Haaland Kathleen Y
New Mexico VA Healthcare System and Department of Psychiatry, University of New Mexico School of Medicine, Albuquerque, NM 87108, USA.
Clin Neuropsychol. 2006 Dec;20(4):609-22. doi: 10.1080/13854040590967577.
Clinical neuropsychology's dependence upon a core scientific background in clinical neuropsychology, and clinical psychology, neurology, and neuroanatomy, as well as biopsychology, cognitive neuroscience, and cognitive science is the basis of its designation as an APA-approved clinical specialty. This dependence highlights the importance of these scientific underpinnings and the scientist-practitioner model of training, detailed in the Houston Guidelines. This presentation is meant to demonstrate that cognitive neuroscience research should influence our conception of brain behavior relationships, which, in turn, should influence our clinical work. In addition, I want to illustrate how the utilization of converging methods, which is an increasingly popular approach to research, can ensure more valid conclusions about the neuroanatomical substrates for complex skills. Limb apraxia will be used as an example of a deficit that has functional implications and whose cognitive mechanisms and neuroanatomical correlates are better understood as a result of research that combines neuroanatomical imaging of brain damaged patients, functional imaging, and cognitive paradigms. This work demonstrates that left frontoparietal circuits control limb praxis and motor sequencing, suggesting that these complex motor skills should be examined in patients with such damage.
临床神经心理学依赖于临床神经心理学、临床心理学、神经病学、神经解剖学以及生物心理学、认知神经科学和认知科学等核心科学背景,这是其被指定为美国心理学会认可的临床专业的基础。这种依赖凸显了这些科学基础以及休斯顿指南中详述的科学家 - 从业者培训模式的重要性。本报告旨在表明认知神经科学研究应影响我们对脑 - 行为关系的概念,而这反过来又应影响我们的临床工作。此外,我想说明如何利用越来越流行的融合研究方法,能够确保就复杂技能的神经解剖学基础得出更有效的结论。肢体失用症将作为一个具有功能影响的缺陷的例子,并且由于结合了脑损伤患者的神经解剖学成像、功能成像和认知范式的研究,其认知机制和神经解剖学关联得到了更好的理解。这项工作表明左额顶叶回路控制肢体运用和运动序列,这表明对于有此类损伤的患者应检查这些复杂的运动技能。