EXECUTIVE FUNCTION PROBLEMS: MAKING A STRENGTH OUT OF A WEAKNESS
(click on link above for full paper)
PRESENTATION - SALT II OCTOBER, 2003

selected notes

Executive Functions as Normalcy
Causative Role in multiple disorders


schizophrenia (Weickert, et al, 2000)
Tourette Syndrome (Landon & Oggel, 2002)
autism (Tanguay, 2000)
OCD (Rauch & Grabiel, 2000)
violent and criminal behavior (Goldberg, 2001)
ADHD (Mirsky, 1996)
LD (Denckla, 1996)

GIFTED


creative

nonconformist

imaginative

intense

POOR EF


disorganized

not rule bound

disinhibited/distractible

poor self control
GOOD EF


planned

rule bound

inhibited/on track/focussed

good self control

EXECUTIVE FUNCTIONS

GOAL ORIENTATION

PLANNING

ORGANIZING

SEQUENCING STEPS

TRACKING/MONITORING

INHIBITION OF PREPOTENT RESPONSES

³SELF² CONTROL
INNER LANGUAGE
WORKING MEMORY
MENTAL EFFORT
SUSTAIN, SHIFT, INITIATE


FRONTAL AREAS

MULTIPLE FEEDFORWARD AND FEEDBACK CONNECTIONS

EXECUTIVE FUNCTION (EF)

Top-Down, Central Control Agency

Homunculus

Little Man in the Head

Ghost in the Machine

Self Control

³Supervisory Attentional System²

Meta-Rules Meta-Procedures

LOSS OF DEMOCRATIC INTERACTIONS ON THE GROUND

DISCONNECT FROM CONTENT/MEANING/STRUCTURE

INFINITE REGRESS
EF vs MEANING

-18
+12
6
EXECUTE ORDERED but empty STEPS:
³I Canıt remember what the sign should be.²

INSIGHT
Borrow 18, pay back 12
--------------------------------------
EXECUTE ORDERED but empty STEPS:
1.05 ³2 x 5 is 10, put down the zero, carry the one.
x.2 2 x 0 is 2, plus (the carried) one is 3
2.30 2 x 1 is 2

INSIGHT
When questioned, S was able to say that 1.05 was about 1, .2 was about 1/2 (this was accepted) and said that 1/2 of 1 would be less than 1.

BACK TO EF
When challenged about his answer that was greater than 1, S answered with greater faith in the algorithm than in the numbers:
³If it doesnıt say 2, then I didnıt show that I got the answer.
---------------------------------------------

EMPTY FORMULATIONS
³Lisa has the most ethical behavior. She is virtuous and she does the right thing.²

META, PROCEDURAL, HIGHER ORDER


REMOTE FROM:
UNDERSTANDING
INSIGHT
CONCEPT FORMATION
RELATIONSHIPS
STRUCTURE OF INFORMATION FIELD
PATTERNS
INTELLIGENCE


EMPTY, DETACHED, CIRCULAR

³TO FOLLOW RULES AND INSTRUCTIONS...AS A FORM OF PROBLEM SOLVING AND TO CONSTRUCT META-RULES, THE BASIS FOR USING RULES² (BARKLEY 2000, P. 1068)


A Problem is something for which there is no known solution.
STRAIGHT IS NARROW

Devaluing of Error/Experimentation

Problem
What time will it be 6 1/2 hours after 6:45

Productive Error/Experimentation:

6:45
+6:30

Adds 45 and 30 to get 75. Says, You canıt go over 60 minutes so youıd have to carry with the 75


EF as RESTRICTION

EF - School Achievement - Anxiety - Narrow Focus

elevated epinephrine levels
Anderson et al, 2000
Frankenhauser, 1971
Manassis, 2000

vs

URGENT SEARCH FOR MEANING

Disinhibition - Seek/Explore - Fluid - Global

dopamine seeking (feelings of reward, satisfaction)
decreased frontal enervation
unchecked right hemisphere
feelings/urgencies/personal valences
perceiving global, integrated, broad, essential properties
Strobel, et al, 1999 Ebstein, et al, 1996


EXECUTIVE DYSFUNCTION??

Whoıs Dysfunctional?


Case Example:

There were many instances at this testing when X had a rush of ideas with which he had to struggle in order to come up with some clarity of expression. When supplying the missing word on the passage comprehension test (see Woodcock-Johnson results below), X went through a rich set of associations before settling on precisely the right word. In so doing, he revealed his appreciation for every nuance of what the passage called for but also the persistent problem of channeling all of them into a response worthy of them.
Often he is not successful in his effort to constrain his thinking in a way that is expected of him. He can give fully developed, insightful summaries of what heıs read but then cannot force them into the constraints of those options given on a multiple choice test (Gray Oral Reading Test). Whether successful or not, it is exhausting for X to go through the process. Since he accepts the test and its choices as authority, X feels that it is his inadequacy when the richness of his thinking does not conform to the answers. In his words, he wonders, ³What am I not seeing that someone else would see?²



SUPPORTS EFıS
by passes meaning


mild anxiety/hyperfocus

fragmentation

rule following

syntax

persistence

repetition

mental effort

detail

patience

restriction



SUPPORTS MEANING
bypasses EF'S


exploration/broad view

integration

relevance following

semantics

experimentation

novelty

insight

big picture

urgency

exploration


INSTRUCTION

GO BIG
DONıT: task analyze, divide into smaller steps
DO: consolidate information - anchor in essential properties

GO BASIC
DONıT: collect isolated information fragments
DO: recognize, predict details as implicates of key ideas
DO: learn detail in following a larger purpose

GO DEEP
DONıT: use meta- strategies, memorize
DO: reveal essential properties/concepts/patterns,
encourage insight

GO DIRECT
DONıT: overload with detailed, language-laden multiple
choice testing
DO: assess with open ended tests, projects, topic-choice
papers

GO REAL
DONıT: use formulaic or disassociated problems
DO: use actual problems (no preset formula for solution)
relate to real, relevant, studentıs personal context

executive functions:

³actually allow the personıs behavior to be more effectively controlled by that environment....individuals who demonstrate greater self-regulation are far more under the control of their environment than are those with less self-regulation. Thus the former benefits far more in the long run than does the latter.² (Barkley, 1998; p. 247).


EXECUTIVE FUNCTION = INHIBITION OF COMMON SENSE

Failure to suppress prepotent responses
Rejection of personal preferences



EXECUTIVE FUNCTION = HIGH VALUE PLACED ON NORMATIVE FEEDBACK

J. Brown - anterior cingulate cortex (ACC), ability to realign intention w/ feedback
http://www.eurekalert.org/pub_releases/2003-
10/vu-ntp092903.php

Carter,MacDonald,Ross & Stenger (2000)
ACC - ability to use error feedback