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Clinical neuropsychologists are increasingly involved in the evaluation of civil capacities, such as driving, and healthcare and financial decision-making. This volume reviews the empirical literature on several of these civil capacities and provides a variety of practical, evidenced-based applications to improve neuropsychological consulting and report writing.
Clinical neuropsychologists are increasingly involved in the evaluation of civil capacities and are in demand by other professionals, particularly attorneys and judges, to assist their decision-making about these sometimes complex issues. While there has been some neuropsychological research in this area, this has not been assembled into a single volume nor have practice recommendations been provided. This volume fills these gaps. The first part of this volume reviews and synthesizes the research literature on neuropsychological aspects of civil capacities. The specific capacities addressed include driving, financial and healthcare decision-making, testamentary (i.e., will-making) capacity, and personal care and independence. Each chapter addresses relevant background issues, conceptual/theoretical advances, and empirical findings. The chapters also include an illustrative case study that demonstrates how the authors (each expert in the various areas) evaluated and conceptualized the case. Each chapter is written from an evidence-based perspective and, where appropriate, uses research to inform practice recommendations. The second part of this volume provides recommendations to practitioners on how to conduct civil capacity evaluations that utilize neuropsychological assessment. There are chapters on an evaluative framework for the assessment, capacity test selection and psychometric issues, working with other data sources besides testing (e.g., collateral interviews), best practices in report-writing and testifying, as well as common ethical issues in such cases. Throughout, these chapters provide practical "how to" advice to improve neuropsychological practice and consulting in civil capacity cases. In addition to these chapters, there is a chapter written by legal consumers of psychological reports. This chapter offers a wealth of useful information and recommendations that, if followed, will further serve to advance psychological report-writing and consultation in civil capacity evaluations.
Evidence-based practice has become the benchmark for quality in healthcare and builds on rules of evidence that have been developed in psychology and other health-care disciplines over many decades. This volume aims to provide clinical neuropsychologists with a practical and approachable reference for skills in evidence-based practice to improve the scientific status of patient care. The core skills involve techniques in critical appraisal of published diagnostic-validity or treatment studies. Critical appraisal skills assist any clinician to evaluate the scientific status of any published study, to identify the patient-relevance of studies with good scientific status, and to calculate individual patient-probability estimates of diagnosis or treatment outcome to guide practice. Initial chapters in this volume review fundamental concepts of construct validity relevant to the assessment of psychopathology and cognitive abilities in neuropsychological populations. These chapters also summarize exciting contemporary development in the theories of personality and psychopathology, and cognitive ability, showing a convergence of theoretical and clinical research to guide clinical practice. Conceptual skills in interpreting construct validity of neuropsychological tests are described in detail in this volume. In addition, a non-mathematical description of the concepts of test score reliability and the neglected topic of interval estimation for individual assessment is provided. As an extension of the concepts of reliability, reliable change indexes are reviewed and the implication of impact on evidence-based practice of test scores reliability and reliable change are described to guide clinicians in their interpretation of test results on single or repeated assessments. Written by some of the foremost experts in the field of clinical neuropsychology and with practical and concrete examples throughout, this volume shows how evidence-based practice is enhanced by reference to good theory, strong construct validity, and better test score reliability.
"Straight talking, timely, and eminently practical, this book is rewarding reading for neuropsychologists working in the courts, other mental health professionals who may be called to serve as expert witnesses, and interested legal professionals. It is also an informative resource for graduate students in neuropsychology."--BOOK JACKET.
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.
The APA Handbook of Forensic Neuropsychology covers the scientific and clinical neuropsychological advances and their application in forensic contexts. The application of clinical neuropsychology to forensic questions and issues is growing at a tremendous rate. This handbook covers the scientific and clinical neuropsychological advances and their application in forensic contexts. To accomplish this goal, the contributors (a) presents the theoretical, statistical, and ethical foundations of forensic neuropsychology; (b) describes current assessment measures and procedures employed in forensic neuropsychology, with an emphasis on their empirical evidence base; (c) integrates recently published empirical literature involving commonly encountered disorders and special populations; (d) describes reporting, admissibility, and testimony issues involving neuropsychology in forensic matters; and (e) describes future directions involving the intersection of clinical neuropsychology and legal matters.
In Neuropsychological Aspects of Substance Use Disorders, internationally recognized experts provide clinicians with the most up to date information on the neuropsychology of substance use disorders based on the empirical literature. Substance use disorders continue to be a major health concern in the United States and worldwide, although their causes and effective treatments remain elusive. Research in this area has expanded dramatically over the past two decades and provided insights into psychobiological, behavioral, and genetic factors that contribute to the onset and maintenance of substance use disorders and associated neuropsychological abnormalities. This research has provided a strong empirical foundation that has direct implications for clinical neuropsychological practice and created a need to provide the practitioner with a cogent and up-to-date summary of current developments, which is the goal of this volume. Chapters in this volume are organized into three sections that are designed to provide a translational overview of basic research and treatment findings regarding addictions, neuropsychological and neurological sequalae of the most common substances of abuse, and consideration of special issues that might confound interpretation of neuropsychological test results. Section I provides an overview of addictions, including diagnoses based on the DSM-IV, as well as the most current conceptualizations of addiction from psychobiological, genetic, and behavioral and no economics perspectives, providing the reader with a broad evidence-based conceptual framework. Section II reviews the most common substances of abuse including coverage of structural and functional neuroimaging findings, epidemiological evidence, and neuropsychological sequelae. Substances included in this section represent the most commonly encountered drugs of abuse. Section III includes coverage of the number of special topics, including specific issues related to psychiatric, medical, and neurological comorbidities. Topics included in this section represent areas of common concerns faced by clinical neuropsychologists in the interpretation and application of neuropsychological test results.
Written by a foremost expert in the field, this hands-on, evidence-based guide describes how to conduct a comprehensive forensic neuropsychological evaluation and provide expert testimony. All steps are covered--from selecting, scoring, and interpreting tests to writing reports and responding to cross-examination--with special attention to assessing noncredible performance. The book identifies seven common flaws of forensic neuropsychological reports and shows how to avoid them. Excerpts from testimony transcripts illustrate ways neuropsychologists can protect their reports from attack. Also featured are case illustrations and a sample report.
From translating the patient’s medical records and test results to providing recommendations, the neuropsychological evaluation incorporates the science and practice of neuropsychology, neurology, and psychological sciences. The Little Black Book of Neuropsychology brings the practice and study of neuropsychology into concise step-by-step focus—without skimping on scientific quality. This one-of-a-kind assessment reference complements standard textbooks by outlining signs, symptoms, and complaints according to neuropsychological domain (such as memory, language, or executive function), with descriptions of possible deficits involved, inpatient and outpatient assessment methods, and possible etiologies. Additional chapters offer a more traditional approach to evaluation, discussing specific neurological disorders and diseases in terms of their clinical features, neuroanatomical correlates, and assessment and treatment considerations. Chapters in psychometrics provide for initial understanding of brain-behavior interpretation as well as more advanced principals for neuropsychology practice including new diagnostic concepts and analysis of change in performance over time. For the trainee, beginning clinician or seasoned expert, this user-friendly presentation incorporating ‘quick reference guides’ throughout which will add to the practice armentarium of beginning and seasoned clinicians alike. Key features of The Black Book of Neuropsychology: Concise framework for understanding the neuropsychological referral. Symptoms/syndromes presented in a handy outline format, with dozens of charts and tables. Review of basic neurobehavioral examination procedure. Attention to professional issues, including advances in psychometrics and diagnoses, including tables for reliable change for many commonly used tests. Special “Writing Reports like You Mean It” section and guidelines for answering referral questions. Includes appendices of practical information, including neuropsychological formulary. The Little Black Book of Neuropsychology is an indispensable resource for the range of practitioners and scientists interested in brain-behavior relationships. Particular emphasis is provided for trainees in neuropsychology and neuropsychologists. However, the easy to use format and concise presentation is likely to be of particular value to interns, residents, and fellows studying neurology, neurological surgery, psychiatry, and nurses. Finally, teachers of neuropsychological and neurological assessment may also find this book useful as a classroom text. "There is no other book in the field that covers the scope of material that is inside this comprehensive text. The work might be best summed up as being a clinical neuropsychology postdoctoral residency in a book, with the most up to date information available, so that it is also an indispensible book for practicing neuropsychologists in addition to students and residents...There is really no book like this available today. It skillfully brings together the most important foundationsof clinical neuropsychology with the 'nuts and bolts' of every facet of assessment. It also reminds the more weathered neuropsychologists among us of the essential value of neuropsychological assessment...the impact of the disease on the patient’s cognitive functioning and behavior may only be objectively quantified through a neuropsychological assessment." Arch Clin Neuropsychol (2011) first published online June 13, 2011 Read the full review acn.oxfordjournals.org
Today's increasingly sophisticated psychological and neuropsychological assessments allow for a greater understanding, and improved evaluations, in forensic psychology. By integrating discussions of modern psychological and neuropsychological tests, with extant civil and criminal cases, Forensic Psychology and Neuropsychology for Criminal and Civil Cases, Second Edition serves as a fully-updated, professional resource outlining modern behavioral science’s impact on the legal system. This second edition synthesizes the theoretical, empirical, and clinical literature, examining it through the lens of case application. The book is divided into three parts to look at foundational legal, ethical and applied issues; criminal forensic evaluations; and civil forensic evaluations. Chapters new to this edition address substance abuse and intoxication, interviewing and interrogation, criminal profiling, faked amnesia and recall skills, post-concussive syndrome (PCS), post-traumatic stress disorder (PTSD), and trends and research directions. Clinicians, researchers and psychologists practicing in any number of related fields will be able to address relevant questions from both criminal-forensic and civil-forensic perspectives. Key features: Presents the latest advances in methodology and technology to assist forensic professional in assessment and case formulation in the search for ground truth in applied settings Outlines base rates for forensic areas of concern, especially helpful in evaluation, report writing and courtroom testimony as an expert witness Addresses complex criminal issues such as competency to stand trial, criminal responsibility, mitigating defenses, and violence risk Forensic Psychology and Neuropsychology for Criminal and Civil Cases, Second Edition is an invaluable resource to clinicians, experts witnesses, and legal professionals—a helpful adjunct for mental health experts to formulate sound direct and cross-examination strategies, and eliciting suggestions for forensically-related treatment and intervention.