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
Q

Memory Systems

Table

A

pg. 57 in book

26
Q

Where are memories stored?

A
  • 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
Q

Modality Specificity:

Verbal vs. Visual memory

A
  • Left hemisphere -
    • verbal memory & lexical information
  • Right hemisphere -
    • visual memory,
    • topographical memory,
    • non-verbal information
28
Q

What is Executive Function?

A

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
Q

Theoretical Models of

Executive Function

A

Many theories:

  • components of executive function not mutually exclusive
  • they interact & overlap
  • general agreement about primary cognitive processes comprising executive function
30
Q

The action of beginning a goal-directed task

A

Initiation

31
Q

Identifying the problem, generating potential solutions,

choosing a solution, and

evaluating the outcome

A

problem-solving

32
Q

Ability to change a course of action or thought

based on the shifting demands

of a situation

A

Mental flexibility

33
Q

Setting objectives & determining a course of

action for achieving those actions

A

Planning

34
Q

Being able to discern the potentially good

and harmful aspects of a situation,

and act in a way that makes sense

A

Judgement

35
Q

The ability to select appropriate responses and suppress

unwanted actions

A

Inhibition

36
Q

The process of forming conclusions, judgements

or inferences from facts or premises

A

Reasoning

37
Q

the regulation of one’s thoughts, emotional responses,

actions & motivations in order to behave

in an expected way for a given situation

A

self-regulation

38
Q

awareness & understanding of one’s own

thoughts and skills and how you learn information

A

Meta-cognition

39
Q

Key concepts of

Executive Function

A
  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
Q

Neuroanatomy

of

Executive Function

A
  • Executive functions are associated with the frontal lobes and their connections
  • Prefrontal area is divided into subsections:
    • Dorsolateral
    • Ventrolateral
    • Orbitofrontal
    • Dorsomedial
    • Ventromedial
41
Q

Dorsolateral

Executive Function Neuroanatomy

A

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
Q

Ventrolateral

Executive Function

Neuroanatomy

A

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
Q

Orbitofrontal

Executive Function

Neuroanatomy

A

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
Q

Dorsomedial

Executive Function

Neuroanatomy

A

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
Q

Ventromedial

Executive Function

Neuroanatomy

A

Connections:

  • Amygdala
  • Temporal lobe
  • Prelimbic cortex

Functions:

  • Emotional control
  • empathy

Consequences of Lesions:

  • impaired judgement
  • inappropriate social behavior
46
Q

Age Related Changes

to Cognition

A
  • some cognitive abilities improve with age (i.e. vocabulary)
  • others decrease with time
    • Processing speed
    • Attention
    • Memory
    • Executive function
47
Q

Age related changes in

processing speed

A

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
Q

Age related changes in Attention

A
  • sustained attention - little decline with age
  • executive control - (selective & alternating attention) = more noticeable decline
49
Q

Age related changes in

Memory

A

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
Q

Age related changes

in

Executive function

A
  • 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