Previous neuroimaging studies of the Stroop task have postulated that the anterior cingulate cortex (ACC) plays a critical role in resolution of the Stroop interference condition. However, activation of the ACC is not invariably seen and appears to depend on a variety of methodological factors, including the degree of response conflict and response expectancies. The present functional MRI study was designed to identify those brain areas critically involved in the interference condition. Healthy subjects underwent a blocked-trial design fMRI experiment while responding to 1 of 3 stimulus conditions: (1) incongruent color words, (2) congruent color words, and (3) color-neutral words. Subjects responded to the printed color of the word via a manual response. Compared to the congruent and neutral conditions, the incongruent condition produced significant activation within the left inferior precentral sulcus (IpreCS) located on the border between the inferior frontal gyrus, pars opercularis (BA 44) and the ventral premotor region (BA 6). Significant deactivations in the rostral component of the ACC and the posterior cingulate gyrus were also observed. Selective activation of the left IpreCS is compatible with findings from previous neuroimaging, lesion, electrophysiological, and behavioral studies and is presumably related to the mediation of competing articulatory demands during the interference condition. (JINS, 2002, 8, 735–742.)

The relationship between MRI findings (i.e., subcortical hyperintensities; SH, whole brain volume) and the cognitive dysfunction of vascular dementia (VaD) was examined. Participants included 24 persons that met NINDS-AIREN criteria for VaD (MMSE = 19.9 ± 4.2) and underwent comprehensive neuropsychological assessment and MRI brain imaging. The volume of subcortical hyperintensities (SH) was strongly associated with executive–psychomotor performance, but not with performance across other cognitive domains or global cognitive functional level. Conversely, WBV was strongly associated with global cognitive functioning and performance across most cognitive domains (memory, language, visual integration), but not with executive–psychomotor functioning. The failure of SH to account for either the global dementia evident in these VaD patients or impairments across most cognitive domains suggests that deep subcortical white matter disease may only indirectly contribute to the global cognitive dysfunction of VaD. That WBV emerged as a stronger correlate of dementia raises further questions regarding the cerebral mechanisms that contribute to the development of VaD. (JINS, 2002, 8, 743–752.)

Areas of the brain affected in the early stages of Alzheimer's disease are also areas heavily involved in the processing of olfactory information. Olfactory event-related potentials (OERPs) and auditory ERPs were recorded from the Fz, Cz, and Pz electrode sites in 12 Alzheimer's disease (AD) patients and 12 age and gender matched normal controls (NC) in a single-stimulus paradigm with a 45 s inter-trial interval, using amyl acetate as the olfactory stimulus, and in a separate session a 500 Hz tone as the auditory stimulus. Odor identification (ID) was also used to assess ability to identify odors. The results indicate that (1) OERP P2 and P3 latencies were significantly longer in AD patients than normal controls; (2) olfactory ERP latency measures correlated significantly with dementia status as measured by the Dementia Rating Scale (DRS), indicating that as participants performed more poorly on the DRS, reflecting increased dementia, OERP latencies increased; (3) olfactory ERP latency measures better differentiated AD patients from normal controls than auditory ERP latency measures; (4) olfactory ERP measures alone correctly classified up to 92% of participants; (5) odor ID measures, namely the UPSIT and San Diego-Odor-ID tests also classified participants at a high rate. Combining scores for odor identification with olfactory P3 latency measures resulted in a correct classification rate of 100%. The results strongly support the use of olfactory measures in the assessment of AD. (JINS, 2002, 8, 753–763.)

This study tests the hypothesis that retrieval of object and action names declines at different rates with age. Uncued and cued performance on the Boston Naming Test (BNT) and the Action Naming Test (ANT) were examined for 171 individuals from 50 to 88 years old. To control for differences in item difficulty, a subset of items from each of the two tests was selected for which uncued performance was equivalent in individuals in their 50s. With this matched set of items, differences in action and object naming were tested in the 60s and 70+ age groups. Although age-related decline in name retrieval was observed for both the BNT and the ANT subsets, no differences between object and action retrieval were found. Our results, thus, do not confirm previous studies reporting that object names and action names are differentially retrieved with aging. We discuss these new findings in relation to evidence of dissociations in object and action naming in brain-damaged individuals. (JINS, 2002, 8, 764–770.)

Deficits in planning, self-regulation and attention are a relatively common consequence of traumatic brain injury (TBI). Such “dysexecutive” deficits tend to be most exposed in complex, real world situations. Consequently, clinicians often have to rely on interviews, questionnaires and observation in their assessments. While there is little doubt that dysexecutive symptoms occur across different cultures, the expression of those symptoms, the way in which they are experienced by others, and the propensity of friends/relatives to report negative features may vary considerably. The cross-cultural use of standardized checklists and measures that have predominantly been studied with English speaking, Western groups therefore requires empirical support. Here a group of 68 healthy Chinese speaking volunteers were asked to complete translations of 2 UK developed questionnaires (the Dysexecutive Questionnaire and Cognitive Failures Questionnaire) measures and to perform 2 “executive” tasks (The Six Elements Test and the Tower of Hanoi). Their self ratings and the ratings of close relatives were very close to those seen in the original UK standardization samples—as was their performance on the 2 tasks. Accordingly, the conditions for assessing their clinical sensitivity were met. Comparison between 30 Chinese patients with TBI and matched controls showed that both questionnaires and tests were sensitive to the deficits in this group. (JINS, 2002, 8, 771–780.)

We evaluated neurocognitive function in 149 HIV-seropositive and 82 seronegative women enrolled in the Women's Interagency HIV Study (WIHS), a large multi-center study of disease progression in women living with HIV/AIDS. We evaluated the prevalence of abnormal neuropsychological (NP) test findings in HIV-seropositive and seronegative women and factors associated with increased risk of abnormal NP test performance. Risk of NP impairment was no higher for HIV positive women receiving antiretroviral therapy at testing than for HIV-negative women (OR = 1.00). However, the risk of abnormal NP performance increased significantly for seropositive women not receiving antiretroviral therapy (OR = 2.43). Further, treatment status was a significant predictor of NP impairment in a multivariate analysis that included viral load (OR = 1.48) and CD4 count (OR = 1.08) which were not significant. The multivariate analyses controlled for substance use, age, education, head injury, ethnicity, estimated IQ, and psychological distress. This study emphasizes the critical association of antiretroviral therapy with the risk of neurocognitive impairment in women living with HIV/AIDS. (JINS, 2002, 8, 781–793.)

A Stroop negative priming (NP) task was used to assess immediate selective attention and priming in schizophrenia and schizoaffective disorder. Subject groups were comprised of 12 state hospital inpatients (41.8 ± 7.5 years of age), 11 outpatients (39.8 ± 7.5 years of age), and 16 controls (36.4 ± 11.7 years of age). Compared with the control group and the outpatients, inpatients failed to exhibit NP [F(2,36) = 6.09, p < .01], despite exhibiting equivalent Stroop RT interference (p > .05). Error rates did not differ significantly between the 3 groups. Although medication types and dosages were similar between the 2 patient groups, length of illness was significantly longer in the inpatients (19.8 years) than in the outpatients (12.4 years; p < .05). Positive symptom ratings were also significantly higher in the inpatients. The finding of reduced NP in the state hospital patients appears to be related to severity of symptomatology and chronicity of illness. (JINS, 2002, 8, 794–803.)

When required to locate places on outline maps, males consistently perform more accurately than females. This sex difference in geographical knowledge has been observed in samples throughout the United States, in all age ranges examined from the second to the 9th decade of life and in samples differing in average education level from high school to postgraduate degrees. Both males and females appear to acquire geographical knowledge during surface travel through the environment. The information acquired during everyday travel is apparently integrated into topographic representations that comprise a cognitive map. This process is less efficient in females probably because they attend to and remember more about landmarks and less about distance and directional cues than do males. To examine the importance of driving experience on the ability to locate places on an outline map of the Oklahoma City metropolitan area, adolescents who were too young to drive and older persons with varying amounts of experience traveling in the metropolitan area were studied. In the present study the magnitude of the sex difference in accuracy, though not the absolute level of performance, was similar in groups of people too young to drive and in younger and older drivers. Hence, the sex difference in geographical knowledge cannot be the product of differences in driving that may exist between males and females. (JINS, 2002, 8, 804–810.)

The objective of this study was to examine the independent and interactive effects of lifetime patterns of drinking and smoking on cognitive performance in the elderly. A sample of 395 individuals with varying histories of alcohol and cigarette use was drawn from the Charlotte County Healthy Aging Study, a community-based, cross-sectional study of randomly selected older adults of age 60 to 84. Dependent variables were the results of a neuropsychological battery that provided measures of general cognitive ability, executive function, and memory. Specifically, we examined (1) differences in performance among groups of abstainers, drinkers, and smokers, (2) the effects of lifetime drinking and smoking dose on cognition within the group of users, and (3) the effects of intensity of drinking and smoking on cognition. Potential methodological confounds, such as age, education, and medical history, were controlled by means of sampling and covariance procedures. Analyses failed to provide evidence for a beneficial J-curve or threshold effect for drinking, but did not reveal any detrimental effect. No detrimental effect of smoking was found in any analysis; nor was there any evidence of an interaction between alcohol and cigarette use on any cognitive measure. (JINS, 2002, 8, 811–818.)

The aim of this study was to analyze the performance of Spanish–English bilinguals on the Golden Stroop Test. The effects of bilingualism, participants' age, age of acquisition of the second language, and proficiency in each language were analyzed. Participants consisted of 71 Spanish–English bilinguals, 40 English monolinguals, and 11 Spanish monolinguals from South Florida. Proficiency in Spanish and English was established using a self-report questionnaire and the English and Spanish versions of the Boston Naming Test. In bilinguals, the Golden Stroop Test was administered in English and in Spanish. Overall, performance was slower in bilinguals than in monolinguals. No significant differences were observed in color reading but bilinguals performed worse in the naming color condition. Even though bilinguals were 5% to 10% slower in the color–word condition, one-way ANOVAs revealed no statistically significant differences between groups. Within the bilingual group, the Stroop Test scores were similar in both English and Spanish. Age of acquisition of the second language did not predict the Stroop Test performance. Repeated measures ANOVA demonstrated a significant interaction between Language Proficiency × Language (in which the test was administered) in some of the ST conditions. In balanced bilinguals, the language used in the ST did not matter, but in unbalanced subjects, the best-spoken language showed better results. In addition, our results support the presence of both between- and within-language interference in Spanish–English bilinguals. Different conceptualization models of the structure of bilingual memory are disclosed. (JINS, 2002, 8, 819–827.)

The effect of mild head injury on event-related potential (ERP) correlates of Stroop task performance was explored with the aim of further elucidating the basis of processing impairments after mild head injury. Computer- and card-based Stroop tasks were employed to assess attention function. A sequence of incongruent color words were presented followed by a sequence of congruent color words (printed in congruent colors). Control performance was equivalent on computer- and card-based versions of the incongruent task and faster on the congruent card task than the preceding congruent computer task. The mild head injury group were as fast as controls on the computer-based task but made more errors. However, they were relatively slower on both the congruent and incongruent parts of the card-based task and made more errors in the incongruent task. ERP correlates of computer-based Stroop task performance suggested a greater allocation of attention resources in the incongruent condition in both groups in the form of relatively greater negativity in the latency range 350 to 450 ms with a distribution consistent with the activation of the anterior cingulate gyrus. In addition the mild head injured group showed relatively greater enhancement than the control group in this latency range in both congruent and incongruent conditions. There was, however no evidence of reduced amplitude P1, N1, N2, or P3b deflections. Trails, digit symbol, digit span and auditory verbal learning tests (AVLT) were also administered. Mild head injured participants were impaired only on the AVLT. The finding of greater ERP negativity in the mild head injured group is consistent with greater allocation of attention resources to achieve equivalent performance in the computer-based Stroop task. (JINS, 2002, 8, 828–837.)

Cognitive deficits in neurofibromatosis Type 1 (NF-1) have been documented in both the verbal and visuospatial domains. Previous investigations from our laboratory have determined a specific pattern of “spared” (Picture Arrangement, Picture Completion, and Rapid Automatized Naming) and “impaired” (Judgment of Line Orientation, Vocabulary, and Block Design) performance on cognitive measures in this population when compared to sibling-matched controls in pairwise designs. Growth curve analyses were conducted on these repeated measures in 19 patients with NF-1 and their siblings to investigate the longitudinal course and growth pattern of these spared and impaired measures. Results indicated that over time children with NF-1 do not catch up to their siblings on impaired measures, and they continue to perform similarly to their siblings on the spared measures. With respect to growth rates, on average across the 6 cognitive measures there was no significant difference between the groups. However, the variation among families for level of performance was estimated to be larger than variation among siblings within a family for 2 out of 6 cognitive measures (i.e., providing for these 2, Vocabulary and Rapid Automatized Naming, evidence of substantial familial correlation), suggesting that there is need to consider NF-1 associated deficits within a familial context. (JINS, 2002, 8, 838–846.)

Since its publication in 1982, the National Adult Reading Test (NART; Revised Version, NART–R) has become a widely accepted method for estimating premorbid levels of intelligence in neuropsychological research. However, the assumption that NART/NART–R performance is relatively independent of brain damage has been increasingly challenged in recent years. In a number of conditions, including Alzheimer dementia and Korsakoff's syndrome, studies have indicated a deterioration in reading ability, leading to an underestimated premorbid IQ. In a reaction to these studies, some researchers have advocated the use of demographic variables as a more suitable foundation for accurately predicting premorbid intelligence. We addressed this issue by calculating IQ estimates on the basis of NART/NART–R, demographic variables, and a combination of the two approaches and by comparing these with current WAIS/WAIS–R IQ in patients with Korsakoff's syndrome, Alzheimer dementia, frontal or temporal lobe lesions, and in healthy controls. Estimated premorbid IQs did not differ across groups, whether derived from NART/NART–R or demographic variables. Those based on NART/NART–R demonstrated higher correlations with current WAIS/WAIS–R IQ in controls and patients than those derived from demographic variables. An equation combining NART scores with demographic variables did not significantly increase the amount of variance in IQ explained by NART only, either in patients or controls. The data offer reassurance regarding the continued use of NART as a valid estimate of premorbid intelligence in a number of conditions. (JINS, 2002, 8, 847–854.)

In order to investigate the status of remote memory the Autobiographical Memory Interview (AMI) was administered to 30 individuals with advanced multiple sclerosis (MS). In contrast to earlier studies which have shown only mild deficits in autobiographical memory in those with less physical progression of the disease, about two-thirds (60%) of the present MS sample had a deficit in autobiographical memory. The presence of such a deficit was not related to age, age of onset, duration of illness, or level of physical disability, but was related to level of general cognitive ability. Memory for episodic autobiographical incidents was more affected than for personal semantic information; a temporal gradient typical of some dementing conditions but not before demonstrated in MS, was also observed with memory for more recent events showing a significant decline. (JINS, 2002, 8, 855–860.)

Memory deficits are frequently observed in schizophrenia but their intrinsic characteristics have not been clarified. We studied remote memory in a group of 20 schizophrenics and 20 healthy age and education matched controls using a newly devised public event questionnaire (PEQ) that employs a free recall, progressive cueing and recognition protocol and requires dating of events. Results indicate that patients with chronic schizophrenia perform significantly more poorly on the PEQ than a group of age and education matched controls both in terms of content and dating of events. The number of events recalled does not improve with progressive cuing or recognition. No distinctive pattern was observed in their temporal gradient. There was no significant difference in content scores for pre- and post-onset events in the schizophrenics. These findings indicate that remote memory deficits in chronic schizophrenics arise from deficient encoding rather than from a retrieval deficit secondary to executive dysfunction. (JINS, 2002, 8, 861–866.)

Neurology, like many disciplines in medicine and science, has had a penchant for naming many of its discoveries after their discoverers. This tendency became especially evident in the early 20th century, for example, when the practice of neurology was essentially confined to bedside diagnosis, and dozens of pathological reflexes, many now largely forgotten, came to be recognized by the names of the neurologists who popularized them. Such eponymic zeal has engendered controversy, however, as some have argued that it is more “scientific” to apply purely descriptive labels to neurologic phenomena. This book clearly supports retaining the use of eponyms in neurology, both because of the inescapable familiarity that many of these terms have acquired, and for the importance of the person behind the eponym. The result is a useful and readable compendium of selected neurologic information, along with a substantial amount of detail on the history of neurology.

Neuropsychology is blessed by a huge and burgeoning literature—but most practitioners are cursed by a lack of time. How can one possibly keep abreast of the latest developments in computational modelling, functional imaging and clinical practice, while sustaining research within one's own field of interest? Most of us rely quite heavily on review articles and tutorial chapters. Farah and Feinberg's edited set of review chapters Patient Based Approaches to Cognitive Neuroscience is a very useful and broad-ranging collection with extensive line art and grey-scale illustrations. This book would be a useful addition to one's personal library as well as a valuable source of readings for advanced students or clinical trainees. Farah, Feinberg and their publishers are to be congratulated in providing such a valuable work.

Cerebral reorganization and functional plasticity are topics central to the practice of neuropsychology. Clinicians are frequently required to make choices regarding the most efficacious rehabilitation methods, comment on recovery and outcome patterns, or predict nature and severity of residual deficits. Unfortunately, insufficient available information makes such judgments problematic at best.

Clinicians owe a debt of gratitude to McCaffrey and his team for developing not just one (McCaffrey et al., 2000) but now a second set of tables providing an extensive compilation of test–retest data for tests commonly used in neuropsychological assessment. The newest Practitioner's Guide presents the retest findings for all four versions of the adult Wechsler Intelligence Scale [Wechsler-Bellevue, the original Wechsler Adult Intelligence Scale (WAIS), and its variants: WAIS–R, WAIS–III, WAIS–RNI], plus the Wechsler Intelligence Scale for Children (WISC) with its variants (WISC–R, WISC–III) and the Wechsler Preschool and Primary Scale of Intelligence. For each of Wechsler's batteries this guide provides retest data for the scores in common use (e.g., IQ, VIQ, PIQ, each individual test, and WAIS–III index scores). In addition retest findings are given for the North American Reading Test, Raven's Progressive Matrices, Shipley-Hartford Institute of Living Scale, and for 13 Stanford-Binet studies (form L-M, judging from study dates; all but five are IQ scores).

Brain injury and the family. A life and living perspective (2nd ed.).

Side bias: A neuropsychological perspective.

Experimental and clinical neurotoxicology (2nd ed.).

The handbook of cognitive neuropsychology. What deficits reveal about the human mind.

The mechanization of the mind. On the origins of cognitive science.

Single-case and small-n experimental designs. A practical guide to randomization tests.

Minds, brains, and learning. Understanding the psychological and educational relevance of neuroscientific research.

The neurology of vision.