Summary
Summary of Neuropsychological Assessment
- Course
- Institution
- Book
Summary of the course Neuropsychological Assessment for the Master of Clinical Neuropsychology, including summary of the papers and lectures
[Show more]
Connected book
Book Title:
Author(s):
- Edition:
- ISBN:
- Edition:
More summaries for
-
Extensive Lecture summary from the course Diagnostics in Clinical Neuropsychology
-
Summary literature for the course 'Diagnostics in Clinical Neuropsychology'of UL: fifth edition of the book Neuropsychological Assessment by Lezak, Howieson, Bigler, & Tranel
-
Summary Lezak Diagnostics literature
Seller
Followgalinajimberry
Reviews received
Content preview
Chapter 1: Practice of Neuropsychological Assessment- Clinical neuropsych = applied science concerned with the behavioral expression of
brain dysfunction
1. 19th century = controlled observations became generally accepted
o Conceptual tool used to lay out the basic schema of brain-behavior
relationships
2. Contributions from:
o Clinical neurosciences
o Psychology:
Assessment dimension = educational psychology (concept of
intelligence); mental measurement specialties (exam screening
techniques)
Cognitive dimension = experimental psychology
- Assessments = address variety of neurological and psychological questions
Examination Purposes:
- Diagnosis:
1. Discriminating between psychiatric and neurological symptoms, identifying
neurological disorders, distinguishing between different neurological conditions
and provide behavioral data to localize site of lesion
2. Imaging = can show site and extent of lesion
o Neuropsych assessment = needed to identify residual behavioral strengths
and deficits
3. Aids in prodromal or early detection and prediction of dementing disorders or
outcomes
4. Screening = used to identify those most likely at risk for some specified condition
or in need of further diagnostic study
- Patient care and planning:
1. Descriptive evaluations = info about cognitive and emotional status is essential for
careful management of disorders
2. Rational planning = depends on understanding one’s abilities and deficits, types of
psychological change, and impact of these changes
3. Use of repeated testing to monitor developments
, 4. Perplexity = self-doubt of brain injured individuals
- Treatment 1 = treatment planning and remediation
1. Delineation of problem areas and evaluation of strengths and potential for
rehabilitation
2. Repeated assessments used to adapt programs and goals to the patient’s changing
needs
- Treatment 2 = treatment evaluation
1. Demonstrate neurobehavioral response to interventions and/or drug efficacy
- Research:
1. Study organization of brain activity and its translation into behavior
2. Investigate specific disorders and behavioral disabilities
- Forensic psychology:
1. Used for diagnostic opinion or to describe one’s neuropsych functioning
2. In criminal cases, used to detect malingerers and exaggerators
Multiple Examination:
- Psychological perspective = neuropsych assessment considers quality of life,
emotional status, and potential for social integration
Validity of Neuropsych Assessment:
- Ecological validity = degree to which neuropsych assessment data reflects everyday
functioning, or predicts future behavior or behavior outcomes
Neuropsych Assessment in the 21st Century:
- Predictions about the future:
1. With their increased efficacy and capacity, computer assessments will continue to
proliferate
2. Neuropsych assessment techniques need to be adaptive and integrative with other
neurodiagnostic and assessment tools
3. Neuropsych maintains its unique role while continuing to contribute to the larger
clinical neuroscience, psychological and medical knowledge base
- The big revolution occurred due to:
1. Neuroinformatics
2. Three factors:
, o Cognitive ontologies
o Collaborative neuropsych knowledge bases
o Universally available and standardized knowledge bases
Lecture 1: Introduction
Learning Goals:
- Basic skills important for neuropsych assessments:
1. Determine for which disorders the neuropsych tests introduced can be used
2. Interpret results of neuropsych assessments
3. Use neuropsych tests that were introduced in differential diagnostics
4. Integrate and interpret results of multiple neuropsych tests
5. Critically judge the use of tests with regard to the manual, test instructions, patient
behavior and environmental factors
Purpose:
- Diagnosis:
1. Distinguish between different neurological disorders
2. Discriminate between psychoactive and neurological disorders
3. Identify possible neurological disorders
4. Neuropsych assessment cannot locate site of lesion!
- Patient care and planning = irrespective of diagnosis; needed for optimal and careful
management of many disorders:
1. Identify cognitive strengths and weaknesses
2. Identify behavioral alterations
3. Identify personality features
- Treatment plan and remediation = finding the most appropriate rehabilitation
treatment
- Treatment evaluation = whether treatment was effective or not
- Research
- Forensic neuropsych:
1. Claims of injury or loss of function
2. Criminal cases:
, o Reasons to suspect brain dysfunction that contributes to misbehavior
o Whether individual’s mental capacity is sufficient to stand trial
Diagnostic Cycle:
- N = 1 study
- Referral question => medical history => (hetero)anamnesis => neuropsych tests =>
report
1. All influenced by formulated hypotheses = based on scientific literature
Evidence-Based Medicine (EBM):
- Clinical judgement, relevant scientific evidence, patient’s values and preferences
Quality of Evidence:
- Background info, expert opinion, non-EBM guidelines
- Observational studies:
1. Individual case reports
2. Case studies
3. Cohort studies
- Experimental studies:
1. Non-randomized controlled trials
2. Randomized controlled trials
- Critical appraisals
1. Systematic reviews
2. Meta-analyses
3. Critically appraised literature = evidence-based practice guidelines
Reason for Hypotheses:
- Without formulating hypotheses:
1. Risk of easily making interpretation errors:
o Tendency to rely strongly on some result and disregard others
o Disregarding the base rates of disorders: one who works with many
Alzheimer’s patients = tendency to diagnose the disorder more often
o Confirmation bias = looking for results to support hypothesis
o Thinking that subjective complaints are objective disorders
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller galinajimberry. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.07. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
73314 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now