AREAS DE EXPANSION Y AREAS DE EXPANSION Y CONFLICTO EN EL CONFLICTO EN EL

DESARROLLO DE LA DESARROLLO DE LA NEUROPSICOLOGIA NEUROPSICOLOGIA

CLINICACLINICA

Antonio E. Puente, Ph.D.Antonio E. Puente, Ph.D.

University of North Carolina at Wilmington,University of North Carolina at Wilmington,Wilmington, NC 28403Wilmington, NC 28403

Phone: (910) 962-38-12 Fax (910) 962-Phone: (910) 962-38-12 Fax (910) 962-70107010

E-mail:puente@uncwil.eduE-mail:puente@uncwil.edu

Colegio Oficial de PsicologosColegio Oficial de PsicologosMadrid, EspanaMadrid, EspanaMay 12, 2000May 12, 2000

Theoretical ProspectsTheoretical Prospects

Neuropsychology as a Hybrid DisciplineNeuropsychology as a Hybrid Discipline To Expand, Neuropsychology Must To Expand, Neuropsychology Must

Appreciate Ignored DisciplinesAppreciate Ignored Disciplines Historical and Philosophical Historical and Philosophical

Underpinnings Must be Better Underpinnings Must be Better UnderstoodUnderstood

Neuropsychology Must make Further In-Neuropsychology Must make Further In-Roads with Science, Medicine, & SocietyRoads with Science, Medicine, & Society

Theoretical Prospects Theoretical Prospects (cont.)(cont.)

The Cognitive and Subjective Must The Cognitive and Subjective Must

Play an Important RolePlay an Important Role

Neuropsychology will Become Neuropsychology will Become

UniversalUniversal

Is Psychology Nothing More than Is Psychology Nothing More than

Neuropsychology Re-Defined by a Neuropsychology Re-Defined by a

Century of Misguided Behaviorism?Century of Misguided Behaviorism?

Suggestions for StudentsSuggestions for Students

Appreciate the Hybrid FoundationAppreciate the Hybrid Foundation Bring to the Field Ideas that Appear Bring to the Field Ideas that Appear

“Outside-the-box”“Outside-the-box” Realize that Neuropsychology is Realize that Neuropsychology is

Both a Professional and Scientific Both a Professional and Scientific EnterpriseEnterprise

The Discipline must Prove its value The Discipline must Prove its value to “Common” Person & Societyto “Common” Person & Society

ConflictsConflicts

Personnel:Personnel:– PersonalitiesPersonalities– Cross-Disciplinary RivalryCross-Disciplinary Rivalry– Defining a NeuropsychologistDefining a Neuropsychologist– Certifying a NeuropsychologistCertifying a Neuropsychologist

Conflicts IIConflicts II

Lack of ScienceLack of Science– Adequate Variety of TestsAdequate Variety of Tests– Adequate Tests of Executive Adequate Tests of Executive

FunctionsFunctions– Lack of Ecological ValidityLack of Ecological Validity– Questionable Criterion ValidityQuestionable Criterion Validity– Limited NormsLimited Norms– Standardization vs FlexibilityStandardization vs Flexibility

Conflicts IIIConflicts III

Limited Social ValueLimited Social Value– Economic ConcernsEconomic Concerns– Clinical ValueClinical Value– Social ValueSocial Value– GeneralizabilityGeneralizability

Conflicts- SummaryConflicts- Summary

PersonnelPersonnel ScienceScience ValueValue

Expansion PossibilitiesExpansion Possibilities

Psychology as NeuropsychologyPsychology as Neuropsychology– Examples;Examples;

William JamesWilliam James Ivan PavlovIvan Pavlov

Expansion IIExpansion II

Integration of Theoretical Views Integration of Theoretical Views – Diminishing National BoundariesDiminishing National Boundaries– Understanding the Role of Culture as Understanding the Role of Culture as

well as Education, Age, and Genderwell as Education, Age, and Gender– Integration with Humanistic ArenasIntegration with Humanistic Arenas– Introduction of the Importance of Introduction of the Importance of

Consciousness in Brain DysfunctionConsciousness in Brain Dysfunction

Expansion IIIExpansion III

Scientific OpportunitiesScientific Opportunities– Multi-DisciplinaryMulti-Disciplinary– Integration with such Sciences as Integration with such Sciences as

Anthropology, Physics, Criminal JusticeAnthropology, Physics, Criminal Justice– Issues of Criterion ValidityIssues of Criterion Validity– Adequate Norms, including Multi-Adequate Norms, including Multi-

Center & Multi-National Data GatheringCenter & Multi-National Data Gathering

Expansion IVExpansion IV

Clinical/Applied OpportunitiesClinical/Applied Opportunities– Traditional Clinical NeuropsychologyTraditional Clinical Neuropsychology– Current Clinical NeuropsychologyCurrent Clinical Neuropsychology– The FutureThe Future

Expansion IV- continuedExpansion IV- continued

– RehabilitationRehabilitation– Systems ApproachSystems Approach– Biopsychosocial ContextBiopsychosocial Context– Historical PerspectiveHistorical Perspective– Universal NeuropsychologyUniversal Neuropsychology– Applications to Legal, Vocational, & Applications to Legal, Vocational, &

SportsSports

Expansion VExpansion V

Social/Public PolicySocial/Public Policy– Mental Vs Physical HealthMental Vs Physical Health– Perception of SciencePerception of Science– Address Basic Philosophical IssuesAddress Basic Philosophical Issues– Conceptually of Social ValueConceptually of Social Value

Expansion- SummaryExpansion- Summary

TheoreticalTheoretical ScientificScientific AppliedApplied

DirectionsDirections

Have Things Changed in Two Have Things Changed in Two Years?Years?

Did Things Change During the Did Things Change During the 1990s- the Decade of the Brain?1990s- the Decade of the Brain?

IntegrationIntegration ExpansionExpansion Understanding the Role of ScienceUnderstanding the Role of Science