The Neuropsychology Of Everyday Life Assessment And Basic Competencies

For a period of some fifteen years following completion of my internship training in clinical psychology (1950-1951) at the Washington University School of Medicine and my concurrent successful navigation through that school's neuroanatomy course, clinical work in neuropsychology for me and the psychologists of my generation consisted almost exclusively of trying to help our physician colleagues differentiate patients with neurologic from those with psychiatric disorders. In time, experience led all of us from the several disciplines involved in this enterprise to the conclusion that the crude diag nostic techniques available to us circa 1945-1965 had garnered us little valid information upon which to base such complex, differential diagnostic decisions. It now is gratifying to look back and review the remarkable progress that has occurred in the field of clinical neuropsychology in the four decades since I was a graduate student. In the late 1940s such pioneers as Ward Halstead, Alexander Luria, George Yacorzynski, Hans-Lukas Teuber, and Arthur Benton already were involved in clinical studies that, by the late 1960s, would markedly have improved the quality of clinical practice. However, the only psychological tests that the clinical psychologist of my immediate post-Second World War generation had as aids for the diagnosis of neurologically based conditions involving cognitive deficit were such old standbys as the Wechsler Bellevue, Rorschach, Draw A Person, Bender Gestalt, and Graham Kendall Memory for Designs Test.

For a period of some fifteen years following completion of my internship training in clinical psychology (1950-1951) at the Washington University School of Medicine and my concurrent successful navigation through that school's neuroanatomy course, clinical work in neuropsychology for me and the psychologists of my generation consisted almost exclusively of our trying to help our physician colleagues differentiate patients with neurologic disorders from those with psychiatric disorders. In time, experience led all of us from the several disciplines involved in this enterprise to the conclusion that the crude diagnostic techniques available to us circa 1945-1965 had garnered little valid information on which to base such complex, differential diagnostic decisions. It now is gratifying to look back and review the remarkable progress that has occurred in the field of clinical neuropsychology in the four decades since I was a graduate student. In the late 1940s such pioneers as Ward Halstead, Alexander Luria, George Yacorzynski, Hans-Lukas Teuber, and Arthur Benton already were involved in clinical studies that, by the late 1960s, would markedly have improved the quality of clinical practice. However, the only psychological tests that the clinical psychologist of my immediate post Second Wodd War generation had as aids for the diagnosis of neurologically based conditions involving cognitive deficit were such old standbys as the Wechsler-Bellevue, Rorschach, Draw A Person, Bender Gestalt, and Graham Kendall Memory for Designs Test.

Neuropsychological assessment is a difficult and complicated process. Often, experienced clinicians as well as trainees and students gloss over fundamental problems or fail to consider potential sources of error. Since formal test data on the surface appear unambiguous and objective, they may fall into the habit of overemphasizing tests and their scores and underemphasizing all the factors that affect the validity, reliability, and interpretability of test data. But interpretation is far from straightforward, and a pragmatic application of assessment results requires attention to a multitude of issues. This long-awaited, updated, and greatly expanded second edition of the Clinician's Guide to Neuropsychological Assessment, like the first, focuses on the clinical practice of neuropsychology. Orienting readers to the entire multitude of issues, it guides them step by step through evaluation and helps them avoid common misconceptions, mistakes, and methodological pitfalls. It is divided into three sections: fundamental elements of the assessment process; special issues, settings, and populations; and new approaches and methodologies. The authors, all of whom are actively engaged in the clinical practice of neuropsychological assessment, as well as in teaching and research, do an outstanding job of integrating the academic and the practical. The Clinician's Guide to Neuropsychological Assessment, Second Edition will be welcomed as a text for graduate courses but also as an invaluable hands-on handbook for interns, postdoctoral fellows, and experienced neuropsychologists alike. No other book offers its combination of breadth across batteries and approaches, depth, and practicality.

Ecological validity, the functional and predictive relationship between a patient's performance on a set of neuropsychological tests and their behavior in a variety of real-world settings, is emerging as a powerful tool. Since neuropsychological data were not designed to be ecologically valid, attempts to use the data in such a manner have been filled with pitfalls. The authors present a strong argument for reevaluating existing tests and/or developing new measurements. Special attention is given to specific functions such as the cognitive constructs of attention, perception, working memory, language, and executive function. Additional consideration is given to the assessment of special populations: children, minorities, substance abusers, elderly, and emotionally disturbed neurological populations. One area in which neuropsychology can lend tremendous assistance is in predicting a client's ability to resume activities of daily living, but more important, when a client can return to work. Ecological Validity of Neuropsychological Testing covers this issue extensively and details the role of vocational rehabilitation and the lack of exposure many within neuropsychology have to these specific needs of their clients.

Quickly acquire the knowledge and skills you need to confidently administer, score, and interpret the most popular neuropsychological assessment instruments Neuropsychological testing can identify changes in cognition, behavior, and emotion; aid in determining the cause of a disorder or developmental problem; and assist clinicians in planning treatment and rehabilitation. To use these tests properly, professionals need an authoritative source of advice and guidance on how to administer, score, and interpret them. Now fully revised and in a second edition, Essentials of Neuropsychological Assessment is that source. Completely updated to include the most current instruments, including the Delis-Kaplan Executive Function System (D-KEFS), the Wechsler Intelligence Scale for Children-Fourth Edition (WISC-IV), the Wechsler Adult Intelligence Scale-Fourth Edition (WAIS-IV), and the Wechsler Memory Scale-Fourth Edition (WMS-IV), Essentials of Neuropsychological Assessment, Second Edition presents an overview of the assumptions, logic, knowledge base, and skills underlying the practice of neuropsychological assessment. Neuropsychological experts Nancy Hebben and William Milberg describe how clinical history, behavioral observations, and formal test results are used to make inferences about the contribution of brain dysfunction to psychological functioning. Like all the volumes in the Essentials of Psychological Assessment series, this book is designed to help busy mental health professionals quickly acquire the knowledge and skills they need to make optimal use of major neuropsychological assessment instruments. Each concise chapter features numerous callout boxes highlighting key concepts, bulleted points, and extensive illustrative material, as well as test questions that help you gauge and reinforce your grasp of the information covered. Essentials of Neuropsychological Assessment, Second Edition provides comprehensive instruction on neuropsychological test administration, scoring, interpretation, and report writing. It also addresses practical and conceptual issues related to neuropsychological assessment in geriatric, pediatric, forensic, and other specialized settings. Other titles in the Essentials of Psychological Assessment series: Essentials of Assessment Report Writing Essentials of WAIS-IV Assessment Essentials of WISC-IV Assessment, Second Edition Essentials of WIAT-II and KTEA-II Assessment Essentials of WJ IIITM Cognitive Abilities Assessment Essentials of WJ IIITM Tests of Achievement Assessment Essentials of School Neuropsychological Assessment Essentials of Cross-Battery Assessment, Second Edition Essentials of KABC-II Assessment Essentials of NEPSY Assessment Essentials of Executive Function Assessment Essentials of Processing Assessment

Originally published in 1992, this is a wide-ranging text concerned with the principles and practice of neuropsychological assessment in adults. It combines a flexible hypothesis testing approach to assessment with information on specialised test batteries. The book covers the major areas of memory, language, perception, attention, and executive dysfunctions, and includes chapters on dementia, alcohol, drug and toxic conditions, stroke and closed head injury. Assessment of dysfunction in cases involving claims for compensation and chapters on specialised assessment techniques, including automated test procedures, are provided. The book presents a sound introduction to this complex area and gives guidelines for the clinician who may need concise information on a specialised topic.

While neuropsychological testing can accurately detect cognitive deficits in persons with brain injury, the ability to reliably predict how these individuals will function in everyday life has remained elusive. This authoritative volume brings together well-known experts to present recent advances in the neuropsychological assessment of key real-world capacities: the ability to live independently, work, manage medications, and drive a car. For each of these domains, contributors describe cutting-edge tests, procedures, and interpretive strategies and examine salient theoretical and methodological issues. Chapters also review approaches for evaluating specific populations, including older adults and patients with traumatic brain injury, depression, dementia, schizophrenia, and other neurological and psychiatric disorders.

Sohlberg and Mateer's landmark introductory text helped put cognitive rehabilitation on the map for a generation of clinicians, researchers, educators, and students. The second edition reflects advances in neuroscience and computer technology, coupled with changes in service delivery models. The authors describe a broad range of clinical interventions for assisting persons with acquired cognitive impairments--including deficits in attention, memory, executive functions, and communication--and for managing associated emotional and behavioral issues. For each approach, theoretical underpinnings are reviewed in depth and clinical protocols delineated. Difficult concepts are explained in a clear, straightforward fashion, with realistic case examples bringing the material to life. Also included are samples of relevant assessment instruments, rating scales, and patient handouts. Throughout, the volume emphasizes the need to work from a community perspective, providing a framework for forming collaborative partnerships with families and caregivers. It is an essential resource for professionals across a wide variety of rehabilitation specialties.