Neuropsychology in France

The main steps in the development of neuropsychology in France are briefly reviewed, from the early contribution of Paul Broca (1861) up until the early 1990s. The current epistemological and institutional crises is analyzed with respect to some general factors inherent to the domain (e.g., disputes between the proponents of the psychological and biological dimensions) and to particular factors related to the French situation (e.g., retirement of prominent neuropsychologists). As regards clinical practice and research activities, the future will probably show some fractionation of goals and techniques prior to new synthesis.Died suddenly in March 1991.     

Four neuropsychologists

The achievements of Henry Hécaen, Oliver Zangwill, Hans-Lukas Teuber, and Norman Geschwind are reviewed. Each made an enormously significant contribution to the form and content of the field of neuropsychology as we know it today.Adapted from a lecture at the 1987 meeting of the International Neuropsychological Society, Washington, DC, to commemorate the 15th anniversary of the emergence of the society as a major organization. The style of the original oral presentation has been retained.     

Establishing Clinical Neuropsychology in Germany Scientific,Professional, Political,and Legal Issues

German psychologists may have been first to establish a university curriculum in psychology with the expressed purpose to provide—after its successful completion—a certificate of professional qualification. This Diplom-Prüfungsordnung (Diploma Examination Regulation) was accepted nationwide in 1941. However, it took over fifty more years before some progress toward the political and legal acceptance of autonomous clinical activities of psychologists was made. Legislation to secure these advances is still pending. In this context the efforts to establish the profession of clinical neuropsychology are described and discussed within the historical development of professional psychology in Germany with special emphasis on the problems of compromises within the force fields of science and professional politics. Finally, the postgraduate training as well as the certification and accreditation procedures developed by the Gesellschaft für Neuropsychologie, the Society of German-speaking neuropsychologists, are presented.     

The Haunting of the Human Spirit

Understanding the human spirit, the thinking, motivating, feeling aspect of a person, need not entail supernatural reference in any more than a boundary sense. Methodological naturalism accounts for many putatively supernatural experiences in terms of naturalistic and scientific research. Fairy tales have natural functions, naturalistic accounts of miracles can have moral and spiritual power, and neuropsychological research can have value in understanding experiences of ghosts, apparitions, and presences. Even beliefs in personal immortality, at odds with current neurobiology, may serve a range of psychological functions and may raise more moral questions than they answer. Naturalistic accounts can make spiritual explorations possible where supernatural answers provide epistemic barriers.     

Introduction: Alexander Luria's Continuing Influence on Worldwide Neuropsychology

As an introduction to this special issue, this article provides an overview of the worldwide influence of the work of Alexander R. Luria. a noted Russian neuropsychologist. Major themes and issues that he studied are reviewed, and the reasons for his strong worldwide influence are discussed. An overview of subsequent articles in this issue is provided.     

Does traffic congestion increase driver aggression?

In his recent article about aggressive driving, David Shinar proposed that the classical frustration-aggression hypothesis (Dollard, J., Doob, L., Miller, N., Mowrer, O. & Sears, R. (1939). Frustration and aggression. New Haven, CN: Yale University Press) provides a useful tool for understanding driver aggression (Shinar, D. (1998). Aggressive driving: the contribution of the drivers and situation. Transportation Research Part F, 1, 137–160). According to Shinar's (1998) application of the frustration–aggression hypothesis, driver aggression is caused by frustration because of traffic congestion and delays. In the present study, the relationships between exposure to congestion (rush-hour driving) and aggressive violations (DBQ) were investigated in Great Britain, Finland and the Netherlands. Partial correlations showed that the frequency of rush-hour driving did not correlate statistically significantly with driver aggression. Correlations between driving during rush-hour and aggression did not differ in magnitude from those between driving on country roads and aggressive violations. In addition, correlations between exposure to congestion and aggressive violations in countries with large number of vehicles per road kilometre (UK, Netherlands) were not higher than those in a sparsely populated country (Finland). These results from three countries suggest that congestion does not increase driver aggression as directly as suggested by Shinar (1998).     

The psychological treatment of memory impairment: A review of empirical studies

Memory impairment is a frequent effect of many different forms of brain dysfunction. Memory impairment is also a frequent focus of treatment interventions, and there have been many different treatment methods suggested. The suggested methods include direct retraining, the use of spared skills in compensating for the impairment (alternate functional systems), and the use of behavioral strategies to circumvent the manifest memory dysfunction (behavioral prosthetics). Unfortunately, there are very few studies comparing the various suggested treatment methods. The present paper evaluates the empirical evidence related to the treatment of memory dysfunction and suggests directions for future investigations. Although the evidence is not conclusive, it appears that some forms of treatment may be helpful in remediating certain types of memory impairment. An approach likely to be productive would include some consideration of the impaired neurological and psychological mechanisms responsible for the manifest memory deficit as well as a consideration of the etiology of the injury thought to be causally related to the memory deficit. As yet, there have been no rigorous empirical evaluations of these considerations.     

Forensic neuropsychology: The art of practicing a science that does not yet exist

Despite its future promise, neuropsychological evidence generally lacks scientifically demonstrated value for resolving legal issues, and thus, if admitted into court, should be accorded little or no weight. In support of this contention, examples of problems and limits in forensic neuropsychology are described. These include contrasts between the clinical and forensic context; the base-rate problem; lack of standardized practices; problems assessing credibility or malingering; difficulties determining prior functioning, limits in the capacity to integrate complex data; and the lack of relation between judgmental accuracy and education, experience, or credentials. Some possible counterarguments are also addressed.     

Neuropsychological findings and depressive symptoms in patients with Huntington''s disease

Twenty patients with Huntington's disease (HD) and a comparison group were studied by a depression scale (MADRS) and a neuropsychological test-battery assessing central areas of cognitive function. The main purpose was to analyze the consistency of findings across patients and focus on the role of specific factors in the impairments. The HD-patients are impaired relative to norms and the comparison-group in all areas but verbal conceptual function. We further divided the HD-patients into subgroups according to severity of neuropsychological impairment. The groups generally show a pattern of increasing deficits. Early changes are found in tests of cognitive efficiency, memory and sensomotor function, but the pattern of impairment is variable. The more severely affected subgroups show an increased decline in performance and progressive involvement of a broader range of functions. The pattern of depressive symptoms in HD-patients indicates that cognitive symptoms of concentration difficulties and lassitude are prominent in all subgroups.     

Ecological Neuropsychology: An Alternative to the Deficit Model for Conceptualizing and Serving Students with Learning Disabilities

The present paper contends that children with learning disabilities are better served when assessment and intervention are conceptualized within an ecological neuropsychology perspective than within the traditional deficit model perspective, which is the predominant approach to intervention in medical and educational settings. The deficit method conceptualizes problems as within the child, and the major consequence of this approach is that little time is spent analyzing the learning environment or other systems that might impact the child's ability to be successful in an academic setting. Therefore, rehabilitation efforts have had limited success. In contrast, ecological neuropsychology is a strength-based approach that considers the child, as well as the systems within which he/she interacts, when assessing, diagnosing, and intervening with students who are experiencing learning difficulties.