An introduction to methodology in neuropsychology |
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xi | |
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1 Principles, objectives and settings |
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1 | (15) |
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1.1 Rationale of this book: an Interpretative Approach to neuropsychological assessment |
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1 | (4) |
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1.2 Objectives of a neuropsychological assessment |
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5 | (4) |
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1.2.1 Contribution to medical diagnosis |
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5 | (1) |
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1.2.2 Distinction between partially overlapping pathologies |
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6 | (1) |
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1.2.3 Assessment of an examinee's independence in day-to-day activities |
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7 | (1) |
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1.2.4 Planning a rehabilitative intervention |
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7 | (1) |
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1.2.5 Certifying the cognitive status for legal or insurance-related reasons |
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8 | (1) |
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1.3 The neuropsychological setting |
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9 | (5) |
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1.3.1 Traditional in-person setting (Setting A) |
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9 | (2) |
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1.3.2 Remote setting with neuropsychologist (Setting B) |
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11 | (1) |
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1.3.3 Remote setting with self-administered psychometric tests (Setting C) |
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12 | (2) |
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1.4 The timeline and the main tools of the neuropsychological assessment |
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14 | (2) |
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2 Anamnesis and semeiotics |
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16 | (9) |
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2.1 Before meeting the examinee: anamnestic information about the examinee (neuropsychological anamnesis) |
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16 | (4) |
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17 | (1) |
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2.1.2 Psychological history |
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18 | (1) |
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19 | (1) |
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2.2 Meeting the examinee: information gathered directly from the examinee (neuropsychological semeiotics) |
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20 | (3) |
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2.2.1 How signs and symptoms can be detected |
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21 | (1) |
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2.2.2 Examples of the main signs typically associated with disorders of specific cognitive functions |
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22 | (1) |
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2.3 At the end of the meeting: preliminary diagnosis and feedback to the examinee |
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23 | (2) |
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3 The neuropsychological interview |
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25 | (13) |
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3.1 Theoretical features of the neuropsychological interview |
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25 | (4) |
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3.1.1 Reformulating and mirroring techniques |
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26 | (1) |
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3.1.2 Goals of the neuropsychological interview |
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27 | (2) |
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3.2 Practical features of the neuropsychological interview |
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29 | (3) |
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3.3 Examples of a communicative exchange during interview |
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32 | (6) |
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3.3.1 Example 1. Introducing the idea of a neuropsychological assessment (using Setting A) |
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32 | (1) |
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3.3.2 Example 2. Introducing the idea of a neuropsychological assessment for an examinee who suffered a brain injury and needs to be cognitively assessed (using Setting A) |
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33 | (1) |
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3.3.3 Example 3. Persuading a reluctant and uncooperative examinee (using Setting A) |
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34 | (1) |
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3.3.4 Example 4. Engaging with an examinee with a depressive attitude (using Setting B, over the phone) |
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35 | (2) |
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3.3.5 Recommendations for remote testing with self-administered modality (using Setting C) |
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37 | (1) |
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4 Psychometric assessment and neuropsychological tests |
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38 | (25) |
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4.1 The psychometric assessment and the neuropsychological tests |
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38 | (1) |
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4.2 A definition of a neuropsychological test |
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39 | (3) |
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4.2.1 Digital (computerised) neuropsychological tests |
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41 | (1) |
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4.3 Measurement in neuropsychology and test development |
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42 | (3) |
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4.4 Constructs investigated in the neuropsychological assessment |
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45 | (4) |
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4.5 The main properties of a test: validity and reliability |
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49 | (8) |
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49 | (1) |
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50 | (1) |
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4.5.3 Convergent-divergent validity |
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50 | (2) |
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52 | (1) |
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53 | (1) |
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4.5.6 The relationship between reliability and validity |
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54 | (2) |
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4.5.7 Cognitive fluctuations and reliability |
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56 | (1) |
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4.5.8 Validity and reliability information during the assessment |
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56 | (1) |
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4.5.9 When is a neuropsychological test good enough to be used? |
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57 | (1) |
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4.6 The selection of tests |
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57 | (3) |
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4.7 The issue of multiple testing in neuropsychological assessment |
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60 | (3) |
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63 | (21) |
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63 | (3) |
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5.1.1 The rationale for using normative data |
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64 | (2) |
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5.2 Collection of normative data |
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66 | (2) |
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5.3 The meaning of cut-offs |
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68 | (1) |
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5.4 The most common methods for calculating normality cut-offs |
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69 | (2) |
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5.5 The difference between sample and population in the use of normative data |
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71 | (2) |
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5.6 Fundamental aspects of normative data |
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73 | (6) |
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5.6.1 Considering demographic variables in normative data |
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73 | (3) |
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5.6.2 Normative data from very large groups are not necessarily better |
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76 | (1) |
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5.6.3 The importance of using up-to-date normative data |
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77 | (1) |
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5.6.4 The importance of using country-specific standards |
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78 | (1) |
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79 | (5) |
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5.7.1 Assessing change over time using neuropsychological tests |
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79 | (2) |
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5.7.2 Comparing the results of different neuropsychological tests |
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81 | (3) |
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6 Test scores: attribution and interpretation |
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84 | (11) |
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84 | (2) |
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6.2 The interpretation of tests |
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86 | (6) |
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6.2.1 The validity of a test for a specific measurement |
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87 | (1) |
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6.2.2 Interpreting tests below the cut-off as a sign of a specific cognitive deficit |
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88 | (2) |
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6.2.3 Interpreting test results at different levels |
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90 | (1) |
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6.2.4 Estimating impairments in daily life from neuropsychological tests |
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91 | (1) |
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6.3 The integration of information for interpreting tests |
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92 | (3) |
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6.3.1 Interpreting ambiguous results |
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93 | (1) |
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6.3.2 Results close to cut-offs |
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93 | (1) |
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6.3.3 Age or education between two different bins |
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94 | (1) |
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7 The probability of identifying a pathology in neuropsychological assessment |
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95 | (13) |
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7.1 The concept of `condition of interest' |
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96 | (1) |
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7.1.1 A priori division of groups and gold standards |
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96 | (1) |
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7.2 Sensitivity and specificity of a test |
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97 | (5) |
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7.2.1 Why do only a few neuropsychological tests have sensitivity and specificity? |
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100 | (2) |
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7.3 The probability of drawing correct or incorrect conclusions in the neuropsychological assessment |
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102 | (1) |
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7.4 The importance of Bayes' theorem for the clinical neuropsychologist |
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103 | (5) |
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8 Neuropsychological diagnosis, feedback and report |
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108 | (22) |
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8.1 Diagnostic reasoning and final diagnosis |
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108 | (4) |
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8.1.1 Descriptive diagnosis (Level 1) |
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110 | (1) |
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8.1.2 Diagnosis of compatibility with an aetiology (Level 2) |
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111 | (1) |
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8.1.3 Functional diagnosis (Level 3) |
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111 | (1) |
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8.2 Errors made by neuropsychologists in formulating a diagnosis |
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112 | (1) |
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8.3 Feedback to the examinee |
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113 | (3) |
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8.3.1 Feedback during the assessment |
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113 | (1) |
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8.3.2 Feedback at the end of the assessment (on the preliminary analysis of the results) |
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114 | (1) |
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8.3.3 Examples of feedback to the examinee |
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115 | (1) |
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8.4 Feedback to the family |
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116 | (4) |
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8.4.1 Examples of feedback to the family |
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118 | (2) |
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8.5 Neuropsychological report |
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120 | (9) |
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8.5.1 Content of the report |
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120 | (1) |
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8.5.2 Style vf the report |
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121 | (1) |
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8.5.3 Tips on how to write a report |
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122 | (1) |
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8.5.4 Ethical considerations |
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123 | (6) |
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129 | (1) |
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9 Examples of clinical cases and reports |
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130 | (26) |
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9.1 A case of head trauma: in-person setting with paper-and-pencil tests (Setting A) |
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130 | (7) |
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9.1.1 Information used by the neuropsychologist for the diagnosis |
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131 | (1) |
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9.1.2 Chronological step-by-step diagnostic procedure |
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132 | (1) |
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9.1.3 Report of the neuropsychological assessmen t |
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133 | (4) |
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9.2 A case of initial cognitive decline: in-person setting with paper-and-pencil and digital tests (Setting A) |
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137 | (11) |
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9.2.1 Information used by the neuropsychologist for the diagnosis |
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137 | (1) |
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9.2.2 Chronological step-by-step diagnostic procedure |
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138 | (1) |
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9.2.3 Reports of the three neuropsychological assessments |
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139 | (9) |
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9.3 A follow up assessment after brain surgery: remote setting with paper and pencil tests (Setting B) |
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148 | (5) |
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9.3.1 Information used by the neuropsychologist for the assessment |
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149 | (1) |
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9.3.2 Chronological step-by-step diagnostic procedure |
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149 | (1) |
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9.3.3 Report of the follow-up neuropsychological assessment |
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150 | (3) |
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9.4 The case of a healthy older woman: remote setting with self-administered tests (Setting C) |
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153 | (3) |
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153 | (1) |
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9.4.2 Neuropsychological step-by-step procedure |
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154 | (2) |
Appendix 1 Form used by the neuropsychologist to collect signs and symptoms during an assessment |
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156 | (1) |
Appendix 2 The Cognitive Reserve Index Questionnaire (CRIq) |
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157 | (2) |
Appendix 3 Implicit inferences in the report |
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159 | (5) |
Glossary |
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164 | (4) |
Bibliography |
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168 | (11) |
Index |
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179 | |