The train­ing on lower-­level sensory processing to impact neuroplastic processes which are thought to generalize to higher­-level.

Bottom-up approach

The assumption that improvements will generalize to lower level and community functioning.

Top-down approach

Therapeutic target range from basic perceptual skills from bottom up to higher-level cognitive skills using the top-down approach.

Colby College

 - Cognitive remediations of schizophrenia are more encouraging than pharmacological approaches, with focus on two broad terms: therapeutic target and therapeutic modality.
 - Such treatments are also found to be able to generalize to improvements in community functioning.

Cognitive remediation

Green, M. F., Horan, W. P., &amp; Lee, J. (2019). Nonsocial and social cognition in schizophrenia: Current evidence and Future Directions. World Psychiatry, 18(2), 146–161. https://doi.org/10.1002/wps.20624 

Nonsocial and social cognition in schizophrenia: current evidence and future directions

 - Therapeutic target range from basic perceptual skills from bottom up to higher-level cognitive skills using the top-down approach.
 - "bottom up" approach: train­ing on lower-­level sensory processing to impact neuroplastic processes which are thought to generalize to higher­-level cognitive and functional outcomes.
 - "top down" approach: the assumption that improvements will generalize to lower level and community functioning.

Therapeutic target

This dimension of cognitive remediation can range from self­-directed administration of cognitive training exercises with minimal thera­pist involvement to integrated cognitive training exercises with additional strat­egy monitoring, bridging, or other psy­chosocial treatments.


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