Bilder Robert M
Department of Psychiatry and Biobehavioral Sciences, UCLA David Geffen School of Medicine, Los Angeles, CA 90095, USA.
Dialogues Clin Neurosci. 2012 Mar;14(1):39-47. doi: 10.31887/DCNS.2012.14.1/rbilder.
The concept of executive functions has a rich history and remains current despite increased use of other terms, including working memory and cognitive control. Executive functions have sometimes been equated with functions subserved by the frontal cortex, but this adds little clarity, given that we so far lack a comprehensive theory of frontal function. Pending a more complete mechanistic understanding, clinically useful generalizations can help characterize both healthy cognition and multiple varieties of cognitive impairment. This article surveys several hierarchical and autoregulatory control theories, and suggests that the evolutionary cytoarchitectonic trends theory provides a valuable neuroanatomical framework to help organize research on frontal structure-function relations. The theory suggests that paleocortical/ventrolateral and archicortical/dorsomedial trends are associated with neural network flexibility and stability respectively, which comports well with multiple other conceptual distinctions that have been proposed to characterize ventral and dorsal frontal functions, including the "initiation/inhibition," "what/where," and "classification/expectation" hypotheses.
执行功能的概念有着丰富的历史,尽管诸如工作记忆和认知控制等其他术语的使用日益增多,但它至今仍在使用。执行功能有时被等同于额叶皮层所支持的功能,但鉴于我们目前还缺乏一个全面的额叶功能理论,这样做并没有增加多少清晰度。在获得更完整的机制性理解之前,临床上有用的概括有助于刻画正常认知和多种认知障碍。本文综述了几种层级和自动调节控制理论,并提出进化细胞构筑趋势理论提供了一个有价值的神经解剖学框架,有助于组织关于额叶结构-功能关系的研究。该理论表明,古皮质/腹外侧和原皮质/背内侧趋势分别与神经网络的灵活性和稳定性相关,这与为刻画腹侧和背侧额叶功能而提出的多种其他概念性区分非常吻合,包括“启动/抑制”、“什么/哪里”和“分类/预期”假说。