Integrating Cognitive and Clinical Neuropsychology

Current Issues and Future Directions
  • Jack Spector
Part of the Critical Issues in Neuropsychology book series (CINP)


This volume was designed to describe the application of cognitively based neuropsychological methods to clinical practice. What the present chapters have in common is neither a specific set of procedures nor a particular theoretical model, but rather an endorsement of cognitively based neuropsychological assessment methods. These methods emphasize the assessment of individual cognitive processes, in order to understand the nature of brain—behavior relationships in persons with known or suspected brain impairment (Margolin, 1991). In addition, most chapters discuss comparison of performance on standardized tests to normative data, as part of developing an understanding of the nature of an individual patient’s deficits. Thus, cognitively based assessment represents an approach that incorporates contributions from both cognitive and clinical neuropsychology.


Serial Position Neuropsychological Assessment Cognitive Rehabilitation Everyday Functioning Cognitive Neuropsychology 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. Adams, K. M. ( 1994, February). Efficacy of cognitive rehabilitation: Fact or fantasy? Paper presented at the 22nd annual meeting of the International Neuropsychological Society, Cincinnati, OH.Google Scholar
  2. Algina, J., and Swaminathan, H. (1979). Alternatives to Simonton’s analyses of the interrupted and multiple-group time series designs. Psychological Bulletin, 86, 919–926.CrossRefGoogle Scholar
  3. Bashore, T. R. (1990). Age-related changes in mental processing revealed by analyses of event-related brain potentials. In J. W. Rohrbaugh, R. Parasuraman, and J. R. Johnson (Eds.), Event-related potentials: Basic issues and applications (pp. 242–275 ). New York: Oxford University Press.Google Scholar
  4. Bates, E., Appelbaum, M. and Allard, L. (1991). Statistical constraints on the use of single cases in neuropsychological research. Brain and Language, 40, 295–329.PubMedCrossRefGoogle Scholar
  5. Benton, A. (1986). Reaction time in brain disease: Some reflections. Cortex, 22, 129–149.PubMedGoogle Scholar
  6. Bernard, L. C. (1991). The detection of faked deficits on the Rey Auditory Verbal Learning Test: The effect of serial position. Archives of Clinical.Neuropsychologv, 6, 81–88.Google Scholar
  7. Bihrle. A. M., Brownell, H. H., Powelson, J. A., and Gardner, H. (1986). Comprehension of humorous and non-humorous materials by left and right brain-damaged patients. Brain and Cognition, 5, 399–411.PubMedCrossRefGoogle Scholar
  8. Bub, J., and Bub, D. (1988). On the methodology of single-case studies in cognitive neuropsychology. Cognitive Neuropsychologv, 5, 535–582.CrossRefGoogle Scholar
  9. Burchiel, K. J., Clarke, H., Ojemann, G. A., Dacey, R. G., and Winn, H. R. (1989). Use of stimulation mapping and corticography in the excision of arteriovenous malformations in sensorimotor and language-related neocortex. Neurosurgery, 24, 322–327.PubMedCrossRefGoogle Scholar
  10. Caplan, D. (1988). On the role of group studies in neuropsychological and pathopsychological research. Cognitive Neurops_s’chologv, 5, 535–547.CrossRefGoogle Scholar
  11. Caramazza, A. (1984). The logic of neuropsychological research and the problem of patient classification in aphasia. Brain and Language, 21. 9–20.PubMedCrossRefGoogle Scholar
  12. Caramazza, A. (1986). On drawing inferences about the structure of normal cognitive systems from the analysis of patterns of impaired performance: The case for single case studies. Brain and Cognition, 41, 43–53Google Scholar
  13. Caramazza, A. (1992). Is cognitive neuropsychology possible? Journal of Cognitive Neuroscience, 4, 80–95.CrossRefGoogle Scholar
  14. Caramazza, A., and Badecker, W. (1989). Patient classification in neuropsychological research. Brain and Cognition, 10, 256–295.PubMedCrossRefGoogle Scholar
  15. Caramazza, A., and Badecker, W. (1991). Clinical syndromes are not God’s gift to cognitive neuropsychology: A reply to a rebuttal to an answer to a response to the case against syndrome-based research. Brain and Cognition, 16, 211–227.Google Scholar
  16. Caramazza, A., Sc. McCloskey, M. (1988). The case for single-patient studies. Cognitive Neuropsychology, 5, 517–528.CrossRefGoogle Scholar
  17. Cicerone, K. D., & Wood, J. C. (1987). Planning disorder after closed head injury: A case study. Archives of Physical Medicine and Rehabilitation, 65, 111–115.Google Scholar
  18. Coltheart. M. (1985). Cognitive neuropsychology and the study of reading. In M. I. Posner and D. S. M. Marin (Eds.), Attention and performance XI (PP. 3–37 ). Hillsdale, NJ: Lawrence Erlbaum.Google Scholar
  19. Delis, D. C., Kramer, J. H., Kaplan, E. and Ober, B. A. (1987). The Cab;lnrnia Verbal Learning Test. New York: Psychological Corporation.Google Scholar
  20. Fodor, J. A. (1983). The modularity of mind. Cambridge, MA: MIT Press.Google Scholar
  21. Glisky, E. L., Schacter, D. L. and Tidying, E. (1986). Computer learning by memory-impaired patients: Acquisition and retention of complex knowledge. Neuropsychologia. 24, 313–328.PubMedCrossRefGoogle Scholar
  22. Goldstein, K. (1942). Aftereffects of brain injuries in tear. New York: Grupe and Stratton.Google Scholar
  23. Grady, C. L., Haxhy, J. V., Horwitz, B., Schapiro, M., Carson, R., Hcrscovitch. P., and Rapoport. S. I. (1990). Activation of regional cerebral blood flow (RCBF) in extrastriate cortex during a face matching task in patients with dementia of the Alzheimer’s type. Society for Neuroscience Abstracts, 16, 149.Google Scholar
  24. Gur, R. C., Jaggi, L., Ragland, J. D., and Resnick, S. M. (1993). Effects of memory processing on regional brain activation: Cerebral blood flow ni normal subjects. International Journal of Neuroscience, 72, 31–44.PubMedCrossRefGoogle Scholar
  25. Heaton, R. K., and Pendleton, M. G. (1981). Use of neuropsychological tests to predict adult patients’ everyday functioning. Journal of Consulting ami Clinical Psychology, 49, 807–821.Google Scholar
  26. Hoffman, D. A., Jacobs, R., and Germs, S. J. (1992). Mapping individual performance over time. Journal of’Applied Psychology, 77, 185–195.CrossRefGoogle Scholar
  27. Kane, R. L. (1991). Standardized and flexible batteries in neuropsychology: An assessment update. Neuropsvchologv Rei’ieu’, 2, 281–339.Google Scholar
  28. Kane, R. L., Goldstein, G., and Parsons, O. A. (1989). A response to Mapou. Journal of Clinical and Experimental Neurops_cchologr, 11, 589–595.CrossRefGoogle Scholar
  29. Kane, R. L., and Kay, G. G. (1992). Computerized assessment in neuropsychology: A review of tests. Neuropsvchology Review. 3, 1–117.CrossRefGoogle Scholar
  30. Kaplan, E. (1988). A process approach to neuropsychological assessment. In T. Boll and 13. K. Bryant (Eds.), Clinical neuropsychology and brain function: Research, measurement. and practice (pp. 129–167 ). Washington, DC: American Psychological Association.Google Scholar
  31. Kennedy, R. S., Wilkes, R. L. Dunlop, W. P. and Kuntz, L. A. (1987). Development of an automated performance test system for environmental and behavioral toxicology studies. Perceptual and Motor Skills, 65, 947–962.PubMedCrossRefGoogle Scholar
  32. LeBerge, D. (1990). Thalamic and cortical mechanisms of attention as suggested by recent positron emission tomographie experiments.,Journal of Cognitive Neuroscience, 2, 358–372.Google Scholar
  33. LeBerge, D., and Buchsbaum, M. S. (1990). Positron emission tomographie measurements of pulvinar activity during an attention task. Journal of Neuroscience, 10, 613–619.Google Scholar
  34. Lee, G. P., Loring, D. W., Flanigin, H. F., Smith, J. R., and Meador, K. J. (1988). Electrical stimulation of the human hippocampus produces verbal intrusions during memory testing. Neuropsvchologia, 26, 623–627.CrossRefGoogle Scholar
  35. Lesser, R. (1987). Cognitive neuropsychological influences on aphasia therapy. Aphasialog_y, 1, 189–200.CrossRefGoogle Scholar
  36. Lezak, M. D. (1978). Living with the characterologically altered brain injured patient. Journal of Clinical Psychiatry. 39, 592–598.PubMedGoogle Scholar
  37. Lezak, M. D. (1983). Neuropsychological assessment ( 2nd ed ). New York: Oxford University Press.Google Scholar
  38. Lhermitte, F. (1986). Human autonomy and the frontal lobes. Part II: Patient behavior in complex and social situations: The `environmental dependency syndrome.“ Annals of Neurology, 19, 335–343.PubMedCrossRefGoogle Scholar
  39. Lhermitte, F., Pillon. B., and Serdaru, M. (1986). Human autonomy and the frontal lobes. Part I: Imitation and utilization behavior: A neuropsychological study of 75 patients. Annals of Neurology, 19, 327–334.Google Scholar
  40. Luders, H., Lesser, R. P., Hahn, J., Dinner, D. S., Morris, H. H., Wyllie, E., and Godoy, J. (1991). Basal temporal language area. Brain, 114, 743–753.PubMedCrossRefGoogle Scholar
  41. Luria. A. R. (1973). The working brain. New York: Basic Books.Google Scholar
  42. Luria, A. R. (1980). Higher cortical fianctions in morn ( 2nd ed. ). London: Basic Books.CrossRefGoogle Scholar
  43. Mapou, R. L. (1988a). An integrated approach to the neuropsychological assessment of cognitive function. In J. M. Williams and C. J. Long (Eds.), Cognitive approaches to neuropsychology (pp. 101–122 ). New York: Plenum Press.CrossRefGoogle Scholar
  44. Mapou, R. L. (19880). Testing to detect brain damage: An alternative to what may no longer be useful. Journal of Clinical and Experimental Neuropsychology, 10, 271–278.Google Scholar
  45. Mapou, R. L., Spector, J. and Kay, G. G. (in press). Neuropsychological and psychological assessment. In J. R. Rundelf and M. G. Wise (Eds.), American Psychiatric Press textbook of consultation-liaison psychiatry. Washington, DC: American Psychiatric Press.Google Scholar
  46. Margolin, D. I. (1991). Cognitive neuropsychology: Resolving enigmas about Wernicke’s aphasia and other higher cortical disorders. Archives of Neurology, 48, 751–765.PubMedCrossRefGoogle Scholar
  47. Marshall. J. C., and Newcombe, F. (1984). Putative problems and pure progress in neuropsychological single-case studies. Journal of Clinical and Experimental Neuropsychology, 6, 65–70.CrossRefGoogle Scholar
  48. Marshall, R. C., and Tompkins, C A. (1982). Verbal self-correction behaviors of fluent and nonfluent aphasic subjects. Brain and Language, 15, 292–306.PubMedCrossRefGoogle Scholar
  49. Mateer, C. A. ( 1994. February). Efficacy of cognitive rehabilitation: Fact or fantasy? Paper presented at the 22nd annual meeting of the International Neuropsychological Society, Cincinnati, OH.Google Scholar
  50. McCarthy, R. A., and Warrington, E. K. (1990). Cognitive neuropsychology: A clinical introduction. New York: Academic Press.Google Scholar
  51. McCloskey, M. (1993). Theory and evidence in cognitive neuropsychology: A “radical” response to Robertson, Knight, Rafal, and Shimamura (1993). Journal of Experimental Psychology: Learning, Memory, and Cognition, 19, 718–734.Google Scholar
  52. Naugle, R. I., and Chelunc, G. J. (1990). Integrating neuropsychological and “real-life” data: A neuropsychological model for assessing everyday functioning. In D. Tupper and K. Cicerone (Eds.), Neuropsychology of everyday life (pp. 57–73 ). Boston: Academic Press.Google Scholar
  53. Newcombe, F., and Marshall, J. (1988). Idealization meets psychometrics: The case for the right groups and right individuals. Cognitive Neuropsychology, 5, 549–564.CrossRefGoogle Scholar
  54. Prigatano. G. P., and Schacter, D. L. (Eds.). (1991). Awareness of deficit after brain injury. New York: Oxford University Press.Google Scholar
  55. Rcitan, R. (1989). A note regarding some aspects of the history of clinical neuropsychology. Archives of Clinical Neuropsychology, 4, 385–391.Google Scholar
  56. Robertson, L. C., Knight. R. T., Rafal, R., and Shimamura, A. P. (1993). Cognitive neuropsychology is more than single-case studies. Journal of Experimental Psychology: Learning, Memory, and Cognition, 19, 710–717.PubMedCrossRefGoogle Scholar
  57. Rothi, L. J., and Horner, J. (1983). Restitution and substitution: Two theories of recovery with application to neurobehavioral treatment. Journal of Clinical and Experimental Neuropsychology, 5, 73–81.CrossRefGoogle Scholar
  58. Russell, M. L., Spector, J., and Kelly, M. ( 1993, February). Primacy and recency effects in the detection of malingering using the WMS-R logical memory subtext. Presented at the 20th annual meeting of the International Neuropsychological Society, Galveston, TX.Google Scholar
  59. Schacter, D. L. (1990). Toward a cognitive neuropsychology of awareness: Implicit knowledge and anosognosia. Journal of Clinical and Experimental Neuropsychology, 12, 155–178.PubMedCrossRefGoogle Scholar
  60. Shallice, T. (1979). A case study approach in neuropsychological research. Journal of Clinical and Experimental Neuropsychology, 1, 183–211.CrossRefGoogle Scholar
  61. Simonton, D. K. (1977). Cross-sectional time-series experiments: Some suggested statistical analyses. Psychological Bulletin, 84, 489–502.CrossRefGoogle Scholar
  62. Sohlberg, M. M., and Mateer, C. A. (1989). Introduction to cognitive rehabilitation: Theory and practice. New York: Guilford Press.Google Scholar
  63. Sokol, S. M. McCloskey, M., Cohen, N. J., and Alimonosa, D. (1991). Cognitive representations and processes in arithmetic: Inferences from the performance of brain-damaged subjects. Journal of Experimental Psychology: Learning, Memory, and Cognition. 17, 355–376.PubMedCrossRefGoogle Scholar
  64. Spector, J., Kay, G. G., Geyer, C. A., Deveikes, J. D., and Sullivan, R. A. ( 1990, November). Neuro-psychological screening during trial balloon occlusion of the internal carotid artery. Presented at the annual meeting of the National Academy of Neuropsychology, Reno, NV.Google Scholar
  65. Starbuck, V. N., Kay, G. G., and Robinson, D. N. (1993). The N400 in recovery from aphasia ‘Abstract]. The Clinical Neuropsychologist, 7,. 354.Google Scholar
  66. Stokx, L. C., and Gaillard, W. K. (1986). Task and driving performance of patients with a severe concussion of the brain. Journal of Clinical and Experimental Neuropsychology, 8, 421–436.PubMedCrossRefGoogle Scholar
  67. Teuber, H.-L., and Rudel, R. G. (1962). Behavior after cerebral lesions in children and adults. Developmental Medicine and Child Neurology, 4. 3–20.PubMedCrossRefGoogle Scholar
  68. Thorne, D. R., Genser, S. G., Sing, H. C., and Hegge, F. W. (1988). The Walter Reed Performance Assessment Battery. Neurobehavioral Toxicology and Teratology, 7. 415–418.Google Scholar
  69. Weinstein, E. A., and Cole, M. (1963). Concepts of anosognosia. In L. Halpern (Ed.), Problems of dynamic neurology: Functions of the human nervous system (pp. 254–273 ). Jerusalem: Jerusalem Post Press.Google Scholar
  70. Whitaker, H. and Slotnick, H. (1988). Comments on “The case for single patient studies”: Is (neuro)psychology possible? Cognitive Neuropsychology, 5. 529–534.Google Scholar
  71. Wiggins, E. C., and Brandt, J. (1988). The detection of simulated amnesia. Laic and Human Behavior, 12, 57–78.CrossRefGoogle Scholar
  72. Wilson, B. A., and Patterson, K. (1990). Rehabilitation for cognitive impairment: Does cognitive psychology apply? Applied Cognitive Psychology, 4, 247–260.CrossRefGoogle Scholar
  73. Wood, R. LI., and Fussey, I. (Eds.). (1990). Cognitive rehabilitation in perspective. London: Taylor and Francis.Google Scholar
  74. Woodcock, R. W., and Johnson, M. B. (1989). Woodcock-Johnson Psychoeducational Battery-Revised. Chicago: Riverside Publishing Co.Google Scholar
  75. Zelinski, E. M., Gilewski, M. J., and Thompson, L. W. (1980). Do laboratory tests relate to self-assessment of memory ability in the young and old? In L. W. Poon, J. L. Fozard, L. S. Cermak, D. Arenberg, and L. W. Thompson (Eds.), New directions in memory and aging (pp. 519–551 ). New York: Lawrence Erlbaum.Google Scholar
  76. Zurif, E., Gardner, H., and Brownell, H. (1989). The case against the case against group studies. Brain and Cognition, 10, 237–255.PubMedCrossRefGoogle Scholar
  77. Zurif, E. Swinney, D., and Fodor, J. A. (1991). An evaluation of assumptions underlying the single-lent only position in neuropsychological research -A reply. Brain and Cognition, 16, 198–210.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1995

Authors and Affiliations

  • Jack Spector
    • 1
  1. 1.Division of Neurosurgery and Department of PsychologyWalter Reed Army Medical CenterUSA

Personalised recommendations