Collaborative Therapeutic Neuropsychological Assessment

Foreword by Stephen Finn, Center for Therapeutic Assessment I. Introduction: Overview and Background of CTNA a. This chapter will begin with brief case examples of feedback sessions conducted in a traditional manner and according to CTNA methods as a segue to an overview of CTNA as contrasted with standard practice in neuropsychological assessment, commonly referred to as the 'information gathering model.' b. The next section describes current challenges facing the field of Clinical Neuropsychology. Psychological and neuropsychological assessment have struggled in the era of managed care for a number of reasons, not the least of which include the advent of radiology methods for identifying brain lesions, consumer and provider misunderstanding of the rationale and usefulness of neuropsychological assessment, and the identity confusion many neuropsychologists face in the roles of treatment and rehabilitation planning. CTNA will be introduced as a method for meeting these challenges and helping to make neuropsychological assessment responsive to consumers, providers, and referral sources while enhancing collaboration between professions. An overview will be provided of a published survey, conducted by the editors, on neuropsychological assessment feedback practices. II. Conceptual Foundations: Brief history of neuropsychological assessment feedback a. Therapeutic Assessment Models: The historical background for using psychological testing as a collaborative and therapeutic intervention. First, a review of the early projective test studies will be described. Then the chapter will describe Constance Fischer's Individualized Psychological Assessment and Stephen Finn's Therapeutic Psychological Assessment. b. Luria's work: The chapter will begin with an analysis of Alexandr Rumanovich Luria's Neuropsychological Investigation and how his methodology provides aprecursor to contemporary client centered neuropsychological interventions and rehabilitation. c. Literature review:

Tad T. Gorske, Ph.D. is an assistant professor in the University of Pittsburgh School of Medicine, Department of Physical Medicine and Rehabilitation and is a licensed psychologist in Pittsburgh, Pennsylvania. His specialty areas include psychotherapy, psychological and neuropsychological testing with adults and older adults with mood, anxiety, and substance use disorders. Dr. Gorske completed his doctoral studies in Counseling Psychology at West Virginia University and postdoctoral training at Western Psychiatric Institute and Clinic in Clinical Neuropsychology and Addiction Medicine. From these experiences he developed Therapeutic Neuropsychological Assessment (TNA) with Dr. Christopher Ryan, an internationally renowned researcher in the field of neuropsychology and alcoholism. Dr. Gorske remains on faculty, studying the effects of TNA with clients. He has published in scholarly journals on topics related to addiction, neuropsychology, and counseling. Dr. Gorske is a member of the Motivational Interviewing Network of Trainers and is also active as Program and Education Board Chair for the Pennsylvania Psychological Association and the Board of Directors for the Greater Pittsburgh Psychological Association. He has presented his methods and results from a federally funded study in local and national conferences.

Steven R. Smith, Ph.D. is an assistant professor in the Department of Counseling, Clinical, and School Psychology at the University of California, Santa Barbara. Dr. Smith conducts research on the integration of neuropsychology and personality assessment. He is the director of the Psychology Assessment Center at UCSB and is co-editor of two recent volumes on assessment: The Clinical Assessment of Children and Adolescents: A Clinician's Handbook (with Dr. Leonard Handler; LEA) and Personality Assessment: Evaluation, Application, and Integration (with Dr. Robert Archer; LEA). In 2005, he was presented the Beck Award by the Society for Personality