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Unique in its focus, this book provides an evidence-based framework for assessing work-related neurological and psychological injuries. Meeting a key need, chapters address a range of problems encountered in the workplace: traumatic brain injury, sports concussion, electrical injury, exposure to neurotoxic substances, posttraumatic stress, depression, and brain and psychological injuries experienced in combat. Professionals will find the best available tools and strategies for conducting effective, ethical evaluations of injured workers, making diagnostic determinations, considering causality, determining disability status, and offering treatment recommendations. The complexities of consulting to attorneys, government agencies, and insurance companies are also discussed.
Unique in its focus, this book provides an evidence-based framework for assessing work-related neurological and psychological injuries. Meeting a key need, chapters address a range of problems encountered in the workplace: traumatic brain injury, sports concussion, electrical injury, exposure to neurotoxic substances, posttraumatic stress, depression, and brain and psychological injuries experienced in combat. Professionals will find the best available tools and strategies for conducting effective, ethical evaluations of injured workers, making diagnostic determinations, considering causality, determining disability status, and offering treatment recommendations. The complexities of consulting to attorneys, government agencies, and insurance companies are also discussed.
This book is a comprehensive analysis of the definitions, concepts, and recent research on malingering, feigning, and other response biases in psychological injury/ forensic disability populations. It presents a new model of malingering and related biases, and develops a “diagnostic” system based on it that is applicable to PTSD, chronic pain, and TBI. Included are suggestions for effective practice and future research based on the literature reviews and the new systems, which are useful also because they can be used readily by psychiatrists as much as psychologists. In Malingering, Feigning, and Response Style Assessment in Psychiatric/Psychological Injury, Dr. Young ambitiously sets out to articulate and synthesize the polarities involved in the assessment of response styles in psychological disabilities, including PTSD, pain, and TBI. He does so thoroughly and very even-handedly, neither minimizing the degree that outright faking can be found in substantial numbers of examinees, nor disregarding the possibility that there can be causes for validity test failure other than malingering. He reviews the prior systems for classifying evidence of malingering, and proposes his own criteria for feigned PTSD. These are conservative and well-grounded in the prior literature. Finally, the book contains dozens of very recent references, giving testament to Dr. Young's immersion in the personal injury literature, as might be expected from his experience as founder and Editor in Chief for Psychological Injury and the Law. Reviewer: Steve Rubenzer, Ph.D., ABPP Board Certified Forensic Psychologist
Practical and comprehensive, this is the first book to focus on noncredible performance in clinical contexts. Experts in the field discuss the varied causes of invalidity, describe how to efficiently incorporate validity tests into clinical evaluations, and provide direction on how to proceed when noncredible responding is detected. Thoughtful, ethical guidance is given for offering patient feedback and writing effective reports. Population-specific chapters cover validity assessment with military personnel; children; and individuals with dementia, psychiatric disorders, mild traumatic brain injury, academic disability, and other concerns. The concluding chapter describes how to appropriately engage in legal proceedings if a clinical case becomes forensic. Case examples and sample reports enhance the book's utility.
"In Neuropsychological Practice with Veterans, Bush endeavors to compile a comprehensive account of how neuropsychological research, assessment, and treatment of veterans are impacted by military status. He succeeds brilliantly with this undertaking...[T]his is an essential text for those working with active duty service members and veterans, and is highly recommended to all those seeking new perspectives."--Journal of the International Neuropsychological Society "In Neuropsychological Practice with Veterans, Dr. Shane S. Bush provides a multifaceted overview of neuropsychological assessments and treatments associated with war veterans who have suffered from traumatic brain injury (TBI) during their service."--Somatic Psychotherapy Today Traumatic brain injury (TBI), afflicting approximately one third of injured veterans returning from duty in Iraq and Afghanistan, is considered the signature injury in these conflicts. In addition to TBI, symptoms of posttraumatic stress disorder (PTSD) and major depression often afflict these veterans and contribute to neurological symptoms. This is the first volume to provide a comprehensive overview of neuropsychologically grounded assessment, treatment, training, and trends for clinicians who work with this population. Encompassing the writings of clinicians and researchers experienced in working with the Veterans Administration (VA) population, the book is grounded in an understanding of the unique culture of the veteran with its specialized service delivery methods and procedures. In addition to its focus on veterans with TBI, the text also addresses the assessment and treatment of aging veterans of previous military conflicts and of combat and non-combat veterans with neurological and emotional problems related to aging, substance abuse, HIV/hepatitis, psychiatric disorders, and other problems. Key Features: Addresses the growing need for neuropsychological assessment and treatment of returning veterans as well as aging veterans of earlier conflicts Focuses on traumatic brain injury, posttraumatic stress disorder, and major depression Discusses assessment of malingering (faking); benefits, pension, return-to-work evaluations; polytrauma management; and training concerns Written by clinicians and researchers experienced in working with veterans Edited by a neuropsychology specialist who is well known in the VA community
The Independent Neuropsychological Evaluation explores the process of conducting an independent neuropsychological evaluation (IME) for disability related claims. While neuropsychologists are well trained in the area of clinical assessment, little training, mentoring, or supervision applies these skills to the disability arena, and a lack of literature specific to this rapidly growing area of practice by which to develop expertise encroaches on these needs. Authors Howard J. Oakes, David W. Lovejoy, and Shane S. Bush provide information about how to prepare disability related assessments that are valid, useful, and appropriate. They explain the language and context of "disability," offer relevant ethical and professional considerations, and cover business aspects of IMEs as well as particular neuropsychological related issues. Although the subject matter covered in this book has relevance to neuropsychological IMEs conducted in the context of civil litigation, workers' compensation, fitness for duty, and state- or federally-sponsored disability programs, this book emphasizes IMEs conducted for private disability insurance companies. Practicing neuropsychologists and clinical psychologists who conduct, or are contemplating conducting, independent examinations, as well as providers in neurology and psychiatry who may struggle with some of the same disability-related issues and questions, will find this volume of great practical use.
This book provides users of the Wechsler Adult Intelligence Scale (WAIS-IV) with information on applying the WAIS-IV, including additional indexes and information regarding use in special populations for advanced clinical use and interpretation. The book offers sophisticated users of the WAIS-IV and Wechsler Memory Scale (WMS-IV) guidelines on how to enhance the clinical applicability of these tests. The first section of the book provides an overview of the WAIS-IV, WMS-IV, and new Advanced Clinical Solutions for Use with the WAIS-IV/WMS-IV (ACS). In this section, examiners will learn: - Normal versus atypical score variability - Low-score prevalence in healthy adults versus clinical populations - Assessing whether poor performance reflects a decline in function or is the result of suboptimal effort New social cognition measures found in the ACS are also presented. The second part focuses on applying the topics in the first section to specific clinical conditions, including recommended protocols for specific clientele (e.g. using demographically adjusted norms when evaluating individuals with brain injury). Common clinical conditions are discussed, including Alzheimer's disease, mild cognitive impairment, traumatic brain injury, and more. Each chapter provides case examples applying all three test batteries and using report examples as they are obtained from the scoring assistant. Finally, the use of the WAIS-IV/WMS-IV and the ACS in forensic settings is presented. - Coverage of administration and scoring of WAIS-IV, WMS-IV and ACS - Information contained on the use of WAIS-IV with special populations - Case studies in each chapter - Written by the creators of WAIS-IV, WMS-IV and ACS
This book is a clear and comprehensive guide to all aspects of the management of traumatic brain injury-from early diagnosis and evaluation through the post-acute period and rehabilitation. An essential reference for physicians and other health care professionals who work with brain injured patients, the book focuses on assessment and treatment of the wider variety of clinical problems these patients face and addresses many associated concerns such as epidemiology, ethical issues, legal issues, and life-care planning. Written by over 190 acknowledged leaders, the text covers the full spectrum of the practice of brain injury medicine including principles of neural recovery, neuroimaging and neurodiagnostic testing, prognosis and outcome, acute care, rehabilitation, treatment of specific populations, neurologic and other medical problems following injury, cognitive and behavioral problems, post-traumatic pain disorders, pharmacologic and alternative treatments, and community reentry and productivity.
In the past decade, few subjects at the intersection of medicine and sports have generated as much public interest as sports-related concussions - especially among youth. Despite growing awareness of sports-related concussions and campaigns to educate athletes, coaches, physicians, and parents of young athletes about concussion recognition and management, confusion and controversy persist in many areas. Currently, diagnosis is based primarily on the symptoms reported by the individual rather than on objective diagnostic markers, and there is little empirical evidence for the optimal degree and duration of physical rest needed to promote recovery or the best timing and approach for returning to full physical activity. Sports-Related Concussions in Youth: Improving the Science, Changing the Culture reviews the science of sports-related concussions in youth from elementary school through young adulthood, as well as in military personnel and their dependents. This report recommends actions that can be taken by a range of audiences - including research funding agencies, legislatures, state and school superintendents and athletic directors, military organizations, and equipment manufacturers, as well as youth who participate in sports and their parents - to improve what is known about concussions and to reduce their occurrence. Sports-Related Concussions in Youth finds that while some studies provide useful information, much remains unknown about the extent of concussions in youth; how to diagnose, manage, and prevent concussions; and the short- and long-term consequences of concussions as well as repetitive head impacts that do not result in concussion symptoms. The culture of sports negatively influences athletes' self-reporting of concussion symptoms and their adherence to return-to-play guidance. Athletes, their teammates, and, in some cases, coaches and parents may not fully appreciate the health threats posed by concussions. Similarly, military recruits are immersed in a culture that includes devotion to duty and service before self, and the critical nature of concussions may often go unheeded. According to Sports-Related Concussions in Youth, if the youth sports community can adopt the belief that concussions are serious injuries and emphasize care for players with concussions until they are fully recovered, then the culture in which these athletes perform and compete will become much safer. Improving understanding of the extent, causes, effects, and prevention of sports-related concussions is vitally important for the health and well-being of youth athletes. The findings and recommendations in this report set a direction for research to reach this goal.
In actual therapy sesions, the video shows Dr. Linehan teaching patients the use of such skills as mindfulness, distress tolerance, interpersonal effectiveness, and emotional regulation in order to manage extreme beliefs and behaviors. Viewers observe how Dr. Linehan and a team of therapists work through the range of problems and frustrations that arise in treatment.