Elizabeth Warrington
Encyclopedia
Elizabeth Warrington FRS
Royal Society
The Royal Society of London for Improving Natural Knowledge, known simply as the Royal Society, is a learned society for science, and is possibly the oldest such society in existence. Founded in November 1660, it was granted a Royal Charter by King Charles II as the "Royal Society of London"...

, is a British neuropsychologist specialized in the study of dementia
Dementia
Dementia is a serious loss of cognitive ability in a previously unimpaired person, beyond what might be expected from normal aging...

. She holds a PhD in visual processing
Visual processing
Visual processing is the sequence of steps that information takes as it flows from visual sensors to cognitive processing. The sensors may be zoological eyes or they may be cameras or sensor arrays that sense various portions of the electromagnetic spectrum....

 and is now an emeritus
Emeritus
Emeritus is a post-positive adjective that is used to designate a retired professor, bishop, or other professional or as a title. The female equivalent emerita is also sometimes used.-History:...

 professor of clinical neuropsychology
Clinical neuropsychology
Clinical neuropsychology is a sub-field of psychology concerned with the cognitive function of individuals with neurological and psychiatric disorders. Neuropsychological assessment examines cognitive function in the broadest sense, including the behavioural, emotional, social and functional status...

 at the University College London
University College London
University College London is a public research university located in London, United Kingdom and the oldest and largest constituent college of the federal University of London...

. She formerly worked as the Head of the Department of Neuropsychology at the National Hospital for Neurology and Neurosurgery
National Hospital for Neurology and Neurosurgery
The National Hospital for Neurology and Neurosurgery is a neurological hospital in London, United Kingdom and part of the University College London Hospitals NHS Foundation Trust...

 where she is also a member of the Dementia Research Centre
Dementia Research Centre
The Dementia Research Centre is part of University College London's Department of Neurodegenerative Disease. The DRC is part of the National Hospital for Neurology and Neurosurgery in Queen Square, London and is affiliated with the Hospital's Specialist Cognitive Disorders Clinic...

. She was made a Fellow of the Royal Society in 1986.

Biography

Dr. Elizabeth Warrington received her PhD in visual processing from the University College London in the 1950s. She worked for a time as the Head of Department of Neuropsychology at the National Hospital for Neurology and Neurosurgery in London, England. She is currently an emeritus professor of clinical neuropsychology for the University College London, specifically in the UCL Institute of Neurology
UCL Institute of Neurology
The UCL Institute of Neurology is an institute within the Faculty of Brain Sciences of University College London and is located in London, United Kingdom...

. She is a member of the Dementia Research Centre associated with the University College London. Her research has focused on cognitive abilities, specifically the neurological basis of cognitive abilities, how the neural networks in the human brain work to perceive, remember, and talk about objects and events. She has participated in work on defining the differences between semantic memory
Semantic memory
Semantic memory refers to the memory of meanings, understandings, and other concept-based knowledge unrelated to specific experiences. The conscious recollection of factual information and general knowledge about the world is generally thought to be independent of context and personal relevance...

 and episodic memory
Episodic memory
Episodic memory is the memory of autobiographical events that can be explicitly stated. Semantic and episodic memory together make up the category of declarative memory, which is one of the two major divisions in memory...

 which led to her identification of a new form of dementia, semantic dementia
Semantic dementia
Semantic dementia is a progressive neurodegenerative disorder characterized by loss of semantic memory in both the verbal and non-verbal domains...

. She has published numerous tests and case studies and her work in these studies has been focused on diagnosing brain injuries. The tests she has developed can be used to help identify numerous types of brain damage including dementia, Alzheimer’s disease, and brain injuries resulting from a stroke. Her tests may also be used to track the recovery of these patients and to plan rehabilitation programs for them.

Research

In general, Elizabeth Warrington's research work focused on cognitive abilities and deficits. Her research has played an important role in the discovery and characterization of semantic dementia. She conducted extensive research in the areas of amnesia
Amnesia
Amnesia is a condition in which one's memory is lost. The causes of amnesia have traditionally been divided into categories. Memory appears to be stored in several parts of the limbic system of the brain, and any condition that interferes with the function of this system can cause amnesia...

, memory, and dementia. Warrington has also contributed to the development of more accurate tests used to diagnose degenerative brain conditions.

In one of Warrington's earliest studies, she investigated eighty right handed patients who showed signs of a unilateral cerebral lesion. The unilateral cerebral lesions may have included damage from problems such as a stroke or tumor. Subjects with lesions affecting the right side of their brain performed worse than subjects with left side lesions and control subjects when attempting both the Incomplete Letters Task and the Gollin Incomplete Figures Task. The results of this study provided evidence of hemispheric lateralization.

Entirely by accident, Elizabeth Warrington discovered a task in which patients suffering from severe amnesia displayed signs of memory. She accomplished this using the Gollin incomplete figures task. When presenting patients with the second viewing of the figures, patients showed good retention of the initially unrecognizable images. These patients were classified as displaying signs of “normal” memory.

To further validate the discovery of “normal” memory in severe amnesiacs, Warrington used methods involving stem completion. The stem completion tests involved patients learning a battery of words, and later identifying the learned words. Patients were able to identify a previously learned word when presented with the first three letters, but were unable to identify a previously learned word when given the choice between a learned word and unknown word. These tests provided further evidence of different types of memory, now known as implicit memory
Implicit memory
Implicit memory is a type of memory in which previous experiences aid in the performance of a task without conscious awareness of these previous experiences. Evidence for implicit memory arises in priming, a process whereby subjects show improved performance on tasks for which they have been...

 and explicit memory
Explicit memory
Explicit memory is the conscious, intentional recollection of previous experiences and information. People use explicit memory throughout the day, such as remembering the time of an appointment or recollecting an event from years ago....

.

In a test administered by Warrington and Tim Shallice
Tim Shallice
Timothy Shallice is a professor of neuropsychology and past director of the Institute of Cognitive Neuroscience, part of University College London...

 from University College London, the short term memory of a patient who suffered head trauma following a motorcycle accident was tested. Although the patient displayed a digit span of one (as opposed to the average persons digit span of five to nine), he was able to form certain types of long term memory. The collected data suggested that short term memory was not necessarily required for the formation of long term memories.

Cognitive Functioning Tests

Elizabeth Warrington has conducted many ground breaking experiments and developed many cognitive functioning tests to measure a patient's cognitive abilities throughout her career. Warrington’s work is often credited with helping shape the basis of modern day cognitive psychology. Many of Warrington’s tests are still used today.

One of her most influential experiments is the Visual Object and Space Perception Battery, or the VOSP. This test was designed by Elizabeth Warrington and Merele James in 1991. The VOSP is used to help determine whether or not a lesion in the brain is causing impairments to object and space perception. This test limits other cognitive functions in order to assess certain aspects of object and space perception. The VOSP consists of eight untimed tests that are usually administered at a pace suitable for that particular patient. After completing eight tests, the scores are then compared to the scores of patients with right and left-cerebral lesions. This experiment is commonly used by psychologists today and has been featured in over 250 publications. The VOSP can be purchased from most online bookstores for around the price of 230.00 USD.>

Another test that is still in use is the Verbal and Spatial Reasoning Test also known as VESPAR. VESPAR is a test that was designed by Elizabeth Warrington and Dawn W. Langdon in 1996. VESPAR is a reasoning test that presents a fairly new approach in how reasoning tests are performed. This test is designed to measure the fluid intelligence in neurological patients. This test is unique in that it offers more accuracy than any other test available for this type of measurement. VESPAR is divided into six sections. There are three matched sets of verbal and spatial reasoning problems, where each is dedicated to one of three forms of inductive reasoning. This includes odd one out, by analogy, and series completion. VESPAR is able to overcome many restraints that arise when performing more conventional reasoning tests by using stimuli that is more readily accessed by patients who suffer from physical or cognitive impairments due to neurological illness. VESPAR does not use timing to help evaluate performance, instead it uses high frequency stimulus words or visually distinct spatial stimuli to help determine its results. VESPAR has a multiple choice format. This format has been adopted to reduce both short term memory load and output demands on the patient. The assessment of patients for neurodiagnostic and neurorehabilitation needs will be facilitated. VESPAR only requires the patient to do simple pointing gestures. The spatial section of the test measures the fluid intelligence of patients with aphasia
Aphasia
Aphasia is an impairment of language ability. This class of language disorder ranges from having difficulty remembering words to being completely unable to speak, read, or write....

. The verbal section does the same for patients with visual and spatial problems. VESPAR focuses more the instinctive ability of a patient, rather than educational experience. Thus, although originally developed for adult neurological populations, the test is suitable for a wide range of clinical, educational, occupational, and research applications. This test is also available for purchase at most online bookstores.

External links

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