Bernice A. Marcopulos - Clinical Neuropsychological Foundations of Schizophrenia

Clinical Neuropsychological Foundations of Schizophrenia

This volume is the first practitioner-oriented source of information on the neuropsychology of schizophrenia that conveys the growth in the field in terms of what is known about cognition in schizophrenia, its assessment, and how this informs clinical practice.

It provides the practicing clinical neuropsychologist, and other professionals working with persons with schizophrenia, with the knowledge and tools they need to provide competent professional neuropsychological services. It includes an overview of developmental models of schizophrenia and its associated neuropathologies, so that the clinician can fully understand how vulnerability and progression of the disorder influence brain development and functioning, and how cognition and functioning are associated with these changes. In addition, the volume covers contemporary evidence-based assessment and interventions, including cognitive remediation and other cognitive oriented interventions. Throughout, the research findings are synthesized to make them clinically relevant to clinical neuropsychologists working in outpatient or inpatient psychiatric settings.

The book is an invaluable resource for practicing professional neuro psychologists, clinical psychologists, psychiatrists, and neuropsychiatrists, as well as graduate students of these disciplines, interns, and postdoctoral residents and fellows who work with schizophrenic patients.

American Academy of Clinical Neuropsychology/Psychology Press Continuing Education Book Series

Series Editors: Joel E. Morgan and Jerry J. Sweet

AACN/Psychology Press Continuing Education Series publishes authored and edited volumes containing a blend of cutting-edge primary research and practical/professional material for clinicians, researchers, and students of clinical neuropsychology and clinical psychology.

Each volume is written or edited by leading scholars in the field and is specifically designed to assist readers in advancing their relevant research or professional activities in clinical neuropsychology. Volumes in this series have been selected by the series editors because they provide one or more of the following: overview of a core or emerging area of concern to clinical neuropsychologists; in-depth examination of a specif c area of research or practice in clinical neuropsychology; update of a neglected or controversial clinical application; information pertaining to relevance of a new interdisciplinary discovery/technique to neuropsychological function; or current ethical matters and other professional considerations in the application of new knowledge or methods to the understanding of neuropsychological functions.

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The estimated time to read the book and complete the related quiz is determined by the length of each book, which also determines the number of possible credits.

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Clinical Neuropsychological Foundations of Schizophrenia

Edited by

Bernice A. Marcopulos

and

Matthew M. Kurtz

First published 2012

by Routledge

711 Third Avenue, New York, NY 10017

Simultaneously published in the UK

by Routledge

27 Church Road, Hove, East Sussex BN3 2FA

Routledge is an imprint of the Taylor & Francis Group, an informa business

2012 Taylor & Francis, LLC

The right of the editors to be identified as the authors of the editorial material, and of the authors for their individual chapters, has been asserted in accordance with sections 77 and 78 of the Copyright, Designs and Patents Act 1988.

All rights reserved. No part of this book may be reprinted or reproduced or utilised in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers.

Trademark notice:Product or corporate names may be trademarks or registered trade-marks, and are used only for identification and explanation without intent to infringe.

Library of Congress Cataloging in Publication Data

Clinical neuropsychological foundations of schizophrenia / edited by Bernice A. Marcopulos and Matthew M. Kurtz.

p. cm. (American academy of clinical neuropsychology/psychology press continuing education series)

ISBN 978-1-84872-877-6

1. Schizophrenia. 2. Neuropsychology. I. Marcopulos, Bernice A. II. Kurtz, Matthew M., 1967

RC514.C565 2012

616.898dc23

2011047684

ISBN: 978-1-84872-877-6(hbk)

ISBN: 978-0-203-86863-8(ebk)

Dedicated to my parents Donald and Gizela Marcopulos, and my husband and daughters, Thomas, Alexandra, and Halina Guterbock

List of Figures

Preface

This book has two goals. First, we have endeavored to present the information that a clinical neuropsychologist would need to provide competent, scientifically-informed services to persons with schizophrenia-spectrum illness. Second, we wanted to provide a state-of-the art summary of contemporary empirical work in many of the most exciting research areas in the neuropsychology of schizophrenia, directly linking these findings with practice. We hope this volume will highlight the fascinating complexity of this richly deserving and fascinating patient population and aid the clinician in fully considering the myriad factors that influence cognition.

Over the years we have taught and trained many practicum students, pre-doctoral interns, and post-doctoral fellows at our respective psychiatric and academic institutions, focusing on the clinical science of assessment and rehabilitation of persons with schizophrenia-spectrum illness. Even as the scientific neuropsychology literature on schizophrenia has grown exponentially, we became frustrated that there were no comprehensive neuropsychology-oriented resources for clinicians working with persons with schizophrenia that integrated this new clinical science with practice. Our hope is that this volume will help to fill this void.

We also hope that this volume might spur more clinical and academic interest in this population among our neuropsychologist colleagues. The recent TCN/AACN survey shows that very few neuropsychologists are working in primary psychiatric settings and this has changed little since the previous surveys (Sweet, Meyer, Nelson, & Moberg, 2011). Only 20% of referrals come from psychiatry, and we surmise that few of these are for patients with schizophrenia-spectrum illness. In our opinion this is regrettable, as neuropsychology has much to offer in the clinical care of these patients, in the development of new treatment and assessment strategies, as well as understanding the neu-rodevelopmental mechanisms underlying the clinical correlates of the illness. While the TCN/AACN survey does not show an increase in neuropsychologists working with schizophrenia, a review of the key terms neuropsychology and schizophrenia in PsycINFO shows a steady increase in the number of published scholarly articles that include both terms. During the decade from 1980 to 1990, 182 articles were published in peer reviewed journals; from 1990 to 2000 the number jumped to 745; and by 2000 to 2010 there were 2,197 such articles! While stigma about the disorder among the public remains high, and living with the symptoms of the disorder will always present significant challenges for those affected, with these new research findings (many described in the pages of this book) there is the potential for true innovations in the care of people with schizophrenia in the near future. Thus, we hope this book will also inspire a new generation of scientist-practitioners to focus their energies on implementing these many new scientific findings into clinical practice for the enhancement of care of people with schizophrenia.