Week 2 Lecture 2 - the lesioned brain and attending brain Flashcards
What are the 2 traditions of neuropsychology?
- classical
- cognitive
What is classical neuropsychology?
- What functions are disrupted by damage to region x?
- Addresses questions of functional specialization, converging evidence to functional imaging
- tends to use group study methods
What is cognitive neuropsychology?
- Can a particular function be spared/impaired relative to other cognitive functions?
- Addresses questions of what the building blocks of cognition are
- Tends to use single case methodology
- Starts with premise that no two brain lesions are identical
Give some examples of what brain damage can occur from
- cerebrovascular accident
- neurosurgery
- viral infections
- tumour
- head injury
- neurodegenerative disease
What is a stroke?
loss of brain function after disturbance of blood supply
What are the 2 types of stroke?
- Ischemia
- Haemorrhage
What is an Ischemia stroke?
- lack of glucose and oxygen supply
- some neuron function can be preserved
What is a haemorrhage stroke?
- bleeding into brain tissue
- neuron death due to flooding of blood
- neuron function can’t be preserved once dead
What does neuropsychological testing test?
- intelligence
- memory
- visuospatial
- executive function
- sensation
Provide 2 examples of neuropsychological tests
- pyramids and palm trees –> tests semantic memory
- Figure of Ray –> visuospatial testing
What is a single dissocition?
- If a patient is impaired on a particular task but relatively spared on another task
What is a classical single dissociation?
- If a patient is impaired on a particular task but performs within normal range on another task
What is a strong single dissociation?
- If a patient is impaired on both tasks but is significantly more impaired on one task
What is an example of a classical single dissociation?
- Patient CF –> When writing words he systematically omitted vowels
- separate patient –> made spelling errors selectively on consonants (omitted all consonants)
What is the basic logic behind single dissociations?
a difficulty in one domain, relative to an absence in difficulty in another domain can be used to infer the independence of these domains –> cognitive neuropsychology
What are double dissociations?
- 2 or more single cases with complementary profiles
- e.g., brain has separate neural resources for processing written vowels relative to consonants
What is an example of a double dissociation?
- Broca’s aphasia and Wernicke’s aphasia
- BA –> understand but not produce speech
- WA –> difficulty with semantics
What are some issues with single case studies?
- lesions needs to be assessed for each patient, and no guarantee that same anatomical lesions have same cognitive effect in different patients
- therefore the cognitive profile of each patient needs to be assessed separately from other patients
Can single case studies be averaged?
no because each patient may have a different cognitive lesion that we can not know prior
What did a study by Bozeat find? (word/picture matching)
- task –> matching test of which word/pic fit best
- performance on word version was worse than picture version –> potentially because pictures give more details
single study cases can’t be averaged, but how can they be grouped?
- group by syndrome –> useful for investigating neural correlates of a disease pathology but not for dissecting cognitive theory
- group by behavioural symptom –> can potentially identify multiple regions that are implicated in a behaviour
- Group by lesion location –> useful for testing predictions derived from functional imaging
Space in the brain exists in many forms, name them
- Locations on sensory surfaces
- location of objects relative to the body
- location of objects relative to each other
How do we locate things in space?
by using cross-modal perception –> integrating information from sight, sound, touch etc.
What is attention?
- process by which certain info is selected for further info
- limited capacity
- directed to locations in space –> spotlight metaphor
- may need to bind together different aspects of conscious perception