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This volume, the first to specifically address the function of
psychologists as practitioners and scientists in medical settings,
presents a range of approaches to assessment and diagnostic
practice rather than a litany of specific tools, diseases, or
diagnostic problems. The comprehensive discussion, augmented by 41
case studies, addresses the psychological assessment of patients
and their families using traditional neuropsychological and
psychological diagnostic tools in various topic areas and settings.
The application of assessment to issues such as ethics and law,
professional self-assessment and credentialling, and the
communication of diagnostic findings is also discussed.
For two decades, I have been responding to questions about the
nature of health psychology and how it differs from medical
psychology, behavioral medicine, and clinical psychology. From the
beginning, I have taken the position that any applica tion of
psychological theory or practice to problems and issues of the
health system is health psychology. I have repeatedly used an
analogy to Newell and Simon's "General Problem Solver" program of
the late 1950s and early 1960s, which had two major functional
parts, in addition to the "executive" component. One was the
"problem-solving core" (the procedural competence); the other was
the representa tion of the "problem environment. " In the analogy,
the concepts, knowledge, and techniques of psychology constitute
the core competence; the health system in all its complexity is the
problem environment. A health psychologist is one whose basic
competence in psychology is augmented by a working knowledge of
some aspect of the health system. Quite apparently, there are
functionally distinct aspects of health psychology to the degree
that there are meaningful subdivisions in psychological competence
and significantly different microenvironments within the health
system. I hesitate to refer to them as areas of specialization, as
the man who gave health psychology its formal definition, Joseph
Matarazzo, has said that there are no specialties in psychology
(cited in the editors' preface to this book)."
Clinical neuropsychologists frequently evaluate individuals within
a forensic context, and therefore must address questions regarding
the possible presence of reduced effort, response bias and/or
malingering. This volume offers a wide range of instructive
real-world case examples involving the complex differential
diagnosis where symptom exaggeration and/or malingering cloud the
picture. Written by expert forensic neuropsychologists, the
scenarios described provide informed, empirically-based and
scientifically-derived opinions on the topic. Issues related to
malingering, such as response bias and insufficient effort, are
discussed thoroughly with regard to a large number of clinical
conditions and assessment instruments. Test data and non-test
information are considered and integrated by the numerous experts.
Expert guidance for clinicians who must address the issue of
malingering is provided in a straightforward and well-organized
format. To date, there has not been a comparable collection of rich
case material relevant to forensic practice in clinical
neuropsychology.
Clinical neuropsychologists frequently evaluate individuals within
a forensic context, and therefore must address questions regarding
the possible presence of reduced effort, response bias and/or
malingering. This volume offers a wide range of instructive
real-world case examples involving the complex differential
diagnosis where symptom exaggeration and/or malingering cloud the
picture. Written by expert forensic neuropsychologists, the
scenarios described provide informed, empirically-based and
scientifically-derived opinions on the topic. Issues related to
malingering, such as response bias and insufficient effort, are
discussed thoroughly with regard to a large number of clinical
conditions and assessment instruments. Test data and non-test
information are considered and integrated by the numerous experts.
Expert guidance for clinicians who must address the issue of
malingering is provided in a straightforward and well-organized
format. To date, there has not been a comparable collection of rich
case material relevant to forensic practice in clinical
neuropsychology.
For two decades, I have been responding to questions about the
nature of health psychology and how it differs from medical
psychology, behavioral medicine, and clinical psychology. From the
beginning, I have taken the position that any applica tion of
psychological theory or practice to problems and issues of the
health system is health psychology. I have repeatedly used an
analogy to Newell and Simon's "General Problem Solver" program of
the late 1950s and early 1960s, which had two major functional
parts, in addition to the "executive" component. One was the
"problem-solving core" (the procedural competence); the other was
the representa tion of the "problem environment. " In the analogy,
the concepts, knowledge, and techniques of psychology constitute
the core competence; the health system in all its complexity is the
problem environment. A health psychologist is one whose basic
competence in psychology is augmented by a working knowledge of
some aspect of the health system. Quite apparently, there are
functionally distinct aspects of health psychology to the degree
that there are meaningful subdivisions in psychological competence
and significantly different microenvironments within the health
system. I hesitate to refer to them as areas of specialization, as
the man who gave health psychology its formal definition, Joseph
Matarazzo, has said that there are no specialties in psychology
(cited in the editors' preface to this book)."
This volume, the first to specifically address the function of
psychologists as practitioners and scientists in medical settings,
presents a range of approaches to assessment and diagnostic
practice rather than a litany of specific tools, diseases, or
diagnostic problems. The comprehensive discussion, augmented by 41
case studies, addresses the psychological assessment of patients
and their families using traditional neuropsychological and
psychological diagnostic tools in various topic areas and settings.
The application of assessment to issues such as ethics and law,
professional self-assessment and credentialling, and the
communication of diagnostic findings is also discussed.
In recent years, forensic neuropsychology has become a practice
area of explosive growth and interest. This text elucidates the
practice of forensic neuropsychology for those who need to
understand the scope and limitations of this field. Fifteen
chapters by neuropsychology and legal experts organized into four
sections (Fundamentals, Practice Expertise, Relevant Populations,
and Parameters of the Legal Arena) convey authoritatively a breadth
of relevant information and the state-of-the-art of forensic
neuropsychology. Topic coverage includes essential psychometrics,
evaluation of premorbid function, personality and emotional
functioning, complexities of executive functions, variables
affecting decision-making, clinical and scientific foundations of
the neuropsychological evaluation, differential diagnosis,
malingering, ecological validity, mild traumatic brain injury,
neurotoxin-related encephalopathy, special pediatric issues.
Forensic Neuropsychology will be useful for: practicing clinical
neuropsychologists and those in advanced training, plaintiff and
defense attorneys whose practices include brain injured
individuals, and other health care providers in non-psychology
disciplines (e.g., psychiatry, neurology) who are providing expert
opinions in litigated brain injury cases, and in doing so use and
interact with opinions of neuropsychologists.
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