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Clinical Neuropsychology . Glenn Smith PhD ABPP(CN) 2013 . What is Clinical Neuropsychology? . Neuropsychology : The study of the relationship between brain function and behavior.
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Clinical Neuropsychology Glenn Smith PhD ABPP(CN) 2013
What is Clinical Neuropsychology? Neuropsychology: The study of the relationship between brain function and behavior. Clinical Neuropsychology: The use of specialized techniques used to assess and treat behavioral abnormalities associated with brain dysfunction.
Clinical neurosychologists work with adults and children with many types brain conditions: • Brain tumors • Dementias like Alzheimer’s disease • Developmental disorders like autism • Epilepsy • Movement disorders like Parkinson’s disease • Multiple sclerosis • Stroke • Traumatic brain injury
A large tumor in the covering of the brain is pressing on the front region of the brain producing changes in thinking and behavior
History • Aristotle thought the heart was responsible for thinking. Hippo-crates realized it was the brain. • Descartes thought the pineal gland at the base of the brain was the seat of the soul. • The late 1700s phrenologists thought they could determine your mental skills and personality by the size and shape of your head • In Europe in the 1800s, physicians like Broca, and Wernicke, were realizing different brain regions controlled different skills like understanding speech versus creating speech • In the US, in 1930s and 40s, before the advent of CT scans Ward Halstead used behavioral techniques to help predict where neurosurgeons would find brain tumors • In Russia, A.R. Luria studied the behaviors of WWII veterans that survived bullet wounds to the brain. His book Higher Cortical Function in Man is a classic • Neuroimaging techniques like MRI and PET have revolutionized neuropsychology research and practice
Cognition (thinking skills) Intelligence Academic Skill Language Visual Spatial Attention Memory Executive Functions Noncognitive issues Alertness Comportment/Demeanor Speech Mood Personality Effort/Motivation Frustration Tolerance Clinical Neuropsychologists examine:
Scores of a patient with Alzheimer’s Disease over 9 years. Note how memory scores are low in the beginning and over time scores all other areas except reading decline.
Example of Perceptual Organization: Find the figure in white within the yellow figure.
Goals of the Clinical Neuropsychologist • Help detect brain dysfunction. • Help identify the type of brain disease. • Help understand the likely impact brain disease in daily life. • Help identify the likely future course of brain disease • Help plan patient care. • Help deliver care to patients and their families. • Conduct the research that provides the basis for all of the above.
Resource Links Society for Clinical Neuropsychology: http://www.div40.org/ Association of Neuropsychology Students in training: http://www.div40-anst.com/