The Flexible Battery in Neuropsychological Assessment
This chapter describes an approach referred to as “The Flexible Battery,” in which the examiner chooses test instruments on the basis of the patient’s history and presenting symptoms, and on the basis of the outcome of any prior testing that may have been done. This can also be called “patient-centered testing.” This approach to testing, which this author has held over the years, has only slightly been modified by the appearance of such packages as the Halstead-Reitan and the Luria-Nebraska Batteries. The rationale for this approach arises from the fact that observations of brain-injured patients over the last century have revealed deficits, often of a very specific nature, associated with focal lesions, as well as other deficits that are really quite nonspecific in type. For example, among the highly specific disorders are aphasic language disorders, disorders of facial recognition, disorders of purposeful movement, and hemispatial neglect. Among the nonfocal disorders are deficiencies in abstract thinking, slowness and stickiness of mentation. Memory disorders may, in some cases, be quite nonfocal and, in other cases, rather localizing, depending on the characteristics of the memory disorder.
KeywordsFacial Recognition Neuropsychological Assessment Retrograde Amnesia Memory Disorder Hemispatial Neglect
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