| CONATION
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Conation is a term used by neuropsychologists to refer to
the motivational component of voluntary actions, which links
the capacities of the individual (such as IQ) with real world
achievement. TBI is thought to impair conation. Consequently
a person with a TBI who has substantially retained his pre-morbid
IQ on formal testing may fail repeatedly in his work and home
environment to complete tasks, for which his testing IQ render
him fully capable of completing. The reason is that testing
is given in a very structured way with lots of prompting in
a distraction free environment; whereas, shopping at a grocery
store or working through assignments alone at one's desk at
the office, require the ability to self-start and push oneself
through chosen tasks through to completion in settings which
are crammed with distractions and have very little structure
or prompts to help the person through a complex sequences
actions. In the past little if any effort was made to
devise tests for conation which could be administered as part
of a battery of other tests for things like attention, visual
memory, verbal memory, etc. Very recently neuropsychologists
Ralph Reitan and D. Wolfson have come up with a specific test
format for assessing conation, which they plan to publish
in later 1999 or early 2000. Once the format is described
in the literature and made available to other neuropsychologists,
we should know if the testing is valid and reliable. If so,
this new test instrument would be an important advance.
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