关于在实验和临床神经心理学中开发和使用“生态效度高”的执行功能测量方法的理由。
The case for the development and use of "ecologically valid" measures of executive function in experimental and clinical neuropsychology.
作者信息
Burgess Paul W, Alderman Nick, Forbes Catrin, Costello Angela, Coates Laure M-A, Dawson Deirdre R, Anderson Nicole D, Gilbert Sam J, Dumontheil Iroise, Channon Shelley
机构信息
Institute of Cognitive Neuroscience, University College London, 17 Queen Square, London WC1E 6BT, UK.
出版信息
J Int Neuropsychol Soc. 2006 Mar;12(2):194-209. doi: 10.1017/S1355617706060310.
This article considers the scientific process whereby new and better clinical tests of executive function might be developed, and what form they might take. We argue that many of the traditional tests of executive function most commonly in use (e.g., the Wisconsin Card Sorting Test; Stroop) are adaptations of procedures that emerged almost coincidentally from conceptual and experimental frameworks far removed from those currently in favour, and that the prolongation of their use has been encouraged by a sustained period of concentration on "construct-driven" experimentation in neuropsychology. This resulted from the special theoretical demands made by the field of executive function, but was not a necessary consequence, and may not even have been a useful one. Whilst useful, these tests may not therefore be optimal for their purpose. We consider as an alternative approach a function-led development programme which in principle could yield tasks better suited to the concerns of the clinician because of the transparency afforded by increased "representativeness" and "generalisability." We further argue that the requirement of such a programme to represent the interaction between the individual and situational context might also provide useful constraints for purely experimental investigations. We provide an example of such a programme with reference to the Multiple Errands and Six Element tests.
本文探讨了开发更新、更优的执行功能临床测试的科学过程,以及这些测试可能采用的形式。我们认为,目前最常用的许多传统执行功能测试(如威斯康星卡片分类测试、斯特鲁普测试)是对一些程序的改编,这些程序几乎是从与当前流行的概念和实验框架截然不同的框架中偶然出现的,并且由于神经心理学领域长期专注于“建构驱动”实验,它们的使用得以延续。这是执行功能领域提出的特殊理论要求导致的,但并非必然结果,甚至可能并非有益之举。虽然这些测试有用,但可能并非最适合其目的。我们考虑一种以功能为导向的开发方案作为替代方法,原则上,由于提高了“代表性”和“普遍性”所带来的透明度,该方案能够产生更符合临床医生需求的任务。我们进一步认为,这样一个方案要求体现个体与情境之间的相互作用,这也可能为纯粹的实验研究提供有用的限制条件。我们以多重任务测试和六元素测试为例,介绍了这样一个方案。