Brickman Adam M, Cabo Raquel, Manly Jennifer J
Cognitive Neuroscience Division, Taub Institute for Research on Alzheimer's Disease and the Aging Brain, Columbia University Medical Center, New York, New York 10032, USA.
Appl Neuropsychol. 2006;13(2):91-100. doi: 10.1207/s15324826an1302_4.
Clinical neuropsychologists who assess patients from diverse cultural and linguistic backgrounds face unique ethical challenges. In this article, we address 4 critical questions relevant to ethics of cross-cultural neuropsychology: (a) Should culture or race be considered in neuropsychological testing? (b) Should race- and ethnicity-specific normative data be used in the clinical neuropsychological evaluation? (c) Who is competent to design and translate tests for ethnic minority groups and non-English speakers and who is competent to administer and interpret them? and (d) Are neuropsychology training programs adequately preparing clinicians to be competent in the assessment of cross-cultural groups? The overall aims of the article are to highlight the complexity of these clinical and ethical issues, to provide comprehensive and balanced information to help guide clinician choices, and to stimulate future research in this area.
评估来自不同文化和语言背景患者的临床神经心理学家面临着独特的伦理挑战。在本文中，我们探讨了与跨文化神经心理学伦理相关的4个关键问题：(a) 在神经心理学测试中是否应考虑文化或种族？(b) 在临床神经心理学评估中是否应使用特定种族和族裔的常模数据？(c) 谁有能力为少数族裔群体和非英语使用者设计和翻译测试，谁有能力进行测试管理和解释？以及(d) 神经心理学培训项目是否充分培养临床医生具备评估跨文化群体的能力？本文的总体目标是突出这些临床和伦理问题的复杂性，提供全面且平衡的信息以帮助指导临床医生做出选择，并激发该领域未来的研究。
