Brain lecture notes
LECTURE 1
Clinical neuropsychology
Definition
Relation between brain and behaviour in clinical applicability of assessment, treatment and
care of individuals with cognitive dysfunction because of developmental, neurological of
psychiatric disorders.
Behavioural symptoms that can objectively through tests.
Neuroimaging
Not only neuropsychological assessment anymore.
Before: some parts of the brain have specific functions and others do not. You can localise
those by bumps on the skull (nonsense). ‘Talenknobbel’.
After: better brain-behaviour relationships explained. Re-orientation from brain damage to
what intact brain is left and its function.
Luria did some fundamental testing and found out e.g. that there are different components
and brain areas for one function like speaking and language processing. Also more cognitive
functioning testing.
(Mental) health care
Nowadays the brain is much more relevant in care, because techniques like MRI is improved
and more people have brain damage.
Persuasive (overtuigend).
Workspace of neuropsychologists
General and university hospitals.
Specilizied mental health institutions.
Many more…
Abbreviations
ICF – international clinical of functioning, the DSM of neuropsychologists
o Brain disease -> impairment, limitation and the formal handicap model.
NVN – nederlandse vereniging van neuropsychologie
, INS – international neuropsychological society
Testing hypothesis through the bio-psycho-social model
Multi-informed
Multi-method
Multi-conceptual
Diagnostic cycle (empirische cyclus) -> analysis complaints (klachtenanalyse), analysis of
problems -> testing -> etc.
Steps for clinical helping
Before: referral question, medical file and history.
Testing: clinical interview patient, heterohypothesis with significant other, formulation
hypothesis, test selection and administration and behavioural observations.
After: interpretation all test data and reporting.
LECTURE 2
Alcohol abuse
Terminology
Problematic alcohol use, alcohol use disorder (AUD) from criteria from DSM, binge drinking,
alcohol intoxication and alcohol withdrawal syndrome (hangover).
Alcohol-related cognitive disorders
According to DSM-5 alcohol-induced neurocognitive disorder (caused by alcohol).
Even though it is also if not mostly by poor nutrition.
Wernicke’s encephalopathy symptoms
Dietary deficiencies (undernutrition, impaired diet and abnormal thiamine)
Oculomotor abnormalities (eye disorders)
Cerebellar dysfunction (motor/movement impairment)
Altered mental stated (confusion etc.) or mild memory impairment.
Korsakoff’s syndrome
LECTURE 1
Clinical neuropsychology
Definition
Relation between brain and behaviour in clinical applicability of assessment, treatment and
care of individuals with cognitive dysfunction because of developmental, neurological of
psychiatric disorders.
Behavioural symptoms that can objectively through tests.
Neuroimaging
Not only neuropsychological assessment anymore.
Before: some parts of the brain have specific functions and others do not. You can localise
those by bumps on the skull (nonsense). ‘Talenknobbel’.
After: better brain-behaviour relationships explained. Re-orientation from brain damage to
what intact brain is left and its function.
Luria did some fundamental testing and found out e.g. that there are different components
and brain areas for one function like speaking and language processing. Also more cognitive
functioning testing.
(Mental) health care
Nowadays the brain is much more relevant in care, because techniques like MRI is improved
and more people have brain damage.
Persuasive (overtuigend).
Workspace of neuropsychologists
General and university hospitals.
Specilizied mental health institutions.
Many more…
Abbreviations
ICF – international clinical of functioning, the DSM of neuropsychologists
o Brain disease -> impairment, limitation and the formal handicap model.
NVN – nederlandse vereniging van neuropsychologie
, INS – international neuropsychological society
Testing hypothesis through the bio-psycho-social model
Multi-informed
Multi-method
Multi-conceptual
Diagnostic cycle (empirische cyclus) -> analysis complaints (klachtenanalyse), analysis of
problems -> testing -> etc.
Steps for clinical helping
Before: referral question, medical file and history.
Testing: clinical interview patient, heterohypothesis with significant other, formulation
hypothesis, test selection and administration and behavioural observations.
After: interpretation all test data and reporting.
LECTURE 2
Alcohol abuse
Terminology
Problematic alcohol use, alcohol use disorder (AUD) from criteria from DSM, binge drinking,
alcohol intoxication and alcohol withdrawal syndrome (hangover).
Alcohol-related cognitive disorders
According to DSM-5 alcohol-induced neurocognitive disorder (caused by alcohol).
Even though it is also if not mostly by poor nutrition.
Wernicke’s encephalopathy symptoms
Dietary deficiencies (undernutrition, impaired diet and abnormal thiamine)
Oculomotor abnormalities (eye disorders)
Cerebellar dysfunction (motor/movement impairment)
Altered mental stated (confusion etc.) or mild memory impairment.
Korsakoff’s syndrome
