Neuropsychiatry: Week 6A- Neuropsych Ax In The Real World (Matty's Cards)

Front 1

Neuropsychology allows for the relating of brain abnormality to particular _________?

Back 1

Can relate the brain abnormality to the particular BEHAVIORS: it is not enough to show a lesion exists; we must demonstrate the consequences of the
lesion to the issue in dispute.

Front 2

Neuropsychology has appeal in legal contexts as experts can bring quantified ____________ __________ on brain/behavior relationships in areas typically based on mental status examinations and clinical interviews.

Back 2

Neuropsychology has particular appeal in the legal context as the expert can bring quantified, normative data on brain/behaviour relationships to bear in areas typically based on mental status examinations and clinical interviews.

Front 3

Historical perspective of neuropsychology


Originally used to ...............?

Then came............?

Which lead to a shift
emphasizing ..................?


More recently a further shift to predictions of ...................... ?

Back 3

1.
Originally used to detect cerebral
lesions (usually in repatriation settings)

2.
Development of sophisticated
neuroimaging techniques

3. Leads to a shift on emphasis moves to outlining patient’s strengths and weaknesses


4.More recently a further shift to predictions of a patient’s functional skills, treatment options and
rehabilitation potential

Front 4

Neuropsychological assessment of competency can include? (7)

Back 4

1. Fitness to plead (rarely)

2. Impairment assessment

3. Predicting driving ability

4. Predicting vocational ability

5. Predicting financial management ability

6. Testamentary capacity

7. Medical decision making

Front 5

Russell (1990) has attributed the increased
use of neuropsychology in the courts to the
fact that neuropsychology can easily
diagnose brain damage _______ __________ ____ ________.

Back 5

Russell (1990) has attributed the increased
use of neuropsychology in the courts to the
fact that neuropsychology can easily
diagnose brain damage WHERE THERE IS NONE.

Front 6

No pathognomonic tests of brain damage,
false positives are due to the false belief
that psychological tests are tests for “brain
damage” when actually they are tests of
cognitive abilities

Back 6

No pathognomonic tests of brain damage,
false positives are due to the false belief
that psychological tests are tests for “brain
damage” when actually they are tests of
__________ ___________.

Front 7

It is not neuropsychological tests that diagnose brain damage, ___________ _______;hence the vulnerability

Back 7

It is not tests that diagnose brain damage,
CLINICIANS DO; hence the vulnerability

Front 8

Traditional neuropsychological assessment
explains only a ________to ____________amount of
variance in real world behaviours

Back 8

Traditional neuropsychological assessment
explains only a SMALL to MODERATE amount of
variance in real world behaviours

Front 9

What is ecological validity?

Back 9

It represents the degree to which an individual’s performance on testing can predict their real world functioning or the extent to which the environment
experienced by participants in a scientific investigation has the properties it is supposed to or is assumed to have by the investigator.

Front 10

Define: Impairment

Back 10

Impairment (I) is the loss of psychological, or
anatomical structure or function

Front 11

Impairment (I) is the loss of psychological, or
anatomical structure or function =

Back 11

Impairment

Front 12

Define: disability

Back 12

Disability (D) is the restriction or inability to
perform an activity within the range considered
normal for a human being arising as a result of
the impairment

Front 13

The restriction or inability to
perform an activity within the range considered
normal for a human being arising as a result of
the impairment =

Back 13

Disability

Front 14

Define: Handicap

Back 14

Handicap (H) is the societal disadvantage to the
individual from the impairment or disability

Front 15

The societal disadvantage to the individual from the impairment or disability =

Back 15

Handicap

Front 16

Janice has aphasia. She is unable to use the telephone. She can't work as a receptionist preventing work as a receptionist.

Back 16

Where is the impairment, disability, and handicap?

Front 17

Neuropsychological assessment measures
deficit at the level of ____________.

Back 17

Neuropsychological assessment measures
deficit at the level of IMPAIRMENT.

Front 18

Most neuropsychological tests have not been empirically validated to predict the impact of impairment on ____________ _______ __________ _________ or _____________ ___________(i.e. handicaps)

Back 18

Most neuropsychological tests have not been empirically validated to predict the impact of impairment on activities of daily living or instrumental activities (i.e. handicaps).

This has resulted in a considerable move
within neuropsychology for increased
ecological validity, in its procedures and
practices.

Front 19

Crowe's series of studies looking at capacity to use automatic machines (phone services, atm, transport) demonstrated:

Are there specific cognitive tests that predict performance?

Back 19

Consistently high relationships between
neuropsychological measures and competency
on automated machines.

Many powerful predictors, not just specific
tests or cognitive domains

Neuropsychological measures in general
showed high predictability of variance

Front 20

Money management study:

Neuropsychological assessment demonstrated a
________ ability to predict the overall score.

Back 20

Neuropsychological assessment demonstrated a
modest ability to predict the overall money management score (19%
of the explained variance)

Front 21

Prospective and retrospective memory were
predictors, but ___________ __________were not.

Back 21

Prospective and retrospective memory were
predictors, but executive functions were not.

Front 22

Measures of what explain a large amount of (63%) variance in whether individuals with ABI made late payments of bills or rent, and classification success was high (89.3% of participants correctly classified)

Back 22

Measures of memory explained.

Front 23

What was strongly related to problematic impulse spending?

Back 23

Measures of impulse control.

Front 24

Performance on automated tasks offers the potential of being an accurate index of ___________ ___________.

Back 24

Performance on automated tasks offers the
potential of being an accurate index of
functional disability.

Front 25

Crowe's series of studies provide support for neuropsychological tests in ABI populations to determine capacity for what two things?

Back 25

The results provide support for the predictive
validity of traditional neuropsychological
measures in assisting in determining capacity to
*manage personal finances and *automated
machine usage in ABI populations