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Clinical Neuropsychology: A Practical Guide to Assessment and Management for Clinicians Edited by Laura H. Goldstein Department of Psychology, Institute of Psychiatry and The Lishman Unit, Maudsley Hospital, London, UK and Jane E. McNeil Department of Psychology, Institute of Psychiatry and Regional Neurological Rehabilitation Unit, Homerton Hospital, London, UK Clinical Neuropsychology Clinical Neuropsychology: A Practical Guide to Assessment and Management for Clinicians Edited by Laura H. Goldstein Department of Psychology, Institute of Psychiatry and The Lishman Unit, Maudsley Hospital, London, UK and Jane E. McNeil Department of Psychology, Institute of Psychiatry and Regional Neurological Rehabilitation Unit, Homerton Hospital, London, UK Copyright # 2004 John Wiley & Sons Ltd, The Atrium, Southern Gate, Chichester, West Sussex PO19 8SQ, England Telephone (þ44) 1243 779777 Email (for orders and customer service enquiries): [email protected] Visit our Home Page on www.wileyeurope.com or www.wiley.com All Rights Reserved. No part of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, scanning or otherwise, except under the terms of the Copyright, Designs and Patents Act 1988 or under the terms of a licence issued by the Copyright Licensing Agency Ltd, 90 Tottenham Court Road, London W1T 4LP, UK, without the permission in writing of the Publisher. Requests to the Publisher should be addressed to the Permissions Department, John Wiley & Sons Ltd, The Atrium, Southern Gate, Chichester, West Sussex PO19 8SQ, England, or emailed to [email protected], or faxed to (þ44) 1243 770620 This publication is designed to provide accurate and authoritative information in regard to the subject matter covered. It is sold on the understanding that the Publisher is not engaged in rendering professional services. If professional advice or other expert assistance is required, the services of a competent professional should be sought. Other Wiley Editorial Offices John Wiley & Sons Inc., 111 River Street, Hoboken, NJ 07030, USA Jossey-Bass, 989 Market Street, San Francisco, CA 94103-1741, USA Wiley-VCH Verlag GmbH, Boschstr. 12, D-69469 Weinheim, Germany John Wiley & Sons Australia Ltd, 33 Park Road, Milton, Queensland 4064, Australia John Wiley & Sons (Asia) Pte Ltd, 2 Clementi Loop #02-01, Jin Xing Distripark, Singapore 129809 John Wiley & Sons Canada Ltd, 22 Worcester Road, Etobicoke, Ontario, Canada M9W 1L1 Wiley also publishes its books in a variety of electronic formats. Some content that appears in print may not be available in electronic books. Library of Congress Cataloging-in-Publication Data Clinical neuropsychology : a practical guide to assessment and management for clinicians / edited by Laura H. Goldstein and Jane E. McNeil. p. cm. Includes bibliographical references and index. ISBN 0-470-85401-4 (Cloth) – ISBN 0-470-84391-8 (Paper : alk. paper) 1. Clinical neuropsychology. I. Goldstein, Laura H. (Laura Hilary), 1960– II. McNeil, Jane RC386.6.N48C52725 2003 616.89 – dc21 2003007939 British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library ISBN 0-470-85401-4 (hbk) ISBN 0-470-84391-8 (pbk) Project management by Originator, Gt Yarmouth, Norfolk (typeset in 10/12pt Times) Printed and bound in Great Britain by TJ International Ltd, Padstow, Cornwall This book is printed on acid-free paper responsibly manufactured from sustainable forestry in which at least two trees are planted for each one used for paper production. Contents About the Editors vii List of Contributors ix Preface xi Part I General Introduction 1 Chapter 1 General Introduction: What Is the Relevance of 3 Neuropsychology for Clinical Psychology Practice? Laura H. Goldstein and Jane E. McNeil Part II Neuroscience Background 21 Chapter 2 Neuroanatomy and Neuropathology 23 Nigel J. Cairns Chapter 3 Neurological Investigations 57 John D. C. Mellers Part III Neuropsychological Assessment—General Issues 79 Chapter 4 Psychological and Psychiatric Aspects of Brain Disorder: 81 Nature, Assessment and Implications for Clinical Neuropsychology Richard Brown Chapter 5 The Effects of Medication and Other Substances on Cognitive 99 Functioning Jane Powell Chapter 6 Psychometric Foundations of Neuropsychological Assessment 121 John R. Crawford vi CONTENTS Part IV Adult Neuropsychology 141 Chapter 7 Disorders of Memory 143 Jonathan J. Evans Chapter 8 Disorders of Language and Communication 165 Pat McKenna Chapter 9 Executive Dysfunction 185 Paul W. Burgess and Nick Alderman Chapter 10 Disorders of Voluntary Movement 211 Laura H. Goldstein Chapter 11 Visuospatial and Attentional Disorders 229 Tom Manly and Jason B. Mattingley Chapter 12 Disorders of Number Processing and Calculation 253 Jane E. McNeil Part V Neuropsychology: Specialist Areas of Work 273 Chapter 13 Clinical Neuropsychological Assessment of Children 275 Judith A. Middleton Chapter 14 Neuropsychology of Older Adults 301 Robin G. Morris Chapter 15 Neuropsychology and the Law 319 Graham E. Powell Part VI Rehabilitation 343 Chapter 16 Theoretical Approaches to Cognitive Rehabilitation 345 Barbara A. Wilson Chapter 17 Planning, Delivering and Evaluating Services 367 Camilla Herbert Chapter 18 Interventions for Psychological Problems after Brain Injury 385 Andy Tyerman and Nigel S. King Chapter 19 Neurorehabilitation Strategies for People with 405 Neurodegenerative Conditions Esme Moniz-Cook and Jennifer Rusted Index 421 About the Editors Dr Laura H. Goldstein is Reader in Neuropsychology at the Institute of Psychiatry and Honorary Consultant Clinical Psychologist at the Maudsley Hospital. Here she has provided the clinical neuropsychology service to the Neuropsychiatry Unit at the Lishman Unit for over 15 years. For some of that time she also either worked in the epilepsy surgery programme at the Maudsley Hospital, or was attached to a regional neurology service. She is actively involved in pre- and post-qualification training of clinical psychologists. She devised and still runs the PG Diploma in Clinical Neuropsychology at the Institute of Psychiatry and has been involved in the devel- opments in post-qualification training in clinical neuropsychology being planned by the British Psychological Society. She is actively involved in neuropsychological and other clinical research and has published widely, in areas including motor neurone disease, epilepsy and dissociative seizures, synaesthesia, bipolar disorder and dyspraxia, holding a number of research grants including from the Medical Research Council and Motor Neurone Disease Association. After gaining clinical experience with a wide range of psychiatric conditions and receiving a clinical qualification from the Institute of Psychiatry, Dr Jane E. McNeil took up a position at the National Hospital for Neurology and Neurosur- gery in London, where she specialized in the neuropsychological assessment of a wide range of neurological disorders. Subsequently, Dr McNeil became interested in the practical and treatment applications of theoretical Neuropsychology and moved first to Queen Elizabeth’s Military Hospital, during this time publishing studies of confabulation and acquired disorders of calculation, and then to the Homerton University Hospital in London, where she has worked for the last eight years providing a specialist neuropsychological rehabilitation service to patients with single incident neurological disorders. She studied for her PhD on dyscalculia at the University of London under Professors E. K. Warrington and Robin Morris. She also currently works as a clinical lecturer in neuropsychological rehabilitation at the Institute of Psychiatry and teaches on the PG Diploma in Clinical Neuropsy- chology and the Doctorate in Clinical Psychology. Most recently Dr McNeil has been investigating the efficiency of outcome measures after brain injury and continu- ing investigations into dyscalculia. List of Contributors Dr Nick Alderman, Consultant Clinical Psychologist, Kemsley National Brain Injury Rehabilitation Centre, St Andrew’s Hospital, Northampton NN1 5DG, UK Dr Richard Brown, Reader in Cognitive Neuroscience, Department of Psychology, PO77, The Henry Wellcome Building, Institute of Psychiatry, De Crespigny Park, London SE5 8AF, UK Dr Paul W. Burgess, Reader in Cognitive Neuroscience, UCL Institute of Cognitive Neuroscience, Alexandra House, 17 Queen Square, London WC1N 3AR, UK Dr Nigel J. Cairns, Center for Neurodegenerative Disease Research, University of Pennsylvania School of Medicine, 3600 Spruce Street, Philadelphia, PA 19104-4283, USA Professor John R. Crawford, Department of Psychology, King’s College, University of Aberdeen, Aberdeen AB24 2UB, UK Dr Jonathan J. Evans, Associate Director of Research and Consultant Clinical Psychologist, Oliver Zangwill Centre for Neuropsychological Rehabilitation, Princess of Wales Hospital, Lynn Road, Ely, Cambs CB6 1DN, UK Dr Laura H. Goldstein, Reader in Neuropsychology, Department of Psychology, PO77, The Henry Wellcome Building, Institute of Psychiatry, De Crespigny Park, London SE5 8AF, UK Dr Camilla Herbert, Consultant Clinical Psychologist, Brain Injury Rehabilitation Trust, Market Place, Burgess Hill, West Sussex RH15 9NP, UK Dr Nigel S. King, Consultant Clinical Psychologist, Community Head Injury Service, Bedgrove Health Centre, Jansel Square, Aylesbury, Bucks HP21 7ET, UK Dr Pat McKenna, Consultant Neuropsychologist, Department of Clinical Psychology,