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The Scripting of Activities of Daily Living in Traumatic Brain-injured Patients: Shallice's Model Revisited

 L. Godbout and S. Fortin
  
 

Abstract:
Abstract: Shallice has proposed that cognitive schemata support the organization of activities of daily life and that their selection depends on two distinct cognitive processes, a controlled one (Supervisory attentional system or SAS) and one which is more automatic (contention scheduling or CS). This project aimed to explore the cognitive processes in the organization of behavior. To this effect, 10 patients with frontal lobe lesions after a mild to moderate head injury were compared to 10 normal controls with a neuropsychological test battery and a script generation task as well as a realistic simulation of a complex activity (preparing a meal). Though often in the normal range, the patients manifested anomalies in the organization of behavior, particularly in the meal preparation task. The patients manifested planning deficits on several tasks. While small sequences of actions were easily produced, large action sets could not be correctly executed. This suggests an impairment of the SAS and preservation of the CS.

 
 


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