Dit document bevat aantekeningen van colleges 1 tot en met 7 van het vak Brein & Cognitie 2: Clinical Neuropsychology
This document entails lecture notes from lectures 1 through 7 of the course Brain & Cognition 2: Clinical Neuropsychology
Clinical Neuropsychology: scientific area that studies the relations between brain and behaviour
especially the clinical applicability of the assessment, treatment, and care of individuals with
(presumed) cognitive (dys)function as a result of development disorders, neurological disorders (brain
diseases or damage), or psychiatric disorders.
Behaviour in a broad sense:
Behavioural symptoms are latent variables that objectively can be assessed through tests
Neuroimaging
Before the 20th century, they didn’t use an MRI to test brain capacity
- Organicity: feeling the skull for lumps and bumps; can you proof there is a hole in the brain?
- Hypothesis : starting testing theories about cognitive functioning
o Multi informed
Patient
Significant other
o Multi method
Tests
Questionnaires
Clinical interview
observation
o Multi conceptual
Neuropsychological
Personality
Contextual environment
Clinical neuropsychology has become highly relevant in modern day (mental) health care
there is an increase in people with brain damage or dysfunction
- Decrease in mortality rates because of improvements in medical care
- Aging
- More interest in quality of life
> The brain has ‘persuasion’
International classification of functioning – ICF
Health condition
Body structure and function activity participation
,The ICF is useful in clinical neuropsychology
- Description of consequences of brain diseases / disorder at three different levels;
impairment, limitation, restriction (handicap)
- Identify moderating factors
- Relevant for understanding subjective
Diagnostic cycle
Analysis complaints analysis of problems
Analysis of indication analysis of cause
Extra boek aantekeningen:
Een psycholoog in de zorg is een scientist practitioner, deze combineert klinische kennis en
vaardigheden met een wetenschappelijke grondhouding.
Binnen de geneeskunde wordt het model van evidence based medicine gehanteerd, zo zijn ook de
beslissingen van de neuropsycholoog gebaseerd op bewijzen vanuit wetenschappelijk onderzoek.
Veel neuropsychologen werken in een ziekenhuis. Een categoraal ziekenhuis richt zich op een
bepaalde doelgroep.
Met behulp van een neuropsychologisch onderzoek brengt de neuropsycholoog het cognitief,
emotioneel en gedragsmatig functioneren in kaart en bepaalt of het profiel passend is bij de
aandoening of niet.
Self-study assignments:
a) What does it mean to say that a neuropsychologist must be a scientist-practitioner? How
does this relate to the diagnostic cycle of neuropsychological diagnostics?
Een scientist practitioner combineert klinische kennis en vaardigheden met wetenschappelijke
grondhouding.
b) Formulate the difference between a referral and a diagnostic question.
Het onderzoek begint met een verwijzing en vraagstelling. Om het doel van het onderzoek helder te
krijgen
, Hoorcollege 2
Alcohol- related cognitive disorders
Problematic alcohol use is a pattern resulting in physical complains and or psychological or social
problems > the amount of alcohol consumed is not leading for a diagnosis
Binge drinking: consumption of large amounts of alcohol in a short time period, with periods of full
abstinence.
Alcohol intoxication: result of excessive alcohol use in a short period of time
Alcohol withdrawal syndrome: result of sudden withdrawal after long-term excessive alcohol use.
Alcohol related cognitive disorders:
^ broad concept, describing (long-term) cognitive impairment associated with problematic alcohol
use
DMS:
- Mild or major alcohol-induced neurocognitive disorder
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