Q

Assessment of Attention: rating scales
depending on clinical context, attention may need to be able to be assessed ?
this is not the same as a ? but considering attention in the context of other skills may be of value if a full eval is not possible

-

A

briefly/ or informally through observation or use of general cog. tests
-comprehensive eval

also be used/ ecological validity than decontextualized patient/compelted tasks
-moss attention rating scale
-rating scale of attentional behavior

28
Q

treatment of attention: EBP
there are several approaches to tx of attention in pop. with cog-comm impairments
direct training: use of ?
examples include:

training in specific skills: training attention in context of
providing ? to help a patient attend to ?

environmental modifications, self-management ? and external ?
example

A

decontextualized tasks to train attention in specific context
-computer or app based task
attention processing training : tasks such as listening for target words in presented string

everyday activities / scaffolding/ attend to morning routine

startegies/ aids to help compensate for attention deficit
-watch that beeps every hour to remind patient to check schedule