Monday 25 June 2012

Neuropsychology classics I: Frontal lobology


This paper is a classic to me. It came out in 1992, and apart from being amusing, it immediately struck a chord in my fledgling neuropsychological mind. In it, Anthony David states that  "The frontal lobes constitute approximately one-third of the brain. Therefore, localising a disturbance to this region is rather like a person directing a visitor to an address marked 'Europe.'"


You can read this succinct paper here:
http://bjp.rcpsych.org/content/161/2/244.full.pdf


Reading it again, 20 years on, there are still valid arguments for describing what we mean when we see "frontal" or "executive" dysfunction. Is it poor planning and organization, disinhibition, emotional control, self-monitoring, or any one of a number of behaviours that have come to be synonymous with frontal dysfunction? What is more helpful to understanding a patient - the label of frontal impairment or dysexecutive syndrome, or a clear and individualised description of the actual problems the person is encountering?




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