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Ralph H. B. Benedict, PhD, ABPP-CN Professor of Neurology, Psychiatry and Psychology PowerPoint PPT Presentation


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Brains & Gains November 2013. Ralph H. B. Benedict, PhD, ABPP-CN Professor of Neurology, Psychiatry and Psychology University at Buffalo, SUNY.

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Ralph H. B. Benedict, PhD, ABPP-CN Professor of Neurology, Psychiatry and Psychology

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Ralph h b benedict phd abpp cn professor of neurology psychiatry and psychology

Brains & Gains

November 2013

Ralph H. B. Benedict, PhD, ABPP-CN

Professor of Neurology, Psychiatry and Psychology

University at Buffalo, SUNY


Ralph h b benedict phd abpp cn professor of neurology psychiatry and psychology

[In] most of the patients affected by multi-locular sclerosis whom I have had occasion to observe … there is marked enfeeblement of the memory; conceptions are formed slowly; the intellectual and emotional faculties are blunted in their totality. The dominant feeling in the patients appears to be a sort of almost cheerful indifferencein reference to all things.

Jean-Martin Charcot (1877)


Ralph h b benedict phd abpp cn professor of neurology psychiatry and psychology

mesial temporal r = 0.42 [Sicotte 2008; Benedict 2009]

3rd ventricle r = 0.71

[Christodolou 2003; Benedict 2004]

thalamus r = 0.75 [Houtchens 2007]

cerebral cortex r = 0.65 [Amato 2004; Benedict 2006; Tekok-Kilic 2007]

Demyelination and axonopathy


Ralph h b benedict phd abpp cn professor of neurology psychiatry and psychology

Walking

Upper Extremity Function

Cognitive Ability

Depression

Job Loss

Reduced work hours

Demotion

Less Salary

Miss Promotion

Negative Work Events

Work Errors

Forgetting Appointments

Slow Work, Reduced Productivity

Unequal Work Distribution

Social Difficulty

Employer

Patient

Coworker

Accommodations/Intervention

High Tech, Low Tech Aids

Overt, Covert Aids

Additional Time to Complete Tasks

Flexible Schedule


Ralph h b benedict phd abpp cn professor of neurology psychiatry and psychology

Cognitive

Impairment

Maintain Employment

Mild

Severe

Private Disability

Social Security Disability

Early Retirement


Ralph h b benedict phd abpp cn professor of neurology psychiatry and psychology

Hours Worked per Week

Income

Extra Time Spent Outside Work


Ralph h b benedict phd abpp cn professor of neurology psychiatry and psychology

How to Monitor Clinical Status?


Ralph h b benedict phd abpp cn professor of neurology psychiatry and psychology

www.BICAMS.net


Why do some ms patients fare so well

Why do some MS Patients Fare so Well?

  • Cognitive Reserve

  • Exercise

  • Personality

  • Cognitive Retraining


Ralph h b benedict phd abpp cn professor of neurology psychiatry and psychology

Dimensional models of personality: the five-factor model and the DSM-5

Timothy J. Trull, PhD; Thomas A. Widiger, PhD. Dialogues ClinNeurosci. 2013;15:135-146.


Ralph h b benedict phd abpp cn professor of neurology psychiatry and psychology

Conscientiousness p = 0.023

Neuroticism p = 0.001


Ralph h b benedict phd abpp cn professor of neurology psychiatry and psychology

Adam J. Booth

Jonathan D. Rodgers

Carolyn E. Schwartz, Sc.D

Brian R. Quaranto

Bianca Weinstock-Guttman

Robert Zivadinov

Ralph H. B. Benedict

Active Cognitive Reserve Influences the Regional Atrophy to Cognition Link in Multiple Sclerosis

In Press


Thank you

Thank You

Bianca Weinstock-Guttman MD

Robert Zivadinov MD; Murali Ramanathan PhD

David Hojnacki MD; Channa Kolb MD

Margaret Bucello NP; Audrey Smerbeck PhD

Jonathan Rodgers PhD, Natalie Emmert BA


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