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Modality specific: Restricted to vision Not a memory disorder Item can be recognized through other modalities Touch, sound, smell
Apperceptive agnosia
What its not
Not cortical blindness
Not a basic deficit in processing visual information
Lissauer (1890’s) division
Apperceptive Associative
Different location
Intact visual field
Sensation is largely intact Brightness, orientation, color, motion intact
Category specific agnosia
Prosopagnosia
2
Apperceptive agnosia: Behaviour
Apperceptive agnosia
Difficulty in forming a “percept” (a mental impression of something based on the senses)
Visual information can’t be bound together
Higher levels of damage Problem in object constancy Retinal projection Lighting Occlusion
What its not
Evidence for constancy: Lateral occipital complex (LOC) Likely locus of object constancy
Reduction in fMRI response w/ repetition Invariance
Associative agnosia: Behaviour
Can copy complex objects
Perceptual grouping intact
Can form reasonable “percepts”
What it is Failure of object recognition Difficulty in accessing semantic representations from vision “psychic blindness”
Size, location,viewpoint, illumination, occlusion No effect of occlusion
Can perform perceptual grouping
Depends on lesion extent
Deficit in copying form Can’t perceive higher-order visual structure Can’t integrate parts into whole
Associative agnosia
Varying degrees of perceptual problems
No coherent percept
Apperceptive agnosia: Behaviour
What it is
3
Associative agnosia: Behaviour
Can’t draw objects from memory Can’t name objects
Not anomic
Localization: Gradations in impairment
Apperceptive
Associative
Can’t match by function Match by visual similarity
Evidence for hierarchical analysis Adjacent areas of cortex likely damaged
Largely a problem in linking percepts with semantics
Largely specific to faces Can distinguish between faces and objects Difficulty in distinguishing between faces
Always some degree of perceptual deficit Gradations rather than categorical differences
Is there a region of the brain devoted to faces?
Facial identification Across category
Varying degrees of perceptual/gnostic problems
Category specific agnosia: Prosopagnosia
Anterior Anterior to posterior lesion loci
Posterior
Fusiform face area (FFA) Right middle fusiform gyrus especially responsive to faces relative to other objects
Within category
FFA
Face identification and configural processing
Are faces special?
Why have an FFA? Faces are a special object class shaped by evolutionary pressures Specialized module for their recognition
Face recognition depends on relationship between distinct features (nose, eyes, etc) What happens when relationships are disrupted? Face inversion effect
Or within-category (subordinate level) discrimination?
Depends upon special quality of object processing Can extend to other objects that require this type of special processing
4
Face identification and configural processing
Face recognition depends on relationship between distinct features (nose, eyes, etc) What happens when relationships are disrupted?
What does the face inversion effect tell us?
Face inversion effect
When upright: configural processing of subtle relations between features When inverted: local processing of features
“Greebles” Train to recognize individuals Evidence of configural processing
Two types/qualities of object vision? Dissociation and association amongst agnosic syndromes
“Greeble inversion effect”
Impaired configural/holistic processing Intact analytic/local processing A deficit in configural rather than face processing?
Two systems for object recognition
Configural processing Are prosopagnosics impaired at configural processing, not just face processing? FFA and configural encoding
Don’t notice configural violations
Prosopagnosics perform equivalently to controls on inverted faces
Difficulty remembering/perceiving inverted relative to upright faces
Agnosia: general object recognition Alexia: specialized for word perception/reading Prosopagnosia: specialized for face perception
Independent
Experts but not novices activate FFA
Potentially not face specific
Two systems for object recognition
Prosopagnosia and alexia are dissociable
Independent Shared
But, rarely occur in isolation Associated with object agnosia, but not always
When both present
Not a single case w/out object agnosia Share common process needed for object recognition
Alexia
Two systems for object recognition
Analytic
Analysis by parts Can apply to faces
Configural
Holistic analysis Can apply to objects
Prosopagnosia Object agnosia
5
Disorders of the dorsal pathway: Action
Double dissociation
Apperceptive Agnosia
Agnosia vs. optic ataxia
Object recognition outside of the ventral visual stream 2 types
Impaired perception Intact action
Tactile agnosia
Appropriate reaching grasping
Optic ataxia
Eye
Hand
Intact sensory discrimination Can’t form tactile percepts