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Action Segmentation in Patients with Frontal Lobe Damage: Loosing the Forest for the Trees

 Tiziana Zalla, Pascal Pradat-Diehl, Virginie Monmart and Angela Sirigu
  
 

Abstract:
Abstract: The prefrontal cortex is involved in the planning of action. It has been postulated that actions are represented in memory as hierarchically organized sequences of goal-directed discrete events (Schank and Abelson, Erlbaum, 1977). In previous studies, we showed during script generation that patients with prefrontal cortex damage are selectively impaired in action sequence ordering (Sirigu et al., Cortex, 31,301-316,1995). Here we investigate the ability to detect boundaries between events in a sequence, in five patients with prefrontal lesions and in twelve normal controls. Following a method proposed by Hanson and Hirst (J. Exp Psychol., 118,136-147, 1989.), subjects were presented with soundless videotaped scenarios showing actors performing actions, and requested to mark the end of each event under three different conditions (1) spontaneous segmentation; (2) small-event oriented instructions (3) large-event oriented instructions. Both subjects and patients identified significantly more boundaries under small-event than large-event instructions. However, patients with prefrontal damage were selectively impaired at detecting the boundaries of large events. These results indicate that although prefrontal patients are capable of detecting transitions between brief and/or discrete action intervals, sequence segmentation and chunking processes may be required at a higher-order level in order to perceive action sequences as meaningful units.

 
 


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