Textbook Notes (381,228)
CA (168,426)
UTSC (19,325)
Psychology (10,054)
PSYB65H3 (484)
Ted Petit (185)
Chapter 15

Chapter 15

12 Pages
133 Views

Department
Psychology
Course Code
PSYB65H3
Professor
Ted Petit

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Chapter 15
Organicity-> determine whether brain damage is present
Before CT or MRI scanners, neuropsychologists determine whether brain damage
present-> if damage, spent many hours of behavioural testing to localize it
Now, seek to diagnose conditions not readily detectable by using neuroimaging (i.e. early
detection of Alzheimers disease), assess quality of life+ evaluate clients capacity to
succeed in present environment (i.e. if can return to work, should be moved from home
to managed care facility), rehabilitation following brain injury
The Client
Patient, subject, participant, client
If physician writes article/written in medical perspective: person referred to as patient
(regardless of whether he/she is hospitalized)
Research articles: subject (before 1994); participant (after 1994)
Clinical neuropsychologists normally refer to people they assess as clients
Younger people: nervous system damage (brain injuries) from motor vehicle accidents,
falls
Elderly people also suffer traumatic head injury, frequently from fall-> 65-70 years old
Nervous system damage by older people mostly from disease (dementia, tumor,
cerebrovascular accident)
Age group between very young+ very old: motor vehicle accidents most commonly
account
Medical personnel or family members might refer clients
Assessment prescribed by court or insurance agency
Client might voluntarily present himself/herself for assessment
In hospital, referral to neuropsychologist often comes from neurologist
Neurologist
Neurology: medical speciality that diagnoses, studies+ treats disorders of CNS
www.notesolution.com
Neurologist is special type of physician who diagnoses+ treats disorders of nervous
system i.e. disorders of CNS (brain+ spinal cord)+ PNS (rest of body)
Disorders are unknown etiology, caused by trauma, infection, tumors, toxins, metabolic
disorders
2-4 years of premedical university training, 4 years of medical school= M.D. or D.O.
(doctor of osteopathy) degree+ 3 years (or more) of speciality training in neurology
residency program
Trained for detailed examinations of neurological structures: test basic sensory+ motor
functions, cognitive abilities
Lumbar puncture (spinal tap) to obtain cerebrospinal fluid for further testing
Consulting role: help diagnose+ treat neurological disorder while advising primary care
physician on treatment
Surgery performed by neurosurgeon
Neurologist helps to monitor surgically treated individuals
Radiologist
Wilhelm Conrad Rontgen: noticed glowing fluorescent screen from partially evacuated
glass Hittorf-Crookes tube, penetrating thick black paper wrapped around tube-> X-rays
X-rays can penetrate other solid materials i.e. wood, metal, human tissue
Modern radiologists are rare group of physicians
Specialized training in obtaining+ interpreting images of human body and/or treating
conditions using radiological science
Complete premedical training, medical training+ residency in speciality
Do not rely only on X-rays i.e. CT scan, MRI performed by specially trained technologist
Scans reviewed+ interpreted by radiologist-> writes report detailing findings for
primary care physician/neurologist
Clinical Neuropsychologist
Clinical neuropsychology: branch of neuropsychology concerned w psychological
assessment, management, rehabilitation of neurological disease+ injury
www.notesolution.com
Explain how patterns of behavioural impairments can be explained from disrupts to
damaged neural components
Experimental neuropsychology: how human behaviour arises from brain activity
Cognitive neuropsychology: less focused on neural basis of behaviour+ more focused
on explaining behaviour (and disruptions of behaviour) in terms of functional brain
units, regardless of anatomical representation
Clinical neuropsychologist: assess, manage+ rehabilitate individuals who are
suffering from neurological disorders regardless of cause
Clinical neuropsychologists usually do not have medical training-> undergraduate
degree (B.A. or B.Sc.) in psychology, masters degree (M.A., M.Sc., or M.A.Sc.) in clinical
psychology (1-3 years) and doctorate degree (Ph.D. or Psy.D.) in clinical psychology (2-6
years)
Also completely internship programs-practise clinical skills under supervision of 1/more
certified clinicians
Some programs dont require completion of masters degree before doctoral training
Health care professional who first assesses individual w neurological disorder
sometimes not neurologist or even a physician
i.e. after minor stroke to left posterior parietal lobe, might start to have difficulties in
reading+ writing-> not uncommon to first book appointment w optometrist claiming
deteriorating vision
even when seek medical help for condition by focal brain damage, symptoms they
describe can be secondary to primary deficits
i.e. right parietal lesion-> Hemispatial neglect of left half of space but may be unaware
of deficit (lack of insight)
may collide w objects located in left hemifield, bruising muscles/breaking bones
after injury, may seek help from physician claiming something wrong w arm or leg
medical treatment by general physician/emergency room attendant-> neurological
examination (brain imaging)-> interpreted by radiologist-> consults w neurologist->
behavioural testing from neuropsychologist
www.notesolution.com

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Description
Chapter 15 Organicity-> determine whether brain damage is present Before CT or MRI scanners, neuropsychologists determine whether brain damage present-> if damage, spent many hours of behavioural testing to localize it Now, seek to diagnose conditions not readily detectable by using neuroimaging (i.e. early detection of Alzheimers disease), assess quality of life+ evaluate clients capacity to succeed in present environment (i.e. if can return to work, should be moved from home to managed care facility), rehabilitation following brain injury The Client Patient, subject, participant, client If physician writes articlewritten in medical perspective: person referred to as patient (regardless of whether heshe is hospitalized) Research articles: subject (before 1994); participant (after 1994) Clinical neuropsychologists normally refer to people they assess as clients Younger people: nervous system damage (brain injuries) from motor vehicle accidents, falls Elderly people also suffer traumatic head injury, frequently from fall-> 65-70 years old Nervous system damage by older people mostly from disease (dementia, tumor, cerebrovascular accident) Age group between very young+ very old: motor vehicle accidents most commonly account Medical personnel or family members might refer clients Assessment prescribed by court or insurance agency Client might voluntarily present himselfherself for assessment In hospital, referral to neuropsychologist often comes from neurologist Neurologist Neurology: medical speciality that diagnoses, studies+ treats disorders of CNS www.notesolution.com Neurologist is special type of physician who diagnoses+ treats disorders of nervous system i.e. disorders of CNS (brain+ spinal cord)+ PNS (rest of body) Disorders are unknown etiology, caused by trauma, infection, tumors, toxins, metabolic disorders 2-4 years of premedical university training, 4 years of medical school= M.D. or D.O. (doctor of osteopathy) degree+ 3 years (or more) of speciality training in neurology residency program Trained for detailed examinations of neurological structures: test basic sensory+ motor functions, cognitive abilities Lumbar puncture (spinal tap) to obtain cerebrospinal fluid for further testing Consulting role: help diagnose+ treat neurological disorder while advising primary care physician on treatment Surgery performed by neurosurgeon Neurologist helps to monitor surgically treated individuals Radiologist Wilhelm Conrad Rontgen: noticed glowing fluorescent screen from partially evacuated glass Hittorf-Crookes tube, penetrating thick black paper wrapped around tube-> X-rays X-rays can penetrate other solid materials i.e. wood, metal, human tissue Modern radiologists are rare group of physicians Specialized training in obtaining+ interpreting images of human body andor treating conditions using radiological science Complete premedical training, medical training+ residency in speciality Do not rely only on X-rays i.e. CT scan, MRI performed by specially trained technologist Scans reviewed+ interpreted by radiologist-> writes report detailing findings for primary care physicianneurologist Clinical Neuropsychologist Clinical neuropsychology: branch of neuropsychology concerned w psychological assessment, management, rehabilitation of neurological disease+ injury www.notesolution.com
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