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Perception, Planning & Action
WK8: Deficits in Planning I: Frontal Lobe Disorders
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Cards (97)
What was the focus of the study by Shallice and Burgess (1991)?
Deficits in strategy application after
frontal lobe
damage
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How many patients were involved in the study?
Three
patients
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What type of injuries did the patients sustain?
Traumatic
injuries involving
prefrontal
structures
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What was a common difficulty faced by all three patients during the tests?
Spending too long on
individual
tasks
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What cognitive abilities did the patients score well on?
Perception
,
language
, and intelligence
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What was excluded as an explanation for the patients' difficulties?
Memory
or
motivational
problems
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What was argued to be the source of the patients' problems?
Inability to reactivate intentions after a
delay
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What effect do frontal lobe lesions have on everyday activities?
Gross
impairment in non-routine activities
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Who reported the case of an accountant with frontal lobe damage?
Eslinger
and
Damasio
(
1985
)
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What was the accountant's IQ after surgery?
Over
130
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What difficulties did the accountant face despite high IQ?
Gross
impairment in organizing his life
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What was a specific example of the accountant's difficulties?
Struggling to
plan
a
simple
dinner
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What is a characteristic of neuropsychological tests mentioned?
Patients tackle a single
explicit
problem
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What is often not required in neuropsychological tests?
Organizing or planning
behavior
over time
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What type of abilities are crucial for everyday activities?
Executive abilities
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What are the key components of executive functioning in daily tasks?
Planning and organization
Task prioritization
Decision-making
Managing multiple activities
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What was the purpose of developing quantifiable analogues?
To assess
patients' performance
in real-life tasks
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What type of injury did patient A.P. sustain?
Serious
open head injury
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What was A.P.'s condition after rehabilitation?
Limited
success
in organizing activities
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How did A.P. describe his room before the accident?
Immaculate with
'5/5
tidiness'
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What was A.P.'s performance on the Digit Span subtest?
Initially in the
Dull Normal
range
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What was the outcome of A.P.'s neuropsychological tests?
Generally
satisfactory
performance
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What type of injury did D.N. sustain?
Right frontal depressed skull fracture
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What did D.N.'s wife report about his domestic behavior?
He is
untidy
and lacks initiative
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What was D.N.'s performance on the WAIS?
Verbal IQ
of
126
and
Performance IQ
of
112
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What was D.N.'s performance on memory tests?
Good with
verbal
material, poor with
visual
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What was D.N.'s performance on tests sensitive to frontal lobe lesions?
Generally
satisfactory
but
poor
on
one
test
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What was the outcome of D.N.'s neuropsychological tests?
Performed
well
on
a
wide
range
of
tests
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How did D.N.'s IQ scores compare to his premorbid level?
They may be
below
his premorbid level
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How did D.N. perform on verbal and visual memory tests?
Well
on
verbal
,
poorly
on
visual
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What does D.N.'s performance on frontal lobe tests indicate?
Generally satisfactory with some
poor results
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What injury did F.S. sustain 30 years ago?
Fractured
skull
from a
horse
accident
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What was the result of F.S.'s CT scan after her second accident?
Extensive
lesion
to the left
frontal lobe
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What type of paralysis did F.S. experience after her first accident?
Slight
left-sided facial paralysis
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How does F.S. manage her daily activities?
Undertakes
virtually
no
inessential
activities
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What does F.S.'s shopping behavior indicate about her organizational skills?
She shops
daily
but buys very few items
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What does F.S.'s performance on memory tests suggest?
Memory problems secondary to
frontal
difficulties
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How did the three patients perform on perceptual and cognitive tests?
Close to their
premorbid
level
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What are the key findings from the neuropsychological tests of the three patients?
Case
1: No memory problems
Case
2:
Primary
visual memory impairment
Case 3:
Frontal
memory difficulties
All show severe organizational difficulties
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What is the purpose of the Six Element Test (SE)?
To assess
scheduling
of multiple
tasks
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