Nature, Applications, and Limitations of Neuropsychological Assessment following Traumatic Brain Injury

  • Muriel D. Lezak
Part of the Critical Issues in Neuropsychology book series (CINP)


Neuropsychological assessment can provide information about the personality, behavior, mental abilities, learned skills, and rehabilitation potential of persons who have sustained traumatic brain injury (TBI). It is a psychological assessment procedure in that its primary data come from behavioral observations and its goal is to enhance understanding of behavior. It is neuropsychological in its use of specialized examination techniques requiring an educated appreciation of brain—behavior relationships and in its goal of elucidating behavioral manifestations of brain functions, both impaired and preserved. It is an assessment procedure in that it involves a comprehensive evaluation of the subject by means of a process that integrates test and other examination findings with information from other sources (e.g., data from the individual’s social, educational, employment, and psychological history). Neuropsychological assessments will usually include direct observations of the subject but may or may not involve formal (i.e., standardized, published) tests (Lezak, 1995). The information obtained through neuropsychological assessment may help clinicians and research scientists to understand the nature of the underlying insult to the brain. In making apparent the neuropsychological competencies and deficiencies of TBI patients and the course of their neuropsychological functioning, appropriate assessments can guide the rehabilitation process.


Traumatic Brain Injury Executive Function Prospective Memory Neuropsychological Assessment Traumatic Brain Injury Patient 
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  1. Anastasi, A. (1988). Psychological testing ( 6th ed. ). New York: Macmillan.Google Scholar
  2. Binder, L. M. (1986). Persisting symptoms after mild head injury: A review of the postconcussive syndrome. Journal of Clinical and Experimental Neuropsychology, 8, 323–346.PubMedCrossRefGoogle Scholar
  3. Burke, J. M., Smith, S. A., and Imhoff, C. L. (1989). The response styles of post-acute brain-injured patients on MMPI. Brain Injury, 3, 35–40.PubMedCrossRefGoogle Scholar
  4. Butcher, J. N., Dahlstrom, W. G., Graham, J. R., Tellegen, A., and Kaemmer, B. (1989). Minnesota Multiphasic Personality Inventory-2: Manual for Administration and Scoring. Minneapolis: Univeristy of Minnesota Press.Google Scholar
  5. Capitani, E. (1997). Normative data and neuropsychological assessment. Common problems in clinical practice and research. Neuropsychological Rehabilitation, 7, 295–309.CrossRefGoogle Scholar
  6. Christensen, A.-L. (1979). Lurias neuropsychological investigation (2nd ed.). Copenhagen: Munksgaard. Cronbach, L. J. (1984). Essentials of psychological testing ( 4th ed. ). New York: Harper and Row.Google Scholar
  7. Goodglass, H. (1980). Disorders of naming following brain injury. American Scientist, 68, 647–655.PubMedGoogle Scholar
  8. Gronwall, D., Wrightson, P., and Waddell, P. (1990). Head injury. The facts. Oxford, UK: Oxford University Press. Hathaway, S. R., and McKinley, J. C. (1951). The Minnesota Multiphasic Personality Inventory Manual (Revised). New York: Psychological Corporation.Google Scholar
  9. Heaton, R. K., Chelune, G. J., Talley, J. L., Kay, G. G., and Curtiss, G. (1993). Wisconsin Card Sorting Test. Manual. Odessa, FL: Psychological Assessment Resources.Google Scholar
  10. Kaplan, E., Fein, D., Morris, R., and Delis, D. (1991). The WAIS-RNI. San Antonio, TX: The Psychological Corporation. Krug, R. S. (1967). MMPI response inconsistency of brain damaged individuals. Journal of Clinical Psychology, 23, 366.Google Scholar
  11. Lezak, M. D. (1982). The problem of assessing executive functions. International Journal of Psychology, 17, 281–297. Lezak, M. D. (1993). Newer contributions to the neuropsychological assessment of executive functions. Journal of Head Trauma Rehabilitation, 8, 24–31.CrossRefGoogle Scholar
  12. Lezak, M. D. (1995). Neuropsychological assessment ( 3rd ed. ). New York: Oxford University Press.Google Scholar
  13. Matarazzo, J. D. (1986). Computerized clinical psychological test interpretation. Unvalidated plus all mean and no sigma. American Psychologist, 41, 14–24.PubMedCrossRefGoogle Scholar
  14. Prigatano, G. P. (1991). Disturbances of self-awareness of deficit after traumatic brain injury. In G. P. Prigatano and D. L. Schachter (Eds.), Awareness of deficit after brain injury (pp. 111–126). New York: Oxford University Press. Sattler, J. M. (1988). Assessment of children ( 3rd ed. ). San Diego: J. M. Sattler.Google Scholar
  15. Shallice, T., and Burgess, P. (1991). Higher-order cognitive impairments and frontal lobe lesions in man. In H. S. Levin, H. M. Eisenberg, and A. L. Benton (Eds.), Frontal lobe functions and dysfunction (pp. 125–138 ). New York: Oxford University Press.Google Scholar
  16. Silver, J. M., Hales, R. E., and Yudofsky, S. C. (1997). Neuropsychiatrie aspects of traumatic brain injury. In S. C. Yudofsky and R. E. Hales (Eds.), American Psychiatric Press textbook of psychiatry (pp. 521–560 ). Washington, DC: American Psychiatric Press.Google Scholar
  17. Sloan, S., and Ponsford, J. (1995). Assessment of cognitive difficulties following TBI. In J. Ponsford (Ed.), Traumatic brain injury. Rehabilitation for everyday adaptive living (pp. 65–102). Hove, UK: Lawrence Erlbaum. Sohlberg, M. M., and Mateer, C. A. (1989). Introduction to cognitive rehabilitation. New York: Guilford Press.Google Scholar
  18. Stuss, D. T., Ely, P., Hugenholtz, H., Richard, M. T., LaRochelle, S., Poirier, C. A., and Bell, I. (1985). Subtle neuropsychological deficits in patients with good recovery after closed head injury. Neurosurgery, 17, 41–47.PubMedCrossRefGoogle Scholar
  19. Trexler, L. A., Webb, P. M., and Zappala, G. (1994). Strategic aspects of neuropsychological rehabilitation. In A.-L. Christensen and B. P. Uzzell (Eds.), Brain injuiry and neuropsychological rehabilitation (pp. 99–124 ). Hillsdale, NJ: Lawrence Erlbaum.Google Scholar

Copyright information

© Springer Science+Business Media New York 2000

Authors and Affiliations

  • Muriel D. Lezak
    • 1
  1. 1.Department of NeurologyOregon Health Sciences UniversityPortlandUSA

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