Tuesday, April 26, 2011

Neuropsychological Assessment of Neuropsychiatric and Neuromedical Disorders

Neuropsychological Assessment of Neuropsychiatric and Neuromedical Disorders

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Product Description

This is a major revision of a standard reference work for neuropsychologists, psychiatrists, and neurologists. About one-half of the book contains entirely new work by new contributors. New topics not covered in the previous editions include consideration of common sources of neurocognitive morbidity, such as multiple sclerosis, diabetes, and exposure to heavy metals; psychiatric and behavioral disorders associated wtih traumatic brain injury; neuropsychology in relation to everyday functioning; the effects of cognitive impairment on driving skills, and adherence to medical treatments.

The Third Edition aims to reflect the enormous developments in neuropsychology in terms of research, clinical applications, and growth of the discipline during the past decade. At one time focused on mapping the cognitive and related consequences of brain injuries, research in neuropsychology has now expanded to much broader considerations of the effects of systemic disease, infection, medications, and inflammatory processes on neurocognition and emotion. The Third Edition attemtps to capture these developments while continuing to adhere to the objective of presenting them in a concise manner in a single volume.

Neuropsychological Assessment of Neuropsychiatric and Neuromedical Disorders Review

The earlier edition sat on my shelf for about a decade. When the new edition arrived I was at first uneasy, as I had trouble finding some sections that I had valued in the previous edition. However, this is because Grant and Adams have made a very substantial revision to the first edition.

This edition has summaries of the neuropsychological research on the following conditions: Dementia (40 very dense pages), Parkinson's and Parkinsonism, Huntington's, Tourette's, Epilepsy, multiple sclerosis, cerebrovascular disease (30 pages), hypoxia in medical conditions, diabetes, HIV, alcoholism, drug abuse, metal exposure, schizophrenia, depression, and memory dysfunction in general. Opening sections on the theory of neuropsychological assessment and a closing five chapters on consequences of TBI, assessment of driving, everyday functioning, and ability to comply with treatment orders round out the book.

The section on parkinsonism includes commonalities and differential diagnosis between Alzheimer's, parkinson disease (with and without dementia), Lewy body, PSP, and 3 subtypes of MSA. I just consulted this chapter to formulate hypotheses on a current case, and it matches very closely to the advice found in "Behavioral neurology of dementia." The section on toxins is limited to lead and mercury, with a nod to arsenic and thallium. The section on neuropsychology of drug abuse (my area of interest) contains reasonable clinical summaries of our current knowledge. That is, it includes the nature and degree of impairment that might be apparent to a neuropsychologist evaluating a patient in the clinic, while omitting the subtler deficits sometimes apparent to a researcher using, say, event-related potential EEG.

In sum, this book is an excellent first reference for a clinical neuropsychologist to consult on a wide variety of neuropsychiatric and medical problems that may present in a particular patient. It is worth updating if you own the older edition.

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