Week 8 Flashcards
what is Neuropsychology?
the branch of psychology that focuses on the relationship between brain functioning and behaviour
Roles in diagnosis, rehabilitation anf management, recommendations, psychoeducation and councillsing, measurement of change, psychological therpaies.
Assessing cognitive functional (driving, eating) and emotional domains.
Focal brain lesions to the Temporal lobe result in whcih implications
auditory and sensory processing
- damage impacts sounds discrimination, voice recognition, comprehension and memory
Focal brain lesions to the Occipital lobe result in whcih implications
visual processing
damage results in blindness, poor recall or visual imagry and imapired visual scanning
Focal brain lesions to the Parietal lobe result in whcih implications
sensory processing and intergration
damage results in impired touch, visiospatial abilities and apraxia (motor disorder)
Focal brain lesions to the fontal lobes result in which implications
exectuive functions
damage results in impaired concentration and attention, impaired abstract abilities , problem solving reasoning and decision making.
what is Agraphia
Akinesea
Aphasia
Agraphia - defecit in wirting ability
Akinesea - deficit in motor movement
aphasia - impaired communication
what are the constucts of cognition
Intelligence, langauge, memory, attention, executive skills, visuospatial ability.
what are some constucts of emotion
anxiety, depression, elevated mood, lability
what are some constucts of behaviour
daily activities, aggression, self-monitoring, sleep
define Neuropsychological assessment
Neuropsychology assessment can be defined as the evaluation of brain and nervous system functioning as it relates to behaviour
Provides a detailed profile of the patient’s strengths and weaknesses
Can aid in the diagnosis of cognitive impairment, particularly in cases where changes are subtle and not evident on screening assessments or neuroimagin
what is The scientist-practitioner model?
all clinical practice (including diagnosis/intervention/evaluation) should be informed by the content and methods of science.
Only deliver services that are “evidenced based” – meaning that their efficacy is supported by research
describe acitivty limitation and Participation restriction
Activity limitation = chnage in behaviour and performance of tasks
Restriction = chnages to life roles.
what is a fixed vs flexible battery of tests? which is better?
fixed = group of tests used on all clients regardless of referral question designed to comprehensively sample the client’s cognitive functioning
Flexible = consists of a range of tests selected specifically in the context of the referral question and the client’s presenting problem.
flexible is best
what the the implications of the first 30 mins of assessment being best
cant start with hard test first because it might put the client off. but first 30 mins are best performance.
provide tips of administration of instruments
alternate easy/tough, verbal/non verbal ect
Provide clear guildines before test to minimise anxiety and build rapport
always follow standardised instructions.
take breaks to ensure they are performing at best. collect qualatative data (mood) to examine with test scores.
what does the ecological approach contain?
Rivermead Behavioral Memory Test
Test of Everyday Attention
Behavioral Assessment of the Dysexecutive System Multitasking
what is The Controlled Oral Word Associations Test
The examiner says a letter of the alphabet and the test taker is asked to say as many words as possible that begin with that letter in a 60 second period. There is also a category task, where the test taker is asked to say as many animals/vegetables/names as they can.
Evaluates executive function, specifically the spontaneous production of words under restricted search conditions
what is The Behavioural Assessment of the Dysexecutive Syndrome (BADS). does it have high ecological validity
A battery of tasks designed to assess everyday problems associated with deficits in executive function.
Dysexecutive Questionnaire (DEX) that can be administered to clients to and a significant other to determine reported changes in behaviour, emotion, personality, motivation and cognition.
Things to consider: Impulsive responses, number of errors, number of repetition
yes high ecological validity
what are Tests of abstraction. consider verbal abstraction and poverb interpretation
Does the client display a concrete / rigid thinking style?
abstractions – Similarities subtest from the Wechsler intelligence scales where the client is asked to identify how two objects are alike
interpretation Aclient is asked to interpret a proverb e.g., “a stitch in time saves nine”
destinguish between TMT-a and b for exectuve functions
TMT- a = requires the individual to connect numbers on a page in sequence from 125 without lifting the pencil off the paper.
TMT- A = requires the individual to alternate between numbers and the alphabet
what is meant by taking a holisitc approach to interpretation of data
consider ALL factors, not just test scores.
what is the purpose of opinion and recommendations?
communicate and explain findings and answer the refferral. implement recommendation intervention.
how are nueropsychological treatment designed?
specifically for the needs of individual clients, taking into account their unique psychological needs and personalities. Treatments use a holistic framework where cognitive, emotional, motivational and non-cognitive functions are addressed, integrating learning theory, cognitive psychology and neuropsychology. Neuropsychological treatments can range from a few short sessions to multiple, extended sessions.
what are some important considerations for peadiatric neuropschology
maturation is a paramount force
Adults brain-behaviour relationship does not exist i8n children
family factors important un evaluation
parents and teach regularly invloved.