Clark Camilla N, Golden Hannah L, Warren Jason D
Dementia Research Centre, UCL Institute of Neurology, University College London, Queen Square, London, United Kingdom.
Dementia Research Centre, UCL Institute of Neurology, University College London, Queen Square, London, United Kingdom.
Handb Clin Neurol. 2015;129:607-31. doi: 10.1016/B978-0-444-62630-1.00034-2.
Recent developments in the cognitive neuroscience of music suggest that a further review of the topic of amusia is timely. In this chapter, we first consider previous taxonomies of amusia and propose a fresh framework for understanding the amusias, essentially as disorders of cognitive information processing. We critically review current cognitive and neuroanatomic findings in the published literature on amusia. We assess the extent to which the clinical and neuropsychologic evidence in amusia can be reconciled; both with the information-processing framework we propose, and with the picture of the brain organization of music and language processing emerging from cognitive neuroscience and functional neuroimaging studies. The balance of evidence suggests that the amusias can be understood as disorders of musical object cognition targeting separable levels of an information-processing hierarchy and underpinned by specific brain network dysfunction. The neuroanatomic associations of the amusias show substantial overlap with brain networks that process speech; however, this convergence leaves scope for separable brain mechanisms based on altered connectivity and dynamics across culprit networks. The study of the amusias contributes to an increasingly complex picture of the musical brain that transcends any simple dichotomy between music and speech or other complex sounds.
音乐认知神经科学的最新进展表明,对失歌症这一主题进行进一步回顾恰逢其时。在本章中,我们首先考虑以往对失歌症的分类,并提出一个全新的框架来理解失歌症,本质上把它看作是认知信息处理的障碍。我们批判性地回顾了已发表文献中关于失歌症的当前认知和神经解剖学研究结果。我们评估失歌症的临床和神经心理学证据在多大程度上能够与我们提出的信息处理框架相协调,以及与认知神经科学和功能神经影像学研究中出现的音乐和语言处理的大脑组织图景相协调。证据的平衡表明,失歌症可以被理解为针对信息处理层次结构中可分离层次的音乐客体认知障碍,并由特定的脑网络功能障碍所支撑。失歌症的神经解剖学关联与处理言语的脑网络有大量重叠;然而,这种趋同仍为基于罪魁祸首网络中连接性和动力学改变的可分离脑机制留出了空间。对失歌症的研究有助于描绘出一幅越来越复杂的音乐大脑图景,这幅图景超越了音乐与言语或其他复杂声音之间任何简单的二分法。