Laine Matti, Martin Nadine
Department of Psychology and Logopedics, Abo Akademi University, Turku, Finland.
Aphasiology. 2012 Nov 1;26(11):1362-1376. doi: 10.1080/02687038.2012.714937. Epub 2012 Oct 25.
In recent years, some critical voices have been raised in regard to the significance of cognitive neuropsychology (CNP) to the study of brain and mind. Given the central role of language disorders in CNP research, it is time to consider the relevance of this research approach in aphasiology. AIMS: We analyze the main points of criticism raised against the CNP research approach, evaluate the significance of this approach to the study of acquired language disorders, and make some suggestions concerning further development of the field. MAIN CONTRIBUTION: The main points of criticism against CNP (reliance on single-case studies; single-minded hunt for dissociations; emptiness of theorizing) have been important long-term concerns but do not take into account the fact that during its history of circa four decades, the CNP approach has diversified. There are thus CNP studies that rely on case series analyses, focus on error analyses rather than mere dissociations, or employ computational modeling rather than the "boxes-and-arrows" models of the mental architecture. The CNP approach to cognition and its disorders is thus applicable to different research questions and theoretical stances, providing experimental rigor to single-case patient studies. With regard to clinical applications in aphasia diagnostics and treatment, the CNP approach provides a richer view on the strengths and weaknesses of a patient's cognitive-linguistic abilities. CONCLUSIONS: We believe that CNP case studies continue to be an important source of information for generating hypotheses and providing converging evidence for research on the mind and on the brain. There is however a need for further research development especially in computational modeling of language processes, their impairments, and recovery. This research is expected to provide further benefit to clinical diagnostics and treatment of aphasia.
近年来,关于认知神经心理学(CNP)对大脑与心智研究的重要性,出现了一些批评之声。鉴于语言障碍在CNP研究中的核心作用,现在是时候思考这种研究方法在失语症学中的相关性了。目的:我们分析针对CNP研究方法提出的主要批评要点,评估该方法对后天性语言障碍研究的重要性,并就该领域的进一步发展提出一些建议。主要贡献:针对CNP的主要批评要点(依赖单病例研究;一味追求分离;理论化空洞)长期以来一直是重要问题,但没有考虑到在其约四十年的历史中,CNP方法已经多样化。因此,有一些CNP研究依赖病例系列分析,关注错误分析而非仅仅是分离,或者采用计算建模而非心理架构的“方框箭头”模型。CNP对认知及其障碍的研究方法因此适用于不同的研究问题和理论立场,为单病例患者研究提供了实验严谨性。关于失语症诊断和治疗的临床应用,CNP方法为患者认知语言能力的优势和劣势提供了更丰富的视角。结论:我们认为,CNP病例研究仍然是生成假设以及为心智和大脑研究提供聚合证据的重要信息来源。然而,尤其在语言过程、其损伤和恢复的计算建模方面,需要进一步的研究发展。预计这项研究将为失语症的临床诊断和治疗带来更多益处。