Recent imaging studies in healthy controls with a conditional stop signal reaction time (RT) task have implicated the subthalamic nucleus (STN) in response inhibition and the pre-supplementary motor area (pre-SMA) in conflict resolution. Parkinson's disease (PD) is characterized by striatal dopamine deficiency and overactivity of the STN and underactivation of the pre-SMA during movement. We used the conditional stop signal RT task to investigate whether PD produced similar or dissociable effects on response initiation, response inhibition and response initiation under conflict. In addition, we also examined inhibition of prepotent responses on three cognitive tasks: the Stroop, random number generation and Hayling sentence completion. PD patients were impaired on the conditional stop signal reaction time task, with response initiation both in situations with or without conflict and response inhibition all being significantly delayed, and had significantly greater difficulty in suppressing prepotent or habitual responses on the Stroop, Hayling and random number generation tasks relative to controls. These results demonstrate the existence of a generalized inhibitory deficit in PD, which suggest that PD is a disorder of inhibition as well as activation and that in situations of conflict, executive control over responses is compromised.
Sequence knowledge acquired by repeated exposure to targets in a speeded localization task was studied in 3 experiments that sought to test A. Destrebecqz and A. Cleeremans's (2001, 2003) claim that, under certain circumstances, the expression of such sequence knowledge cannot be brought under intentional control. In Experiment 1 participants were trained on either a deterministic or a probabilistic sequence and then performed a free-generation test under either inclusion or exclusion instructions. Participants were found to be capable of both expressing (inclusion) and avoiding expressing (exclusion) sequence knowledge. These results were confirmed in Experiment 2 with a more exact replication of Destrebecqz and Cleeremans's methodology. In Experiment 3 participants performed a trial-by-trial generation test under both inclusion and exclusion conditions after a much longer period of training. All the findings are consistent with the proposal that information acquired during sequence learning is explicit in nature.
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