Bridging the gap: The role of the relational approach in neuropsychological rehabilitation

The authors evaluated the impact of financial incentives on disability, symptoms, and objective findings after closed-head injury. Meta-analysis was used to review the literature. Seventeen reports, covering 18 study groups and a total of 2,353 subjects, contained data from which effect sizes could be calculated. Effect sizes were aggregated after weighting for group size. After discussion, there was 100% agreement between the authors on all calculations. A moderate overall effect size, 0.47, was found. The effect was particularly strong for mild head trauma. The data showed more abnormality and disability in patients with financial incentives despite less severe injuries. Clinical evaluation of patients after closed-head injury, particularly mild head trauma, must include consideration of the effect of financial incentives on symptoms and disability.

In the 1970s and 1980s, a multitude of cognitive rehabilitation programs proliferated to facilitate recovery after brain injury. However only a few programs provided a framework for ameliorating disturbances in the cognitive, psychological, and interpersonal spheres of the brain-injured patient. Greatly influenced by Leonard Diller and Yehuda Ben-Yishay’s ideas and methods, George P. Prigatano began, in early 1980, a holistic neuropsychological rehabilitation program at the Presbyterian Hospital in Oklahoma City (Oklahoma). The objective of this paper is to summarize the contributions of George P. Prigatano to neuropsychological rehabilitation and clinical neuropsychology during his 50th year of practice. The main body of the paper is structured in three sections. The first section briefly explains the history of neuropsychological rehabilitation in the twentieth century and the emergence of holistic neuropsychological rehabilitation programs in the 1970s. The second section describes the contributions of George P. Prigatano to neuropsychological rehabilitation and clinical neuropsychology (written by AGM). In the third section, the second author (GPP) prepared an autobiographical statement, which attempts to summarize some of the personal and professional experiences which influenced his work. George P. Prigatano’s contributions to neuropsychological rehabilitation and clinical neuropsychology are essential to understanding the therapeutic approaches currently used in the treatment of brain-injured patients.

Traditionally, apathy has been viewed as a symptom indicating loss of interest or emotions. This paper evaluates evidence that neuropsychiatric disorders also produce a syndrome of apathy. Both the symptom and the syndrome of apathy are of conceptual interest because they signify loss of motivation. An apathy syndrome is defined as a syndrome of primary motivational loss, that is, loss of motivation not attributable to emotional distress, intellectual impairment, or diminished level of consciousness. Loss of motivation due to disturbance of intellect, emotion, or level of consciousness defines the symptom of apathy. Neuropsychiatric literature dealing with apathy is reviewed within the framework of three approaches to defining the concept of a syndrome. Clinical and investigative approaches for evaluating apathy when it occurs in association with other syndromes are described.

Preface. Foreword D.N. Cope. Acute Care Management & Brain Recovery. 1. Guidelines for Acute Head Injury Management C. Kock-Jensen, G.M. Teasdale. 2. Brain Injury and Theories of Recovery D.G. Stein. 3. Neuroimaging Evidence of Diaschisis and Reorganization in Stroke Recovery G. Deutsch, J.M. Mountz. Neuropsychological Assessment. 4. Nature, Applications and Limitations of Neuropsychological Assessment Following Traumatic Brain Injury M.D. Lezak. 5. European Brain Injury Questionnaire (EBIQ) G. Deloche, et al. 6. Novel Approaches to the Diagnosis and Treatment of Frontal Lobe Dysfunctions E. Goldberg, D. Bougakov. Neuropsychological Rehabilitation. 7. Principles of Neuropsychological Rehabilitation: a Brief Overview G.P. Prigatano. 8. Post-Acute Neuropsychological Rehabilitation: a Holistic Perspective Y. Ben-Yishay. 9. Empirical Support for Neuropsychological Rehabilitation L.E. Trexler. 10. Neuropsychological Post-Acute Rehabilitation A.-L. Christensen. Regional Neuropsychological Rehabilitation Programs. 11. A Rehabilitation Program for Stroke L. Diller. 12. The Therapeutic Milieu Approach E. Daniels-Zide, Y. Ben-Yishay. 13. Milieu-Based Neurorehabilitation at the Adult Day Hospital for Neurological Rehabilitation P. Klonoff, et al. 14. Models and Programs of the Center for Neuropsychological Rehabilitation: Fifteen Years Experience L.E. Trexler, et al. 15. The Oliver Zangwill Centre for Neuropsychological Rehabilitation: a Partnership Between Healthcare and Rehabilitation Research B.A. Wilson, et al. 16. INSURE Program and Modifications in Finland M.-L. Kaipio, et al. 17. CRBI at the University of Copenhagen C. Caetano, A.-L. Christensen. 18. The Delta Group Experience: TBI in France P. North, et al. 19. Neuropsychological Pediatric Rehabilitation at Sarah Network in Brazil L.W. Braga, A. Campos da Paz, Jr. Planning and Financial Aspects of Neuropsychological Rehabilitation. 20. TBI Rehabilitations as an Integrated Task of Clinicians and Families: Local and National Experiences A. Mazzucchi, et al. 21. Cognitive Rehabilitation During the Industrialization of Rehabilitation L. Diller. 22. The Phase Model of Neurological Rehabilitation in Germany P.M. Schonle. 23. State financed rehabilitation in Denmark M. Pinner. State of the Art at the End of the 1990s Decade of the Brain. 24. Neuropsychological Rehabilitation B.P. Uzzell.

Objective: Clinical neuropsychology in South Korea, albeit its relatively short history, has advanced dramatically. We review a brief history and current status of clinical neuropsychology in South Korea. Method: The history, the educational pathway, the training pathway, the certification process, and careers in clinical neuropsychology in South Korea are reviewed. Results: We have reviewed the neuropsychological services, including assessment and treatment, research on neurological and psychiatric populations, and neuropsychology education and the requirements related to education, training, and board examinations of those providing neuropsychological services in South Korea. We also describe how the Korean Society for Neuropsychology Research, the first and only meeting for neuropsychologists in the country established in 1999, has played a major role in how clinical neuropsychology is practiced and developed as a professional field in South Korea. Conclusions: Clinical neuropsychology in South Korea has achieved major progress over just a quarter of a century, and its future is promising in light of the increasing demand for neuropsychological services and advances in neuroscience in the country. Challenges that the community of clinical neuropsychologists are currently facing in South Korea, including formalizing neuropsychological curriculum and training programs and developing advanced credentialing procedures, are discussed.

Forensic neuropsychology derived from clinical neuropsychology. This area not only relies on neuropsychological approach and practice and principals of brain structure and functions, but also on the contribution of diagnostic methods of brain visualization (neuroimaging). In the last decade, large number of books that deal with this topic has been published, mostly by American authors, just as a Journal of Forensic Neuropsychology dedicated to this field has started issuing. There are more and more demands in the world from judges and lawyers that neuropsychologists should provide services of quantifying and evaluating the severeness of cognitive deficits of respondents. In most cases, it is being asked of neuropsychologist to provide expertise based on clinical observation and results of neuropsychological examinations about the connection of individual cognitive functioning and behavior and special brain localization, as well as to provide the evaluation of the level of cognitive impairments. Unfortunately, official educational and training program in this field doesn't exist in Serbia, so a specific licence is not required. Also, there is a lack of professional organization that would gather forensic neuropsychologists. Practitioners that firstly obtained the status of graduated psychologists and then were educated in the field of clinical neuropsychology are the ones who deal with this area. In our country the role of forensic neuropsychologist is still not recognised enough, just as the possible significance these experts might have in judicial processes isn't. Topics that are being most focused on in the scope of forensic neuropsychology are ethical questions, the evaluation of validity of symptoms with special emphasis on evaluating effort that is being put on examination and the precense of potential malingering, There are significant differences between clinical and forensic neuropsychology. Clinical neuropsychology determines the presence of impairment in cognitive functioning, while the main goal of forensic neuropsychology is to provide answers to the legal questions. That key difference between goals leads to different presumptions, roles, alliances and methods. The results of clinical and forensic examinations are demanded and used by different scientists. Clincal evaluation is mostly demanded by experts who deal with treating and rehabilitating people with neuropsychological impairments or brain injuries, while forensic evaluation is being demanded and used by legal institutions. Efficient use of neuropsychological principles as an answer on forensic questions requires clinical skills, critical thinking and close connection to the scientific principles. With double focus on clinical psychology and neurology, neuropsychologists can contribute to the legal system not only by their understanding of neuroanathomy and neuropathology, but also with their capability to objectively document how neuropathological conditions affect thinking, memory and decision making process, which is, by far, the most important.

Invited Symposium 1: Traumatic Brain Injury: Highlighting the Contributions of Dr. Harvey S. Levin Ph.D., ABPP-CN, FACSM 1946 - 2022

Fractured Minds: A Case-Study Approach to Clinical Neuro~psychology

You have accessThe ASHA LeaderASHA News1 Jul 2012Joining Forces on TBI Treatment Diane Paul Diane Paul Google Scholar More articles by this author https://doi.org/10.1044/leader.AN8.17082012.np SectionsAbout ToolsAdd to favorites ShareFacebookTwitterLinked In A 24-year alliance between ASHA and the American Psychological Association encourages and supports collaborative evaluation and treatment of people with traumatic brain injury. ASHA and the American Psychological Association (APA) continue with their joint effort to bolster collaborative evaluation and treatment of people with traumatic brain injury (TBI) by speech-language pathologists and clinical neuropsychologists serving on interdisciplinary rehabilitation teams. The associations first joined forces on this mission in 1988, with the formation of the Joint Committee on Interprofessional Relations Between the American Speech-Language-Hearing Association and Division 40 (Clinical Neuropsychology) of APA. The joint committee strives to improve quality of service (ASHA, 2003) through increased collaboration. Undergirding the committee’s efforts is the recognition that TBI is a major public health problem among children, adolescents, and adults as a result of transportation accidents, falls, violence, and blast injuries. Multiple disciplines contribute to the assessment and treatment of people with cognitive communicative disorders resulting from TBI and to the expanding knowledge base of neuropsychology (the scientific study of the relationship between brain function and behavior). Cooperation and mutual respect among professionals is critical to facilitate optimal patient care (ASHA, 1990). This joint committee directly supports ASHA’s strategic objective to expand strategic relationships by working to strengthen collaborative relationships between SLPs and neuropsychologists and to influence academic programs to educate students about collaboration between the professions. The joint committee’s website provides resources about topics of mutual interest to communication disorders professionals and neuropsychologists, including perceived roles and collaborative practices, referral, evaluating and treating communication and cognitive disorders, and interdisciplinary perspectives on memory assessment and executive functioning. The joint committee recently completed articles on executive functioning (A ssessment of Executive Functioning in Brain Injury: An Integrative Neuropsychological Perspective) and pragmatics (Development and Assessment of Pragmatic Communication Ability: Implications for Rehabilitation Outcomes). Current projects focus on cognitive rehabilitation practices: Survey and summarize SLP and neuropsychologist roles in cognitive rehabilitation. Review research on technology or “brain games” used by clients outside of direct rehabilitation services. Prepare case studies highlighting successful speech-language pathology, neuropsychology, and client/family collaborations. ASHA’s representatives to the joint committee are Julie Hengst (ASHA chair), Mary Kennedy, Jean Neils Strunjas, and Diane Paul (ex officio). Division 40 representatives are Allison Clark and Kathleen Kortte. Sources American Speech-Language-Hearing Association. (1990). Interdisciplinary Approaches to Brain Damage [Position Statement]. Available from www.asha.org/policy. Google Scholar American Speech-Language-Hearing Association. (2003). Rehabilitation of Children and Adults With Cognitive-Communication Disorders After Brain Injury [Technical Report]. Available from www.asha.org/policy. Google Scholar Joint Committee on Interprofessional Relations Between the American Speech-Language-Hearing Association and Division 40 (Clinical Neuropsychology) of the American Psychological Association. (2007). Structure and Function of an Interdisciplinary Team for Persons With Acquired Brain Injury. Available from www.asha.org/policy. Google Scholar Author Notes Diane Paul, director of clinical issues in SLP, can be reached at [email protected]. Advertising Disclaimer | Advertise With Us Advertising Disclaimer | Advertise With Us Additional Resources FiguresSourcesRelatedDetails Volume 17Issue 8July 2012 Get Permissions Add to your Mendeley library History Published in print: Jul 1, 2012 Metrics Current downloads: 352 Topicsasha-topicsleader_do_tagasha-article-typesleader-topicsCopyright & Permissions© 2012 American Speech-Language-Hearing AssociationLoading ...

Clinical child neuropsychology has a myriad of forces that create countervalences for its definition, identity, and placement in human services. While clinical neuropsychology, broadly defined, is still striving to establish itself as capable of fulfilling a function on behalf of human welfare, as would be distinct from neurology, it must also justify being a specialization within clinical, counseling, and school psychology. In turn, clinical child neuropsychology must deal with the same issues, but must also carve out its uniqueness from clinical adult neuropsychology.KeywordsPublic PolicyLegal IssueExpert TestimonyLegal LiabilityNeuropsychological Test BatteryThese keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Bibliometric analysis is an analysis study that examines the developments and academic studies in a field to be examined with methods such as common word analysis, citation analysis, bibliometric matching. When bibliometric analysis is applied in a very comprehensive field such as neuropsychology, it provides a good road map for researchers to determine the areas they will work in. However, when the literature on psychology and its subfields is reviewed, it is seen that the number of bibliometric analysis studies is quite low. For this reason, this study aims to analyze the last 20 years of academic studies in the field of neuropsychology. For this purpose, in the first stage of the research, articles on "neorupsychology" were searched in the WoS database, and the fields of psychology, clinical psychology, psychiatry, neuroscience, experimental psychology, behavioral sciences, developmental psychology, pediatrics, educational psychology, neuroimaging, biological psychology, social psychology, applied psychology and psychoanalytic psychology, which were considered to be most related to the field of neuropsychology, were selected. Common word analysis and social network analysis were performed on the articles containing the related words, and concept maps were created to enable visualization. Accordingly, it was observed that words such as "schizophrenia", "psychosis", "depression" lost their influence, albeit slowly, while words such as "assessment", "performance validity", "clinical neuropsychology", "rehabilitaion" increased their influence. It can be said that current studies in the field of neuropsychology have shifted away from focusing on a specific clinical condition and towards studies that include neuropsychological assessments and rehabilitation approaches.

From 22–24 September 2010 the Second Meeting of the Federation of European Societies of Neuropsychology was held at the Royal Tropical Institute in Amsterdam, The Netherlands. The aim of the conference was to provide a meeting place for neuropsychologists, clinicians as well as researchers, from all over Europe. About 450 participants from 17 European countries gathered to present their research and exchange ideas on brain behaviour relationships. Some of the best contributions are presented here as extended abstracts in the proceedings of this meeting. We are grateful to the editors of Behavioural Neurology, Stefano Cappa and Argye Hillis-Trupe, for making this possible. The Federation of the European Societies of Neuropsychology was founded in 2008 with the objective to further scientific and professional issues within the field of neuropsychology including cognitive neuropsychology, clinical neuropsychology, behavioural neurology, neuroimaging, and neuropsychological rehabilitation. The organisation of periodical scientific meetings is an important instrument to achieve that aim. The second meeting of our young Society was locally organised by the Dutch Neuropsychological Society, supported by the ESN-board , the ESN-scientific advisory board, and the Local Organising Committee. Many thanks to all of you who contributed to its success. I also would like to thank all participants who made a scientific contribution to this conference, either by poster, individual, or symposium presentation. I hope that you will enjoy browsing through these thematically organised proceedings and I certainly hope to see you again on our future meetings.

Hi reddit! In honor of the Super Bowl yesterday, we have assembled a panel of clinicians and researchers who specialize in the study of traumatic brain injury (often referred to as concussions). TBI is of growing interest to researchers, especially with questions surrounding the effects of chronic (repeated) injuries. Recent autopsies of deceased professional football players have found evidence of chronic traumatic encephalopathy, a neurodegenerative disease thought to be caused by chronic TBI. TBI is also a problem in other groups as well. Military members are often at risk of TBI– between 2000 and 2012, there were over 310,000 reported TBIs in active duty military serving in Middle Eastern combat theaters. Likewise, in the general population, children and older adults experience the highest rates of TBI (according to recent data from the Centers for Disease Control). If you have ever had questions about head injury, or some of the long-term outcomes of head injury, now is the time to ask! The panel we have assembled represent expertise in pediatric, sports-related, military-related, and chronic brain injury. Our panel includes: Dr. Robert Stern (u/RobertAStern) - I am a Professor of Neurology, Neurosurgery, and Anatomy & Neurobiology at Boston University (BU) School of Medicine, where I am also Director of the Clinical Core of the BU Alzheimer’s Disease Center. My primary area of research is chronic traumatic encephalopathy (CTE) and the long-term effects of repetitive head impacts in athletes. I am Co-Founder and Director of Clinical Research for the BU CTE Center, and I am proud to be the lead investigator of the DIAGNOSE CTE Research Project, a $16 million, 7-year grant (funded by the National Institutes of Health) for a multi-center, longitudinal study to develop methods of diagnosing CTE during life as well as examining potential risk factors of the disease. I have published over 160 peer-reviewed journal articles, as well as two new textbooks, including Sports Neurology. As a clinical neuropsychologist, I have also developed several commonly used cognitive, including the Neuropsychological Assessment Battery (NAB). Dr. Keith Yeates (u/KeithYeates) - Keith Yeates: I am a pediatric neuropsychologist by training. I hold the Ronald and Irene Ward Chair in Pediatric Brain Injury and am Professor and Head of the Department of Psychology at the University of Calgary in Alberta, Canada. I head the University’s Integrated Concussion Research Program. I have been doing clinical and research work on TBI in children for about 30 years. Dr. Elisabeth Wilde (u/LisaWildePhD) - I am an Associate Professor in the Department of Neurology at the University of Utah and an Associate Professor in the Departments of Physical Medicine and Rehabilitation, Neurology and Radiology at Baylor College of Medicine. I also hold an appointment as a Health Research Scientist in the US Veterans Affairs Health System (VA Salt Lake City Healthcare System). My research interests include the use of advanced forms of neuroimaging to enhance diagnosis and prognosis, monitor recovery and neurodegeneration, evaluate the efficacy of therapeutic intervention, and elucidate aspects of neuroplasticity in traumatic brain injury. As a clinical neuropsychologist, I have an interest in brain-behavior relationships involving cognitive, neurological, and functional outcome and clinical trials in traumatic brain injury and associated comorbidities. For the last 20 years, I have worked with patients with traumatic brain injury and concussion across a spectrum of age, severity, and acuity, with particular interests in children and adolescents, athletes, and Veteran and Active Duty Service Members with concussion or traumatic brain injury. I have participated in over 40 federally-funded clinical projects in TBI, and authored over 120 peer-reviewed publications. I am currently the Director of the Neuroimaging Core for the Department of Defense and Veterans Affairs co-funded Chronic Effects of Neurotrauma Consortium (CENC) Neuroimaging Core and has been actively involved in the International Common Data Elements (CDE) initiative and co-leads the Enhancing Neuroimaging Genetics Meta-analysis (ENIGMA) Working Group for TBI. Dr. Vicki Anderson (u/VickiAndersonPhD) - I am a clinical neuropsychologist at the University of Melbourne and Royal Children’s Hospital, Australia. My work spans clinical practice, research and teaching, with my focus being on children with acquired brain injury and their families. In particular, I am interested in the impact of environment and family on socio-emotional recovery, and on developing parent-based psychosocial interventions to optimise child recovery. Dr. Chris Giza (u/grizwon) - I graduated from Dartmouth College, received my M.D. from West Virginia University and completed my training in Neurology at UCLA. Then I worked on the Yosemite Search and Rescue team before joining the UCLA Brain Injury Research Center in 1998. I served on the California State Athletic Commission from 2005-2015, and traveled to Afghanistan in 2011 as a civilian advisor to the Department of Defense. I founded and direct the UCLA Steve Tisch BrainSPORT program, and serve as Medical Director for the Operation MEND-Wounded Warrior Project mild TBI program. I co-authored concussion / mild TBI guidelines for the American Academy of Neurology, Centers for Disease Control and the Concussion in Sport Group (Berlin guidelines), and have been a clinical consultant for the NFL, NHL/NHLPA, NBA, MLB and Major League Soccer. I am a Professor of Pediatric Neurology and Neurosurgery at the David Geffen School of Medicine and UCLA Mattel Children’s Hospital.

A specialty like clinical neuropsychology is shaped by its selection of trainees, educational standards, expected competencies, and the structure of its training programs. The development of individual competency in this specialty is dependent to a considerable degree on the provision of competent supervision to its trainees. In clinical neuropsychology, as in other areas of professional health-service psychology, supervision is the most frequently used method for teaching a variety of skills, including assessment, report writing, differential diagnosis, and treatment. Although much has been written about the provision of quality supervision in clinical and counseling psychology, very little published guidance is available regarding the teaching and provision of supervision in clinical neuropsychology. The primary focus of this article is to provide a framework and guidance for the development of suggested competency standards for training of neuropsychological supervisors, particularly at the residency level. In this paper we outline important components of supervision for neuropsychology trainees and suggest ways in which clinicians can prepare for supervisory roles. Similar to Falender and Shafranske (2004), we propose a competency-based approach to supervision that advocates for a science-informed, formalized, and objective process that clearly delineates the competencies required for good supervisory practice. As much as possible, supervisory competencies are related to foundational and functional competencies in professional psychology, as well as recent legislative initiatives mandating training in supervision. It is our hope that this article will foster further discussion regarding this complex topic, and eventually enhance training in clinical neuropsychology.

The aim of this investigation was to compare cognitive and affective functions in men and women who had suffered comparable brain injuries. In a prospective matched cohort design, 150 community-dwelling patients were individually matched on the basis of age, severity of injury, premorbid IQ, and time since injury. Women were significantly more impaired in verbal and visual memory compared with men. The degree of cognitive decline was significantly positively correlated with age in women, but not in men. Women had marginally higher scores compared with men on measures of anxiety and depression. It is concluded that gender is a moderator of cognitive and affective outcome after brain injury