This study was limited by being a single site study; it is possible that variations in services delivered may have been seen if there were multiple sites. Neuropsychology services for patients following discharge are often not consistent across different geographical areas. Further- more, there was no resource available to ascertain whether psychology recommendations made by the Stroke ClinicalNeuropsychology service were routinely followed up after discharge. The data was self-collected and not verified by an independent rater which may have biased the results. Additionally, it was a small survey size. It is also worth considering that a substan- tial proportion of the Stroke ClinicalNeuropsychology service’s work was related to mood issues; it would therefore be logical to follow-up this study with exam- ination of the efficacy of specific interventions offered to stroke patients in the hyper-acute and acute phases of their treatment (eg, behavioural activation, cognitive behavioural therapy).
impairments are associated with quality of life. While there is a lack of empirical study of cognitive rehabilitation in myotonic dystrophy, given these findings, we suggest that clinicalneuropsychology has a role in myotonic dystrophy care. Clinicians should be careful in choosing cognitive tests and measures of behaviour symptoms/behaviour change, as the muscle weakness and myotonia, fatigue, pain, depression and apathy may affect test scores. Yet, the characterisation of a cognitive and behavioural profiles may be beneficial and could lead to fruitful recommendations for intervention.
The entering resident will receive partial support through the Heinz C. Prechter Bipolar Research Fund and research will focus on the clinicalneuropsychology of bipolar illness. The Longitudinal Study of Bipolar Disorder ascertains, evaluates, and follows over 1000 individuals with Bipolar Disorder. The resident will participate in diagnostic interviews including writing summary reports and other related activities to facilitate research in bipolar illness, including generation of and assistance with scientific posters, papers, grants, and related work. The resident will have access to the large longitudinal database to pursue their own pursuing research themes of interest. The resident will also assist in training and supervision of neuropsychology research assistants working on bipolar and related projects, including data management/integrity, database management, etc, as well as supervision of doctoral-level practicum students. Current projects of bipolar disorder include examining longitudinal trajectories of cognitive functioning, the influence of psychiatric and medical comorbidities on cognitive performance, neuropsychological aspects of certain features that influence mood disorders (e.g., substance use, trauma, etc.), and using novel-technologies to capture real-time assessments of mood and cognition. Additional projects include using fMRI to examine changes in executive control and functional outcomes in different phases of bipolar illness. Dr. Ryan will provide primary mentorship to this resident, with additional mentorship provided by Drs. Giordani and Marshall.
This course is an advanced seminar with the goal of introducing students to the theory and practice of ClinicalNeuropsychology. This specialized subfield of Clinical Psychology aims to assess and interpret the relationship between nervous system function, cognition, emotion and behavior; and to apply this knowledge to the design of individualized patient interventions. Students will gain an understanding of the field through review of adult and pediatric medical diseases and psychological disorders. The psychosocial adjustment of patients living with each disorder and the dynamics among individuals involved in their care are additional themes of emphasis. The course takes an interdisciplinary approach integrating information from several subfields of medicine (neurology, neuroradiology and psychiatry) and psychology (cognitive, abnormal, developmental, biological, health psychology). Students will acquire knowledge through review of both clinical cases and research outcomes. An introductory background in neuroscience is assumed.
John A. Lucas, Ph.D., ABPP /ABCN, serves as program director for the clinicalneuropsychology fellowship. He earned his doctorate in clinical psychology from the University of Texas at Austin and completed his internship and post-doctoral training in neuropsychology at the University of California, San Diego School of Medicine/ VA Medical Center. Dr. Lucas is an Associate Professor of Psychology, with primary research interests in normative neuropsychology, early detection of dementia, and cognitive sequelae of movement disorder surgeries.
In direct contrast, the behavioural components of each multimodal approach in the published literature encompasses an impressively intense and comprehensive program that is both complex and demanding for children, parents and teachers alike. Aside from being extremely intensive, time consuming and exceedingly expensive, the inherent nature of these programs lack sufficient ecological validity to be readily adaptable, let alone replicated, in any standard clinical context in the real world. Therefore these research based multimodal designs are generally incompatible, and not particularly relevant, to normal clinical practice. An additional criticism of many of the combined therapy intervention studies is the implementation of the group therapy “one size fits all” approach not tailored to the needs of the child or the family. To our knowledge, all existing empirical studies investigating multi-component treatments in children with ADHD subscribe to this intensive group therapy approach, a design no doubt useful for treating large numbers in research. However when one considers the heterogeneous nature of the disorder and the multitude of core and associated presenting problems, group therapy, as carried out in these research studies, may not permit a sufficiently individualised program necessary to address the specific needs of each child and family.
Reviewed pre-publication book manuscript (Interpretation of the MMPI-2-RF; Ben Porath 2011) at the request of the University of Minnesota Press and provided an opinion regarding the scholarship, organization, content, readability, utility in academic and clinical environments, and recommendation for publication (2011)
clinical rehabilitation research. Research training activities include individual and group supervision as well as participation in weekly research planning/progress meetings that include all BIRC staff. Fellows also attend regular seminars in research design and statistical methods. In addition, a wide variety of didactic seminars on topics such as effective scientific writing, preparing a competitive grant application, and scientific presentation skills are offered within the larger Mount Sinai community. In addition, fellows have the opportunity to assist faculty in the preparation of manuscripts and center-wide grant applications.
Written Test in the subject the candidate has applied for. The question paper will consist of Theory based Multiple-Choice Questions (MCQ’s) and clinical/practical/lab based Short Answer Questions (SAQs)/MCQs. Each wrong answer will be awarded one-third negative mark (-1/3). More than one answer will be treated as wrong answer and awarded negative mark. Zero mark will be given for questions not answered.
During the second year of the fellowship, Fellows rotate to Shepherd Pathways for a year- long rotation. Shepherd Pathways is a multifaceted facility that houses the residential, day treatment and outpatient programs. A 7000 square-foot residential facility houses 12 beds, a large eating/cafeteria area, a family sitting area, computer labs, and sizable recreational room for persons requiring ongoing 24-hour supervision and treatment. Adjacent to the residential building, connected by a covered walkway, is a 17,000 square foot facility where outpatient treatment is provided. This facility has state-of-the-art therapy space, technological support and community-based services. There are 2 large gyms, an ADL kitchen and bathroom, 11 individual treatment rooms, 2 large conference rooms, 3 group rooms, an arts and crafts room, and a break area with individual lockers for Day patients to store their belongings. Shepherd Pathways has treatment teams with case managers, 2 neuropsychologists, 1 neuropsychology fellow, 2 full-time rehabilitation counselors, recreational therapists, registered nurses, a vocational specialist, and numerous life skill trainers. These individuals are capable of providing full day, half-day and single service outpatient services.
Clinicalneuropsychology is based on its empirical research of the relationships between a person’s brain and that person’s behavior. Essentially, it is assumed that the patient once functioned in a certain manner. A behavior change has now emerged, and with this behavior change, a deviation from the normal expected premorbid pattern of test performance. Obviously, it may be impossible to determine the person’s functional status prior to injury. Neuropsychologists who are retained as experts will sometimes use different normative groups to create an “abnormal” finding.
A fellow's primary training setting is based on the fellow's primary rotation selection: OU Medical Center, or VA Medical Center. Within each training setting, a fellow may work with several different clinicalneuropsychology supervisors for specified periods of time. The specific activities, the time spent with each supervisor, and the portion of a year spent in each setting are identified at the beginning of a year in the Fellow's Training Plan (FTP), which is jointly composed by the fellow and a faculty supervisor. For example, a neuropsychology fellow may spend ten (10) months of a year in an adult oriented assessment setting and six (6) weeks in the other setting. Briefer training experiences (e.g. 8-10 hours per week) for a portion of a year in a different setting including pediatric neuropsychology may also be negotiated.
explained variance............................................................................................................ 227 Table 33: Comparison of symptom base rates across different clinical sample types .... 255 Table 34: Neuropsychological tests of domains of attention (after Cohen, 1993).......... 285 Table 35: Key studies of the structure of neuropsychological measures of attention .... 289 Table 36: Relationships between performance on tests of the ‘sustained performance’
apparent when comparing clinical participants classified as having ETD with those that were not – which did not occur; moreover, given the intermediate relationship between neurocognitive performance and outcome measures (Green & Nuechterlein, 1999), then if a link with poor outcome is to explain eye tracking performance, then one would expect the positive saccades to be related to both social dysfunction and cognitive dysfunctions – which was not the case; finally, if ‘social dysfunctions’ is a particularly important correlate of performance then relationships would have been identifiable at all target velocities. Thirdly, positive saccades are a composite of compensatory CUS and intrusive SWJ, AS and LS. At the fast target speeds applied here (25-35°/sec), it has been shown that there are little differences between observers with schizophrenia, and neurologically-intact controls in CUS frequency (Abel et al., 1991; Mather et al., 1992). As such, the identified difference between clinical and control groups in positive saccades at these frequencies may reflect a greater presence of intrusive saccades (a suggestion consistent with the trend to greater reversal saccades at these target velocities: Table 76). If this is the case, then the identification of a relationship between positive saccades and social dysfunctions at the fastest (25-35°/sec), but not the slow or moderate target velocities (5-20°/sec) may suggest that the relationships arises from the influence of the intrusive rather than the compensatory aspects of eye tracking, which are likely to arise from distinct underlying neurological causes (Abel & Ziegler, 1988; Hutton & Kennard, 1998). However, this proposal is unable to be examined in further detail in the current study.
For its insight into altered states, Philip K. Dick’s writing is especially noteworthy however; he was highly knowledgeable about mental illness, not only from his own experience – he regularly saw a psychiatrist for most of his life – but also through his acquaintance with key texts in psychology and psychiatry (Carrère, 2004). Consequently, it would be easy to read A Scanner Darkly as a rehash of radical theories of mental illness, particularly those of R.D. Laing and Aaron Esterson (Laing and Esterson, 1964), who viewed madness as an attempt to reconcile roles that have become irreconcilable in modern life. However, Dick was not content with simply repeating the fashionable anti-establishment views of the time and attempted an explanation based on an understanding of neuropsychology.