It has long been appreciated among clinical neuropsychologists that both primary and secondary factors contribute to cognitive dysfunction in neurological patients. Primary influences are the direct result of the extent and location of damage to the brain. Secondary influences stem from something associated with brain injury or disease besides the specific areas of the brain affected. For example, a patient with a neurological disease may develop depression, something which in turn often impacts cognitive functioning. Other secondary factors associated with disease besides depression can also negatively impact cognitive functioning, including anxiety, pain, fatigue, and motor impairments, to name a few. Despite the widespread appreciation of the importance of such secondary factors on cognitive functioning in clinical neuropsychology, there has never been a single source for this information that is readily available to clinicians and researchers. The present volume provides such a source, using an evidence-based framework comprised of two broad sections. The first section includes chapters that comprehensively address particular secondary influences, independent of any particular neurological disorder. For example, there are chapters on the impact on cognitive functioning of depression, anxiety, fatigue, pain, diagnosis threat, and symptom invalidity. The second section has chapters that focus on specific neurological conditions and the most salient secondary factors that need to be considered in these conditions. Multiple Sclerosis, HIV, Parkinson's Disease, Traumatic Brain Injury, Alzheimer's Disease/MCI/Stroke, and Epilepsy are all considered. The chapters include vivid case studies that illustrate the principles outlined in the chapters to help clinicians consider how such principles can apply to particular patients. Chapters also include evidence-based guidelines for clinical practice. The final chapter highlights some areas especially in need of further research and study that will be of particular interest and importance to clinicians.

About the Author
Peter Arnett, PhD Director of Clinical Training Associate Professor of Psychology The Pennsylvania State University

Reviews
This is a very good book on the influence of the secondary factors on the results obtained in a neuropsychological assessment, as well as secondary factors most important to watch for a variety of neurological diseases and disorders. Several chapters using both the case studies and of the useful for clinicians summary tables. We should also remember that this would be the first book devoted exclusively to the influence of secondary factors. * Simon Charbonneau, PhD. *
For working clinical neuropsychologists this book is a must ... a source of inspiration for new scientific developments. * Christien Schilder, Tijdschrift Voor Neuropsychologie *



Book Information
ISBN 9780199838615
Author Peter Arnett
Format Hardback
Page Count 444
Imprint Oxford University Press Inc
Publisher Oxford University Press Inc
Weight(grams) 816g
Dimensions(mm) 246mm * 170mm * 28mm