Living Reference Work Entry

Encyclopedia of Clinical Neuropsychology

pp 1-2

Date: Latest Version

Boston Process Approach

  • Shahal RozenblattAffiliated withAdvanced Psychological Assessment, P.C Email author 




Born out of the work of A. R. Luria (e.g., Higher Cortical Function in Man, 1966), the Boston process approach (BPA) to neuropsychological testing is a method of exploring the patient’s approach to a task and the process involved in attaining a specific test score (Loring 1999). Its aim is to provide a more accurate characterization of neuropsychological function and dysfunction and the nervous system components involved (Kaplan 1988; Strauss et al. 2006).

Current Knowledge

According to Edith Kaplan (1988, 1990), the “achievement”-oriented approach to assessment, where performance is based on the scores obtained on a particular test, is flawed in that it assumes that the scores obtained are reflective of an underlying unitary mechanism. As an example, two individuals could arrive at a similar score via distinctly different processes that are dependent on distinctly different neural structures and/or pathways. The inherent loss of data that occurs by focusing on compo ...

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