Abstract
In this chapter, two patients are presented that were each seen several times for neuropsychological assessment and opinion, over a period of months and years. This chapter illustrates and discusses issues related to serial assessment, the progression of symptoms and increasing familiarity with the cases. The first patient presented with subtle subjective cognitive change and underwent subsequent serial assessment over several years to help clarify the nature of her condition and monitor change in the context of other neurological investigations. Issues are discussed concerning the role of the patient’s account in understanding her condition and the utility of increased familiarity with the patient over time. The second patient underwent neurosurgery as a treatment for intractable epilepsy. The assessments addressed questions about risk to his cognition, the cognitive outcome of surgery, and the role of psychological and behavioural disturbance. Issues of test selection and the psychometric evaluation of change are discussed.
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Vesey, P., Stephens, R. (2016). Themes in the Formulation of Repeat Assessments. In: Macniven, J. (eds) Neuropsychological Formulation. Springer, Cham. https://doi.org/10.1007/978-3-319-18338-1_10
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DOI: https://doi.org/10.1007/978-3-319-18338-1_10
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