Process Approach Article of the Day v2.0, article 1: Lippa & Davis 2010: "Inhibition/Switching Is not Necessarily Harder than Inhibition: An Analysis of the D-KEFS Color-Word Interference Test" bit.ly/3rZcVVh
This is a popular issue on the D-KEFS CWIT: what to make of it when the "harder" trial is counterintuitively easier for a patient.
In comparing people who displayed a "typical" vs. "atypical" (C4 Switching faster than C3 Inhibition) pattern for time, there were no differences on conventional neuropsych measures. People with an "atypical" error pattern had better memory and language skills.
The authors floated possibilities including practice effects or difficulty with color naming or learning characteristics. But the question is really left dangling for the audience. So... why does this happen?
What Edith said--which makes total sense--is that some people experience a "release from inhibition" on the final trial. Brains that struggle with the inhibition required by C3 are relieved to find that they only have to do that on half of the items on C4.
C4 is not a complex struggle between 2 competing rules for everyone. For some it's like C3, but with a lot more opportunities to just read the darn word and not have to worry about the impossibly difficult inhibition rule half of the time. So those folks do better on C4. Ta-da.

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14 Dec 18
The Barnes et al. TBI/dementia study has been making its way around Twitter again lately. I'm sure the authors are great epidemiologists, but there are some problems that I wanted to share with the world, or at least my 48 followers. bit.ly/2xRsRy7 /1
First, dementia “diagnosis” in someone’s VA chart can range from well-formed to completely arbitrary. Some people are diagnosed based on an appropriate diagnostic process. /2
Many, though, are classified with a dementia diagnosis because they tell their primary care physician, or other provider who is not qualified to diagnose neurodegenerative disorders, that they have memory problems, so the provider codes it as “dementia”. /3
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