Summaries in Afrikaans and English / Text in Afrikaans / Die waarde van visueel-perseptuele skoling of terapie vir visueel-perseptueel gestremde leerlinge as 'n subgroep van leergestremdheid, is reeds vir dekades 'n omstrede aangeleentheid. Hierdie omstredenheid is ondersoek aan die hand van sewe internasionaal erkende psigometriese toetse. Die interne konsekwentheidskoeffisiente van hierdie toetse het vir die huidige studie van 0,62 tot 0,95 gestrek. 'n Faktorontleding van die toetsinterkorrelasies het 'n gemeenskaplike faktor blootgele. Ses toetse was primer visueel-perseptueel, en Goodenough <1926> se skaal is vir die bepaling van intelligensie gebruik. Bykomend hiertoe, is leerlinge se prestasies in hul eerste taal, wiskunde en skrif gebruik om die effek van terapie te bepaal. Proefpersone is as visueel-perseptueel gestremd gediagnoseer deur 'n opvoedkundige sielkundige en 'n visuele skolingsentrum in Pretoria, waar eksper imentele leerlinge terapie ontvang het. Hierdie diagnoses is deur die Test for Visual Analysis Skills wat beduidend tussen normale en visueelperseptueel gestremdes onderskei, bevestig. Die toets se geldigheid vir Suid-Afrikaanse omstandighede is in 'n voorstudie bepaal. Honderd en ses, ses- tot negejarige proefpersone (82 seuns en 24 dogters>, van normale intelligensie, gesigskerpte en gehoor, is betrek. Drie en vyftig het die eksperimentele groep gevorm wat onderverdeel is in 32 wat terapie voltooi het, en 21 wat nie het nie. Hierdie leerlinge is individueel afgepaar met kontroleleerlinge van dieselfde geslag, ouderdom, huistaal, sosio-ekonomiese status en skoolstanderd. Eksperimentele leerlinge het visuele terapie in n breer groepsverband vir een uur per week ontvang. Terapieperiodes het van 4 tot 15 maande gewissel. Die eksperimentele ontwerp was 'n voortoets-natoets-tweegroepontwerp. t-Toetse vir afhanklike (afgepaarde) groepe is uitgevoer op die verskille tussen voor- en natoetstellings, asook tussen die eksperimentele en kontrolegroepe. Geeneen van die primer visueel-oerseptuele meettegnieke het beduidende resultate opgelewer nie. Dit is aanduidend van die ondoeltreffendheid van visueel-perseptuele terapie om die tekorte waarop dit gemik is, reg te stel. Die waarde van visueel-perseptueie terapie is inteendeel beperk tot 'n oorhoofse verbetering in konseptualisering en intellektuele ryping by die groep wat terapie voltooi het. Skrif was die enigste vak wat by dieselfde groep beduidend verbeter het. Hierdie resultaat is egter twyfelagtig vanwee beoordelingstekorte. / The value of visual perceptual training or therapy, to visually perceptually impaired pupils as a subgroup of the learning disabled, has been a controversy far decades. This controversy was investigated by means of seven internationally recognised psychometric tests. The internal consistency coefficients of these tests for the present study ranged from 0,62 to 0,95. A factor analysis of test intercorrelations revealed a common factor. Six tests were primarily visual perceptual, whilst the Goodenough (1926) scale determined intelligence. Additionally, pupils' performance in their first language, mathematics and writing, was used to assess the therapeutic effect. Subjects were diagnosed as visually perceptually impaired by an educational psychologist and a visual training centre in Pretoria where experimental pupils received therapy. These diagnoses were confirmed by the Test for Visual Analysis Skills, which significantly differentiates between the normal and visually perceptually impaired. This test's validity for South African circumstances was determined in a prestudy. One hundred and six, six to nine year old subjects <82 boys and 24 girls>, of normal intelligence, visual acuity and hearing, were involved. Fifty three formed the experimental group which was subdivided in 32 who completed therapy, and 21 who did not. These pupils were individualiy matched with controls of similar sex, age, home language, socio economic status and school standard. Experimental pupils received visual therapy within a broader group context for one hour per week. Therapy periods fluctuated between 4 and 15 months. The experimental design was a pretest-posttest two group design. t-Tests for dependant <matched) groups were conducted on the differences between pre and oosttest scores, as well as between the experimental and control groups. None of the primarily visual perceptual tests revealed significant results. This signifies the inefficiency of visual perceptual therapy to rectify the deficits at which it is directed. The value of visual perceptual therapy is, on the contrary, restricted to an overall improvement in conceptualization and intellectual maturation within the group which completed therapy. Writing was the only subject which improved significantly within the same group. However, this result is dubious, due to evaluation deficits. / Psychology / D.Litt. et Phil. (Psychology)

Instrumentos de avaliação da memória episódica não verbal são escassos. Além disto, consideramos a crescente necessidade de esforços para a adaptação transcultural de instrumentos de memória para nosso contexto. O subteste Visual Reproduction I e II (Reprodução Visual I e II) faz parte da Wechsler Memory Scale (WMS) e se trata de uma escala mundialmente utilizada e adaptada a diversas culturas, sendo considerada padrão ouro dentre as medidas de avaliação da memória. No presente estudo, utilizamos o subteste Reprodução Visual, da WMS na sua quarta edição (WMS-IV). O Reprodução Visual (RV) é subdividido em três domínios de investigação da memória visual (evocação imediata, evocação tardia e reconhecimento) e uma tarefa opcional para avaliação da percepção visual, habilidades construtivas e atenção aos detalhes (cópia). Além disto, o escore de cada um dos três domínios avaliados podem ser contrastados, de modo que se obtenham informações sobre a retenção, o quanto a memória é melhor ou pior do que as habilidades construtivas e, por último, o quão o sujeito evoca livremente ou precisa de pistas para evocar a informação aprendida. Esta versão da WMS-IV é uma revisão da WMS-III, cujos estudos resultaram em algumas alterações metodológicas e de conteúdo, no sentido de facilitar a análise dos resultados, diminuir os vieses de aplicação e correção. Desta forma, para atingir os propósitos desta pesquisa foram realizados dois estudos: o Estudo 1 teve como objetivo realizar a adaptação transcultural do subteste Visual Reproduction I and II - Wechsler Memory Scale IV (WMS-IV) e apresentar uma versão para uso preliminar no Brasil. O estudo 2 consistiu na avaliação das suas propriedades psicométricas. Participaram do estudo 1 três tradutores com fluência no inglês, que realizaram traduções independentes, dois tradutores profissionais e dois juízes especialistas (um neurologista e uma neuropsicóloga). Os juízes especialistas e um tradutor profissional investigaram a equivalência conceitual, semântica e operacional dos itens. Uma amostra de 24 sujeitos saudáveis responderam ao pré-teste, que consistiu na investigação da compreensão e dificuldade da versão adaptada do Reprodução Visual I e II. No estudo dois, participaram 62 adultos saudáveis e 29 adultos com Acidente vascular cerebral em hemisfério direito, no território da Artéria cerebral média (AVC-ACMHD). Os sujeitos tinham idade entre 20 e 59 anos e as respostas foram consideradas para análises de confiabilidade e validade baseadas em análises estatísticas da teoria clássica (ANOVA, ANCOVA, coeficiente alfa de Cronbach, e correlação de Pearson) e da teoria moderna de testagem (Teoria de Resposta ao Item (TRI) através do modelo de um parâmetro ou método de Rasch). O processo de análise das propriedades psicométricas utilizou a metodologia recomendada pelo American Educational Research Association [AERA], American Psychological Association [APA] e o National council on measure in education [NCME], 2008 indicada pela editora responsável pelos direitos autorais do WMS-IV. Na confiabilidade, foi investigada a consistência interna (coeficiente alfa de Cronbach) e a estabilidade temporal (correlação de Pearson). Na investigação da validade, foram investigados: os processos de resposta, a estrutura interna (correlação de Pearson, Teoria de resposta ao Item pelo método de Rash), a relação com outros instrumentos (Mini Exame do Estado Mental - MEEM e Figuras Complexas de Rey) e a relação com variáveis externas (AVC-ACMHD comparados a controles saudáveis). O índice de consistência interna do subteste foi de 0,92 e a estabilidade teste-reteste mostrou correlação significativa, exceto com a tarefa de evocação tardia. Esses resultados são similares aos do estudo original, sendo, portanto caracterizada a sua equivalência. Os resultados do estudo de validade mostraram que há equivalência em termos de conteúdo.A investigação da estrutura interna pelo coeficiente de correlação de Pearson evidenciou que todas as figuras obtiveram correlação significativa (p<0,001). Ainda mais: correlacionaram-se congruentemente durante toda a tarefa. Na investigação da estrutura interna pelo método de Rasch foi evidenciado que o teste é unidimensional, que a progressão de theta ao longo das categorias de resposta foram como o esperado pelo modelo. A TRI mostrou que a figura mais fácil é a figura 1 da tarefa de evocação imediata e a mais difícil é a figura 5 de evocação tardia. Os índices de correlação theta foram superiores a 0,5, mostrando correlação. No mapa de pessoas-itens as variáveis tenderam a avaliar o constructo em níveis inferiores ao de habilidade dos sujeitos, sugerindo a necessidade de itens avaliando níveis mais altos do constructo. Na análise de validade considerando outras medidas a tarefa de evocação imediata o escore total e evocação tardia apresentaram correlação com o total da tarefa de memória das figuras complexas de Rey. As tarefas de cópia correlacionaram-se com o total de cópia do teste das figuras complexas de Rey. A tarefa de evocação imediata o escore total e evocação tardia apresentaram correlação com o total do MEEM. A análise de covariância mostrou que a escolaridade exerce influência nos escores do RV. Assim, depois de controlada a escolaridade foi evidenciado que os controles tiveram melhor desempenho em todas as tarefas do RV, quando comparados aos pacientes com AVC-ACMHD. Na análise qualitativa, através do escalonamento e contraste dos escores, foi observado que o baixo desempenho dos pacientes com AVC se deve ao fato de que esses pacientes percebem muito mal o item, com pior controle motor, habilidade visuo-construtiva e capacidade de prestar atenção a detalhes. O resultado é uma menor aquisição da informações e as conseqüências são dificuldades na memória episódica não verbal . Os nossos resultados foram demonstrativos de que o RV da WMS- IV, além de culturalmente equivalente em termos de confiabilidade e validade, é adequado para a cultura dos sujeitos e pacientes avaliados em Ribeirão Preto, preciso e válido para o uso no Brasil. Saliente-se a necessidade de estudos normativos com esse subteste. / Tools for evaluation of non-verbal episodic memory are scarce. Furthermore, we consider the increasing need for efforts to cross-cultural adaptation of instruments of memory for our context. The subtest Visual Reproduction I and II is part of the Wechsler Memory Scale (WMS), and it is used worldwide scale and adapted to different cultures, and is considered the gold standard among assessment measures of memory. In the present study, we use the Visual Reproduction subtest of WMS in its fourth edition (WMS-IV). The Visual Reproduction (VR) is subdivided into three fields of research in visual memory (immediate recall, delayed recall and recognition) and an optional task to assess visual perception, constructive abilities and attention to detail (copy). Moreover, the score of each of the three domains can be contrasted evaluated in order to obtain information on retention, and the memory is better or worse than the constructive abilities, and finally, how the subject refers freely or need tracks to evoke the information learned. This version of the WMS-IV is a review of the WMS-III, whose studies have resulted in some changes in methodology and content, to facilitate the analysis of results, lower camest application and correction. Thus, to obtain the purposes of this research were carried out two studies: Study 1 was aimed at making cross-cultural adaptation of the subtest \"Visual Reproduction I and II - Wechsler Memory Scale - IV (WMS-IV)\" and present a version for use preliminary in Brazil and the second study consisted of an evaluation of its psychometric properties. The study included a three translators fluent in English, which made independent translations, translators two professional judges and two experts (a neurologist and a neuropsychologist) who performed the conceptual and item equivalence, semantic, and operational. 24 healthy subjects responded to the pretest, which consisted in the investigation of understanding and difficulty of the adapted version of the Visual Reproduction I and II. In the second study, participated in 62 healthy adults and 29 adults with stroke in the right hemisphere in the territory of the middle cerebral artery. All subjects were aged between 20 and 59 years and the responses were considered for analysis of reliability and validity based on statistical analysis of the classical theory (ANOVA, ANCOVA, Cronbach\'s alpha, and Pearsons correlation) and the modern theory testing (Item Theory Response IRT, the model of one parameter or Rasch method). The process of analyzing the psychometric properties following the methodology recommended by the American Educational Research Association [AERA], American Psychological Association [APA] and the National council on education measure in [NCME], 2008 - indicated by the publisher responsible for the copyright of the WMS-IV. In the reliability analysis, we investigated the internal consistency (Cronbach\'s alpha) and temporal stability (Pearsons correlation). To investigate the validity, were considered: the processes of response, the internal structure (Pearsons correlation and IRT), the relationship with other tools (Mini Mental State Exam- MMSE and Rey-Osterrieth Complex Figure Test (ROCF).) and the relationship with external variables (stroke in the right hemisphere in the territory of the middle cerebral artery, compared to healthy controls). The index of internal consistency overall subtest was 0.92 and test-retest stability showed significant correlation, except with the task of delayed recall. These results are similar to the original study, showing thus their equivalence. The results of the validity study showed that there is equivalence in terms of investigating the internal structure and content. Pearson\'s correlation coefficient showed that all the figures obtained significant correlation (p <0.001) and further correlated with each moment congruently the task. In investigating the internal structure by the Rasch method has been shown that the test is one-dimensional that the progression of theta over the response categories was as expected by the model, and show that the figure is the easier task of Figure 1 - immediate recall, and is harder to figure 5- for delayed recall. The theta correlation coefficients were greater than 0.5, showing good correlation. On the map of people-items showed that the variables tended to evaluate the construct at levels below the skill of the subjects, suggesting the need for items assessing higher levels of the construct. In the analysis of validity considering other measures, the total score of immediate recall and delayed recall correlated with the total of memory task of the Rey complex figure copy. The copy of the Visual Reproduction correlated with copy of Rey-Osterrieth Complex Figure Test (ROCF). The task of ROCF immediate recall of the total score and delayed recall correlated with total MMSE. Covariance analysis showed that education exercises influences on scores of the RV. So, after controlled the variable schooling, was evident that the controls performed better than patients with stroke on all Visual Reproduction subtest. The qualitative analysis via scaling contrast scores, shown that low performance of patients with stroke is due the fact they recognize the item very badly, the motor control, visuo-constructive ability and ability to pay attention to details is lowered. Its can occur, may be due apraxia, resulting in lower acquisition of the information, resulting in difficulties in non-verbal episodic memory. Our results showing that the Visual Reproduction subtest of the WMS-IV was considered culturally equivalent in terms of reliability and validity and is appropriate for culture of the subjects and patients evaluated in Ribeirão Preto, valid and reliable for use in Brazil. We emphasize the need of studies regarding to normative data for this subtest.

Summaries in Afrikaans and English / Text in Afrikaans / Die waarde van visueel-perseptuele skoling of terapie vir visueel-perseptueel gestremde leerlinge as 'n subgroep van leergestremdheid, is reeds vir dekades 'n omstrede aangeleentheid. Hierdie omstredenheid is ondersoek aan die hand van sewe internasionaal erkende psigometriese toetse. Die interne konsekwentheidskoeffisiente van hierdie toetse het vir die huidige studie van 0,62 tot 0,95 gestrek. 'n Faktorontleding van die toetsinterkorrelasies het 'n gemeenskaplike faktor blootgele. Ses toetse was primer visueel-perseptueel, en Goodenough <1926> se skaal is vir die bepaling van intelligensie gebruik. Bykomend hiertoe, is leerlinge se prestasies in hul eerste taal, wiskunde en skrif gebruik om die effek van terapie te bepaal. Proefpersone is as visueel-perseptueel gestremd gediagnoseer deur 'n opvoedkundige sielkundige en 'n visuele skolingsentrum in Pretoria, waar eksper imentele leerlinge terapie ontvang het. Hierdie diagnoses is deur die Test for Visual Analysis Skills wat beduidend tussen normale en visueelperseptueel gestremdes onderskei, bevestig. Die toets se geldigheid vir Suid-Afrikaanse omstandighede is in 'n voorstudie bepaal. Honderd en ses, ses- tot negejarige proefpersone (82 seuns en 24 dogters>, van normale intelligensie, gesigskerpte en gehoor, is betrek. Drie en vyftig het die eksperimentele groep gevorm wat onderverdeel is in 32 wat terapie voltooi het, en 21 wat nie het nie. Hierdie leerlinge is individueel afgepaar met kontroleleerlinge van dieselfde geslag, ouderdom, huistaal, sosio-ekonomiese status en skoolstanderd. Eksperimentele leerlinge het visuele terapie in n breer groepsverband vir een uur per week ontvang. Terapieperiodes het van 4 tot 15 maande gewissel. Die eksperimentele ontwerp was 'n voortoets-natoets-tweegroepontwerp. t-Toetse vir afhanklike (afgepaarde) groepe is uitgevoer op die verskille tussen voor- en natoetstellings, asook tussen die eksperimentele en kontrolegroepe. Geeneen van die primer visueel-oerseptuele meettegnieke het beduidende resultate opgelewer nie. Dit is aanduidend van die ondoeltreffendheid van visueel-perseptuele terapie om die tekorte waarop dit gemik is, reg te stel. Die waarde van visueel-perseptueie terapie is inteendeel beperk tot 'n oorhoofse verbetering in konseptualisering en intellektuele ryping by die groep wat terapie voltooi het. Skrif was die enigste vak wat by dieselfde groep beduidend verbeter het. Hierdie resultaat is egter twyfelagtig vanwee beoordelingstekorte. / The value of visual perceptual training or therapy, to visually perceptually impaired pupils as a subgroup of the learning disabled, has been a controversy far decades. This controversy was investigated by means of seven internationally recognised psychometric tests. The internal consistency coefficients of these tests for the present study ranged from 0,62 to 0,95. A factor analysis of test intercorrelations revealed a common factor. Six tests were primarily visual perceptual, whilst the Goodenough (1926) scale determined intelligence. Additionally, pupils' performance in their first language, mathematics and writing, was used to assess the therapeutic effect. Subjects were diagnosed as visually perceptually impaired by an educational psychologist and a visual training centre in Pretoria where experimental pupils received therapy. These diagnoses were confirmed by the Test for Visual Analysis Skills, which significantly differentiates between the normal and visually perceptually impaired. This test's validity for South African circumstances was determined in a prestudy. One hundred and six, six to nine year old subjects <82 boys and 24 girls>, of normal intelligence, visual acuity and hearing, were involved. Fifty three formed the experimental group which was subdivided in 32 who completed therapy, and 21 who did not. These pupils were individualiy matched with controls of similar sex, age, home language, socio economic status and school standard. Experimental pupils received visual therapy within a broader group context for one hour per week. Therapy periods fluctuated between 4 and 15 months. The experimental design was a pretest-posttest two group design. t-Tests for dependant <matched) groups were conducted on the differences between pre and oosttest scores, as well as between the experimental and control groups. None of the primarily visual perceptual tests revealed significant results. This signifies the inefficiency of visual perceptual therapy to rectify the deficits at which it is directed. The value of visual perceptual therapy is, on the contrary, restricted to an overall improvement in conceptualization and intellectual maturation within the group which completed therapy. Writing was the only subject which improved significantly within the same group. However, this result is dubious, due to evaluation deficits. / Psychology / D.Litt. et Phil. (Psychology)

Instrumentos de avaliação da memória episódica não verbal são escassos. Além disto, consideramos a crescente necessidade de esforços para a adaptação transcultural de instrumentos de memória para nosso contexto. O subteste Visual Reproduction I e II (Reprodução Visual I e II) faz parte da Wechsler Memory Scale (WMS) e se trata de uma escala mundialmente utilizada e adaptada a diversas culturas, sendo considerada padrão ouro dentre as medidas de avaliação da memória. No presente estudo, utilizamos o subteste Reprodução Visual, da WMS na sua quarta edição (WMS-IV). O Reprodução Visual (RV) é subdividido em três domínios de investigação da memória visual (evocação imediata, evocação tardia e reconhecimento) e uma tarefa opcional para avaliação da percepção visual, habilidades construtivas e atenção aos detalhes (cópia). Além disto, o escore de cada um dos três domínios avaliados podem ser contrastados, de modo que se obtenham informações sobre a retenção, o quanto a memória é melhor ou pior do que as habilidades construtivas e, por último, o quão o sujeito evoca livremente ou precisa de pistas para evocar a informação aprendida. Esta versão da WMS-IV é uma revisão da WMS-III, cujos estudos resultaram em algumas alterações metodológicas e de conteúdo, no sentido de facilitar a análise dos resultados, diminuir os vieses de aplicação e correção. Desta forma, para atingir os propósitos desta pesquisa foram realizados dois estudos: o Estudo 1 teve como objetivo realizar a adaptação transcultural do subteste Visual Reproduction I and II - Wechsler Memory Scale IV (WMS-IV) e apresentar uma versão para uso preliminar no Brasil. O estudo 2 consistiu na avaliação das suas propriedades psicométricas. Participaram do estudo 1 três tradutores com fluência no inglês, que realizaram traduções independentes, dois tradutores profissionais e dois juízes especialistas (um neurologista e uma neuropsicóloga). Os juízes especialistas e um tradutor profissional investigaram a equivalência conceitual, semântica e operacional dos itens. Uma amostra de 24 sujeitos saudáveis responderam ao pré-teste, que consistiu na investigação da compreensão e dificuldade da versão adaptada do Reprodução Visual I e II. No estudo dois, participaram 62 adultos saudáveis e 29 adultos com Acidente vascular cerebral em hemisfério direito, no território da Artéria cerebral média (AVC-ACMHD). Os sujeitos tinham idade entre 20 e 59 anos e as respostas foram consideradas para análises de confiabilidade e validade baseadas em análises estatísticas da teoria clássica (ANOVA, ANCOVA, coeficiente alfa de Cronbach, e correlação de Pearson) e da teoria moderna de testagem (Teoria de Resposta ao Item (TRI) através do modelo de um parâmetro ou método de Rasch). O processo de análise das propriedades psicométricas utilizou a metodologia recomendada pelo American Educational Research Association [AERA], American Psychological Association [APA] e o National council on measure in education [NCME], 2008 indicada pela editora responsável pelos direitos autorais do WMS-IV. Na confiabilidade, foi investigada a consistência interna (coeficiente alfa de Cronbach) e a estabilidade temporal (correlação de Pearson). Na investigação da validade, foram investigados: os processos de resposta, a estrutura interna (correlação de Pearson, Teoria de resposta ao Item pelo método de Rash), a relação com outros instrumentos (Mini Exame do Estado Mental - MEEM e Figuras Complexas de Rey) e a relação com variáveis externas (AVC-ACMHD comparados a controles saudáveis). O índice de consistência interna do subteste foi de 0,92 e a estabilidade teste-reteste mostrou correlação significativa, exceto com a tarefa de evocação tardia. Esses resultados são similares aos do estudo original, sendo, portanto caracterizada a sua equivalência. Os resultados do estudo de validade mostraram que há equivalência em termos de conteúdo.A investigação da estrutura interna pelo coeficiente de correlação de Pearson evidenciou que todas as figuras obtiveram correlação significativa (p<0,001). Ainda mais: correlacionaram-se congruentemente durante toda a tarefa. Na investigação da estrutura interna pelo método de Rasch foi evidenciado que o teste é unidimensional, que a progressão de theta ao longo das categorias de resposta foram como o esperado pelo modelo. A TRI mostrou que a figura mais fácil é a figura 1 da tarefa de evocação imediata e a mais difícil é a figura 5 de evocação tardia. Os índices de correlação theta foram superiores a 0,5, mostrando correlação. No mapa de pessoas-itens as variáveis tenderam a avaliar o constructo em níveis inferiores ao de habilidade dos sujeitos, sugerindo a necessidade de itens avaliando níveis mais altos do constructo. Na análise de validade considerando outras medidas a tarefa de evocação imediata o escore total e evocação tardia apresentaram correlação com o total da tarefa de memória das figuras complexas de Rey. As tarefas de cópia correlacionaram-se com o total de cópia do teste das figuras complexas de Rey. A tarefa de evocação imediata o escore total e evocação tardia apresentaram correlação com o total do MEEM. A análise de covariância mostrou que a escolaridade exerce influência nos escores do RV. Assim, depois de controlada a escolaridade foi evidenciado que os controles tiveram melhor desempenho em todas as tarefas do RV, quando comparados aos pacientes com AVC-ACMHD. Na análise qualitativa, através do escalonamento e contraste dos escores, foi observado que o baixo desempenho dos pacientes com AVC se deve ao fato de que esses pacientes percebem muito mal o item, com pior controle motor, habilidade visuo-construtiva e capacidade de prestar atenção a detalhes. O resultado é uma menor aquisição da informações e as conseqüências são dificuldades na memória episódica não verbal . Os nossos resultados foram demonstrativos de que o RV da WMS- IV, além de culturalmente equivalente em termos de confiabilidade e validade, é adequado para a cultura dos sujeitos e pacientes avaliados em Ribeirão Preto, preciso e válido para o uso no Brasil. Saliente-se a necessidade de estudos normativos com esse subteste. / Tools for evaluation of non-verbal episodic memory are scarce. Furthermore, we consider the increasing need for efforts to cross-cultural adaptation of instruments of memory for our context. The subtest Visual Reproduction I and II is part of the Wechsler Memory Scale (WMS), and it is used worldwide scale and adapted to different cultures, and is considered the gold standard among assessment measures of memory. In the present study, we use the Visual Reproduction subtest of WMS in its fourth edition (WMS-IV). The Visual Reproduction (VR) is subdivided into three fields of research in visual memory (immediate recall, delayed recall and recognition) and an optional task to assess visual perception, constructive abilities and attention to detail (copy). Moreover, the score of each of the three domains can be contrasted evaluated in order to obtain information on retention, and the memory is better or worse than the constructive abilities, and finally, how the subject refers freely or need tracks to evoke the information learned. This version of the WMS-IV is a review of the WMS-III, whose studies have resulted in some changes in methodology and content, to facilitate the analysis of results, lower camest application and correction. Thus, to obtain the purposes of this research were carried out two studies: Study 1 was aimed at making cross-cultural adaptation of the subtest \"Visual Reproduction I and II - Wechsler Memory Scale - IV (WMS-IV)\" and present a version for use preliminary in Brazil and the second study consisted of an evaluation of its psychometric properties. The study included a three translators fluent in English, which made independent translations, translators two professional judges and two experts (a neurologist and a neuropsychologist) who performed the conceptual and item equivalence, semantic, and operational. 24 healthy subjects responded to the pretest, which consisted in the investigation of understanding and difficulty of the adapted version of the Visual Reproduction I and II. In the second study, participated in 62 healthy adults and 29 adults with stroke in the right hemisphere in the territory of the middle cerebral artery. All subjects were aged between 20 and 59 years and the responses were considered for analysis of reliability and validity based on statistical analysis of the classical theory (ANOVA, ANCOVA, Cronbach\'s alpha, and Pearsons correlation) and the modern theory testing (Item Theory Response IRT, the model of one parameter or Rasch method). The process of analyzing the psychometric properties following the methodology recommended by the American Educational Research Association [AERA], American Psychological Association [APA] and the National council on education measure in [NCME], 2008 - indicated by the publisher responsible for the copyright of the WMS-IV. In the reliability analysis, we investigated the internal consistency (Cronbach\'s alpha) and temporal stability (Pearsons correlation). To investigate the validity, were considered: the processes of response, the internal structure (Pearsons correlation and IRT), the relationship with other tools (Mini Mental State Exam- MMSE and Rey-Osterrieth Complex Figure Test (ROCF).) and the relationship with external variables (stroke in the right hemisphere in the territory of the middle cerebral artery, compared to healthy controls). The index of internal consistency overall subtest was 0.92 and test-retest stability showed significant correlation, except with the task of delayed recall. These results are similar to the original study, showing thus their equivalence. The results of the validity study showed that there is equivalence in terms of investigating the internal structure and content. Pearson\'s correlation coefficient showed that all the figures obtained significant correlation (p <0.001) and further correlated with each moment congruently the task. In investigating the internal structure by the Rasch method has been shown that the test is one-dimensional that the progression of theta over the response categories was as expected by the model, and show that the figure is the easier task of Figure 1 - immediate recall, and is harder to figure 5- for delayed recall. The theta correlation coefficients were greater than 0.5, showing good correlation. On the map of people-items showed that the variables tended to evaluate the construct at levels below the skill of the subjects, suggesting the need for items assessing higher levels of the construct. In the analysis of validity considering other measures, the total score of immediate recall and delayed recall correlated with the total of memory task of the Rey complex figure copy. The copy of the Visual Reproduction correlated with copy of Rey-Osterrieth Complex Figure Test (ROCF). The task of ROCF immediate recall of the total score and delayed recall correlated with total MMSE. Covariance analysis showed that education exercises influences on scores of the RV. So, after controlled the variable schooling, was evident that the controls performed better than patients with stroke on all Visual Reproduction subtest. The qualitative analysis via scaling contrast scores, shown that low performance of patients with stroke is due the fact they recognize the item very badly, the motor control, visuo-constructive ability and ability to pay attention to details is lowered. Its can occur, may be due apraxia, resulting in lower acquisition of the information, resulting in difficulties in non-verbal episodic memory. Our results showing that the Visual Reproduction subtest of the WMS-IV was considered culturally equivalent in terms of reliability and validity and is appropriate for culture of the subjects and patients evaluated in Ribeirão Preto, valid and reliable for use in Brazil. We emphasize the need of studies regarding to normative data for this subtest.

Ce travail a pour objectif d'investiguer le sort réservé à  des changements de nature visuelle qui se produisent dans notre environnement et que nous ne détectons pas consciemment. J'investiguerai en particulier si de tels changements non-perçus consciemment peuvent néanmoins (1) être représentés d'une certaine manière en-dessous du seuil de la conscience, et (2) exercer une influence causale sur des tâches comportementales subséquentes. A cette fin, une première étude cherche à établir si les paradigmes classiques de détection de changement sous-évaluent les capacités réelles de la mémoire visuelle à court terme. Cette étude a effectivement montré qu'il était possible de récupérer de l'information stockée en mémoire visuelle à court terme (MVCT), suggérant donc qu'il existe plus de capacités mnésiques visuelles que ce qui est utilisé dans les tâches classiques de détection de changement. Ensuite, une seconde étude a répliqué un paradigme dit d'identification implicite de changements et qui était controversé dans la littérature en raison de biais potentiels. Après correction de ces biais, nous avons pu démontrer que ce paradigme suggère bel et bien un effet d'identification implicite de changement puisque l'identité d'un changement simple (changement d'orientation d'un rectangle parmi 8 rectangles orientés de différentes manières) peut indicer un jugement d'orientation subséquent. Finalement, dans le dernier groupe d'expériences, un nouveau paradigme dans lequel les changements se produisent très progressivement et très lentement sera décrit. En utilisant ce paradigme, j'ai pu démontrer qu'alors que les observateurs demeurent inconscients du changement, ils restent néanmoins sensibles aux changements puisqu'ils « synchronisent » leur représentation en mémoire visuelle avec le stimulus présenté à l'écran. Enfin, dans la conclusion, je m'attacherai également à  développer l'idée selon laquelle nous sommes (1) capables, au minimum, de mettre à jour notre mémoire visuelle d'un changement et probablement d'identifier, un tel changement sans conscience et (2) influençables par ce changement. En effet, à la fin de ce travail, j'arriverai à la conclusion que les représentations visuelles sont ébruitéess et incomplètes. Ceci est dû (1) à  la constitution de la rétine, qui n'est pas homogène (la quantité de photorécepteurs n'est pas identique dans la partie centrale et dans la périphérie du champ visuel), (2) aux imperfections des systèmes biologiques (des imperfections et des erreurs dans la planification des saccades et dans leurs exécutions surgissent,) et (3) aux limitations de nos capacités attentionnelles. / Doctorat en sciences psychologiques / info:eu-repo/semantics/nonPublished