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Visuo-spatial and attentional disorders.

CBU number: 5378
Authors: MANLY, T & MATTINGLEY, J.B
Reference: In L. Goldstein & J. McNeil (Eds.), Clinical neuropsychology: A Practical guide to assessment and management for clinicians. Hove: Psychology Press, Chapter 11
Year of publication: 2003
Abstract text: In this chapter we will consider some common problems that can arise in visuo-spatial and attentional function as the result of damage to the brain. IN keeping with the theme of this book, our focus is on practical assessment and rehabilitation techniques. We begin with a breif overview of the structure and function of the visual system and, in particular, a discussion of non-attentional visual field disorders that often co-occur with, and exacerbate, attention deficits. After introducing the separable systems that contribute to higher level visual processing (in particular, the ‘what’ and ‘where’ pathways) our main discussion will focus on unilateral spatial neglect a difficulty in detecting, acting on or even thinking about information arising from the side of space opposite the damaged hemisphere. We emphasise neglect for three reasons; First, neglect is a surprisingly common consequence of stroke, especially when the right cerebral hemisphere is affected; second, neglect is associated with poor recovery and return to independence; thire, in contrast with many neuropsychological disorders, there are a number of simple, effective and well-validated techniques that can be used in the rehabilitation of the disorder. In the final section of the chapter we will turn to non-spatial disorders of attention. We will consider how commonly reported complaints of ‘poor concentration’, ‘difficulty staying on task’ and ‘distractibility’, are currently operationalised and discuss recent rehabilitative interventions.
Annual report number: CBUAR 47
Keywords: Book Chapter

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