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2 obstacles to developing evidence based therapis for recovery of function after cerebral injury
no generally accepted definition of what constitutes “recovery”
organisation of the brain is not static and the brain has the capacity to alter its structure and functions in reaction of environmental diversity
no generally accepted definition of what constitutes “recovery”
the word can be used to imply a complete return of function, a marked improvement in function or any degree of improvement
organisation of the brain is not static and the brain has the capacity to alter its structure and functions in reaction of environmental diversity
relationship between brain plasticity and behaviour is correlational
3 general principles of plasticity in the normal brain
plastic changes are age dependent
experience dependent changes interact
the brain is altered by a surprisingly wide variety of experiences throughout the lifespan
plastic changes are age dependent (3)
generally presumed that developing will be more responsive to experiences than the adult brain
increase in spine density only shown in adult rats where placed in a complex environment
decrease in spine density shown in juvelines rates
experience dependent changes interact (3)
if animals are exposed to psychomotor stimulants either as juveniles or in adulthood, later experience have a much reduced effect
when rats are given methylphenidate as juveniles or amphetamine as adults and then placed in complex environments, the later experience dependent changes are blocked
although these drugs dont show any obvious direct effects, prior exposure prevents the expected changed in these regions
the brain is altered by a surprisingly wide variety of experiences throughout the lifespan
many of these experiences are obvious such as sensorimotor training
many are less intuitive
e..g social play, task learning
surgical procedure that result in split brain deficits
severing of the corpus callosum, the super highway of neurons connecting the halves of the brain
abilities of split brain patients in terms of vision and speech (4)
visual information no longer moved between the two hemisphere
the right brain saw the image and could mobilise a non verbal response by drawing with left hand but couldn’t talk about it
the left brain is dominant for language and speech
the right brain excels at visual motor tasks
bow- arrow task
one hemisphere of a patient was flashed a card with the word “bow
the other hemisphere saw “Arrow”
split brain patients performance on bow-arrow task (4)
patient drew a bow and arrow - assumed that two hemisphere were still able to communicate
then flashed “sky” and “scraper” but the image produced was not synthesising the information
one hemisphere drew what it had seen, the other drew its word
clear that each hemisphere was capable of synthesis
implications of split brain patient research on our understanding of false memory (2)
the left hemisphere creates coherent stories to explain actions or experiences, even without full information revealing its tendency to confabulate and construct meaning.
suggest false memories stem from the left hemisphere’s reconstructive and schema-building processes, which fill in missing details to make past events feel consistent and logical, even when inaccurate.
primary visual pathway
from the retina to the primary visual cortex
effects of lesions on the primary visual pathway (3)
total blindness of the left eye resulting from a complete lesion of the optic nerve
bitemporal hemianopia resulting from a lesion of the optic chiasm
right homonymous hemianopia resulting from a lesion of the primary visual cortex in the left hemisphere
phenomenon of blindsight
in which patients respond to visual stimuli that they cannot see
two explanations for blindsight
alternative visual pathways hypothesis
spared islands of cortical tissue hypothesis
alternative visual pathways hypothesis (3)
visual pathways projecting from the retina to the superiror colliculus remain functional
these pathways allow for unconscious visual processing enabling patients to detect and respond to visual stimuli without conscious awareness
while conscious vision is lost, visual information still reaches parts of the brain
spared islands of cortical tissue hypothesis (2)
intact patches of V1 within the damaged area continue to function
these islands may provide limited visual input that supports the patient’s residual abilities
which explanations best fit with evidence
most support alternative visual pathways hypothesis
bootstrapping
conscious visual ability is manipulated in order to reveal the processing of visual input of which the patient remains quite unaware
patient SF
had severe visual agnosia and could nto identity simple visual forms but have no difficulty naming colors or discriminaitng between different shades of colour
what did Aglioti et al investigate (2)
whether or not SF’s spared colour perception could be used to improve his ability to discrimination form
used a variant of the Stroop test
experiment
asked SF to identify the letters “R” and “V” the initial letters of the italian colours “rosso” and “verde”
given stroop test
performance (4)
could not discriminate between single letters
but in stroop test, he was more accurate and faster at reading V and R when those letters were printed in the congruent colours, the letter R in red and the letter V in green
claimed to be unaware of the forms of the two letters
claimed that he had a feeling that he was performing above chance level
what did Aglioti argue
that SF’s normal colour perception which allowed him to accurately identity the colour of the letters automatically activated his stored memories of the colour names which in turn produced some sort of internal image of the colour words