Summary: Clinical Neuropsychology | 9789089537591 | Roy Kessels
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2 Neuropsychology in practice
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2.2 neuropsychological tests
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Which 4 stages does the diagnostic cycle in neuropsychology consist of?
- Complaint analysis
- problem analysis
- diagnosis
indication for treatment
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What are some considerations when trying to asses whether or not a test result is abnormal?
- Are the results reliable, valid and truly reflective of the level of cognitive/emotional functioning of the patient
- determine the test cut-off point based on the normative data
- qualitative aspects
- Are the results reliable, valid and truly reflective of the level of cognitive/emotional functioning of the patient
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What is meant by a differential diagnosis?
You always have to do a check to make sure the complaints and problems might not also have another explanation- don't just pay attention to results that confirm your hypothesis
- first diagnosis seen as most plausible one
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2.3 reliability and validity
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What is meant by reliability and which types are there?
Reliability is the accuracy of the measurement, there are 2 types- test-retest: same result when test is taken at different times
- inter-rater: correspondence between results of different researchers (cohens kappa)
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What is meant by validity and which types are there?
Validity is whether the test measures what it is supposed to measure, there are 5 types:- face validity: validity at first glance
- content validity: extent to which a test is representative of the measured topic
- construct validity: extent to which the result of the result reflects the cognitive function
- criterion validity: extent to which a test can predict the performance of a patient with regard to external criterion
- ecological validity: how wel does the test predict daily functioning
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3 Neuropsychology: the scientific approach
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Fundamental neuropsychological research
Focuses on the understanding of underlying cognitive disorders/processes and related brain structures using experimental paradigms -
Clinically oriented neuropsychological research
Focuses on (improving) the assessment and treatment of brain disorders -
4 Neuroimaging
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BOLD - Blood Oxygenation Level Dependent response (used in fMRI)
Measures the ratio betweenoxygen-rich and oxygen-poor haemoglobin -
5 Recovery and treatment
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Direct neurological symptom of brain injury
A loss of of a change in behaviour or cognitive proces as a direct consequence of damage to a functional brain system -
5.1 introduction
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What is recovery in the context of this chapter?
Recovery is regarded as progress in functioning in comparison with the time of brain injury, not a full return to premorbid functioning- Neurological level
- Cerebral: brain plasticity
- Psychological level
- Behavioral and experiential: learning, newly acquired behavior resulting in brain modifications, plasticity
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