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Memory Assessment on an Interdisciplinary Team: Roles and Collaborations Between Neuropsychology and Speech-Language Pathology. Angelle M. Sander, Ph.D. Assistant Professor Department of Physical Medicine & Rehabilitation Baylor College of Medicine Presented at Monthly Meeting of the
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Angelle M. Sander, Ph.D.
Department of Physical Medicine & Rehabilitation
Baylor College of Medicine
Presented at Monthly Meeting of the
Houston Neuropsychological Society
Joint Committee on Interprofessional Relations Between Division 40 (Clinical Neuropsychology) of the American Psychological Association (APA) and the American Speech-Language-Hearing Association (ASHA)
Fofi Constantinidou, Ph.D., CCC-SLP
Associate Professor &
Director of Graduate Studies
Director of NeuroCognitive Disorders Laboratory
Department of Speech Pathology & Audiology
2 Bachelor Hall
Oxford, OH 45056
Tel 513- 529-2507
Fax 513- 529-2502
Wendy Ellmo, M.S., CCC-SLP, BCNCD
Center for Head Injuries
Cognitive Rehabilitation Department
2048 Oaktree Road
Edison, NJ. 08820
Tel 732-906-2640 ext. 42721
Stacie Raymer, Ph.D. (ASHA Chair)
110 Child Study Center
Old Dominion University
Norfolk, VA 23529
Celia R. Hooper, Ph.D., CCC-SLP (Monitoring Vice
ASHA Vice President for Professional Practices in
Speech-Language Pathology (2003-2005)
Professor and Department Head, UNC-Greensboro
Department of Communication Sciences and Disorders
300 Ferguson Building, P. O. Box 26170
Greensboro, NC 27402-6170
Tel 336- 334-5184
Diane R. Paul, Ph.D., CCC-SLP (Ex Officio)
Clinical Issues in Speech-Language Pathology
American Speech-Language-Hearing Association
10801 Rockville Pike
Rockville, MD 20852
Tel 301-897-5700 ext. 4297
Robin Hanks, Ph.D., ABPP (Committee Chair)
Chief, Rehabilitation Psychology & Neuropsychology
Rehabilitation Institute of Michigan
261 Mack Boulevard
Detroit, Michigan 48201
Tessa Hart, Ph.D.
Moss Rehabilitation Research Institute (MRRI)
Korman Suite 213
1200 West Tabor Road
Philadelphia, PA 19141
Angelle Sander, Ph.D.
The Institute for Rehabilitation and Research
Brain Injury Research Center
2455 South Braeswood
Houston, TX 77030
Tel 713 383 5644
Fax 713 668 3695
Risa Nakase-Richardson, Ph.D
Methodist Rehabilitation Center
1350 E. Woodrow Wilson
Jackson, MS 39216
Jeffrey Wertheimer, Ph.D.
Brooks Rehabilitation Center
3901 University Blvd., South
Jacksonville, Florida 32216
Kenneth Adams Sharon Brown
Linas Bieliauskas Joseph Ricker
Robert Bornstein Doug Johnson-Greene
Gerald Goldstein Sanford Pederson
Byron Rourke Steven Putnam
“Neuropsychology is the scientific study of the relationship between brain function and behavior. As such, neuropsychology, in the generic sense, is an interdisciplinary knowledge area embracing many contributing disciplines and professions. Therefore, it is appropriate that the knowledge base of neuropsychology not be regarded as proprietary by any given discipline or profession.”
“It is acknowledged that this knowledge base may be applied for the betterment of human welfare by different disciplines and professions with different training emphases. It is assumed that such practice will include techniques andprocedures included in discipline-specific training and exclude those for which competence has not been established through such training criteria.”
“Individual practice may also be limited by laws or even ethical considerations in a given instance.It is also recognized that clinical practice with individuals who demonstrate impairment of the central nervous system is frequently an interdisciplinary effort which employs the particular strengths and expertise of various professions and disciplines.”
“…mutual respect and cooperation between disciplines and professions is an ongoing necessity.”
2. Guidelines for the Structure and Function of an Interdisciplinary Team for Persons With Brain Injury
- 2003 Technical Report by Diane R. Paul,
Ph.D., & Joseph H. Ricker, Ph.D.
Provides general guidelines for interdisciplinary
teams for the clinical management of people with
brain injury, with the ultimate goal to improve the
quality of service for individuals affected by
communication and cognitive disorders.
4. Rehabilitation of Children and Adults With Cognitive-Communication Disorders After Brain Injury
- 2002 Technical Report by Mark Ylvisaker,
Ph.D., Robin Hanks, Ph.D., & Doug Johnson-
Published in Journal of Head Trauma Rehabilitation.
(2002). 17(3), 191-209.
The report outlines two paradigms for cognitive
Rehabilitation: a traditional discrete approach, and an
alternative contextualized approach.
3. Evaluating and Treating Communication and Cognitive Disorders: Approaches to Referral and Collaboration for Speech-Language Pathology and Clinical Neuropsychology (2003)
Encourages referral and collaboration between
speech-language pathologists and clinical
neuropsychogists and informs referral sources about
the roles of both professions.
Impaired memory is a frequently observed occurrence among patients in rehabilitation- both inpatient and outpatient.
This only holds true with relatively circumscribed lesions. Furthermore, most visual memory tests include materials that can be verbalized.
Memory is assessed by multiple disciplines, in a variety of ways, both formally and informally, raising the potential for disparate messages to be communicated to patients, family members, and other rehabilitation staff.
(Baddeley & Hitch, 1974)
Long-term Memory Store
Skills & Habits
List Learning Memory
(>than 9 words per list)
Immediate Recall (IR)
Delayed Recall (DR)
Forced Choice (FC)
(<than 7 words per list;
Paired Associates Learning
Table 1. Testing Tasks and Their Relationship to Components of the Theoretical Memory Model
Digit Span Task or Serial Recall Task - Backward (verbal)
Digit Span Task or Serial Recall Task - Backward (visual)
Intracranial hemorrhage in the right internal capsule (part of the basal ganglia)