Chapter 18 Neuropsychology

Chapter 18: Neuropsychology : 

Chapter 18: Neuropsychology

Chapter Overview : 

Chapter Overview Perspectives and History The Brain: Structure, Function, and Impairment Methods of Neuropsychological Assessment Intervention and Rehabilitation Concluding Remarks

Perspectives and History : 

Perspectives and History Neuropsychology –brain-behavior functions. Neuropsychologists Referrals from neurologists and other M.D.s for diagnostic clarification. Make predictions regarding the prognosis for recovery. Intervention and rehabilitation. Tailor treatment strategies to patients’ S/W. Neuropsychological screening and assessment –

The Brain: Structure, Function, and Impairment : 

The Brain: Structure, Function, and Impairment L-R Hemispheres; Corpus Collosum L-R has 4 Hemispheres Subcortical structures and pathways

The Brain: Structure, Function, and Impairment : 

The Brain: Structure, Function, and Impairment Causes of brain damage: - Trauma - Cerebrovascular accidents (CVA; strokes) - Tumors - Degenerative Disease - Nutritional Deficiencies - Toxic Disorders - Chronic Alcohol Abuse

Background of a Neuropsychologist : 

Background of a Neuropsychologist http://www.youtube.com/watch?v=bbS36bI-hOg

The Brain: Structure, Function, and Impairment : 

The Brain: Structure, Function, and Impairment Brain injury or trauma can produce a variety of cognitive and behavioral symptoms. Common symptoms: - Impaired orientation - Impaired memory - Impaired intellectual functions - Impaired judgment - Shallow and labile affect - Loss of emotional and mental resilience - Frontal lobe syndrome

Example of Cranial Nerve Examination by Physician : 

Example of Cranial Nerve Examination by Physician http://www.youtube.com/watch?v=G6FZR64Cq9U&feature=related

Methods of Neuropsychological Assessment : 

Methods of Neuropsychological Assessment Standard battery or fixed battery approach. Flexible or the hypothesis-testing approach –

Methods of Neuropsychological Assessment – Testing Areas of Cognitive Functioning : 

Methods of Neuropsychological Assessment – Testing Areas of Cognitive Functioning Orientation – Motor – e.g., Finger Tapping, Grooved Pegboard Language Functioning – e.g., Receptive Speech Scale, Aphasia Screening Test Intellectual functioning – WAIS-III Abstract Reasoning – Wisconsin Card Sorting Task, Similarities subtest of the WAIS-III Memory – Wechsler Memory Scale, Benton Visual Retention Test, Rey-Osterrieth Complex Figure Test Visual-Perceptual Processing – Rey-Osterrieth Complex Figure Test, Block Design subtest on WAIS-III

Slide 12: 

Memory: Remember This

Slide 13: 

Abstract Reasoning:Wisconsin Card Sorting Test

Slide 14: 

Tower of London TestShallice (1982) Initial Position Goal Position (no.2) Goal Position (no.6) Goal Position (no.10) 2 moves 4 moves 5 moves

Slide 15: 

Trail Making Test: Part A Adjunct General's Office, 1946

Slide 16: 

Trail Making Test: Part B Adjunct General's Office, 1946

Slide 17: 

Memory: Remember This

Methods of Neuropsychological Assessment – Test Batteries : 

Methods of Neuropsychological Assessment – Test Batteries Halstead-Reitan Battery – most widely used neuropsychological test battery. Good reliability and validity More comprehensive, but a lot of time required. Luria-Nebraska Battery – Good reliability and validity Less time required.

Intervention and Rehabilitation : 

Intervention and Rehabilitation Issues of neurological impairment usually revolve around two principal questions. What is the nature of the deterioration or damage? Is there any real brain damage that can account in some way for the patient’s behavior?

Concluding Remarks : 

Concluding Remarks Training The Future