from Psychology, health and illness
Published online by Cambridge University Press: 18 December 2014
With over 100 different theorized types of memory in existence (Tulving, 2002) it is no wonder that the assessment of learning and memory can be quite complex. However, despite our current knowledge, memory is often conceptualized as a unitary concept, especially by non-psychologist health professionals. Memory is actually a multidimensional construct with dissociable sub-systems, or processes. Many of these subsystems are particularly sensitive to impairment following trauma or other acquired brain insult. Therefore, understanding how the brain represents and processes information is essential in the clinical assessment of learning and memory. Despite the major advances in the understanding of cognitive and cerebral aspects of learning and memory in the last century, clinical assessment has lagged behind the research knowledge in this area.
This chapter will present a basic overview of modern clinical assessment of learning and memory in adults. It begins with a brief historical perspective on views of memory followed by a discussion of the different approaches to the conceptual understanding of learning and memory (e.g. ‘process’ versus ‘systems’ approach). The chapter will also touch upon the key brain structures responsible for aspects of memory. We will address the role of learning, current debates in assessment, comprehensive assessment techniques and other cognitive functions that impact memory. Finally, a discussion of future directions and recommendations for improving the quality of memory assessment is presented.
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