Neuropsychology Flashcards
what does neuropsychology study?
studies the link between brain and behaviour. fundamentally about studying impairments in individuals who have suffered brain damage
what is the aim of clinical neuropsychology?
understanding the condition (diagnoses, assess)
what is the aim of cognitive neuropsychology?
understand normal functions in the brain by studying patterns of impairment after brain damage
what is the difference between ‘strong’ and ‘weak’ cognitive neuropsychology?
strong= use patient data to construct a theory
weak= use patient data to refine a theory
list seven causes of brain damage:
-traumatic injury
-stroke
-lack of oxygen (hypoxia)
-tumours
-brain infections or inflammation
-nutritional deficiencies
-chronic alcohol abuse
-surgery
Name the four assumptions in neuropsychology:
1- universality
2- modularity
3- fractionation
4- transparency
Explain the assumption ‘universality’ and how justified it is:
-cognitive processes are the same in all individuals. there is still scope for differences but average group of individuals is reflection of any individual in wider population
-everyone has the same structure of the brain but there are little differences in individual gross anatomy. brains are not symmetrical and some brains show different proportions of matter in different places
Explain the assumption ‘modularity’ and how justified it is:
complex cognitive processes can be broken down into simpler processing units
-there is very little actual evidence because it is difficult to prove
Explain the assumption ‘fractionation’ and how justified it is:
brain damage can result in the selective impairment of a particular process
-there is an abundance of evidence
Explain the assumption ‘transparency’ and how justified it is:
the cognitive system of brain damaged patient is fundamentally the same as that of a normal subject except for a local modification of the system- all other processes are in tact
-there can often be disruption to other cognitive processes, behavioural compensation, and natural re organisation
how do split brain patients complicate neuropsychology assumptions?
surgery is done in some epilepsy patients where they cut connection between the two hemispheres which stops the connections involved in epilepsy. for these split brain patients, once the fibre is cut the brain is deemed as acting ‘normal’ which means their original brain was abnormal. is it a fair assumption that their brain is representative of everyone?
What post morbid damage was found in patient HM that was resulted from surgery?
there was evidence of an undetected stroke as a result of brain trauma from the surgery, also there were metal chips left in the brain which had corroded over time and began to damage tissue around them
What is the group study approach?
patient group vs control group. inferences are drawn from between group comparisons, looking for associations of common deficits or common sites of damage
what are some problems with the group study method ?
-relies on the assumption of universality
-similar behavioural symptoms may arise from different underlying patterns of damage
-similar sites of damage may be associated with very different symptoms
-specific behavioural impairments within a syndrome may vary
-it is time consuming to find patients
-there is a risk of over interpreting associations
what is the Case Study approach?
looking for specific single deficits in a patient. mainly concerning dissociations between behaviour patients can or can’t do
Explain Single and Double dissociations:
Single Dissociation: if patient can do A but not B, A and B are likely to be independent processes in the brain and may involve different brain regions
Double Dissociation: one patient can do A but not B, another can do B but not A. strong evidence of involving different cognitive processes and brain regions
What is an alternative explanation for a single dissociation?
may simply be that B is harder than A, so damage to the process that controls A and B results in a more noticeable problem in B than in A
How was double dissociation used to distinguish Broca’s and Wernicke’s aphasias?
patient had spared word order and meaning (A), but impaired fluency (B).
other patients had impaired word order and meaning (A), but spared fluency of speech (B)
= different lesion sites for the aphasias
Why are double dissociations difficult to replicate?
it is difficult to find patients with purely damage to one cognitive process, and that are complementary to each other
what are the methods in Cognitive Neuropsychology?
-studies of individuals with localised brain damage
-studies of individuals who have been surgically operated on
-behavioural studies of healthy individuals
-imaging studies of both healthy and brain damaged individuals
-inducing temporary lesions in healthy patients
how can neuropsychologists confirm links from functions to structure?
-post mortem; confirm deficits in anatomy after death
-imaging techniques