Brain Injury
Rehabilitation Unit Liverpool Hospital
Brain Injury
Rehabilitation Directorate (BIRD) NSW Agency for
Clinical Innovation
4.1
Define neuropsychology and the role of the neuropsychologist
What
is cognitive functioning / cognition?
The terms cognition
and cognitive functioning are generally used when referring to someone's
thinking processes - such as attention, problem solving, learning,
memory, language and ‘higher level’ thinking processes,
for example; decision making, planning and abstract reasoning skills.
The following animation
shows, using a flow chart, the individual cognitive processes that
are
involved in the 'higher level' process of memorising an important
phone number.
The above animation gives some examples of cognitive processes. Now
try and come up with as many other cognitive processes that you
would
use in your own cognition.
What is neuropsychology?
Neuropsychology is the scientific study of the relationship between
the brain and behaviour. Behaviour includes actions that are observed,
emotions and cognitive functions.
What is a neuropsychologist?
A neuropsychologist is a registered psychologist with specialised
training in the area of Neuropsychology. They are often based at a
hospital or rehabilitation unit and work with different groups of people
with acquired brain injury, including traumatic brain injury, stroke,
dementia, neurological disorders and alcohol related brain damage.
In a TBI setting, a neuropsychologist will:
Perform a neuropsychological assessment to establish a profile of cognitive
strengths and weaknesses following a TBI
Provide feedback of neuropsychological findings to:
o The person themselves
o The family
o Services involved with the client
Work with the client, their family, their carers, therapists and other
services involved in their rehabilitation to develop and recommend
strategies to help compensate for cognitive and behavioural changes
How does a neuropsychologist assess cognitive and behavioural changes?
A comprehensive neuropsychological assessement includes:
Clinical interview
History taking
Getting a corroborative history from others
Clinical observation
Neuropsychological testing – using a range of standardised
tests that have been restricted for use and interpretation by registered
psychologists