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Abnormal Attention After Closed Head Injury

 Douglas D. Potter
  
 

Abstract:
An important general hypothesis about the effects of CHI on cognitive function is the coping hypothesis. CHI is assumed to slow processing but to have few specific effects on brain systems. In order to compensate for this slowed processing individuals who have sustained a CHI are said to engage in more effortful processing. It is hypothesised that this, in association with increased distractibility, leads to rapid fatigue and reduced capacity to deal with complex tasks. In this research the following attention mechanisms were assumed: 1) Early or peripheral enhancement or suppression of particular input streams. 2) A central or late selection of competing responses. 3) A mechanism for reorienting individuals to unexpected or salient stimuli. Our recent findings using ERP measures of auditory selective attention, the Stroop task, the paired auditory serial arithmetic task (PASAT) and responses to novel stimuli suggest, when considered in the context of other recent studies: 1) Impairment of allocation of early or peripheral stimulus enhancement mechanisms. 2) Enhancement of late central response control mechanisms. 3) Distractibility is enhanced but the magnitude of this effect is influenced by perceptual load and working memory load.

 
 


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