An ecological approach to planning dysfunction: script execution. 2000

M Chevignard, and B Pillon, and P Pradat-Diehl, and C Taillefer, and S Rousseau, and C Le Bras, and B Dubois
Service de Rééducation Neurologique, Hopital de la Salpetrière, Paris, France.

Planning, which concerns many activities in everyday life, is a two-stage process. The first one predetermines a course of actions aimed at achieving some specific goals. It is founded on managerial knowledge or overlearned sequences of events and may be tested by script generation. The second stage entails monitoring and guiding the execution of the plan to a successful conclusion. It must take into account environmental contingencies and may be tested by script execution. If the frontal lobes intervene not only in managerial knowledge (Grafman, 1989) but also in binding the plan with contextual environment (Damasio, Tranel and Damasio, 1991; Shallice and Burgess, 1991), script execution would be more sensitive than script generation to planning deficits. To test this hypothesis, script execution and script generation were compared in 11 patients with a dysexecutive syndrome and 10 matched controls, using three scripts of daily life activities: (1) 'shopping for groceries'; (2) 'cooking'; (3) 'answering a letter and finding the way to post the reply'. Two way ANOVAs showed more errors in execution than in generation, more errors in patients than in controls, and a greater difference between execution and generation in patients than in controls. Furthermore, 'context neglect' and 'environmental adherence' were the two types of errors that best differentiated patients from controls. Finally, the total number of errors in execution correlated with the score on behavioral questionnaires answered by occupational therapists. These results confirm our hypothesis and suggest that script execution may be a valid ecological approach to estimate the severity of deficits in daily life activities.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009483 Neuropsychological Tests Tests designed to assess neurological function associated with certain behaviors. They are used in diagnosing brain dysfunction or damage and central nervous system disorders or injury. Aphasia Tests,Cognitive Test,Cognitive Testing,Cognitive Tests,Memory for Designs Test,Neuropsychological Testing,AX-CPT,Behavioral Assessment of Dysexecutive Syndrome,CANTAB,Cambridge Neuropsychological Test Automated Battery,Clock Test,Cognitive Function Scanner,Continuous Performance Task,Controlled Oral Word Association Test,Delis-Kaplan Executive Function System,Developmental Neuropsychological Assessment,Hooper Visual Organization Test,NEPSY,Neuropsychologic Tests,Neuropsychological Test,Paced Auditory Serial Addition Test,Repeatable Battery for the Assessment of Neuropsychological Status,Rey-Osterrieth Complex Figure,Symbol Digit Modalities Test,Test of Everyday Attention,Test, Neuropsychological,Tests, Neuropsychological,Tower of London Test,Neuropsychologic Test,Test, Cognitive,Testing, Cognitive,Testing, Neuropsychological,Tests, Cognitive
D010934 Planning Techniques Procedures, strategies, and theories of planning. Planning Theories,Methodology, Planning,Planning Methodology,Planning Technic,Planning Methodologies,Planning Technics,Planning Technique,Planning Theory,Technic, Planning,Technique, Planning,Theory, Planning
D012016 Reference Values The range or frequency distribution of a measurement in a population (of organisms, organs or things) that has not been selected for the presence of disease or abnormality. Normal Range,Normal Values,Reference Ranges,Normal Ranges,Normal Value,Range, Normal,Range, Reference,Ranges, Normal,Ranges, Reference,Reference Range,Reference Value,Value, Normal,Value, Reference,Values, Normal,Values, Reference
D001925 Brain Damage, Chronic A condition characterized by long-standing brain dysfunction or damage, usually of three months duration or longer. Potential etiologies include BRAIN INFARCTION; certain NEURODEGENERATIVE DISORDERS; CRANIOCEREBRAL TRAUMA; ANOXIA, BRAIN; ENCEPHALITIS; certain NEUROTOXICITY SYNDROMES; metabolic disorders (see BRAIN DISEASES, METABOLIC); and other conditions. Encephalopathy, Chronic,Chronic Encephalopathy,Chronic Brain Damage
D001930 Brain Injuries Acute and chronic (see also BRAIN INJURIES, CHRONIC) injuries to the brain, including the cerebral hemispheres, CEREBELLUM, and BRAIN STEM. Clinical manifestations depend on the nature of injury. Diffuse trauma to the brain is frequently associated with DIFFUSE AXONAL INJURY or COMA, POST-TRAUMATIC. Localized injuries may be associated with NEUROBEHAVIORAL MANIFESTATIONS; HEMIPARESIS, or other focal neurologic deficits. Brain Lacerations,Acute Brain Injuries,Brain Injuries, Acute,Brain Injuries, Focal,Focal Brain Injuries,Injuries, Acute Brain,Injuries, Brain,Acute Brain Injury,Brain Injury,Brain Injury, Acute,Brain Injury, Focal,Brain Laceration,Focal Brain Injury,Injuries, Focal Brain,Injury, Acute Brain,Injury, Brain,Injury, Focal Brain,Laceration, Brain,Lacerations, Brain
D004463 Ecology The branch of science concerned with the interrelationship of organisms and their ENVIRONMENT, especially as manifested by natural cycles and rhythms, community development and structure, interactions between different kinds of organisms, geographic distributions, and population alterations. (Webster's, 3d ed) Bionomics,Ecologies
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

Related Publications

M Chevignard, and B Pillon, and P Pradat-Diehl, and C Taillefer, and S Rousseau, and C Le Bras, and B Dubois
October 1977, American journal of health planning,
M Chevignard, and B Pillon, and P Pradat-Diehl, and C Taillefer, and S Rousseau, and C Le Bras, and B Dubois
January 1983, Child welfare,
M Chevignard, and B Pillon, and P Pradat-Diehl, and C Taillefer, and S Rousseau, and C Le Bras, and B Dubois
January 1987, Social work in health care,
M Chevignard, and B Pillon, and P Pradat-Diehl, and C Taillefer, and S Rousseau, and C Le Bras, and B Dubois
October 2017, Journal of continuing education in nursing,
M Chevignard, and B Pillon, and P Pradat-Diehl, and C Taillefer, and S Rousseau, and C Le Bras, and B Dubois
March 2012, The international journal of medical robotics + computer assisted surgery : MRCAS,
M Chevignard, and B Pillon, and P Pradat-Diehl, and C Taillefer, and S Rousseau, and C Le Bras, and B Dubois
April 2005, Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals,
M Chevignard, and B Pillon, and P Pradat-Diehl, and C Taillefer, and S Rousseau, and C Le Bras, and B Dubois
January 2016, Topics in language disorders,
M Chevignard, and B Pillon, and P Pradat-Diehl, and C Taillefer, and S Rousseau, and C Le Bras, and B Dubois
November 2015, Journal of biomechanics,
M Chevignard, and B Pillon, and P Pradat-Diehl, and C Taillefer, and S Rousseau, and C Le Bras, and B Dubois
January 2002, MCN. The American journal of maternal child nursing,
M Chevignard, and B Pillon, and P Pradat-Diehl, and C Taillefer, and S Rousseau, and C Le Bras, and B Dubois
January 2020, PloS one,
Copied contents to your clipboard!