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RHD
PSYC370C- Right Hemisphere Disorder
Term | Definition |
---|---|
Right Hemisphere | - functions include: - arousal & attention - visual perception - emotional expression & experience - temporal order perception - musical harmony perception - specific aspects of communication |
RHD Causes | - RH ischemic or hemorrhagic strokes - traumatic brain injury - neoplasm or tumours - infections |
Attention deficits | - arousal - sustained attention - selective attention - interfere with visuospatial perception - conversation skills - comprehension of spoken & written info |
Hemi-spatial neglect | - reduced sensitivity to/awareness of stimuli on one side of body/space - reduced sensitivity to the left side of space for own & others' faces, drawings, objects on left side, clothing, written info, own limbs, & food |
Facial Recognition Deficits | - aka Prosopagnosia - associated with posterior RH damage - difficulty recognizing familiar faces - difficulty naming famous faces - Capgras syndrome (rare); think family are imposters (unable to identify) |
Visuospatial & Construction Deficits | - difficulty recognizing line drawings (especially is distorted or layered) - difficulty copying geometric shapes - difficulty recreating block designs from drawings (ex. 2D to 3D transitions) |
Disorientation | - primarily to their location in space & body image - can become lost in familiar surroundings, but usually find their way back - can have difficulty interpreting maps - can be confused about geographic location |
Confabulation | - filling in memory gaps/misperceptions with statements that are untrue (make something up bc they don't know) - people with RHF might mask their own difficulties |
Communication Difficulties | - difficulty in recognition/comprehension/expression of emotions, convo skills, cohesion in conversational & narrative discourse, distinctions b/n trivial/irrelevant info, comprehension of implied info, interpreting metaphors & idioms, & planning |
Mini Inventory of Right-Brain Injury | - visuospatial/visuoperceptual & attentional processes - lexical knowledge processing - affective processing - general behaviour (visuospatial skills, receptive & expressive prosody, inferencing & metaphors, scanning & tracking) |
RIC Evaluation of Communication Problems in Right Hemisphere Dysfunction 3rd Ed | - visual scanning & tracking - orientation & attention - metaphors - pragmatics |
Right Hemisphere Language Battery 2nd Ed | - comprehension of metaphors & implied info - appreciation of humour - discourse analysis (ex. turn taking, greetings) - emphatic stress production |
Montreal Protocol for the Evaluation of Communication | - conversational discourse - comprehension & expression of emotional prosody - comprehension of indirect requests - deficit awareness |
Ross Information Processing Assessment Geriatric 2nd Ed | - listening comprehension - information recall - event memory (immediate & recent) - reasoning, problem-solving - category vocabulary |
Revised Token Test | - provides info about attention allocation - norms provided for people with RHD |
Verbal Fluency | - attentional task - norms provided for healthy adults |
Discourse Comprehension Test-2 | - ecological validity of stories - comprehension of main ideas vs. details - comprehension of stated vs. implied information - norms provided for people with RHD |
Aprosodia Battery | - having difficulty with prosody of language - assesses ability to identify & discriminate sentences using different affective prosody patterns - no info on validity or reliability (Blake, 2018) |
Prosody-voice Screening Profile | - assesses use of phrasing, rate of speech, stress, fundamental frequency, vocal loudness, etc. in spontaneous utterances |
Comprehensive Affect Testing System | - facial expression - linguistic & emotional prosody - no information on validity, reliability weak (Blake, 2018) |
Florida Affect Battery | - facial expression identification - emotional prosody identification - emotional prosody to facial expression matching - validity & reliability 'OK' (Blake, 2018) |