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Multiple Classification Card Sorting Task


Cognitive flexibility has been described as the mental ability to switch between thinking about two different concepts, and to think about multiple concepts simultaneously. Cognitive flexibility is usually described as one of the executive functions. Two subcategories of cognitive flexibility are task switching and cognitive shifting, depending on whether the change happens unconsciously or consciously, respectively.

Cognitive flexibility varies during the lifespan of an individual. In addition, certain conditions such as obsessive–compulsive disorder are associated with reduced cognitive flexibility. Since cognitive flexibility is a vital component of learning, deficits in this area might have other implications.

Methods of measuring cognitive flexibility include the A-not-B task, Dimensional Change Card Sorting Task, Multiple Classification Card Sorting Task, Wisconsin Card Sorting Task, and the Stroop Test. Functional Magnetic Resonance Imaging (fMRI) research has shown that specific brain regions are activated when a person engages in cognitive flexibility tasks. These regions include the prefrontal cortex (PFC), basal ganglia, anterior cingulate cortex (ACC), and posterior parietal cortex (PPC). Studies conducted with people of various ages and with particular deficits have further informed how cognitive flexibility develops and changes within the brain.

Cognitive flexibility can be seen from a variety of viewpoints. A synthesized research definition of cognitive flexibility is a switch in thinking, whether that is specifically based on a switch in rules or broadly based on a need to switch one’s previous beliefs or thoughts to new situations. Moreover, it refers to simultaneously considering multiple aspects of thought at once, whether they be two aspects of a specific object, or many aspects of a complex situation. Other terms for and components of cognitive flexibility include mental flexibility, mental set shifting, cognitive shifting, task switching/shifting, and attention switching/shifting.


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