Ulrich G
Arch Psychiatr Nervenkr (1970). 1977 Nov 7;224(3):221-33.
Proceeding from the neuropsychological examination of a patient with an exceptionally selective impairment of auditory gnosis of vascular origin, we make an attempt to analyze structurally the syndrome of auditory agnosia, a study of which has been neglected in comparison with analyses of visual agnosia. In our analysis we refer to 28 case reports, documented in the literature. Decisive syndromal points of view are: a) there is an absence of significant audiological deficiencies; b) errors of the acoustic-discriminative type prevail in auditory-visual matching tasks; c) the gnostic deficit is modality specific; d) the same items are variably reproduced on repeated presentation; e) there is marked fluctuation of performance; f) there is exceptional irreversibility of the impairment; g) amusia is a more or less obligatory accompanying phenomenon; h) in cases of vascular origin there is always a history of repeated temporal lobe damage, this damage being predominantly in the form of bilateral lesions. This analysis indicates a close structural analogy to the syndrome of perceptive visual agnosia. We place great importance in the relationship between approaches and models of cognitive psychology (Neisser, 1967) which we see as important for further theoretical development in neuropsychology.
基于对一位血管性起源导致听觉认知出现特殊选择性损害患者的神经心理学检查，我们尝试对听觉失认症候群进行结构分析，相较于视觉失认症分析，对听觉失认症的研究一直被忽视。在我们的分析中，参考了文献中记载的28例病例报告。决定性的症候观点如下：a）不存在明显的听力学缺陷；b）在视听匹配任务中，听觉辨别类型的错误占主导；c）认知缺陷具有模态特异性；d）相同项目在重复呈现时会有不同的再现；e）表现存在明显波动；f）损害具有异常的不可逆性；g）失乐感或多或少是一种必然伴随的现象；h）在血管性起源的病例中，总是有颞叶反复受损的病史，这种损害主要为双侧病变形式。该分析表明与知觉性视觉失认症候群存在紧密的结构相似性。我们高度重视认知心理学的方法与模型之间的关系（奈塞尔，1967），我们认为这对神经心理学的进一步理论发展很重要。
