Methodological and Theoretical Issues in Neuropsychological Assessment

  • Gerald Goldstein
Part of the Applied Clinical Psychology book series (NSSB)


Parsons and Prigatano (1978) have written an article entitled “Methodological Considerations in Clinical Neuropsychological Research,” and the reader is referred to it for an excellent review of many of the problems of design and data analysis in clinical neuropsychology. We will attempt to deal with other issues here. Neuropsychological assessment is the attempt to relate behavioral deficits to underlying brain dysfunction, generally through the use of psychometric and other examinational procedures known as neuropsychological tests. Some investigators would view neuropsychological testing as an extension of the neurological examination, with an emphasis on the so-called higher functions of the nervous system. Clinical neuropsychologists, as opposed to human neuropsychologists in general, are particularly interested in the application of scientific findings in the area of brain-behavior relations to diagnosis and evaluation of patients. This application occurs in three major areas: diagnostic evaluation, assessment of impaired and preserved functions, and rehabilitation planning. In other words, the procedures are commonly used to determine whether or not an individual has a brain lesion, to delineate what the defects and preserved abilities associated with the lesion are, and to plan a program of treatment or rehabilitation based on the obtained pattern of deficits and assets.


Neuropsychological Test Neuropsychological Assessment Brain Damage Rehabilitation Planning Damage Patient 
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  1. Beck, S. J. Rorschach’s test. Vol. I: Basic processes. New York: Grune & Stratton, 1944.Google Scholar
  2. Bellack, A. S., & Hersen, M. Assessment and single-case research. In M. Hersen & A. S. Bellack (Eds.), Behavior therapy in the psychiatric setting. Baltimore: Williams & Wilkins, 1978.Google Scholar
  3. Bender, L. A visual motor gestalt test and its clinical use. Research Monographs of the American Orthopsychiatric Association, 1938, 3.Google Scholar
  4. Ben-Yishay, Y., Diller, L., & Mandleberg, I. The ability to profit from cues as a function of initial competence in normal and brain-injured adults: A replication of previous findings. Journal of Abnormal Psychology, 1970, 76, 378–379.PubMedCrossRefGoogle Scholar
  5. Ben-Yishay, Y., Diller, L., Mandleberg, I., Gordon, W., & Gerstman, L. J. Similarities and differences in block design performance between older normal and brain-injured persons. Journal of Abnormal Psychology, 1971, 78, 17–25.PubMedCrossRefGoogle Scholar
  6. Ben-Yishay, Y., Gerstman, L., Diller, L., & Haas, A. Prediction of rehabilitation outcomes from psychometric parameters in left hemiplegics. Journal of Consulting and Clinical Psychology, 1970, 34, 436–441.PubMedCrossRefGoogle Scholar
  7. Boring, E. G. The use of operational definitions in science. Psychological Review, 1945, 52, 243–245.CrossRefGoogle Scholar
  8. Broca, P. (New observation of aphemia produced by a lesion of the posterior half of the second and third frontal convolutions.) Sociétéanatomique de Paris, 1861, 36, 398–407.Google Scholar
  9. Butters, N., & Cermak, L. S. Neuropsychological studies of alcoholic Korsakoff patients. In G. Goldstein & C. Neuringer (Eds.), Empirical Studies of Alcoholism. Cambridge, Mass.: Ballinger, 1976.Google Scholar
  10. Christensen, A. L. Luria’s neuropsychological investigation. New York: Spectrum, 1975. (a)Google Scholar
  11. Christensen, A. L. Luria’s neuropsychological investigation: Manual. New York: Spectrum, 1975. (b)Google Scholar
  12. Christensen, A. L. Luna’s neuropsychological investigation: Test cards. New York: Spectrum, 1975. (c)Google Scholar
  13. Diller, L. A model for cognitive retraining in rehabilitation. The Clinical Psychologist, 1976, 29, 13–15.Google Scholar
  14. Diller, L., Buxbaum, J., & Chiotelis, S. Relearning motor skills in hemiplegia: Error analysis. Genetic Psychology Monographs, 1972, 85, 249–286.PubMedGoogle Scholar
  15. Dollard, J., & Miller, N. E. Personality and psychotherapy. New York: McGraw-Hill, 1950.Google Scholar
  16. Golden, C. J. Diagnosis and rehabilitation in clinical neuropsychology. Springfield, Ill.: C. C Thomas, 1978.Google Scholar
  17. Golden, C. J., Hammeke, T. A., & Purisch, A. D. Diagnostic validity of a standardized neuropsychological battery derived from Luria’s neuropsychological tests. Journal of Consulting and Clinical Psychology, 1978, 46, 1258–1265.PubMedCrossRefGoogle Scholar
  18. Goldstein, K. The organism. New York: American Book Co., 1939.Google Scholar
  19. Halstead, W. C. Brain and intelligence. Chicago: University of Chicago Press, 1947.Google Scholar
  20. Hebb, D. O. Drives and the C. N. S. (conceptual nervous system). Psychological Review, 1955, 62, 243–254.PubMedCrossRefGoogle Scholar
  21. Hebb, D. O. Alice in Wonderland or psychology among the biological sciences. In H. F. Harlow & C. N. Woolsey (Eds.), Biological and biochemical bases of behavior. Madison: University of Wisconsin Press, 1958.Google Scholar
  22. Hefferline, R. F. Learning theory and clinical psychology—an eventual symbiosis. In A. J. Bachrach (Ed.), Experimental foundations of clinical psychology. New York: Basic Books, 1962.Google Scholar
  23. Hersen, M. Token economies in institutional settings. Historical, political, deprivation, ethical and generalization issues. The Journal of Nervous and Mental Disease, 1976, 162, 206–211.PubMedCrossRefGoogle Scholar
  24. Klove, H. Validation studies in adult clinical neuropsychology. In R. M. Reitan & L. H. Davison (Eds.), Clinical neuropsychology: Current status and applications. New York: Winston-Wiley, 1974.Google Scholar
  25. Koch, S. Clark L. Hull. In W. K. Estes, S. Koch, K. MacCorquodale, P. E. Meehl, C. G. Mueller, W. N. Schoenfeld, and W. S. Verplanck, Modem learning theory. New York: Appleton-Century-Crofts, 1954.Google Scholar
  26. Lashley, K. S. Integrative functions of the cerebral cortex. Physiological Review, 1933, 13, 1–42.Google Scholar
  27. Lewinsohn, P. M., Danaher, B. G., & Kikel, S. Visual imagery as a mnemonic aid for brain-injured persons. Journal of Consulting and Clinical Psychology, 1977, 45, 717–723.PubMedCrossRefGoogle Scholar
  28. Luria, A. R. Restoration of function after brain injury. New York: Macmillan, 1963 (original in Russian published in 1948).Google Scholar
  29. Luria, A. R. The working brain. New York: Basic Books, 1973.Google Scholar
  30. Luria, A. R., & Majovski, L. C. Basic approaches used in American and Soviet clinical neuropsychology. American Psychologist, 1977, 32, 959–968.PubMedCrossRefGoogle Scholar
  31. MacCorquodale, K., & Meehl, P. E. On a distinction between hypothetical constructs and intervening variables. Psychological Review, 1948, 55, 95–107.PubMedCrossRefGoogle Scholar
  32. Meier, M J. Some challenges for clinical neuropsychology. In R. M. Reitan & L. A. Davison (Eds.), Clinical neuropsychology: Current status and applications. New York: Wiley, 1974.Google Scholar
  33. Milner, B. Amnesia following operation on the temporal lobes. In C. W. M. Witty & O. L. Zangwill (Eds.), Amnesia. Woburn, Mass.: Butterworth, 1966.Google Scholar
  34. Milner, B., & Teuber, H.-L. Alteration of perception and memory in man: Reflections on methods. In L. Weiskrantz (Ed.), Analysis of behavior change. New York: Harper & Row, 1968.Google Scholar
  35. Parsons, O. A. & Prigatano, G. P. Methodological considerations in clinical neuropsychological research. Journal of Consulting and Clinical Psychology, 1978, 46, 608–619.PubMedCrossRefGoogle Scholar
  36. Piotrowski, Z. Personality studies of cases with lesions of the frontal lobes: II. Rorschach study of a Pick’s Disease case. Rorschach Research Exchange, 1936-1937, 1, 65–77.CrossRefGoogle Scholar
  37. Pribram, K. H. Languages of the brain: Experimental paradoxes and principles in neuropsychology, Englewood Cliffs, N.J.: Prentice-Hall, 1971.Google Scholar
  38. Pribram, K. H. Holographic memory. Psychology Today, 1979, 12, 71–84.Google Scholar
  39. Reitan, R. M. Validity of the Rorschach Test as measure of psychological effects of brain damage. AMA Archives of Neurology and Psychology, 1955, 73, 445–451.CrossRefGoogle Scholar
  40. Russell, A. Neuringer, C, & Goldstein, G. Assessment of brain damage: A neuropsychological key approach. New York: Wiley-Interscience, 1970.Google Scholar
  41. Skinner, B. F. Are theories of learning necessary? Psychological Bulletin, 1950, 57, 193–216.Google Scholar
  42. Skinner, B. F. Science and human behavior. New York: Macmillan, 1953.Google Scholar
  43. Stein, D., Rosen, J., & Butters, N. (Eds.) Plasticity and recovery of function in the central nervous system. New York: Academic Press, 1974.Google Scholar
  44. Teuber, H.-L. Some alterations in behavior after cerebral lesions in man. Evolution of nervous control. Washington, D.C.: American Association for the Advancement of Science, 1959.Google Scholar
  45. Wickelgren, W. A. Chunking and consolidation: A theoretical synthesis of semantic networks, configuring in conditioning, S-R versus cognitive learning, normal forgetting, the amnesic syndrome, and the hippocampal arousal system. Psychological Review, 1979, 86, 44–60.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1984

Authors and Affiliations

  • Gerald Goldstein
    • 1
    • 2
  1. 1.Veterans Administration Medical CenterPittsburghUSA
  2. 2.Department of PsychiatryUniversity of PittsburghPittsburghUSA

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