Gounden Yannick, Hainselin Mathieu, Cerrotti Fabien, Quaglino Véronique
CRP-CPO, EA 7273, Université de Picardie Jules VerneAmiens, France.
Front Psychol. 2017 May 4;8:688. doi: 10.3389/fpsyg.2017.00688. eCollection 2017.
The way how cognition is conceived and represented in brain functioning will directly impact clinical investigations of people with cognitive difficulties. This is particularly evident in the field of clinical neuropsychology where methodologies and tools are justified on a fundamental level by the theoretical foundations adopted. The present article outlined how the dominant influences of structural and anatomo-clinical theories of memory have led to a particular conception of clinical investigations. We propose to reconsider these dominant methods in favor of a more dynamic and functional representation of memory that would be clinically more appropriate. More precisely, we argued that relying exclusively on a particular memory conception (i.e., structural) may not be sufficient considering the range of real-life variables affecting a patient's memory. By extracting clinically meaningful information in more functional and dynamic memory conceptions, we also aim at underlining the potentials advantages of such theories in facilitating personalized assessments and follow up of patients in clinical neuropsychology. We suggest that a dynamic, functional, and integrative conception of memory would be more coherent with the trend in clinical neuropsychology to promote a more collaborative interaction between the clinician and the patient. Finally, considering the absence of empirical studies on the possible benefits of implementing such recent memory concepts in clinical practice, we encourage researchers and clinicians to test in the field of clinical neuropsychology, the usefulness and explanatory power of more dynamic and functional representation of memory in order to objectively demonstrate its validity outside the research loop.
认知在大脑功能中的构思和表征方式将直接影响对认知困难人群的临床研究。这在临床神经心理学领域尤为明显，该领域的方法和工具在根本层面上是由所采用的理论基础来证明其合理性的。本文概述了记忆的结构理论和解剖临床理论的主导影响是如何导致临床研究的特定概念的。我们建议重新审视这些主导方法，转而支持一种在临床上更合适的、关于记忆的更具动态性和功能性的表征。更确切地说，我们认为，考虑到影响患者记忆的现实生活变量范围，仅仅依赖特定的记忆概念（即结构性概念）可能是不够的。通过在更具功能性和动态性的记忆概念中提取具有临床意义的信息，我们还旨在强调这些理论在促进临床神经心理学中患者的个性化评估和随访方面的潜在优势。我们认为，记忆的动态、功能和综合概念将更符合临床神经心理学中促进临床医生与患者之间更协作互动的趋势。最后，鉴于缺乏关于在临床实践中实施此类最新记忆概念可能带来的益处的实证研究，我们鼓励研究人员和临床医生在临床神经心理学领域测试记忆的更具动态性和功能性表征的有用性和解释力，以便在研究循环之外客观地证明其有效性。
