On This Day … 20 August [2022]

People (Births)

  • 1913 – Roger Wolcott Sperry, American neuropsychologist and neurobiologist, Nobel Prize laureate (d. 1994).

People (Deaths)

  • 1985 – Donald O. Hebb, Canadian psychologist and academic (b. 1904).

Roger Wolcott Sperry

Roger Wolcott Sperry (20 August 1913 to 17 April 1994) was an American neuropsychologist, neurobiologist and Nobel laureate who, together with David Hunter Hubel and Torsten Nils Wiesel, won the 1981 Nobel Prize in Physiology and Medicine for his work with split-brain research.

A Review of General Psychology survey, published in 2002, ranked Sperry as the 44th most cited psychologist of the 20th century.

Donald O. Hebb

Donald Olding Hebb FRS (22 July 1904 to 20 August 1985) was a Canadian psychologist who was influential in the area of neuropsychology, where he sought to understand how the function of neurons contributed to psychological processes such as learning.

He is best known for his theory of Hebbian learning, which he introduced in his classic 1949 work The Organisation of Behaviour. He has been described as the father of neuropsychology and neural networks. A Review of General Psychology survey, published in 2002, ranked Hebb as the 19th most cited psychologist of the 20th century. His views on learning described behaviour and thought in terms of brain function, explaining cognitive processes in terms of connections between neuron assemblies.

On This Day … 12 April [2022]

People (Births)

Benjamin Libet

Benjamin Libet (12 April 1916 to 23 July 2007) was an American neuroscientist who was a pioneer in the field of human consciousness.

Libet was a researcher in the physiology department of the University of California, San Francisco. In 2003, he was the first recipient of the Virtual Nobel Prize in Psychology from the University of Klagenfurt, “for his pioneering achievements in the experimental investigation of consciousness, initiation of action, and free will”.

Who was Roger Wolcott Sperry?

Introduction

Roger Wolcott Sperry (20 August 1913 to 17 April 1994) was an American neuropsychologist, neurobiologist and Nobel laureate who, together with David Hunter Hubel and Torsten Nils Wiesel, won the 1981 Nobel Prize in Physiology and Medicine for his work with split-brain research.

A Review of General Psychology survey, published in 2002, ranked Sperry as the 44th most cited psychologist of the 20th century.

Early Life and Education

Sperry was born in Hartford, Connecticut, to Francis Bushnell and Florence Kraemer Sperry. His father was in banking, and his mother trained in business school. He was raised in an upper middle-class environment, which stressed academic achievement. Roger had one brother, Russell Loomis. Their father died when Roger was 11. Afterwards, his mother became assistant to the principal in the local high school.

Sperry went to Hall High School in West Hartford, Connecticut, where he was a star athlete in several sports, and did well enough academically to win a scholarship to Oberlin College. At Oberlin, he was captain of the basketball team, and he also took part in varsity baseball, football, and track. He also worked at a café on campus to help support himself. Sperry was an English major, but he took an Intro to Psychology class taught by a Professor named R.H. Stetson who had worked with William James, the father of American Psychology. This class sparked Sperry’s interest in the brain and how it can change. Stetson was disabled and had trouble getting around so Sperry would help him out by driving him to and from wherever he needed to go. This included taking Stetson to lunch with his colleagues. Sperry would just sit at the end of the table and listen to Stetson and his colleagues discuss their research and other psychological interests.

This increased Sperry’s interest in Psychology even more and after he received his undergraduate degree in English from Oberlin he decided to stay and get his master’s degree in Psychology. He received his bachelor’s degree in English in 1935 and a master’s degree in psychology in 1937. He received his Ph.D. in zoology from the University of Chicago in 1941, supervised by Paul A. Weiss. Sperry then did postdoctoral research with Karl Lashley at Harvard University though most of his time was spent with Lashley at the Yerkes Primate Research Centre in Orange Park, Florida.

Career

In 1942, Sperry began work at the Yerkes Laboratories of Primate Biology, then a part of Harvard University. There he focused on experiments involving the rearranging of motor and sensory nerves. He left in 1946 to become an assistant professor, and later associate professor, at the University of Chicago. In 1949, during a routine chest x-ray, there was evidence of tuberculosis. He was sent to Saranac Lake in the Adironack Mountains in New York for treatment. It was during this time when he began writing his concepts of the mind and brain, and was first published in the American Scientist in 1952. In 1952, he became the Section Chief of Neurological Diseases and Blindness at the National Institutes of Health and finished out the year at the Marine Biology Laboratory in Coral Gables, Florida. Sperry went back to The University of Chicago in 1952 and became an Associate Professor of Psychology. He was not offered tenure at Chicago and planned to move to Bethesda, Maryland but was held up by a delay in construction at the National Institutes of Health. During this time Sperry’s friend Victor Hepburn invited him to lecture about his research at a symposium. There were professors from the California Institute of Technology in the audience of the symposium who, after listening to Sperry’s lecture, were so impressed with him they offered him a job as the Hixson Professor of Psychobiology. In 1954, he accepted the position as a professor at the California Institute of Technology (Caltech as Hixson Professor of Psychobiology) where he performed his most famous experiments with Joseph Bogen, MD and many students including Michael Gazzaniga.

Under the supervision of Paul Weiss while earning his Ph.D. at the University of Chicago, Sperry became interested in neuronal specificity and brain circuitry and began questioning the existing concepts about these two topics. He asked the simple question first asked in his Introduction to Psychology class at Oberlin: Nature or nurture? He began a series of experiments in an attempt to answer this question. Sperry crosswired the motor nerves of rats’ legs so the left nerve controlled the right leg and vice versa. He would then place the rats in a cage that had an electric grid on the bottom separated into four sections. Each leg of the rat was placed into one of the four sections of the electric grid. A shock was administered to a specific section of the grid, for example the grid where the rat’s left back leg was located would receive a shock. Every time the left paw was shocked the rat would lift his right paw and vice versa. Sperry wanted to know how long it would take the rat to realise he was lifting the wrong paw. After repeated tests Sperry found that the rats never learned to lift up the correct paw, leading him to the conclusion that some things are just hardwired and cannot be relearned. In Sperry’s words, “no adaptive functioning of the nervous system took place.” During Sperry’s postdoctoral years with Karl Lashley at Harvard and at the Yerkes Laboratories of Primate Biology in Orange Park, Florida, he continued his work on neuronal specificity that he had begun as a doctoral student and initiated a new series of studies involving salamanders. The optic nerves were sectioned and the eyes rotated 180 degrees. The question was whether vision would be normal after regeneration or would the animal forever view the world as “upside down” and right-left reversed. Should the latter prove to be the case, it would mean that the nerves were somehow “guided” back to their original sites of termination. Restoration of normal vision (i.e., “seeing” the world in a “right-side-up” orientation) would mean that the regenerating nerves had terminated in new sites, quite different from the original ones. The animals reacted as though the world was upside down and reversed from right to left. Furthermore, no amount of training could change the response. These studies, which provided strong evidence for nerve guidance by “intricate chemical codes under genetic control” (1963) culminated in Sperry’s chemoaffinity hypothesis (1951).

Sperry later served on the Board of Trustees and as Professor of Psychobiology Emeritus at California Institute of Technology. The Sperry Neuroscience Building at Oberlin College was named in his honor in 1990.

Nobel Prize

Sperry was granted numerous awards over his lifetime, including the California Scientist of the Year Award in 1972, the National Medal of Science in 1989, the Wolf Prize in Medicine in 1979, and the Albert Lasker Medical Research Award in 1979, and the Nobel Prize for Medicine/Physiology in 1981 that he shared with David H. Hubel and Torsten N. Wiesel. Sperry won this award for his work with “split-brain” patients. The brain is divided into two hemispheres, the left and right hemispheres, connected in the middle by a part of the brain called the corpus callosum. In “split-brain” patients, the corpus callosum has been severed due to the patients suffering from epilepsy, a disease that causes intense and persistent seizures. Seizures begin in one hemisphere and continue into the other hemisphere. Cutting the corpus callosum prevents the seizures from moving from one hemisphere to the other, which then prevents seizures from occurring, thus allowing the patients to function normally instead of suffering from continuous seizures.

Sperry first became interested in “split-brain” research when he was working on the topic of interocular transfer, which occurs when “one learns with one eye how to solve a problem then, with that eye covered and using the other eye, one already knows how to solve the problem”. Sperry asked the question: “how can the learning with one eye appear with the use of the other?” Sperry cut nerves in the eyes of cats so the left eye was connected to the left hemisphere and the right eye was connected to the right hemisphere; he also cut the corpus callosum. The cats were then taught to distinguish a triangle from a square with the right eye covered. Then the cats were presented the same problem with the left eye covered; the cats had no idea what they had just learned with the right eye and because of this could be taught to distinguish a square from a triangle. Depending on which eye was covered, the cats would either distinguish a square from a triangle or a triangle from a square, demonstrating that the left and right hemispheres learned and remembered two different events. This led Sperry to believe that the left and right hemispheres function separately when not connected by the corpus callosum.

Sperry’s research with “split-brain” cats helped lead to the discovery that cutting the corpus callosum is a very effective treatment for patients who suffer from epilepsy. Initially after the patients recovered from surgery there were no signs that the surgery caused any changes to their behaviour or functioning. This observation rendered the question: if the surgery had absolutely no effect on any part of the patients’ normal functioning then what is the purpose of the corpus callosum? Was it simply there to keep the two sides of the brain from collapsing, as Karl Lashley jokingly put it? Sperry was asked to develop a series of tests to perform on the “split-brain” patients to determine if the surgery caused changes in the patients’ functioning or not.

Working with his graduate student Michael Gazzaniga, Sperry invited several of the “split-brain” patients to volunteer to take part in his study to determine if the surgery affected their functioning. These tests were designed to test the patients’ language, vision, and motor skills. When a person views something in the left visual field (that is on the left side of their body), the information travels to the right hemisphere of the brain and vice versa. In the first series of tests, Sperry would present a word to either the left or right visual field for a short period of time. If the word was shown to the right visual field, meaning the left hemisphere would process it, then the patient could report seeing the word. If the word was shown to the left visual field, meaning the right hemisphere would process it, then the patient could not report seeing the word. This led Sperry to believe that only the left side of the brain could articulate speech. However, in a follow-up experiment, Sperry discovered that the right hemisphere does have some language abilities. In this experiment, he had the patients place their left hands in a tray full of objects located under a partition so the patient would not be able to see the objects. Then a word was shown to the patient’s left visual field, which was processed by the right side of the brain. This word described one of the objects in the tray, so the patient’s left hand picked up the object corresponding to the word. When participants were asked about the word and the object in their hand, they claimed they had not seen the word and had no idea why they were holding the object. The right side of the brain had recognised the word and told the left hand to pick it up, but because the right side of the brain cannot speak and the left side of the brain had not seen the word, the patient could not articulate what they had seen.

In another series of experiments further examining the lateralisation of language in the left and right hemispheres, Sperry presented one object to the left visual field and a different object to the right visual field of the “split-brain” patients. The patient’s left hand was put under a partition and then the patient was asked to draw with their left hand what they had been shown. The patients would draw what they had seen in their left visual field, but when asked what they had drawn would describe what had been shown to their right visual field. These tests proved that when the corpus callosum is severed, it breaks the connection between the left and right hemispheres, making them unable to communicate with each other. Not only are they unable to communicate with each other, but also without the corpus callosum connecting them one hemisphere has no idea that the other hemisphere even exists. There was even evidence of this outside the laboratory when some of the patients reported that, “while their left hand was unbuttoning their shirt, the right hand would follow along behind and button it again.” These experiments were beneficial to numerous people in many different ways.

In his words (1974), each hemisphere is:

indeed a conscious system in its own right, perceiving, thinking, remembering, reasoning, willing, and emoting, all at a characteristically human level, and … both the left and the right hemisphere may be conscious simultaneously in different, even in mutually conflicting, mental experiences that run along in parallel

This research contributed greatly to understanding the lateralisation of brain function. In 1989, Sperry also received the National Medal of Science. Afterwards in 1993, Sperry received the Lifetime Achievement Award from APA.

In addition to his contribution in establishing the lateralised function of the brain, Sperry is noted for his “chemoaffinity hypothesis”, which has not only been influential in formation of testable hypotheses in how precise neuronal wiring diagram is established in the brain, but the hypothesis itself has been verified by numerous experiments.

The cells and fibers of the brain must carry some kind of individual identification tags, presumably cytochemical in nature, by which they are distinguished one from another almost, in many regions, to the level of the single neurons.

In the words of a 2009 review article in Science magazine:

“He suggested that gradients of such identification tags on retinal neurons and on the target cells in the brain coordinately guide the orderly projection of millions of developing retinal axons. This idea was supported by the identification and genetic analysis of axon guidance molecules, including those that direct development of the vertebrate visual system.”

This was confirmed in the seventies by Marshall W. Nirenberg’s work on chick retinas and later on Drosophila melanogaster larvae.

The experiments conducted by Sperry focused on four major ideas which were also called “turnarounds”: equipotentiality, split brain studies, nerve regeneration and plasticity, and psychology of the consciousness.

Personal Life

In 1949, Sperry married Norma Gay Deupree. They had one son, Glenn Michael, and one daughter, Janeth Hope. Sperry was a quiet, thoughtful, and modest man with an insatiable curiosity. He never stopped working, questioning, or learning up until his death in 1994 of ALS or Lou Gehrig’s Disease. Sperry could often be found in his office with his feet propped up on his desk scribbling in his notebook or deep in thought. Sperry was an avid palaeontologist and displayed his large fossil collection in his home. He was also a very talented sculptor, artist, and ceramicist. He enjoyed going on camping and fishing trips with his wife and children in Baja, California.

Awards and Honours

  • 1931–1935 Amos C. Miller Scholarship, Oberlin College.
  • 1941–1942 National Research Council Fellowship.
  • 1954 Distinguished Alumni Citation, Oberlin College.
  • 1960 Elected National Academy of Sciences.
  • 1963 Elected American Academy of Arts and Sciences.
  • 1969 Howard Crosby Warren Medal, Society of Experimental Psychologists.
  • 1971 Distinguished Scientific Contribution Award, American Psychological Association.
  • 1972 Co-recipient, William Thomson Wakeman Research Award, National Paraplegia Foundation.
  • 1972 California Scientist of the Year Award.
  • 1972 Honorary Doctor of Science Degree, University of Cambridge.
  • 1973 Passano Award in Medical Science.
  • 1974 Elected Honorary Member American Neurological Association.
  • 1974 Elected American Philosophical Society.
  • 1975 Co-recipient Claude Bernard Science Journalism Award.
  • 1976 Karl Spencer Lashley Award of American Philosophical Society.
  • 1976 Elected Foreign Member of Royal Society (ForMemRS).
  • 1976 Honorary Doctor of Science Degree, University of Chicago.
  • 1978 Elected Member Pontifical Academy of Sciences.
  • 1979 Honorary Doctor of Science, Kenyon College.
  • 1979 Wolf Prize in Medicine.
  • 1979 Ralph W. Gerard Prize in Neuroscience of the Society for Neuroscience.
  • 1979 International Visual Literacy Association Special Award for 1979.
  • 1979 Albert Lasker Medical Research Award.
  • 1980 Honorary Doctor of Science Degree, Rockefeller University.
  • 1980 Golden Plate Award of the American Academy of Achievement.
  • 1981 Shared the Nobel Prize in Medicine.
  • 1981 Founding member of the World Cultural Council.
  • 1982 Honorary Doctor of Science Degree, Oberlin College.
  • 1982 California State Psychological Association Award for Distinguished Scientific Achievements in Psychology.
  • 1986 Realia Award of the Institute for Advanced Philosophic Research.
  • 1987 Mentor Society Award.
  • 1988 Elected Foreign Member USSR Academy of Sciences.
  • 1989 National Medal of Science.
  • 1989 Elected William James Fellow, American Psychological Society.
  • 1993 Lifetime Achievement Award, American Psychological Association.

On This Day … 20 December

People (Births)

  • 1917 – David Bohm, American-English physicist, neuropsychologist, and philosopher (d. 1992).

People (Deaths)

  • 1984 – Stanley Milgram, American psychologist and academic (b. 1933).

David Bohm

David Joseph Bohm FRS (20 December 1917 to 27 October 1992) was an American-British scientist who has been described as one of the most significant theoretical physicists of the 20th century and who contributed unorthodox ideas to quantum theory, neuropsychology and the philosophy of mind.

Bohm advanced the view that quantum physics meant that the old Cartesian model of reality – that there are two kinds of substance, the mental and the physical, that somehow interact – was too limited. To complement it, he developed a mathematical and physical theory of “implicate” and “explicate” order. He also believed that the brain, at the cellular level, works according to the mathematics of some quantum effects, and postulated that thought is distributed and non-localised just as quantum entities are.

Bohm warned of the dangers of rampant reason and technology, advocating instead the need for genuine supportive dialogue, which he claimed could broaden and unify conflicting and troublesome divisions in the social world. In this, his epistemology mirrored his ontology. Due to his Communist affiliations, Bohm was the subject of a federal government investigation in 1949, prompting him to leave the United States. He pursued his scientific career in several countries, becoming first a Brazilian and then a British citizen. He abandoned Marxism in the wake of the Hungarian Uprising in 1956.

Bohm’s main concern was with understanding the nature of reality in general and of consciousness in particular as a coherent whole, which according to Bohm is never static or complete.

Stanley Milgrim

Stanley Milgram (15 August 1933 to 20 December 1984) was an American social psychologist, best known for his controversial experiments on obedience conducted in the 1960s during his professorship at Yale.

Milgram was influenced by the events of the Holocaust, especially the trial of Adolf Eichmann, in developing the experiment. After earning a PhD in social psychology from Harvard University, he taught at Yale, Harvard, and then for most of his career as a professor at the City University of New York Graduate Centre, until his death in 1984.

His small-world experiment, while at Harvard, led researchers to analyse the degree of connectedness, including the six degrees of separation concept. Later in his career, Milgram developed a technique for creating interactive hybrid social agents (called cyranoids), which has since been used to explore aspects of social- and self-perception.

He is widely regarded as one of the most important figures in the history of social psychology. A Review of General Psychology survey, published in 2002, ranked Milgram as the 46th-most-cited psychologist of the 20th century.

On This Day … 28 October

People (Births)

  • 1943 – Karalyn Patterson, English psychologist and academic.

Karalyn Patterson

Karalyn Eve Patterson, FRS, FBA, FMedSci is a British psychologist in Department of Clinical Neurosciences, University of Cambridge and MRC Cognition and Brain Sciences Unit. She is a specialist in cognitive neuropsychology and an Emeritus Fellow of Darwin College, Cambridge.

Patterson was born in Chicago and attended South Shore High School, Chicago, from which she graduated in 1961. She completed her Doctor of Philosophy (PhD) at the University of California, San Diego, in 1971.

In 1975, Patterson moved to England to take a position at the Applied Psychology Unit of the Medical Research Council (MRC) in Cambridge.

What is a Neuropsychological Test?

Introduction

Neuropsychological tests are specifically designed tasks that are used to measure a psychological function known to be linked to a particular brain structure or pathway.

Refer to Neuropsychological Assessment.

Tests are used for research into brain function and in a clinical setting for the diagnosis of deficits. They usually involve the systematic administration of clearly defined procedures in a formal environment. Neuropsychological tests are typically administered to a single person working with an examiner in a quiet office environment, free from distractions. As such, it can be argued that neuropsychological tests at times offer an estimate of a person’s peak level of cognitive performance. Neuropsychological tests are a core component of the process of conducting neuropsychological assessment, along with personal, interpersonal and contextual factors.

Most neuropsychological tests in current use are based on traditional psychometric theory. In this model, a person’s raw score on a test is compared to a large general population normative sample, that should ideally be drawn from a comparable population to the person being examined. Normative studies frequently provide data stratified by age, level of education, and/or ethnicity, where such factors have been shown by research to affect performance on a particular test. This allows for a person’s performance to be compared to a suitable control group, and thus provide a fair assessment of their current cognitive function.

According to Larry J. Seidman, the analysis of the wide range of neuropsychological tests can be broken down into four categories. First is an analysis of overall performance, or how well people do from test to test along with how they perform in comparison to the average score. Second is left-right comparisons: how well a person performs on specific tasks that deal with the left and right side of the body. Third is pathognomic signs, or specific test results that directly relate to a distinct disorder. Finally, the last category is differential patterns, which are typically used to diagnose specific diseases or types of damage.

Categories

Most forms of cognition actually involve multiple cognitive functions working in unison, however tests can be organised into broad categories based on the cognitive function which they predominantly assess. Some tests appear under multiple headings as different versions and aspects of tests can be used to assess different functions.

Intelligence

Intelligence testing in a research context is relatively more straightforward than in a clinical context. In research, intelligence is tested and results are generally as obtained, however in a clinical setting intelligence may be impaired so estimates are required for comparison with obtained results. Premorbid estimates can be determined through a number of methods, the most common include: comparison of test results to expected achievement levels based on prior education and occupation and the use of hold tests which are based on cognitive faculties which are generally good indicators of intelligence and thought to be more resistant to cognitive damage, e.g. language.

  • National Adult Reading Test (NART).
  • Wechsler Adult Intelligence Scale (WAIS).
  • Wechsler Intelligence Scale for Children (WISC).
  • Wechsler Preschool and Primary Scale of Intelligence (WPPSI).
  • Wechsler Test of Adult Reading (WTAR).

Memory

Memory is a very broad function which includes several distinct abilities, all of which can be selectively impaired and require individual testing. There is disagreement as to the number of memory systems, depending on the psychological perspective taken. From a clinical perspective, a view of five distinct types of memory, is in most cases sufficient. Semantic memory and episodic memory (collectively called declarative memory or explicit memory); procedural memory and priming or perceptual learning (collectively called non-declarative memory or implicit memory) all four of which are long term memory systems; and working memory or short term memory. Semantic memory is memory for facts, episodic memory is autobiographical memory, procedural memory is memory for the performance of skills, priming is memory facilitated by prior exposure to a stimulus and working memory is a form of short term memory for information manipulation.

  • Benton Visual Retention Test.
  • California Verbal Learning Test.
  • Cambridge Prospective Memory Test (CAMPROMPT).
  • Gollin figure test.
  • Memory Assessment Scales (MAS).
  • Rey Auditory Verbal Learning Test.
  • Rivermead Behavioural Memory Test.
  • Test of Memory and Learning (TOMAL).
  • Mental Attributes Profiling System.
  • Wechsler Memory Scale (WMS).

Language

Language functions include speech, reading and writing, all of which can be selectively impaired.

  • Boston Diagnostic Aphasia Examination.
  • Boston Naming Test.
  • Comprehensive Aphasia Test (CAT).
  • Multilingual Aphasia Examination.

Executive Function

Executive functions is an umbrella term for a various cognitive processes and sub-processes. The executive functions include: problem solving, planning, organisational skills, selective attention, inhibitory control and some aspects of short term memory.

  • Behavioural Assessment of Dysexecutive Syndrome (BADS).
  • CNS Vital Signs (Brief Core Battery).
  • Continuous performance task (CPT).
  • Controlled Oral Word Association Test (COWAT).
  • d2 Test of Attention.
  • Delis-Kaplan Executive Function System (D-KEFS).
  • Digit Vigilance Test.
  • Figural Fluency Test.
  • Halstead Category Test.
  • Hayling and Brixton tests.
  • Kaplan Baycrest Neurocognitive Assessment (KBNA).
  • Kaufman Short Neuropsychological Assessment.
  • Paced Auditory Serial Addition Test (PASAT).
  • Rey-Osterrieth Complex Figure.
  • Ruff Figural Fluency Test.
  • Stroop task.
  • Test of Variables of Attention (T.O.V.A.).
  • Tower of London Test.
  • Trail-Making Test (TMT) or Trails A & B.
  • Wisconsin Card Sorting Test (WCST).
  • Symbol Digit Modalities Test.
  • Test of Everyday Attention (TEA).

Visuospatial

Neuropsychological tests of visuospatial function should cover the areas of visual perception, visual construction and visual integration. Though not their only functions, these tasks are to a large degree carried out by areas of the parietal lobe.

  • Clock Test.
  • Hooper Visual Organisation Task (VOT).
  • Rey-Osterrieth Complex Figure.

Dementia Specific

Dementia testing is often done by way of testing the cognitive functions that are most often impaired by the disease e.g. memory, orientation, language and problem solving. Tests such as these are by no means conclusive of deficits, but may give a good indication as to the presence or severity of dementia.

  • The Alzheimer’s Disease Assessment Scale-Cognitive Subscale (ADAS-Cog).
  • Clinical Dementia Rating.
  • Dementia Rating Scale.

Batteries Assessing Multiple Neuropsychological Functions

There are some test batteries which combine a range of tests to provide an overview of cognitive skills. These are usually good early tests to rule out problems in certain functions and provide an indication of functions which may need to be tested more specifically.

  • Barcelona Neuropsychological Test (BNT).
  • Cambridge Neuropsychological Test Automated Battery (CANTAB).
  • Cognistat (The Neurobehavioral Cognitive Status Examination).
  • Cognitive Assessment Screening Instrument (CASI).
  • Cognitive Function Scanner (CFS).
  • Dean-Woodcock Neuropsychology Assessment System (DWNAS).
  • General Practitioner Assessment Of Cognition (GPCOG).
  • Hooper Visual Organisation Test.
  • Luria-Nebraska Neuropsychological battery.
  • MicroCog.
  • Mini mental state examination (MMSE).
  • NEPSY.
  • Repeatable Battery for the Assessment of Neuropsychological Status.
  • Short Parallel Assessments of Neuropsychological Status (SPANS).
  • CDR Computerised Assessment System.

Automated Computerised Cognitive Tests

Traditional cognitive examinations are mostly paper and pen based. As such most of them are time consuming and require special training to be carried out. Today there is a rapidly growing number of automated computerised cognitive tests emerging, for example Brain on Track, Cogstate, CAMCI, CANTAB. Several of these new tests are shoving promising ability to discriminate between healthy individuals and different cognitive difficulties and/or to monitor cognitive impairment over time. Since these tests are easily administered to large groups of people this is opening up possibilities to, for example, regularly screen portions of the population at risk for cognitive decline and early on give adequate support and treatment.

Benefits of Neuropsychological Testing

The most beneficial factor of neuropsychological assessment is that it provides an accurate diagnosis of the disorder for the patient when it is unclear to the psychologist what exactly the patient has. This allows for accurate treatment later on in the process because treatment is driven by the exact symptoms of the disorder and how a specific patient may react to different treatments. The assessment allows the psychologist and patient to understand the severity of the deficit and to allow better decision-making by both parties. It is also helpful in understanding deteriorating diseases because the patient can be assessed multiple times to see how the disorder is progressing.

What is a Neuropsychological Assessment?

Introduction

Neuropsychological assessment was traditionally carried out to assess the extent of impairment to a particular skill and to attempt to determine the area of the brain which may have been damaged following brain injury or neurological illness.

With the advent of neuroimaging techniques, location of space-occupying lesions can now be more accurately determined through this method, so the focus has now moved on to the assessment of cognition and behaviour, including examining the effects of any brain injury or neuropathological process that a person may have experienced.

A core part of neuropsychological assessment is the administration of neuropsychological tests for the formal assessment of cognitive function, though neuropsychological testing is more than the administration and scoring of tests and screening tools. It is essential that neuropsychological assessment also include an evaluation of the person’s mental status. This is especially true in assessment of Alzheimer’s disease and other forms of dementia. Aspects of cognitive functioning that are assessed typically include orientation, new-learning/memory, intelligence, language, visuoperception, and executive function. However, clinical neuropsychological assessment is more than this and also focuses on a person’s psychological, personal, interpersonal and wider contextual circumstances.

Assessment may be carried out for a variety of reasons, such as:

  • Clinical evaluation, to understand the pattern of cognitive strengths as well as any difficulties a person may have, and to aid decision making for use in a medical or rehabilitation environment.
  • Scientific investigation, to examine a hypothesis about the structure and function of cognition to be tested, or to provide information that allows experimental testing to be seen in context of a wider cognitive profile.
  • Medico-legal assessment, to be used in a court of law as evidence in a legal claim or criminal investigation.

Miller outlined three broad goals of neuropsychological assessment. Firstly, diagnosis, to determine the nature of the underlying problem. Secondly, to understand the nature of any brain injury or resulting cognitive problem (see neurocognitive deficit) and its impact on the individual, as a means of devising a rehabilitation programme or offering advice as to an individual’s ability to carry out certain tasks (for example, fitness to drive, or returning to work). And lastly, assessments may be undertaken to measure change in functioning over time, such as to determine the consequences of a surgical procedure or the impact of a rehabilitation programme over time.

Diagnosis of a Neuropsychological Disorder

Certain types of damage to the brain will cause behavioural and cognitive difficulties. Psychologists can start screening for these problems by using either one of the following techniques or all of these combined:

History TakingThis includes gathering medical history of the patient and their family, presence or absence of developmental milestones, psychosocial history, and character, severity, and progress of any history of complaints. The psychologist can then gauge how to treat the patient and determine if there are any historical determinants for his or her behaviour.
InterviewingPsychologists use structured interviews in order to determine what kind of neurological problem the patient might be experiencing. There are a number of specific interviews, including the Short Portable Mental Status Questionnaire, Neuropsychological Impairment Scale, Patient’s Assessment of Own Functioning, and Structured Interview for the Diagnosis of Dementia.
Test-TakingScores on standardised tests of adequate predictive validity predictor well current and/or future problems. Standardised tests allow psychologists to compare a person’s results with other people’s because it has the same components and is given in the same way. It is therefore representative of the person’s behaviour and cognition. The results of a standardised test are only part of the jigsaw. Further, multidisciplinary investigations (e.g. neuroimaging, neurological) are typically needed to officially diagnose a brain-injured patient.
Intelligence TestingTesting one’s intelligence can also give a clue to whether there is a problem in the brain-behaviour connection. The Wechsler Scales are the tests most often used to determine level of intelligence. The variety of scales available, the nature of the tasks, as well as a wide gap in verbal and performance scores can give clues to whether there is a learning disability or damage to a certain area of the brain.
Testing Other AreasOther areas are also tested when a patient goes through neuropsychological assessment. These can include sensory perception, motor functions, attention, memory, auditory and visual processing, language, problem solving, planning, organisation, speed of processing, and many others. Neuropsychological assessment can test many areas of cognitive and executive functioning to determine whether a patient’s difficulty in function and behaviour has a neuropsychological basis.

Information Gathered from Assessment

Tsatsanis and Volkmar believe that assessment can provide unique information about the type of disorder a patient has which allows the psychologist to come up with a treatment plan. Neuropsychological assessment can clarify the nature of the disorder and determine the cognitive functioning associated with a disorder. Assessment can also allow the psychologist to understand the developmental progress of the disorder in order to predict future problems and come up with a successful treatment package. Different assessments can also determine if a patient will be at risk for a particular disorder. It is important to remember, however, that assessing a patient at one time is not enough to go ahead and continue treatment because of the changes in behaviour that can occur frequently. A patient must be retested multiple times in order to make sure that the current treatment is still the right treatment. For neuropsychological assessments, researchers discover the different areas of the brain that is damaged based on the cognitive and behavioural aspects of the patient.

Benefits of Assessment

The most beneficial factor of neuropsychological assessment is that is provides an accurate diagnosis of the disorder for the patient when it is unclear to the psychologist what exactly they have. This allows for accurate treatment later on in the process because treatment is driven by the exact symptoms of the disorder and how a specific patient may react to different treatments. The assessment allows the psychologist and patient to understand the severity of the deficit and to allow better decision-making by both parties. It is also helpful in understanding deteriorating diseases because the patient can be assessed multiple times to see how the disorder is progressing.

One area where neuropsychological assessments can be beneficial is in forensic cases where the defendant’s competency is being questioned due to possible brain injury or damage. A neuropsychological assessment may show brain damage when neuroimaging has failed. It can also determine whether the individual is faking a disorder (malingering) in order to attain a lesser sentence.

Most neuropsychological testing can be completed in 6 to 12 hours or less. This time, however, does not include the role of the psychologist interpreting the data, scoring the test, making formulations, and writing a formal report.

Qualifications for Conducting Assessments

Neuropsychological assessments are usually conducted by doctoral-level (Ph.D., Psy.D.) psychologists trained in neuropsychology, known as clinical neuropsychologists. The definition and scope of a clinical neuropsychologist is outlined in the widely accepted Houston Conference Guidelines. They will usually have postdoctoral training in neuropsychology, neuroanatomy, and brain function. Most will be licensed and practicing psychologists in their particular field. Recent developments in the field allow for highly trained individuals such as psychometrists to administer selected instruments, though determinations regarding testing results remain the responsibility of the doctor.

On This Day … 20 August

People (Births)

  • 1913 – Roger Wolcott Sperry, American neuropsychologist and neurobiologist, Nobel Prize laureate (d. 1994).

People (Deaths)

  • 1985 – Donald O. Hebb, Canadian psychologist and academic (b. 1904).

Roger Wolcott Sperry

Roger Wolcott Sperry (20 August 1913 to 17 April 1994) was an American neuropsychologist, neurobiologist and Nobel laureate who, together with David Hunter Hubel and Torsten Nils Wiesel, won the 1981 Nobel Prize in Physiology and Medicine for his work with split-brain research. A Review of General Psychology survey, published in 2002, ranked Sperry as the 44th most cited psychologist of the 20th century.

Education

Sperry went to Hall High School in West Hartford, Connecticut, where he was a star athlete in several sports, and did well enough academically to win a scholarship to Oberlin College. At Oberlin, he was captain of the basketball team, and he also took part in varsity baseball, football, and track. He also worked at a café on campus to help support himself. Sperry was an English major, but he took an Intro to Psychology class taught by a Professor named R.H. Stetson who had worked with William James, the father of American Psychology. This class sparked Sperry’s interest in the brain and how it can change. Stetson was disabled and had trouble getting around so Sperry would help him out by driving him to and from wherever he needed to go. This included taking Stetson to lunch with his colleagues. Sperry would just sit at the end of the table and listen to Stetson and his colleagues discuss their research and other psychological interests. This increased Sperry’s interest in Psychology even more and after he received his undergraduate degree in English from Oberlin he decided to stay and get his master’s degree in Psychology. He received his bachelor’s degree in English in 1935 and a master’s degree in psychology in 1937. He received his Ph.D. in zoology from the University of Chicago in 1941, supervised by Paul A. Weiss. Sperry then did postdoctoral research with Karl Lashley at Harvard University though most of his time was spent with Lashley at the Yerkes Primate Research Centre in Orange Park, Florida.

Career

In 1942, Sperry began work at the Yerkes Laboratories of Primate Biology, then a part of Harvard University. There he focused on experiments involving the rearranging of motor and sensory nerves. He left in 1946 to become an assistant professor, and later associate professor, at the University of Chicago. In 1949, during a routine chest x-ray, there was evidence of tuberculosis. He was sent to Saranac Lake in the Adironack Mountains in New York for treatment. It was during this time when he began writing his concepts of the mind and brain, and was first published in the American Scientist in 1952. In 1952, he became the Section Chief of Neurological Diseases and Blindness at the National Institutes of Health and finished out the year at the Marine Biology Laboratory in Coral Gables, Florida. Sperry went back to The University of Chicago in 1952 and became an Associate Professor of Psychology. He was not offered tenure at Chicago and planned to move to Bethesda, Maryland but was held up by a delay in construction at the National Institutes of Health. During this time Sperry’s friend Victor Hepburn invited him to lecture about his research at a symposium. There were professors from the California Institute of Technology in the audience of the symposium who, after listening to Sperry’s lecture, were so impressed with him they offered him a job as the Hixson Professor of Psychobiology. In 1954, he accepted the position as a professor at the California Institute of Technology (Caltech as Hixson Professor of Psychobiology) where he performed his most famous experiments with Joseph Bogen, MD and many students including Michael Gazzaniga.

Under the supervision of Paul Weiss while earning his Ph.D. at the University of Chicago, Sperry became interested in neuronal specificity and brain circuitry and began questioning the existing concepts about these two topics. He asked the simple question first asked in his Introduction to Psychology class at Oberlin: Nature or nurture? He began a series of experiments in an attempt to answer this question. Sperry crosswired the motor nerves of rats’ legs so the left nerve controlled the right leg and vice versa. He would then place the rats in a cage that had an electric grid on the bottom separated into four sections. Each leg of the rat was placed into one of the four sections of the electric grid. A shock was administered to a specific section of the grid, for example the grid where the rat’s left back leg was located would receive a shock. Every time the left paw was shocked the rat would lift his right paw and vice versa. Sperry wanted to know how long it would take the rat to realize he was lifting the wrong paw. After repeated tests Sperry found that the rats never learned to lift up the correct paw, leading him to the conclusion that some things are just hardwired and cannot be relearned. In Sperry’s words, “no adaptive functioning of the nervous system took place.” During Sperry’s postdoctoral years with Karl Lashley at Harvard and at the Yerkes Laboratories of Primate Biology in Orange Park, Florida, he continued his work on neuronal specificity that he had begun as a doctoral student and initiated a new series of studies involving salamanders. The optic nerves were sectioned and the eyes rotated 180 degrees. The question was whether vision would be normal after regeneration or would the animal forever view the world as “upside down” and right-left reversed. Should the latter prove to be the case, it would mean that the nerves were somehow “guided” back to their original sites of termination. Restoration of normal vision (i.e. “seeing” the world in a “right-side-up” orientation) would mean that the regenerating nerves had terminated in new sites, quite different from the original ones. The animals reacted as though the world was upside down and reversed from right to left. Furthermore, no amount of training could change the response. These studies, which provided strong evidence for nerve guidance by “intricate chemical codes under genetic control” (1963) culminated in Sperry’s chemoaffinity hypothesis (1951).

Sperry later served on the Board of Trustees and as Professor of Psychobiology Emeritus at California Institute of Technology. The Sperry Neuroscience Building at Oberlin College was named in his honour in 1990.

Donald O. Hebb

Donald Olding Hebb FRS (22 July 1904 to 20 August 1985) was a Canadian psychologist who was influential in the area of neuropsychology, where he sought to understand how the function of neurons contributed to psychological processes such as learning. He is best known for his theory of Hebbian learning, which he introduced in his classic 1949 work The Organisation of Behaviour. He has been described as the father of neuropsychology and neural networks. A Review of General Psychology survey, published in 2002, ranked Hebb as the 19th most cited psychologist of the 20th century. His views on learning described behaviour and thought in terms of brain function, explaining cognitive processes in terms of connections between neuron assemblies.

What is the Cambridge Neuropsychological Test Automated Battery?

Introduction

The Cambridge Neuropsychological Test Automated Battery (CANTAB), originally developed at the University of Cambridge in the 1980s but now provided in a commercial capacity by Cambridge Cognition, is a computer-based cognitive assessment system consisting of a battery of neuropsychological tests, administered to subjects using a touch screen computer.

Outline

The CANTAB tests were co-invented by Professor Trevor Robbins and Professor Barbara Sahakian.

The 25 tests in CANTAB examine various areas of cognitive function, including:

  • General memory and learning.
  • Working memory and executive function.
  • Visual memory.
  • Attention and reaction time (RT).
  • Semantic/verbal memory.
  • Decision making and response control.

The CANTAB combines the accuracy and rigour of computerised psychological testing whilst retaining the wide range of ability measures demanded of a neuropsychological battery. It is suitable for young and old subjects, and aims to be culture and language independent through the use of non-verbal stimuli in the majority of the tests.

The CANTAB PAL touchscreen test, which assesses visual memory and new learning, received the highest rating of world-leading 4* grade from the Research Excellence Framework (REF) 2014. CANTAB and CANTAB PAL were highlighted in the Medical Schools Council ‘Health of the Nation’ 2015 publication.

On This Day … 15 July

People (Births)

  • 1904 – Rudolf Arnheim, German-American psychologist and author (d. 2007).
  • 1918 – Brenda Milner, English-Canadian neuropsychologist and academic.

People (Deaths)

  • 1940 – Eugen Bleuler, Swiss psychiatrist and physician (b. 1857).

Rudolf Arnheim

Rudolf Arnheim (15 July 1904 to 09 June 2007) was a German-born author, art and film theorist, and perceptual psychologist. He learned Gestalt psychology from studying under Max Wertheimer and Wolfgang Köhler at the University of Berlin and applied it to art. His magnum opus was his book Art and Visual Perception: A Psychology of the Creative Eye (1954). Other major books by Arnheim have included Visual Thinking (1969), and The Power of the Center: A Study of Composition in the Visual Arts (1982). Art and Visual Perception was revised, enlarged and published as a new version in 1974, and it has been translated into fourteen languages. He lived in Germany, Italy, England, and America where he taught at Sarah Lawrence College, Harvard University, and the University of Michigan. He has greatly influenced art history and psychology in America.

In Art and Visual Perception, Arnheim tries to use science to better understand art. In his later book Visual Thinking (1969), Arnheim critiques the assumption that language goes before perception. For Arnheim, the only access to reality we have is through our senses. Arnheim also argues that perception is strongly identified with thinking, and that artistic expression is another way of reasoning. In The Power of the Centre, Arnheim addresses the interaction of art and architecture on concentric and grid spatial patterns. He argues that form and content are indivisible, and that the patterns created by artists reveal the nature of human experience.

Brenda Milner

Brenda Milner CC GOQ FRS FRSC (née Langford; 15 July 1918) is a British-Canadian neuropsychologist who has contributed extensively to the research literature on various topics in the field of clinical neuropsychology. As of 2010, Milner is a professor in the Department of Neurology and Neurosurgery at McGill University and a professor of Psychology at the Montreal Neurological Institute. As of 2005, she holds more than 20 degrees and continues to work in her nineties. Her current work covers many aspects of neuropsychology including her lifelong interest in the involvement of the temporal lobes in episodic memory. She is sometimes referred to as “the founder of neuropsychology” and has proven to be an essential key in its development. She received the Balzan Prize for Cognitive Neuroscience, in 2009, and the Kavli Prize in Neuroscience, together with John O’Keefe, and Marcus E. Raichle, in 2014. She turned 100 in July 2018 and at the time was still overseeing the work of researchers.

Eugen Bleuler

Paul Eugen Bleuler (30 April 1857 to 15 July 1939) was a Swiss psychiatrist and eugenicist most notable for his contributions to the understanding of mental illness. He coined many psychiatric terms, such as “schizophrenia”, “schizoid”, “autism”, depth psychology and what Sigmund Freud called “Bleuler’s happily chosen term ambivalence”.

Bleuler studied medicine in Zürich. He trained for his psychiatric residency at Waldau Hospital under Gottileb Burckhardt, a Swiss psychiatrist, from 1881-1884. He left his job in 1884 and spent one year on medical study trips with Jean-Martin Charcot, a French neurologist in Paris, Bernhard von Gudden, a German psychiatrist in Munich, and to London. After these trips, he returned to Zürich to briefly work as assistant to Auguste Forel while completing his psychiatric residency at the Burghölzli, a university hospital.

Bleuler became the director of a psychiatric clinic in Rheinau, a hospital located in an old monastery on an island in the Rhine. At the time, the clinic was known for being functionally backward and largely ineffective. Because of this, Bleuler set about improving conditions for the patients residing there.

In the year 1898, Bleuler returned to the Burghölzli and became a psychiatry professor at Burghölzli, the same university hospital he completed his residency. He was also appointed director of the mental asylum in Rheinau. He served as the director from the years 1898 to 1927. While working at this asylum, Bleuler cared for long-term psychiatric patients. He also implemented both psychoanalytic treatment and research, and was influenced by Sigmund Freud.

During his time as the director of psychiatry at Burghölzli, Bleuler made great contributions to the field of psychiatry and psychology that made him known today. Because of these findings, Bleuler has been described as one of the most influential Swiss psychiatrists.