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3 - Multicultural considerations in lifespan neuropsychological assessment

from Section I - Theory and models

Published online by Cambridge University Press:  07 May 2010

Jacobus Donders
Affiliation:
Mary Free Bed Rehabilitation Hospital
Scott J. Hunter
Affiliation:
University of Chicago
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Summary

Introduction

Neuropsychological assessment has the ability to detect a variety of brain-based pathologies and their impact on cognitive and behavioral functioning across the lifespan. Yet, despite this capability, it has become increasingly clear that neuropsychological assessments are not a pure measure of an individual's abilities, nor do they directly or specifically demonstrate brain–behavior interactions. Rather, research has indicated that many facets of an individual's cultural background impact the assessment procedure and its interpretation. In response, it has become increasingly important to understand the effects cultural and environmental factors have on the practice of neuropsychological assessment and diagnosis. Without an understanding of the unique contribution of culture and environment to a patient's performance on tests, neuropsychologists may risk misdiagnosis as well as fail to notice important opportunities to engage the patient and family in the eventual rehabilitative or treatment process.

The importance of understanding the role of culture in assessment and treatment of neurological issues has been very well highlighted in the last decade. As one example, Anne Fadiman, in her book The Spirit Catches You and You Fall Down, writes about a young girl born into a family of Hmong refugees from Laos living in Merced, California [1]. The author discusses the treatment of and eventual tragedy that results when this young Hmong girl, Lia, is diagnosed with epilepsy, by emphasizing the interweaving role that culture plays in the diagnostic and treatment process.

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Publisher: Cambridge University Press
Print publication year: 2010

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References

Fadiman, A. The Spirit Catches You and You Fall Down. New York: Farrar, Strauss, & Giroux; 1997.Google Scholar
Kamphaus, RW. Clinical Assessment of Children's Intelligence. Boston: Allyn & Bacon; 1993.Google Scholar
Wechsler, D. Wechsler Intelligence Scale for Children- Fourth Edition, Spanish. San Antonio, TX: Harcourt Assessments; 2004.Google Scholar
Ardila, A. Directions of research in cross-cultural neuropsychology. J Exp Psychol 1995;17:143–50.Google ScholarPubMed
Manly, JJ, Jacobs, DM, Touradji, P, Small, SA, Stern, Y.Reading level attenuates differences in neuropsychological test performance between African American and white elders. J Int Neuropsychol Soc 2002;8:341–8.CrossRefGoogle ScholarPubMed
Ries, JK, Potter, BS, Llorente, AM.Multicultural aspects of pediatric neuropsychological intervention and rehabilitation. In Hunter, S, Donders, J, eds. Pediatric Neuropsychological Interventions. New York: Cambridge University Press, 2007: 47–67.Google Scholar
,American Psychological Association. Ethical principles of psychologists and code of conduct. Am Psychol 2002;57:1060–73.CrossRefGoogle Scholar
Gardiner, HW, Kosmitzki, C.Lives Across Cultures: Cross-cultural Human Development. New York: Pearson Education; 2005.Google Scholar
,American Psychological Association. Guidelines on multicultural education, training, research, practice, and organizational change for psychologists. Am Psychol 2003;58:377–402.CrossRefGoogle Scholar
Neisser, U, Boodoo, G, Bouchard, TJJ, Boykin, AW, Brody, N, Ceci, SJ, et al. Intelligence: knowns and unknowns. Am Psychol 1996;51:77–101.CrossRefGoogle Scholar
Kennepohl, S. Toward a cultural neuropsychology: an alternative view and a preliminary model. Brain Cogn 1999;41:365–80.CrossRefGoogle Scholar
Agostini, M, Khamis, AH, Ahui, AM, Dellatolas, G.Environmental influences in hand preference: an African point of view. Brain Cogn 1997;35(2):151–67.CrossRefGoogle ScholarPubMed
Hatta, T, Kawakami, A.Image generation and handedness: is the hemi-imagery method valid for studying the hemisphere imagery generation process?Neuropsychologia 1997;35:1499–502.CrossRefGoogle ScholarPubMed
Heaton, RK, Taylor, M, Manly, J.Demographic effects and demographically corrected norms with the WAIS-III and WMS-III. In Tulsky, D, et al., eds. Clinical interpretations of the WAIS-II and WMS-III. San Diego: Academic Press; 2003: 183–210.Google Scholar
Manly, JJ, Touradji, P, Tang, MX, Stern, Y.Literacy and memory decline among ethically diverse elders. J Clin Exp Neuropsychol 2003;25:680–90.CrossRefGoogle Scholar
Steele, CM.Stereotyping and its threat are real. Am Psychol 1998; 53: 680–81.CrossRefGoogle Scholar
Manly, JJ, Byrd, DA, Touradji, P, Stern, Y.Acculturation, reading level, and neuropsychological test performance among African American elders. Appl Neuropsychol 2004;11:37–46.CrossRefGoogle ScholarPubMed
Mensh, E, Mensh, H.The IQ Mythology: Class, Race, Gender, and Inequality. Carbondale, IL: Southern University Press; 1991.Google Scholar
Gasquoine, PG. Variables moderating cultural and ethnic differences in neuropsychological assessment: the case of Hispanic Americans. Clin Neuropsychol 1999;13(3):376–83.CrossRefGoogle ScholarPubMed
Clark, VR, Williams, DR. Racism as a stressor for African Americans: a biopsychosocial model. Am Psychol 1999;54:1070–77.CrossRefGoogle ScholarPubMed
Mendelson, T, Kubzansky, LD, Datta, GD, Buka, SL. Relation of female gender and low socioeconomic status to internalizing symptoms among adolescents: a case of double jeopardy?Soc Sci Med 2008;66(6):1284–96.CrossRefGoogle ScholarPubMed
Dovidio, JF, Kawakami, K, Gaertner, SL. Implicit and explicit prejudices and interracial interaction. J Pers Soc Psychol 2002;82:62–8.CrossRefGoogle ScholarPubMed
Shepherd, I, Leathem, J.Factors affecting performance in cross-cultural neuropsychology: from a New Zealand bicultural perspective. J Int Neuropsychol Soc 1999;5:83–4.CrossRefGoogle ScholarPubMed
Horn, JL, Cattell, RB. Age differences in fluid and crystallized intelligence. Acta Psychol 1967;26:107–29.CrossRefGoogle ScholarPubMed
Sue, S.Measurement, testing, and ethnic bias: Can solutions be found? In: Sodowsky, GR, Impara, JC, eds. Multicultural Assessment in Counseling and Clinical Psychology. Lincoln, NB: Buros Institute of Mental Measurement; 1998: 7–36.Google Scholar
Rey, GJ, Feldman, E, Rivas-Vazquez, R, Levin, BE, Benton, A. Neuropsychological test development for Hispanics. Arch Clin Neuropsychol 1998;14:593–601.CrossRefGoogle Scholar
Landrine, H, Klonoff, EA. The African American Acculturation Scale: development, reliability and validity. J Black Psychol 1994;20:102–27.CrossRefGoogle Scholar
Lezak, MD, Howleson, DB, Loring, DW. Neuropsychological Assessment, 4th edn. New York: Oxford University Press; 2004.Google Scholar
,US Census Bureau. 2008 National Population Projections [document on the internet]. Washington DC: USCB; 2008 August [cited 2008 October 30]. Available from http://www.census.gov/ipc/www/usinterimproj.
Hays, PA. Culturally responsive assessment with diverse older clients. Prof Psychol Res Pr 1996;27(2):188–93.CrossRefGoogle Scholar
Manly, JJ, Byrd, DA, Touradji, P, Sanchez, D, Stern, Y.Literacy and cognitive change among ethnically diverse elders. Int J Psychol 2004;39(1):47–60.CrossRefGoogle Scholar
Levy, J, Heller, W.Gender differences in human neuropsychological function. In Gerall, AA, Moltz, H, Ward, IL, eds. Handbook of Behavioral Neurobiology, Vol. 11. New York: Plenum; 1992.Google Scholar
Cuffe, SP, Moore, CG, McKeanan, RE. Prevalence and correlates of ADHD symptoms in the National Health Interview Survey. J Atten Disord 2005;9:392–401.CrossRefGoogle ScholarPubMed
Seeman, MN. Gender differences in schizophrenia across the life span. In: Cohen, CI, ed. Schizophrenia Into Later Life. Washington DC: American Psychiatric Publishing; 2003.Google Scholar
Valencia, RR, Suzuki, . Intelligence Testing and Minority Students: Foundations, Performance Factors, and Assessment Issues. Thousand Oaks, CA: Sage; 2001.Google Scholar
,Centers for Disease Control and Prevention. Use of race and ethnicity in public health surveillance summary of the CDC/ATSDR workshop. Washington DC: MMWR Wkly 1993; 10.Google Scholar
Hart, B, Risley, TR. Meaningful Differences in the Everyday Experiences of Young American Children. Baltimore: Brookes; 1995.Google Scholar
Campbell, T, Dollaghan, C, Needleman, H, Janosky, J.Reducing bias in language assessment: processing-dependent measures. J Speech Hear Res 1997;40:519–25.CrossRefGoogle ScholarPubMed
Noble, KG, McCandliss, BD, Farah, MJ. Socioeconomic gradient predict individual differences in neurocognitive abilities. Dev Sci 2007;10(4):464–80.CrossRefGoogle ScholarPubMed
Gorp, WG, Myers, HF, Drake, EB. Neuropsychology training: ethnocultural considerations in the context of general competency training. In Fletcher-Janzen, E, Strickland, TL, Reynolds, CR, eds. Handbook of Cross-cultural Neuropsychology. New York: Kluwer Academic/Plenum; 2000: 19–27.CrossRefGoogle Scholar
Palloni, A, Morenoff, JD. Interpreting the paradoxical in the Hispanic paradox: demographic and epidemiologic approaches. Ann N Y Acad Sci 2001;954:140–74.CrossRefGoogle ScholarPubMed
,US Census Bureau. Census 2000 brief. Washington DC: USCB; 2001. USCB publication.Google Scholar
,American Psychological Association. Guidelines and principles for accreditation of programs in professional psychology [document on the Internet]. Washington DC: APA; 2008 [cited 2009 Feb 25]. Available from: http://www.apa.org/ed/accreditation/G&P0522.pdf.
Hannay, HJ, Bieliauskas, , Crosson, BA, Hammeke, TA, Hamsher, K, Koffler, SP. Proceedings of the Houston Conference on Specialty Education and Training in Clinical Neuropsychology. Arch Clin Neuropsychol 1998;13:157–250.Google Scholar
Brickman, AM, Cabo, R, Manly, J.Ethical issues in cross-cultural neuropsychology. Appl Neuropsychol 2006;13(2):91–100.CrossRefGoogle ScholarPubMed
Manly, J, Echemendia, RJ. Race-specific norms: using the model of hypertension to understand issues of race, culture, and education in neuropsychology. Arch Clin Neuropsychol 2007;22(3):319–25.CrossRefGoogle ScholarPubMed
Wong, TM, Strickland, TL, Fletcher-Janzen, E, Ardila, A, Reynolds, CR. Theoretical and practical issues in the neuropsychological assessment and treatment of culturally dissimilar patients. In Fletcher-Janzen, E, Strickland, TL, Reynolds, CR, eds. Handbook of Cross-cultural Neuropsychology. New York: Kluwer Academic/Plenum; 2000: 3–18.CrossRefGoogle Scholar
Nell, V.Cross-cultural Neuropsychological Assessment: Theory and Practice. Mahwah, NJ: Lawrence Erlbaum Associates; 2000.Google Scholar
Artiola, i Fortuny L, Mullaney, H. Assessing patients whose language you do not know: can the absurd be ethical? Clin Neuopsychol 1998;12:113–26.CrossRefGoogle Scholar
Nelson, HE.The National Adult Reading Test (NART): Test Manual. Bury St. Edmunds, UK: Thames Valley Test Company; 1982.Google Scholar
Schrauf, RW, Weintraub, S, Navarro, E.Is adaptation of the word accentuation test of premorbid intelligence necessary for use among older, Spanish-speaking immigrants in the United States? J Int Neuropsychol Soc 2006;12(3):391–99.CrossRefGoogle ScholarPubMed
Manly, JJ, Jacobs, DM. Future directions in neuropsychological assessment with African Americans. In Ferraro, FR, ed. Minority and Cross-cultural Aspects of Neuropsychological Assessment. Leiden, The Netherlands: Swets & Zeitlinger; 2001.Google Scholar
Shuttleworth-Edwards, AB, Kemp, RD, Rust, AL, Muirhead, J, Hartman, NP, Radloff, SE. Cross-cultural effects on IQ test performance: a review and preliminary normative indications on WAIS-III test performance. J Clin Exp Neuropsychol 2004;26(7):903–20.CrossRefGoogle ScholarPubMed
Byrd, DA, Miller, SW, Reilly, J, Weber, S, Wall, TL, Heaton, RK. Early environmental factors, ethnicity, and adult cognitive test performance. Clin Neuropsychol 2006;20:243–60.CrossRefGoogle ScholarPubMed
Cattell, R.A culture-free intelligence test. J Educ Psychol 1940;31:161–79.CrossRefGoogle Scholar
Levav, M, Mirsky, AF, French, LM, Bartko, JJ. Multinational neuropsychological testing: performance of children and adults. J Clin Exp Neuropsychol 1998;20(5):658–72.CrossRefGoogle ScholarPubMed
Padilla, AM. Issues in culturally appropriate assessment. In Suzuki, L, Ponterotto, JG, Meller, PJ, eds. Handbook of Multicultural Assessment, 2nd edn. San Francisco: Jossey-Bass; 2001Google Scholar
Sue, D, Sue, S. Cultural factors in the clinical assessment of Asian Americans. J Consult Clin Psychol 1987;55:479–87.CrossRefGoogle ScholarPubMed
Smith, GE, Ivnik, RJ, Lucas, JA. Assessment techniques: tests, test batteries, norms, and methodological approaches. In Morgan, J, Ricker, J, eds. Textbook of Clinical Psychology. New York: Taylor & Francis; 2008.Google Scholar
Reynolds, CR. Methods for detecting and evaluating cultural bias in neuropsychological tests. In Fletcher-Janzen, E, Strickland, TL, Reynolds, CR, eds. Handbook of Cross-cultural Neuropsychology. New York: Kluwer Academic/Plenum; 2000: 249–86.CrossRefGoogle Scholar
Heaton, RK, Miller, SM, Taylor, MJ, Graft, I.Revised comprehensive norms for an expanded Halstead-Reitan Battery: demographically adjusted neuropsychological norms for African Americans and Caucasian Adults. Lutz, FL: Psychological Assessment Resources; 2004.Google Scholar
Ferman, TJ, Lucas, JA, Ivnik, RJ, Smith, GE, Willis, FB, Petersen, RC, et al. Mayo's older African American normative studies: Auditory Verbal Learning Test norms for African American elders. Clin Neuropsychol 2005;19(2):214–28.CrossRefGoogle ScholarPubMed
Friedman, MA, Schinka, JA, Mortimer, JA, Graves, AB. Hopkins Verbal Learning Test – Revised: norms for elderly African Americans. Clin Neuropsychol 2002;16(3):356–72.CrossRefGoogle ScholarPubMed
Moering, RG, Schinka, JA, Mortimer, JA, Graves, AB. Normative data for elderly African Americans for the Stroop Color Word Test. Arch Clin Neuropsychol 2004;19(1):61–71.CrossRefGoogle Scholar
Brown, LM, Schinka, JA, Mortimer, JA, Graves, AB. 3MS normative data for elderly African Americans. J Clin Exp Neuropsychol 2003;25(2):234–41.CrossRefGoogle ScholarPubMed
Lautenschlager, NT, Dunn, JC, Bonney, K, Flicker, L, Almeida, OP. Latent semantic analysis: an improved method to measure cognitive performance in subjects of non-English-speaking-background. J Clin Exp Neuropsychol 2006;28:1381–87.CrossRefGoogle ScholarPubMed

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