专业训练后视觉失认症中的行为改变及其神经关联

Behavioral change and its neural correlates in visual agnosia after expertise training.

作者信息

Behrmann Marlene, Marotta Jonathan, Gauthier Isabel, Tarr Michael J, McKeeff Thomas J

机构信息

Department of Psychology, Carnegie Mellon University, Pittsburgh, PA 15213-3890, USA.

出版信息

J Cogn Neurosci. 2005 Apr;17(4):554-68. doi: 10.1162/0898929053467613.

Abstract

Agnosia, the impairment in object and face recognition despite intact vision and intelligence, is one of the most intriguing and debilitating neuropsychological deficits. The goal of this study was to determine whether S.M., an individual with longstanding visual agnosia and concomitant prosopagnosia, can be retrained to perform visual object recognition and, if so, what neural substrates mediate this reacquisition. Additionally, of interest is the extent to which training on one type of visual stimulus generalizes to other visual stimuli, as this informs our understanding of the organization of ventral visual cortex. Greebles were chosen as the stimuli for retraining given that, in neurologically normal individuals, these stimuli can engage the fusiform face area. Posttraining, S.M. showed significant improvement in recognizing Greebles, although he did not attain normal levels of performance. He was also able to recognize untrained Greebles and showed improvement in recognizing common objects. Surprisingly, his performance on face recognition, albeit poor initially, was even more impaired following training. A comparison of pre- and postintervention functional neuroimaging data mirrored the behavioral findings: Face-selective voxels in the fusiform gyrus prior to training were no longer so and were, in fact, more Greeble-selective. The findings indicate potential for experience-dependent dynamic reorganization in agnosia with the possibility that residual neural tissue, with limited capacity, will compete for representations.

摘要

失认症是一种尽管视力和智力正常,但在物体和面部识别方面存在障碍的病症,是最引人关注且使人衰弱的神经心理学缺陷之一。本研究的目的是确定患有长期视觉失认症及伴随面孔失认症的S.M.是否能够通过再训练来进行视觉物体识别,如果可以,哪些神经基质介导了这种重新习得。此外,一个有趣的问题是,针对一种视觉刺激的训练在多大程度上能够推广到其他视觉刺激,因为这有助于我们理解腹侧视觉皮层的组织方式。鉴于在神经功能正常的个体中,这些刺激能够激活梭状面孔区,所以选择Greebles作为再训练的刺激物。训练后,S.M.在识别Greebles方面有显著改善,尽管他的表现未达到正常水平。他还能够识别未训练过的Greebles,并且在识别常见物体方面也有进步。令人惊讶的是,他在人脸识别方面的表现,尽管最初很差,但在训练后甚至更加受损。干预前后功能神经影像学数据的比较反映了行为学结果:训练前梭状回中对面孔有选择性反应的体素不再如此,实际上,它们变得对Greebles更具选择性。这些发现表明失认症中存在经验依赖性动态重组的可能性,即残留的神经组织(能力有限)可能会竞争表征。

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