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E-raamat: Neuropsychology of Cognitive Decline: A Developmental Approach to Assessment and Intervention

(University of Victoria, Canada), (University of Victoria, Canada)
  • Formaat: 387 pages
  • Ilmumisaeg: 15-May-2018
  • Kirjastus: Guilford Press
  • Keel: eng
  • ISBN-13: 9781462535408
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  • Formaat: 387 pages
  • Ilmumisaeg: 15-May-2018
  • Kirjastus: Guilford Press
  • Keel: eng
  • ISBN-13: 9781462535408

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Presenting best practices for assessment and intervention with older adults experiencing cognitive decline, this book draws on cutting-edge research and extensive clinical experience. The authors' integrative approach skillfully interweaves neuropsychological and developmental knowledge. The volume provides guidelines for evaluating and differentiating among normal aging, subjective cognitive decline, mild cognitive impairment, and different types of dementia. It identifies risk and protective factors that may influence an individual's trajectory and describes how to create a sound case conceptualization. Evidence-based strategies for pharmacological, cognitive, behavioral, and psychological intervention with patients and their caregivers are illustrated with vivid case examples. 
 

Arvustused

"This outstanding book is a true gem. Covering central topics in geriatric neuropsychology, it is organized in a pedagogically logical manner and is well written and highly relevant to practice. The book offers an important conceptualization of the experience of cognitive decline that goes beyond diagnostic categories. The discussion of assessment helps the practitioner carefully distinguish the range of normal aging states from static and transition states of mild cognitive decline and dementia. The book describes pharmacologic, cognitive training, and psychological interventions aimed at optimizing well-being, compensatory skill, and functional skill. It can be welcomed as a strong primary resource for any neuropsychologist or student practicing with elders. As the landscape of our aging population changes, this is a valuable resource for practice and teaching that is worthy of ownership and frequent reference."--Deborah Koltai, PhD, ABPP/CN, Director, Duke Clinical Neuropsychology Service; Associate Professor, Departments of Neurology, Psychiatry and Behavioral Sciences, and Neurosurgery, Duke University Medical Center

"Tuokko and Smart--both of whom are accomplished researchers and clinicians--provide an excellent evidence-based reference. The integrative, developmentally focused approach to both assessment and treatment helps prepare clinicians, students, and trainees to establish a comprehensive understanding of each patient--not just his or her symptoms--in order to make a meaningful difference in the persons life. A particularly important feature that sets this book apart from others on cognitive decline is its coverage of cognitive wellness and factors that promote neurological health and protect against cognitive decline. This is a book that neuropsychologists who evaluate and treat older adults, and those preparing for such a career, should read and keep nearby."--Shane S. Bush, PhD, ABPP, private practice, Lake Ronkonkoma, New York; adjunct faculty, Department of Psychology, University of Alabama

"Essential reading for neuropsychologists, geriatricians, neurologists, and psychiatrists who provide services for older adults. What makes the book distinctive is its accessible overview of the cognitive aging process that successfully integrates basic and cognitive neuroscience, clinical neuropsychology, and lifespan development approaches. Chapters on intervention are particularly useful, offering practical guidance and tools to improve aspects of cognitive, emotional, and behavioral functioning. A strength of the book, overall, is its emphasis on the relative influences of biological, psychological, and social factors in the stunningly complex, often nonlinear trajectory of cognitive aging."--Laura A. Rabin, PhD, Department of Psychology, Brooklyn College of the City University of New York

"Highly readable and with broad coverage of key topics, this volume is sure to appeal to seasoned clinicians as well as students. The book contains a helpful introduction to both protective and risk factors for cognitive decline. It supports interpretation of individuals' current cognitive symptom presentations based on an integrative developmental perspective that is sensitive to a range of potential contributing factors. This framework--coupled with clinical assessment guidelines and engaging case studies--brings to life the process of interpreting often complex assessment scenarios. The distillation of empirical research on types of interventions suitable for specific neuropsychological presentations is extremely useful. A valuable resource."--Nancy A. Pachana, PhD, FASSA, Codirector, Aging Mind Initiative, University of Queensland, Australia -Recommended. Graduate students, researchers, and practitioners.--Choice Reviews, 1/1/2019

Part I An Overview of Cognitive Decline in Later Life
1 Introduction to the Study of Cognitive Decline
3(13)
Approaches to the Study of Cognitive Decline in Well-Functioning Older Adults
5(10)
Summary and Conclusions
15(1)
2 Factors Protective against Cognitive Decline
16(16)
Education
17(2)
Multilingualism
19(3)
Cognitive Leisure Activities
22(2)
Social Interaction
24(1)
Physical Activity
25(1)
Nutrition
26(2)
Evaluation of the Available Literature
28(2)
Implications for Clinical Practice
30(1)
Summary and Conclusions
31(1)
3 Factors Predictive of Cognitive Decline
32(17)
Education
33(1)
Social Isolation
33(1)
Health and Medical Factors
34(5)
Genetic Factors
39(3)
Bioage and Biomarkers
42(1)
Evaluation of the Available Literature
43(1)
Implications for Clinical Practice
44(1)
Summary and Conclusions
45(4)
Part II Assessment Strategies for Late-Life Cognitive Decline
4 An Integrative, Developmental Approach to Assessment
49(33)
An Applied Neuropsychological Approach to Assessment
52(5)
The Expanding Role of Technology in Cognitive Assessment
57(9)
Ethical Issues in the Assessment of Older Adults
66(7)
Assessment of Trajectories of Cognitive Decline
73(1)
Summary and Conclusions
74(1)
Key Points
75(7)
Appendix 4.1 Key Interview Information to Be Obtained
76(2)
Appendix 4.2 Cognitive Domains for Administration and Interpretation
78(2)
Appendix 4.3 Ethical Principles and the Assessment Process
80(2)
5 Normal Age-Related Cognitive Decline
82(20)
Normative Comparison Standards
83(10)
Normal Cognitive Aging in Context
93(7)
Summary and Conclusions
100(1)
Key Points
101(1)
6 Subjective Cognitive Decline
102(24)
Evolution and Operationalization of the Construct of SCD
103(1)
Rates of Cognitive Decline in SCD
104(3)
Objective Markers of Decline in Persons with SCD
107(5)
Operationalizing the Diagnosis of SCD in Clinical Practice
112(9)
Ethical Issues in Providing a Diagnosis of SCD
121(2)
Summary and Conclusions
123(1)
Key Points
124(2)
7 Mild Cognitive Impairment
126(21)
Evolution of the Construct of MCI
126(2)
Current Diagnostic Approaches to MCI
128(3)
MCI as a Prodrome to Dementia
131(5)
Operationalizing the Diagnosis of MCI in Clinical Practice
136(6)
Psychological and Ethical Considerations in the Diagnosis of MCI
142(3)
Summary and Conclusions
145(1)
Key Points
146(1)
8 Dementia
147(34)
Conducting the Assessment
148(18)
Additional and Ongoing Assessment of Dementia
166(9)
Summary and Conclusions
175(1)
Key Points
176(5)
Appendix 8.1 Examples of Information Obtained for Capacity Assessments
177(4)
Part III Interventions for Late-Life Cognitive Decline
9 An Integrative, Developmental Approach to Intervention
181(22)
An Applied Neuropsychological Approach to Intervention
185(13)
Summary and Conclusions
198(2)
Key Points
200(3)
Appendix 9.1 Example Psychoeducational Handout for Sam Prior to Initiating Treatment
201(2)
10 Pharmacological Interventions
203(27)
Medications as Part of the Biopsychosocial Framework of Intervention
204(3)
Neuropsychologists' Contributions to Psychopharmacological Interventions
207(2)
Classes of Medications and Their Potential Influence on Cognitive/Behavioral and Emotional Functioning in Older Adults
209(17)
Summary and Conclusions
226(2)
Key Points
228(2)
Appendix 10.1 Resources for Continuing Education on Psychopharmacology
229(1)
11 Cognitive and Behavioral Interventions
230(40)
Theoretical Foundations
231(2)
Empirical Evidence for Cognitive and Behavioral Interventions
233(17)
Practical Application of Cognitive and Behavioral Interventions
250(15)
Summary and Conclusions
265(2)
Key Points
267(3)
Appendix 11.1 Resources for Cognitive and Behavioral Interventions
268(2)
12 Psychological Interventions
270(41)
Consideration of Factors That Contribute to Psychological Functioning
271(1)
Assessment of Psychological Functioning
272(1)
Adjustment to Change in Late Life
273(7)
Diagnosable Psychological Disorders
280(9)
Neuropsychiatric and Neurobehavioral Syndromes
289(7)
Family and Caregiver Functioning
296(9)
Summary and Conclusions
305(1)
Key Points
306(5)
Appendix 12.1 Core Questions Regarding Psychological Function to Be Asked during Assessment or Prior to Intervention
308(3)
References 311(62)
Index 373
Holly A. Tuokko, PhD, a clinical neuropsychologist, is Professor of Psychology and a member of the graduate faculty in the Clinical Psychology Training Program at the University of Victoria, British Columbia, Canada, where she is also a research affiliate of the Institute on Aging and Lifelong Health. Prior to joining the University of Victoria, Dr. Tuokko was Supervising Psychologist at the Clinic for Alzheimer Disease and Related Disorders at UBC Hospital and worked on a geriatric mental health outreach team. She coordinated the neuropsychological component of the Canadian Study of Health and Aging and was awarded Senior Investigator status by the Canadian Institutes of Health Research from 2002 to 2007 for a program of research on mental health and aging, including the evolution of cognitive disorders. Dr. Tuokko was the Psychological Health theme leader for the Canadian Longitudinal Study of Aging from its inception until 2017.

Colette M. Smart, PhD, a clinical neuropsychologist, is Associate Professor of Psychology and a member of the graduate faculty in the Clinical Psychology Training Program at the University of Victoria, British Columbia, Canada, where she is also a research affiliate of the Institute on Aging and Lifelong Health. Previously, Dr. Smart was a staff neuropsychologist and clinician-researcher at the Johnson Rehabilitation Institute and the Neuroscience Institute, both affiliates of JFK Medical Center in Edison, New Jersey. Her current research integrates her knowledge of aging and dementia with principles and practices of neurorehabilitation. Dr. Smart is a core member of the Subjective Cognitive Decline Initiative, an international working group of clinician-researchers, in which she focuses on the role of cognitive-experimental tests in detecting subjective cognitive decline, as well as nonpharmacological interventions such as mindfulness training.