BookTad T. Gorske, Steven R. Smith.
Summary: One of the challenges the field of clinical neuropsychology faces is to develop an assessment process that is relevant and responsive to the needs of patients. This book describes developments in methods of neuropsychological assessment feedback that involve patients in an open exchange of information and results.
Contents:
1 Challenges for Clinical Neuropsychology 1
Case Examples 1
Technological Advances 8
Managed Mental Health Care 9
Patient-Centered Care 11
Developing a Patient-Centered Orientation 13
Defining a Person-Centered Orientation 14
Patient-Centered Rehabilitation and Treatment 18
Psychologists are Giving Feedback: A Survey of Feedback Practices 19
A Proposed Model 21
2 CTNA Conceptual Foundations: A Brief History of Psychological and Neuropsychological Assessment Feedback 23
Background of Neuropsychological Test Feedback 23
Luria's Neuropsychological Investigation 23
Recommendations for Giving Neuropsychological Test Feedback 25
Psychological Testing as a Therapeutic Intervention 26
Collaborative Individualized Assessment 28
Therapeutic Assessment 29
Summary of Psychological Testing as a Therapeutic Intervention 30
Contemporary Applications of Therapeutic Assessment and Neuropsychology 31
Therapeutic Neuropsychological Assessment (Gorske, 2008) 31
Pilot Study Results 33
Collaborative Neuropsychological Assessment 35
The Neuropsychology Case Conference 37
3 A Collaborative Therapeutic Neuropsychological Assessment Model 39
Basic Assumptions of CTNA 40
4 The Initial Interview: Collaborative Information Gathering 45
Conducting the Initial Interview 48
Understanding the Problem 48
Understanding the Emotional Experience of the Problem 50
The Central Cognitive-Emotional Complaint 51
Understanding the Patient's Wishes for the Assessment, Results, and Outcomes 52
Summary and Moving to the Assessment 54
5 The CTNA Feedback Session 57
CTNA Feedback Conceptual Basis 57
Therapeutic/Individualized Models of Psychological Assessment 57
Neuropsychological Test Feedback Recommendations 58
Motivational Interviewing Principles (Miller and Rollnick, 2002) 58
The Feedback Process in MI 60
Evidence for the Effectiveness of Brief Feedback 61
The Format of a CTNA Feedback Session 62
Step 1 Setting the Agenda and Introducing the Feedback Report 62
Step 2 Develop Life Implications Questions 65
Step 3 Determining a Personal Skill Profile 67
Step 4 Individual Test Results: Feedback About Personal Strengths and Weaknesses 69
Step 5 Summarizing the Relationship Between Tests Results, Life Areas, and Patient Questions 85
Developing a Change Plan and Providing Recommendations 91
6 Putting It All Together: Two CTNA Case Examples 97
Case #1 Dementia or Pseudodementia? 97
Case #2 Brian's Brain 101
7 Applications of CTNA Methods 105
General Clinical Practice 105
Rehabilitation Methods 107
Teaching 109
Future Research 109
CTNA and Cultural Issues 110
CTNA with Children, Adolescents, and Families 113
CTNA with Elderly Patients and Their Families 116
Appendix A Sample CTNA Feedback Report 126
Appendix B Patient Feedback Form (adapted from Center for Therapeutic Assessment, Austin, Texas) 137
Appendix C Patient Feedback Form (from NAFI pilot study) 138
Appendix D CTNA Adherence Scale 139.