C J Long

CONTENTS
Series Overview
Predoctoral Training
The UM Program
References
Mental Status
Test Reviews
General Screening Devices
Test Batteries
Localization
Dysfunction
Age Norms for HRB
Report Outline
Sample Report
Misconceptions
| TOP |
2. It may be erroneously assumed that afferent, motor, autonomic & speech functions are not disturbed, when alterations at this level are interfering with complex behavior & with assessment methods.
3. It may be erroneously assumed that the region of dysfunction is limited to a circumscribed region of widespread damage but may be due to less conspicuous in another area.
4. It may be erroneously assumed that electrical stimulation has focal effect.
5. It may be erroneously assumed that behavior is altered by a lesion without condiseration of effects of lesions of equivalent mass elsewhere.
6. It may be erroneously assumed that quantitative or qualitative differences in complex behavior stem specifically from the site or side of the lesion when they are the consequence of the size of the lesion.
7. In intact animals, learning skilled motor acts with one limb could be performed by contralateral limb.
2. New Neural systems were connected with old and interacted or controlled.
3. Increasingly complex behaviors first evolved from interaction of areas
4. As cortex evolved interactions increased for different functions allowing some cognitive processing to occur without direct ties to lower systems
5. Recovery of Function
| TOP |
It is accepted as axiomatic -- to understand brain function one must establish the structural boundaries of the neuron aggregates acting as functional units in behavior.
Researchers strive to place lesions so that a single defined aspect of behavior & no other is impaired by a lesion in one precise site & no other.
This is a traditional view which predated Galen, was supported by Gall and Broca, and Fritsch & Hitzig's studies.
This view directs much of the research even though the naive formulations of phrenologists and anatomical parcellation of cytoarchitectonics are rejected by almost all.
It is an inexact out-moded formulation employed for convenience.
During the 100 yrs since Broca, relatively predictable relationships have been established between circumscribed sites in the brain and certain aspects of sensation, movement, speech, sleeping, waking, etc.,
But what of more complex aspects of behavior? Things such as learning, memory, mood, attitudes, etc.
Alternative concept holds the unitary view that each of the various categories of complex behavior implicates the activity of much, if not all, of the brain.
Study of specific behaviors yeilds observations about elements and not about complex behavior itself.
When functions are expressed at a simple level, there is a degree of regional specialization at all brain levels with exception of association cortex.
The unitary view would suggest that a loss of a portion of the brain would result not in the abolition of a specific category of complex behavior,, but in a graduated deterioration of many features of complex behavior, in proportion to the mass of the lesion & regardless of site (mass-action).
2. In motor, sensory, and lower systems, the principle of mass-action is of trivial significance.
Some believe that a brain behavior relationship will be definitively established when satisfactory behavioral assay procedures are developed and suitable patients are studied.
They find the regional localization view attractive since it offers the opportunity to employ new anatomical and electrophysiological methods to attack the problem.
Furthermore it is a natural extension of procedures that have worked on more simple systems.
They view data supporting mass-action as an artifact of behavioral assay methods (data by these methods depends upon a large number of elements, each related to a specific locus.
| TOP |
Impatient with investigations which only evaluate behavioral changes related to specific sites.
They wish to attack more complex behaviors.
They hold that complex behaviors are not simply the result of compartmentalized functions in specific structures linked by long fiber tracts.
They view focal lesion studies as yielding too much to the temptation to reduce complex functions (i.e.) memory to simpler elements that can be explored more conveniently.
Believe that complex processes are not simply the sum of the components.
Few quantitative studies have been conducted on human subjects.
2. severe alcoholism - medial temporal & periventricular lesions.
3. Memory impairment noted after temporal lobe lesions.
| TOP |
2. It may be erroneously assumed that afferent, motor, autonomic & speech functions are not disturbed, when alterations at this level are interfering with complex behavior & with assessment methods.
3. It may be erroneously assumed that the region of dysfunction is limited to a circumscribed region of widespread damage but may be due to less conspicuous in another area.
4. It may be erroneously assumed that electrical stimulation has focal effect.
5. It may be erroneously assumed that behavior is altered by a lesion without consideration of effects of lesions of equivalent mass elsewhere.
6. It may be erroneously assumed that quantitative or qualitative differences in complex behavior stem specifically from the site or side of the lesion when they are the consequence of the size of the lesion.
9. The brain is both one organ and many.
10. Areas or centers for primary processing?
4. Problem with Design
5. Individual Differences
6. Hierarchical System
2. New Neural systems were connected with old and interacted or controlled.
3. Increasingly complex behaviors first evolved from interaction of areas
4. As cortex evolved interactions increased for different functions allowing some cognitive processing to occur without direct ties to lower systems
5. Recovery of Function
| TOP |