The effects of focal and diffuse brain damage on strategy application: Evidence from focal lesions, traumatic brain injury and normal aging
Abstract
A new test of strategy application was designed to be relatively free of the constraints that limit the standard neuropsychological assessment of supervisory abilities. The validity of the test was assessed in 3 samples of participants with varying degrees of supervisory deficits and frontal systems dysfunction: focal frontal lesions, traumatic brain injury (TBI), and normal aging. Inefficient strategy application varied systematically across the 3 groups and was not due to extraneous factors such as forgetting the test instructions. Previous case studies have emphasized strategy application deficits in the face of normal neuropsychological test performance. In this study, it was shown that strategically impaired participants from a consecutive series can include those both with and without deficient neuropsychological test performance. When neuropsychological impairment was present, it was greatest on executive functioning tasks. Among participants with nonstrategic performance, there was evidence for a dissociation of knowledge from action. This finding was not specific to focal frontal lesions. A number of supervisory processes contributing to strategy application were identified. Exploratory analyses indicated differential effects of lesion location on these processes, especially inferior medial frontal and right hemisphere lesions. Overall, the results supported the use of unstructured tasks in the assessment of supervisory abilities.
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The ecological validity of many traditional executive function measures has been questioned due to the novel nature of the tasks and reported discrepancies between performance on traditional executive function measures and real life behavior.
“The ecological validity of many traditional executive function measures has been questioned due to the novel nature of the tasks and reported discrepancies between performance on traditional executive function measures and real life behavior”
From Assessing Executive Function in Preschoolers (2012) · cites this paper as Levine et al., 1998
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- Authors
- LEVINE, B., STUSS, D. T., MILBERG, W. P., ALEXANDER, M. P., SCHWARTZ, M., & MACDONALD, R.
- Affiliations
- Baycrest Hospital (CA)
- University of Toronto (CA)
- Harvard University (US)
- Sunnybrook Health Science Centre (CA)
- Venue
- Journal of the International Neuropsychological Society
- Publisher
- Cambridge University Press (CUP)
- Published
- 1998-05
- Volume
- 4
- Issue
- 3
- Pages
- 247-264
- ISSN
- 1355-6177 (ISSN-L)
- 1469-7661
- OpenAlex
- W2096916127
- Cited by
- 145
- References
- 7
- Citations by year
- 2026: 1 · 2025: 1 · 2023: 1 · 2022: 2 · 2021: 2 · 2020: 1 · 2019: 5 · 2018: 2 · 2017: 3 · 2016: 6 · 2015: 1 · 2014: 7 · 2013: 8 · 2012: 8
- FWCI
- 13.36
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the International Neuropsychological Society (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Functions and Memory
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Social Sciences › Psychology › Clinical Psychology › Historical and Modern Theater Studies
- Keywords
- strategy use, executive function, frontal lobe lesions, traumatic brain injury, normal aging, test validity, right hemisphere damage
- MeSH terms
- Adolescent, Adult, Aged, Aging, Brain Injuries, Education, Female, Frontal Lobe, Humans, Intelligence Tests, Male, Middle Aged, Neuropsychological Tests, Problem Solving, Reference Values, Reproducibility of Results
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