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“Unusual in encompassing not only clinical neuropsychological assessment but also intervention. This volume seems destined to become a major clinical reference book, useful for doctoral and postdoctoral students, practitioners, and researchers....The editors have done a commendable job in creating a unified volume that is nicely introduced by an integrate model of assessment in Chapter 1 and an integrated model of intervention in Chapter 10.”

—The Gerontologist


“The volume succeeds in every way, as a major advance and as an essential resource for the clinical neuropsychologist interested in this realm of practice....There is not a bad chapter in the book. Every topic takes readers somewhere better than they were before they cracked the spine....This is a book project that has been entirely successful. It needs to be on the neuropsychologist's shelf and available to students....This book is great by any standard.”

—PsycCRITIQUES


“Those who decide to obtain this book will be very happy with their purchase. The book is comprehensive and well organized, which makes it an ideal selection as a resource to place on one's bookshelf. It is up-to-date and differs from similar books by providing a uniquely neuropsychological point-of-view about neurodegenerative disorders and related syndromes rather than simply rehashing methods for conducting a differential diagnosis. The book's viewpoint is helpful for the situation commonly encountered in most current clinical settings, when a multidisciplinary team makes the diagnosis and the neuropsychologist is asked to provide a functional assessment of the patient as well as an appropriate intervention. The sections on intervention are provided in a particularly useful and digestible format. The outline and theoretical rationale for neuropsychological intervention in geriatric patients is presented in an accessible manner, more useful than what is typically found in most sources on cognitive rehabilitation, including those books addressing traumatic brain injury intervention strategies. Whether a veteran or a recent entrant into the field, neuropsychologists from all backgrounds and specialties will benefit from this book's well-presented introduction to contemporary practice in geriatric neuropsychology.”

—Journal of International Neuropsychological Society


“Superb! The editors and contributors are to be congratulated for producing this benchmark text for advanced graduate students, residents, and practitioners of geriatric neuropsychology. A unique feature of the text is its synthesis of intervention with assessment. Moreover, it provides detailed empirical support for using cognitive training, compensatory techniques, and psychotherapeutic interventions for improving mood, behavior, and functional capacity, even in disorders where progression is inexorable. Well written, thoroughly referenced, and up to date, this book is a powerful antidote to the therapeutic nihilism that often surrounds psychological work with dementia patients.”

—Jason Brandt, PhD, Department of Psychiatry and Behavioral Sciences, The Johns Hopkins University School of Medicine


“Every neuropsychologist, clinical psychologist, and psychiatrist working with older people will want to beg, borrow, or buy a copy of this most impressive book. It is not only comprehensive but also original in its coverage of the issues faced by people with dementia and other conditions affecting the older population. The section on assessment is thorough and links theory and practice very well, and the coverage of therapy and treatment issues is especially strong. An important contribution to the neuropsychological literature, this practical resource is almost certain to become a classic.”

—Barbara A. Wilson, PhD, Medical Research Council Cognition and Brain Sciences Unit, Cambridge, UK


“This book presents cutting-edge research and theory on the many diagnostic and therapeutic issues that confront clinical neuropsychologists and other health service providers who care for the steadily increasing number of elderly patients in every nation's health care system. The editors have integrated contributions from leading researchers and clinicians into a single, coherent, and valuable resource.”

—Robert J. Ivnik, PhD, Department of Psychology, Mayo Clinic College of Medicine, Rochester, Minnesota

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Table of Contents

Introduction

I. Geriatric Neuropsychological Assessment

A. Assessment of Common Geriatric Conditions

1. An Integrated Model for Geriatric Neuropsychological Assessment, Guy G. Potter and Deborah K. Attix

2. Normal Aging and Mild Cognitive Impairment, Glenn Smith and Beth K. Rush

3. Neurodegenerative Dementias, Kathleen A. Welsh-Bohmer and Lauren H. Warren

4. Stable and Slowly Progressive Dementias, M. Allison Cato and Bruce A. Crosson

5. Potentially Reversible Cognitive Symptoms in Older Adults, Wes S. Houston and Mark W. Bondi

B. Specific Considerations

6. Using Norms in Neuropsychological Assessment of the Elderly, Robyn M. Busch, Gordon J. Chelune, and Yana Suchy

7. Functional Assessment, Daniel Marson and Katina R. Hebert

8. Cultural Issues, Jennifer J. Manly

9. Feedback, Joanne Green

II. Geriatric Neuropsychological Intervention

A. Cognitive Training and Compensatory Techniques

10. An Integrated Model for Geriatric Neuropsychological Intervention, Deborah K. Attix

11. Training of Cognitive and Functionally Relevant Skills in Mild Alzheimer's Disease: An Integrated Approach, David Loewenstein and Amarilis Acevedo

12. Spaced Retrieval: A Model for Dissemination of a Cognitive Intervention for Persons with Dementia, Cameron J. Camp

13. Multitechnique Program Approaches, Linda Clare

14. Language Interventions in Dementia, Cynthia K. Thompson and Nancy Johnson

15. External Aids, Michelle S. Bourgeois

B. Psychotherapeutic Interventions

16. Behavioral Treatment of Affective Disorders and Associated Symptoms, Rebecca G. Logsdon, Susan M. McCurry, and Linda Teri

17. Behavioral Treatment of Impaired Functioning and Behavioral Symptoms, Ann Louise Barrick

18. Group Psychotherapy Approaches for Dementia, Guy G. Potter, Deborah K. Attix, and Cory K. Chen

19. Pharmacological and Other Treatment Strategies for Alzheimer's Disease, Kathleen Hayden and Mary Sano

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About the Editors

Deborah K. Attix, PhD, completed her postdoctoral fellowship in Clinical Neuropsychology at the Cleveland Clinic Foundation. She joined the Department of Psychiatry and Behavioral Sciences (Division of Medical Psychology) and Department of Medicine (Division of Neurology) at Duke in 1995 and is now an Assistant Clinical Professor there. Dr. Attix worked with the Joseph and Kathleen Bryan Alzheimer's Disease Research Center and subsequently organized and became the Medical Director of the Clinical Neuropsychology Service at Duke University Medical Center. Her clinical work focuses on geriatric neuropsychological assessment and intervention. Dr. Attix is best known for her intervention work involving cognitive training and compensation and for psychotherapeutic techniques targeting memory, function, and mood in dementia.

Kathleen A. Welsh-Bohmer, PhD, is a Professor within the Department of Psychiatry and Behavioral Sciences (Division of Medical Psychology) at Duke University Medical Center and holds a joint appointment in the Department of Medicine (Division of Neurology). Dr. Welsh-Bohmer was recruited by Duke University Medical Center in 1987 to join the newly formed Joseph and Kathleen Bryan Alzheimer's Disease Research Center, and she currently is the Director of that center. Dr. Welsh-Bohmer is best known for her work in the clinical detection of early-stage Alzheimer's disease (AD) and related dementias and the relationship of these diseases to genetic and environmental factors. She has been a leader in many multicenter collaborative studies of AD and currently leads the nationally known Cache County Memory Study, a population-based epidemiological investigation of mild cognitive impairment and AD. Dr. Welsh-Bohmer's clinical work focuses on neuropsychological assessment in neurodegenerative disorders, including AD and related dementias.

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Contributors

Amarilis Acevedo, PhD, Department of Psychiatry and Behavioral Sciences, Miller School of Medicine, University of Miami, Miami Beach, Florida

Deborah K. Attix, PhD, Division of Neurology, Department of Medicine; and Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina

Ann Louise Barrick, PhD, Psychology Department, John Umstead Hospital, Butner, North Carolina, and Department of Psychology, University of North Carolina-Chapel Hill, Chapel Hill, North Carolina

Mark W. Bondi, PhD, Psychology Service, VA San Diego Health Care System and Department of Psychiatry, University of California-San Diego, San Diego, California

Michelle S. Bourgeois, PhD, Regional Rehabilitation Center, College of Communication, Florida State University, Tallahassee, Florida

Robyn M. Busch, PhD, Department of Psychiatry and Psychology, Cleveland Clinic Foundation, Cleveland, Ohio

Cameron J. Camp, PhD, Director and Senior Research Scientist, Myers Research Institute, Beachwood, Ohio

M. Allison Cato, PhD, VA RR&D Brain Rehabilitation Research Center, Malcolm Randall Veterans Affairs Medical Center, and the Department of Clinical and Health Psychology, University of Florida, Gainesville, Florida

Gordon J. Chelune, PhD, The Mellen Center, Cleveland Clinic Foundation, Cleveland, Ohio

Cory K. Chen, MA, Department of Psychology, University of North Carolina-Chapel Hill, Chapel Hill, North Carolina

Linda Clare, PhD, School of Psychology, University of Wales, Bangor, Wales

Bruce A. Crosson, PhD, Department of Clinical and Health Psychology, University of Florida, Gainesville, Florida

Joanne Green, PhD, Wesley Woods Health Center, Department of Neurology, Emory University, Atlanta, Georgia

Kathleen Hayden, PhD, Center for the Study of Aging and Human Development, Duke University Medical Center, Durham, North Carolina

Katina R. Hebert, MS, Department of Psychology, University of Alabama, Tuscaloosa, Alabama

Wes S. Houston, PhD, Department of Neurology, University of Iowa, Iowa City, Iowa

Nancy Johnson, PhD, Cognitive Neurology and Alzheimer’s Disease Center, Feinberg School of Medicine, Northwestern University, Chicago, Illinois

David Loewenstein, PhD, Department of Psychiatry and Behavioral Sciences, Miller School of Medicine, University of Miami, Miami Beach, Florida

Rebecca G. Logsdon, PhD, Northwest Aging Research Group, School of Nursing, University of Washington, Seattle, Washington

Jennifer J. Manly, PhD, G. H. Sergievsky Center and Taub Institute for Research on Alzheimer’s Disease and the Aging Brain, Department of Neurology, Columbia University Medical Center, New York, New York

Daniel Marson, PhD, Department of Neurology and Alzheimer’s Disease Research Center, University of Alabama-Birmingham, Birmingham, Alabama

Susan M. McCurry, PhD, Research Associate Professor, Psychosocial & Community Health, University of Washington, Seattle, Washington

Guy G. Potter, PhD, Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina

Beth K. Rush, PhD, Department of Psychiatry and Psychology, Mayo Clinic and Foundation, Jacksonville, Florida

Mary Sano, PhD, Department of Psychiatry, Mount Sinai School of Medicine, New York, New York, and Bronx VA Medical Center, Bronx, New York

Glenn Smith, PhD, Department of Psychiatry and Psychology, Mayo Clinic and Foundation, Rochester, Minnesota

Yana Suchy, PhD, Department of Psychology, University of Utah, Salt Lake City, Utah

Linda Teri, PhD, Department of Psychosocial and Community Health, University of Washington, Seattle, Washington

Cynthia K. Thompson, PhD, Communication Sciences and Disorders and Neurology, Northwestern University, Chicago, Illinois

Lauren H. Warren, MA, Department of Psychology, University of North Carolina-Chapel Hill, Chapel Hill, North Carolina

Kathleen A. Welsh-Bohmer, PhD, Department of Psychiatry and Behavioral Sciences, Joseph and Kathleen Bryan Alzheimer’s Disease Research Center-Division of Neurology, Duke University Medical Center, Durham, North Carolina

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Audience

Clinicians, students, and researchers in neuropsychology, gerontology, clinical psychology, psychiatry, neurology, occupational and physical therapy, and rehabilitation medicine.

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Course Use

Serves as a text in graduate-level courses in geriatric neuropsychology.