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What is Neuropsychology?
Neuropsychology is a scientific discipline
that studies the relationship between brain structures and functions
to include affect, cognition and behavior. It focuses on studying
brain impairment with a view to understanding normal psychological
function and to developing rehabilitation procedures and treatments
for brain deficits.
Neuropsychology is a young field with roots
dating back to 1848 with the study of Phineas Gage and the 1861
post-mortem study of an aphasic patient by Paul Broca. Neuropsychology
made its entry in the clinical field only in 1953, with patient HM,
who underwent surgical treatment of epilepsy, which resulted in a
selective amnesia (memory loss). On the basis of such studies the
modern science of neuropsychology emerged during the 1960s along side
with behavioral neurology.
Neuropsychologists tend to work in academia
(involved in basic or clinical research), clinical settings (involved
in assessing or treating patients with neuropsychological problems),
forensic settings (assessing people for legal reasons or appearing in
court as expert witness) or industry (as consultants where
neuropsychological knowledge is applied to product design or in the
management of pharmaceutical clinical-trials research for drugs that
might have a potential impact on CNS functioning).
As a discipline neuropsychology is one of the
more eclectic of the psychological disciplines, overlapping with areas
such as neuroscience, philosophy, neurology, psychiatry and computer
science. It employs a scientific method for investigating phenomena,
acquiring new knowledge, or correcting and integrating previous
knowledge. It is based on the proposal of hypotheses as explanations
of phenomena, and the design of experimental studies to test these
hypotheses. These steps must be repeatable in order to dependably
predict any future results. The process is objective to reduce biased
interpretations of the results.
In its clinical applications neuropsychology
uses standardized assessment tools to measure cognitive and
psychological functions in individuals. The use of such instruments
allows direct comparison of an individual’s performance to that of
others of same gender and age and (often) same education level.
Clinical neuropsychologists undergo extensive interdisciplinary
specialized training, which includes studies in neuroanatomy,
neurology, and neurophysiology in addition to general psychology
courses and practice. The combination of inter-disciplinary training
and use of standardized measures allows for remarkable diagnostic
sophistication.
Neuropsychological
testing is more sensitive to the presence of neurological problems
(that is, is more likely to detect a problem) than brain imaging
studies or neurological or psychiatric interviews alone. It is also
more specific in that it allows for fine-grain measurements of a
person's specific skills and weaknesses, thus allowing for
individually tailored treatments and interventions.
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