Contemporary Approaches to Neuropsychological Assessment

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1 Contemporary Approaches to Neuropsychological Assessment

2 CRITICAL ISSUES IN NEUROPSYCHOLOGY Series Editors Antonio E. Puente University of North Carolina, Wilmington Current Volumes in this Series Cecil R. Reynolds Texas A&M University BEHA VI ORAL INTERVENTIONS WITH BRAIN-INJURED CHILDREN A. MacNeill Horton, Jr. CLINICAL NEUROPSYCHOLOGICAL ASSESSMENT: A Cognitive Approach Edited by Robert L. Mapou and Jack Spector CONTEMPORARY APPROACHES TO NEUROPSYCHOLOGICAL ASSESSMENT Edited by Gerald Goldstein and Theresa M. Incagnoli FAMILY SUPPORT PROGRAMS AND REHABILITATION: A Cognitive--Behavioral Approach to Traumatic Brain Injury Louise Margaret Smith and Hamish P. D. Godfrey HANDBOOK OF CLINICAL CHILD NEUROPSYCHOLOGY, Second Edition Edited by Cecil R. Reynolds and Elaine Fletcher-Janzen HANDBOOK OF NEUROPSYCHOLOGY AND AGING Edited by Paul David Nussbaum NEUROPSYCHOLOGICAL EXPLORATIONS OF MEMORY AND COGNITION: Essays in Honor of Nelson Butters Edited by Laird S. Cermak NEUROPSYCHOLOGICAL TOXICOLOGY: Identification and Assessment of Human Neurotoxic Syndromes, Second Edition David E. Hartman THE PRACTICE OF FORENSIC NEUROPSYCHOLOGY: Meeting Challenges in the Courtroom Edited by Robert J. McCaffrey, Arthur D. Williams, Jerid M. Fisher, and Linda C. Laing PRACTITIONER'S GUIDE TO CLINICAL NEUROPSYCHOLOGY Robert M. Anderson, Jr. A Continuation Order Plan is available for this series. A continuation order will bring delivery of each new volume immediately upon publication. Volumes are billed only upon actual shipment. For further information please contact the publisher.

3 Contemporary Approaches to Neuropsychological Assessment Edited by Gerald Goldstein Pittsburgh Veterans Affairs Healthcare System and University of Pittsburgh Pittsburgh, Pennsylvania and Theresa M. Incagnoli School of Medicine State University of New York at Stony Brook Stony Brook, New York Springer Science+Business Media, LLC

4 Library of Congress Cataloging-in-Publication Data On file ISBN ISBN (ebook) DOI / Springer Science+Business Media New York Originally published by Plenum Press, New York in 1997 Softcover reprint of the hardcover 1st edition All rights reserved No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, microfilming, recording, or otherwise, without written permission from the Publisher

5 Contributors Daniel Allen Department of Veterans Affairs Medical Center, Pittsburgh, Pennsylvania Thomas J. Boll Department of Surgery, Division of Neurological Surgery, Section of Neuropsychology, University of Alabama at Birmingham, Birmingham, Alabama Gerald Goldstein Pittsburgh VA Health Care System, and University of Pittsburgh, Pittsburgh, Pennsylvania Theresa Incagnoli School of Medicine, State University of New York, Stony Brook, New York Robert L. Kane Baltimore Department of Veterans Affairs Medical Center, Baltimore, Maryland Gary G. Kay Department of Neurology, Georgetown University Hospital, Washington, DC Lisa Morrow Western Psychiatric Institute and Clinic, Pittsburgh, Pennsylvania James A. Moses, Jr. Department of Veterans Affairs Medical Center, Stanford University, Palo Alto, California Paul D. Nussbaum Aging Research and Education Center, Lutheran Affiliated Services, Mars, Pennsylvania 15044; and University of Pittsburgh, School of Medicine, Pittsburgh, Pennsylvania Amold D. Purisch lrvine, California V

6 vi CONTRIBUTORS Homer B. C. Reed Neuropsychology Laboratory, New England Medical Center, Boston, Massachusetts James C. Reed Wayland, Massachusetts Marcie Wallace Ritter Department of Psychology, Carnegie-Mellon University, Pittsburgh, Pennsylvania Fredric E. Rose Department of Veterans Affairs, Decatur, Georgia Elbert W. Russell Veterans Administration Medical Center, Miami, Florida Jerry J. Sweet Evanston Hospital, Evanston, Illinois Cynthia Westergaard Evanston Hospital, Evanston, Illinois Roberta F. White Department of Neurology, Boston University School of Medicine, and Department of Veterans Affairs Medical Center, Boston, Massachusetts Mark A. Williams Department of Surgery, Division of Neurological Surgery, Section of Neuropsychology, University of Alabama at Birmingham, Birmingham, Alabama

7 Preface This volume reflects, in part, an update of Clinical Application of Neuropsychological Test Batteries, edited by Theresa Incagnoli, Gerald Goldstein, and Charles Golden some 10 years ago. While the initial concept of the present editors involved doing a straightforward update of each chapter, it soon became apparent that the field of clinical neuropsychology had changed so dramatically and rapidly that substantial changes in the outline had to be made. It was our view that sufficient interest remained in the standard comprehensive neuropsychological test batteries to make an update worthwhile. We asked four senior people to take on this assignment, James Moses, Jr., andamold Purisch in the case of the Luria-Nebraska Battery, and James Reed and Homer Reed for the Halstead-Reitan Battery. These individuals all have long-term associations with these procedures and can be viewed as pioneers in their development. However, it also seemed to us that there was an increasing interest in the psychometric aspects of the standard procedures and in assessment issues related to the relative merits of using standard or individualized assessment strategies. Thus, we have chapters by Elbert Russell and Gerald Goldstein that provide discussions of these current methodological and clinical issues. During the past 10 years, the cognitive revolution has made a strong impact on neuropsychology. The interest of cognitive psychologists in brain function has increased dramatically, and we now have an active field of cognitive neuropsychology, something that was only beginning 10 years ago. The chapter by Marcie Wallace Ritter and Lisa Morrow provides an orientation to these new developments, as well as some major illustrations of the relevance of experimental cognitive research and theory to clinical neuropsychology. In a sense, this chapter replaces the previous chapters on language, memory, and visual-spatial abilities, since these areas are now heavily permeated by cognitive theory. In the previous volume, Harold Goodglass wrote a chapter on flexible batteries in assessment that probably represents one of the first formal and coherent presentations of what is now known as the process approach. There seems little question that there have been major advances in the development of this method of assessment, with numerous oral and written presentations of its methods and vii

8 viii PREFACE philosophy and with the appearance of new tests and scoring methods based on process approach theory. The chapter by Roberta White and Fredric Rose provides an overview and update of this important movement in clinical neuropsychology. Apparently, Harold Goodglass's seminal presentation has not fallen on blind eyes or deaf ears. We felt that the field of clinical neuropsychology has become increasingly specialized but not fragmented. That is, there is still a core discipline, but we know a great deal more now about neuropsychological aspects of specific populations, notably children, the elderly, and individuals suffering from various forms of psychopathology. We therefore include chapters on child assessment by Mark Williams and Thomas Boil, on assessment of the elderly by Paul Nussbaum and Daniel Alien, and on psychopathology by Jerry Sweet and Cynthia Westergaard. These chapters reflect the existence of important emerging subspecialties within clinical neuropsychology and the growth of substantial research literatures in each of them. The inclusion of psychopathology is of great interest because it is a clear reflection of the biological revolution in psychiatry and psychopathology, and particularly because of the exciting prospect of learning more about how the brain functions in such puzzling disorders as schizophrenia and autism. One future scenario for clinical neuropsychological assessment, and perhaps psychological assessment in general, is the increasing replacement by computer technologies of standard testing, scoring, and perhaps interpretive procedures. Whil~ we have not gotten very far with interpretation, the administration and scoring of tests with computer assistance have become a common practice. Robert Kane and Gary Kay, two of the major figures in this area, review recent developments in their chapter. The editors would like to acknowledge Mariclaire Cloutier, Eliot Wemer, and Tony Puente for their continued support. The contributors are congratulated for the scholarship and thoroughness of their work. The editors acknowledge the substantial support of this work by the Department of Veterans Affairs. Gerald Goldstein Theresa /ncagnoli

9 Contents Chapter 1 RECENT TRENDS IN NEUROPSYCHOLOGICAL ASSESSMENT: AN OVERVIEW AND UPDATE.... Theresa Incagnoli Chapter 2 DEVELOPMENTS IN THE PSYCHOMETRIC FOUNDATIONS OF NEUROPSYCHOLOGICAL ASSESSMENT 15 Elbert W Russell Chapter 3 THE CLINICAL UTILITY OF STANDARDIZED OR FLEXIBLE BATTERY APPROACHES TO NEUROPSYCHOLOGICAL ASSESSMENT Gerald Goldstein Chapter4 THE HALSTEAD-REITAN NEUROPSYCHOLOGICAL BATTERY lames C. Reed and Homer B. C. Reed Chapter 5 THE EVOLUTION OF THE LURIA-NEBRASKA NEUROPSYCHOLOGICAL BATTERY lames A. Moses, Jr., andamold D. Purisch Chapter 6 THE BOSTON PROCESS APPROACH: A BRIEF HISTORY AND CURRENT PRACTICE Roberta F. White and Fredric E. Rose ix

10 X CONTENTS Chapter7 WHAT, WHERE, AND WHY: WHAT COGNffiVE PSYCHOLOGY CAN CONTRIBUTE TO CLINICAL ASSESSMENT Marcie Wallace Ritter and Lisa Morrow ChapterS RECENT ADVANCES IN NEUROPSYCHOLOGICAL ASSESSMENT OF CHILDREN Mark A. Williams and Thomas J. Boil Chapter9 RECENT DEVELOPMENTS IN NEUROPSYCHOLOGICAL ASSESSMENT OF THE ELDERLY AND INDIVIDUALS WITH SEVERE DEMENTIA Paul D. Nussbaum and Daniel Alien Chapter 10 PSYCHOPATHOLOGY AND NEUROPSYCHOLOGICAL ASSESSMENT Je"y J. Sweet and Cynthia Westergaard Chapter 11 COMPUTER APPLICATIONS IN NEUROPSYCHOLOGICAL ASSESSMENT Robert L Kane and Gary G. Kay Chapter 12 CONCLUDING REMARKS Theresa Incagnoli and Gerald Goldstein INDEX

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