NeuroRehabilitation - Volume 16, issue 4 - Journals

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Isn't everything in forensic neuropsychology controversial?

Authors: Lees-Haley, Paul R. | Fox, David D.

Article Type: Research Article

Keywords: forensic neuropsychology

DOI: 10.3233/NRE-2001-16411

Citation: NeuroRehabilitation, vol. 16, no. 4, pp. 267-273, 2001

Price: EUR 27.50

Misconceptions about the Luria-Nebraska Neuropsychological Battery

Authors: Purisch, Arnold D.

Article Type: Research Article

Abstract: The Luria-Nebraska Neuropsychological Battery (LNNB) was introduced in the late 1970s as a fixed battery derived from clinical procedures and based upon the neuropsychological theory developed by the late Russian neuropsychologist Alexandr Luria. Considerable debate arose about the LNNB and it became the focus of harsh criticisms. The major criticisms related to the belief that the qualitative and quantitative approaches could not be fused, that the scales were too heterogeneous to produce meaningful scores, that the battery suffered from significant limitations in sampling of neuropsychological skills, and that it had questionable sensitivity to brain dysfunction. These criticisms generally reflected an …unawareness of the interpretive process and theory underlying the LNNB, and have been largely negated by a large empirical literature that has evolved over many years. This article addresses the misconceptions perpetuated about the LNNB as a result of these early criticisms and discusses the applications and limitations of the battery based upon an understanding of its construction, theory, and research. Show more

Keywords: neuropsychological assessment, Luria-Nebraska Neuropsychological Battery, standardized battery

DOI: 10.3233/NRE-2001-16412

Citation: NeuroRehabilitation, vol. 16, no. 4, pp. 275-280, 2001

Price: EUR 27.50

Underutilization of neuropsychology in traumatic brain injury rehabilitation: Is managed care to blame?

Authors: Schatz, Philip | Hughes, Lucinda J. | Chute, Douglas L.

Article Type: Research Article

Abstract: We evaluated factors determining which individuals received neuropsychological evaluations (NPEs) following traumatic brain injury (TBI). Comprehensive records from a State-wide/sponsored Head Injury Program were followed from 1985–1995 to monitor effects of managed care on provision (or absence) of formal NPEs and ultimately on rehabilitation outcome. Only 26% of 273 individuals received NPEs (within their first three years post-injury). In the years prior to and after large changes in managed care, there were no differences in the provision of formal NPEs. Discriminant analysis identified functional status at discharge from primary rehabilitation and total number of rehabilitation facilities as the two variables …that most distinguished those who had received NPEs with 69% classification accuracy. Between group analyses revealed that individuals were more likely to receive NPEs if they were young, involved in liability claims, attended multiple rehabilitation facilities, or had higher functional status at discharge from primary rehabilitation, regardless of the nature or severity of their TBI. Individuals receiving formal NPEs ultimately achieved higher levels of functional independence, suggesting a potential selection bias. Individuals were no more likely to receive NPEs according to insurance status (private versus government assisted) or as a function of the decade of their injury (1980's versus 1990's). It appears that health-care reform has had no deleterious effect on neuropsychologists' ability to provide consultative services for this population, and following TBI, only a discrete sample of individuals receive and benefit from NPEs. Show more

Keywords: neuropsychology, assessment, rehabilitation, brain injury, managed care

DOI: 10.3233/NRE-2001-16413

Citation: NeuroRehabilitation, vol. 16, no. 4, pp. 281-287, 2001

Price: EUR 27.50

Neuropsychological evaluation applied to vocational rehabilitation

Authors: Barisa, Mark T. | Barisa, Mary W.

Article Type: Research Article

Abstract: On the surface, the use of neuropsychological evaluation to guide vocational rehabilitation does not appear controversial. However, complexities and discrepancies emerge when traditional uses of neuropsychological evaluation are reviewed and compared to the needs of vocational rehabilitation counselors. This article highlights differences in focus between traditional neuropsychological evaluations and vocational evaluations. It identifies ways to effectively merge them so that neuropsychological evaluations for vocational rehabilitation are mutually beneficial to neuropsychologists and vocational rehabilitation counselors.

Keywords: neuropsychological evaluation, Vocational rehabilitation, Vocational evaluation, Neurological injury, Traumatic brain injury

DOI: 10.3233/NRE-2001-16414

Citation: NeuroRehabilitation, vol. 16, no. 4, pp. 289-293, 2001

Price: EUR 27.50

Treatment of chronic fatigue with neurofeedback and self-hypnosis

Authors: Hammond, D. Corydon

Article Type: Research Article

Abstract: A 21 year old patient reported a relatively rapid onset of serious chronic fatigue syndrome (CFS), with her worst symptoms being cognitive impairments. Congruent with research on rapid onset CFS, she had no psychiatric history and specialized testing did not suggest that somatization was likely. Neuroimaging and EEG research has documented brain dysfunction in cases of CFS. Therefore, a quantitative EEG was done, comparing her to a normative data base. This revealed excessive left frontal theta brainwave activity in an area previously implicated in SPECT research. Therefore, a novel treatment approach was utilized consisting of a combination of EEG neurofeedback …and self-hypnosis training, both of which seemed very beneficial. She experienced considerable improvement in fatigue, vigor, and confusion as measured pre-post with the Profile of Mood States and through collaborative interviews with both parents. Most of the changes were maintained at 5, 7, and 9 month follow-up testing. Show more

Keywords: chronic fatigue, EEG biofeedback, neurofeedback, hypnosis

DOI: 10.3233/NRE-2001-16415

Citation: NeuroRehabilitation, vol. 16, no. 4, pp. 295-300, 2001

Price: EUR 27.50