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Chapter 15

PSYB65H3 Chapter Notes - Chapter 15: Doctor Of Psychology, Visual Memory, Muscle Tone


Department
Psychology
Course Code
PSYB65H3
Professor
Ted Petit
Chapter
15

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Chapter 15
LEGEND
N= neuropsychologist
CN= clinical Neuropsychologist
Before: assessment was to figure out whether there is a brain damage
Now: CT scan and MRI’s quickly locate the damage and the extent of the damage
Clinical neuropsychologist diagnose conditions, assess quality of life and evaluate the client’s
capacity to succeed in his or her environment.
Recently more involved in rehabilitation.
THE CLIENT
Also called
o Patient medical perspective
o Participant/ subject research perspective
o Client clinical neuropsychologists.
There is no “typical” neuropsychological client
The age and conditions can vary in terms of nervous system damage
o In younger people more direct head injuries like motor accidents
o In older people result of diseases like dementia, tumour CVA
The event that brought the client into contact with a CN can vary; the setting in which they are
assessed and even the goal of the assessment can vary
THE NEUROLOGIST
Neurologist a special type of physicist who diagnoses, studies and treats disorders of the NS
o These disorders could be of unknown etiology, caused by trauma, infections, tumours, toxins
or metabolic disorders
o They are trained to perform detailed examination of the neurological structures throughout
the whole body
o Testing of relatively basic sensory and motor functions
o Also some testing of cognitive abilities
o Can also administer a lumbar puncture to obtain cerebrospinal fluid for testing
o They can recommend surgeries but not perform them
o Surgeries are performed by Neurosurgeons.
EDUCATION:
o 2- 4 years of pre med university training
o 4 years of medical school M.D. (doctor of medicine) OR D.O (doctor of osteopathy)
o 3 years of specialty training in a neurology residency program.
THE RADIOLOGIST
Are a rare group; only 1.2% of U.S physicians specialize in radiology.
They have specialized training in obtaining and interpreting images of the human body and/or
treating conditions using radiological science.
And then writes a detailed report about the findings for the primary care physician or neurologist
EDUCATION:
o Just like neurologist premedical, medical and residency in their speciality.
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THE CLINICAL NEUROPSYCHOLOGIST
Clinical neuropsychology
o “Branch of neuropsychology concerned with psychological assessment, management and
rehabilitation of neurological disease and injury”
o Explaining how behavioural impairments can be explained in terms of damage to the neural
component
o EDUCATION
Undergraduate B.A or B.Sc in Psych
A Master’s degree in clinical psychology M.A., M.Sc., or M.A.Sc.
Doctorate degree Ph. D. or Psy.D.
Internship
Experimental neuropsychology
o Focuses on how human behaviour arises form brain activity
Cognitive Neuropsychology
o Focused on explaining behaviour or impairments in terms of functional brain units
regardless of their anatomical representation.
After an individual suffers from a brain injury:
Physician or emergency room attendant (neurological assessment) Radiologist
Neurologist Clinical Neuropsychologist.
THE ASSESSMENT
Most people have their first assessment in an emergency room by an emergency room physician
This is not as detailed as a full neuropsychological exam but it gives important insights into the
person’s functioning and quickly gaining an estimate of how much the NS is impaired.
Depending on the severity of the injury and the impairment, then they are recommended to a
neuropsychologist.
In its most basic form
o It’s concerned with reflexes
o Medical history
o Cranial nerve functioning of the person.
o Muscle tone
Depending on the severity, a CT scan or MRI might be done
A neurological test also includes a test called Mini Mental State Exam or Modified Mini Mental State
Exam tests the person’s cognitive functioning like memory, language and orientation.
Some people with dementing illnesses or non-traumatic impairment may first seek help from family
physician perform the basic tests
Depending on the results might be recommended to a neurologist and further to a
Neuropsychologist.
NEUROPSYCHOLOGICAL ASSESSMENT
Is the detailed examination of cognitive functioning
Consists of a personal interview and performance on a series of tests
The personal interview includes past medical history and the person’s description of any problems
The tests are standardized in 2 ways:
o They are always administered to the participants in the same way
o They are always scored in the same manner.
The results of the test are used to help with diagnosis, intervention and rehabilitation.
Some common goals of the assessment:
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