Clinical Neuropsychology samenvatting chapter 3
Neuropsychologie in de praktijk
3.1 inleiding
Psychologist in healthcare and neuropsychologist = scientist-practitioner
Scientist-practitioner = combines clinical knowledge and skills with a scientific
mindset.
- Decisions are based on: scientific research + clinical expertise + individual needs
of the patient.
Neuropsychological assessment = clinical-scientific research with a single-person
research group (n=1 study).
Research process: research question → hypotheses → data collection → results →
conclusion.
- Data collection: file review, patient interview (anamnesis), collateral interview
(heteroanamnesis), observations, test data, questionnaires.
3.2 Work Field
3.2.1 Hospital
Three types of hospitals: general / academic / categorical.
Categorical = focuses on a specific patient group.
Academic = care is closely integrated with scientific research and a university.
Patient groups have a (suspected) medical condition that has directly or indirectly
caused cognitive impairments or complaints.
Common issues include: anxiety/mood complaints, processing difficulties, severe fatigue,
reduced capacity.
Questions are primarily diagnostic in nature, with short-term interventions.
Using neuropsychological assessment (NA), the neuropsychologist maps cognitive,
emotional, and behavioral functioning and determines whether the profile matches the
(suspected) condition.
- Assessment may also investigate possible alternative explanations.
, - NA is used to map the consequences of cognitive impairments and their impact
on daily life.
Psychoeducation is an important step:
Learning to cope with cognitive impairments
Improving mood and resuming activities
Specialized centers: for severe cognitive problems, comorbid personality disorders, or
severe psychiatric complaints.
3.2.2 Geestelijke gezondheidszorg (ggz)
Psychiatric disorders have an effect on cognitive functioning
- cutting edge of psychiatry and neurology
Neuropsychologist makes use of the neuropsychiatric model → examines the
relationship between brain, cognition, emotion and behaviour
Diagnostics and treatment are covered
Diagnostics → neuropsychological testing, personality assessment, specific research
into the nature of the psychiatric disorder
- used to investigate the cause of the cognitive symptoms
Treatments last longer than treatments in a hospital
Work closely with psychiatrists, psychiatric nurses, case managers and is main treater
(hospital= doctor)
3.2.3 Revalidatie
Multidisciplinary approach
Rehabilitation doctor, nurse, physiotherapist, occupational therapist, speech therapist
and social worker work closely together
Both inpatient and outpatient / klinisch als poliklinisch
Key theme → participation; enable patients to participate in activities in society
Neuropsychological examination can give insight to the cognitive profile and how
treatment should be organised, diagnostic already happened
NA can give insight in teachability (leerbaarheid) from patients (sterkte-zwakte profiel)
Stagnation because off?= too high tempo / other disorders make sure information can’t
be saved
Coping mechanisms--> active approach to solving a problem / avoiding / distraction
Psycho-education is the first step into dealing with these disorders
--> The treatment plan includes cognitive rehabilitation techniques and specific
therapeutic interventions such as cognitive-behavioral therapy (CBT).
The patients network is important → relatives are involved in the treatment
Neuropsychologie in de praktijk
3.1 inleiding
Psychologist in healthcare and neuropsychologist = scientist-practitioner
Scientist-practitioner = combines clinical knowledge and skills with a scientific
mindset.
- Decisions are based on: scientific research + clinical expertise + individual needs
of the patient.
Neuropsychological assessment = clinical-scientific research with a single-person
research group (n=1 study).
Research process: research question → hypotheses → data collection → results →
conclusion.
- Data collection: file review, patient interview (anamnesis), collateral interview
(heteroanamnesis), observations, test data, questionnaires.
3.2 Work Field
3.2.1 Hospital
Three types of hospitals: general / academic / categorical.
Categorical = focuses on a specific patient group.
Academic = care is closely integrated with scientific research and a university.
Patient groups have a (suspected) medical condition that has directly or indirectly
caused cognitive impairments or complaints.
Common issues include: anxiety/mood complaints, processing difficulties, severe fatigue,
reduced capacity.
Questions are primarily diagnostic in nature, with short-term interventions.
Using neuropsychological assessment (NA), the neuropsychologist maps cognitive,
emotional, and behavioral functioning and determines whether the profile matches the
(suspected) condition.
- Assessment may also investigate possible alternative explanations.
, - NA is used to map the consequences of cognitive impairments and their impact
on daily life.
Psychoeducation is an important step:
Learning to cope with cognitive impairments
Improving mood and resuming activities
Specialized centers: for severe cognitive problems, comorbid personality disorders, or
severe psychiatric complaints.
3.2.2 Geestelijke gezondheidszorg (ggz)
Psychiatric disorders have an effect on cognitive functioning
- cutting edge of psychiatry and neurology
Neuropsychologist makes use of the neuropsychiatric model → examines the
relationship between brain, cognition, emotion and behaviour
Diagnostics and treatment are covered
Diagnostics → neuropsychological testing, personality assessment, specific research
into the nature of the psychiatric disorder
- used to investigate the cause of the cognitive symptoms
Treatments last longer than treatments in a hospital
Work closely with psychiatrists, psychiatric nurses, case managers and is main treater
(hospital= doctor)
3.2.3 Revalidatie
Multidisciplinary approach
Rehabilitation doctor, nurse, physiotherapist, occupational therapist, speech therapist
and social worker work closely together
Both inpatient and outpatient / klinisch als poliklinisch
Key theme → participation; enable patients to participate in activities in society
Neuropsychological examination can give insight to the cognitive profile and how
treatment should be organised, diagnostic already happened
NA can give insight in teachability (leerbaarheid) from patients (sterkte-zwakte profiel)
Stagnation because off?= too high tempo / other disorders make sure information can’t
be saved
Coping mechanisms--> active approach to solving a problem / avoiding / distraction
Psycho-education is the first step into dealing with these disorders
--> The treatment plan includes cognitive rehabilitation techniques and specific
therapeutic interventions such as cognitive-behavioral therapy (CBT).
The patients network is important → relatives are involved in the treatment
