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Division of Clinical Neuropsychology
Newsletter 40
American Psychological Association
Volume X, Number 2 Summer, 1992
Division 40 Statement Regarding the Use of Nondoctoral Technicians for Neuropsychological Assessment
The Division of Clinical Neuropsychology (Division 40) of the American
Psychological Association endorses the appropriate and customary use of
technician-based as well as clinician-based testing in the conduct of neuropsychological
assessment (described in DeLuca, 1989). When less than doctoral level technicians
assist in the conduct of neuropsychological testing, employment of such
nondoctoral personnel should conform to the Guidelines Regarding the Use
of Nondoctoral Personnel in Clinical Neuropsychological Assessment (Division
40 Task Force Report, 1989) and the Recommendations for Education and Training
of Nondoctoral Personnel in Clinical Neuropsychology (Division 40 Task
Force Report, 1991) as well as the appropriate guidelines promulgated by
the American Psychological Association cited in those reports, and the
pertinent state regulatory codes governing the practice of Psychology.
In all cases, interpretation of test data and rendering of a clinical report
is the direct responsibility of the supervising clinical neuropsychologist.
Technician-based and clinician-based models of neuropsychological assessment
are equally valid and are deemed acceptable and customary in the conduct
of competent clinical neuropsychological assessment.
Division 40 Task Force Report. (1989). Guidelines regarding the use
of nondoctoral personnel in clinical neuropsychological assessment. The
Clinical Neuropsychologist, 3, 23-24.
Division 40 Task Force Report. (1991). Recommendations for education
and training of nondoctoral personnel in clinical neuropsychology. The
Clinical Neuropsychologist, 5, 20-23. DeLuca, J.W. (1989). Neuropsychology
Technicians in Clinical Practice: Precedents, rationale, and current deployment.
The Clinical Neuropsychologist, 3, 2-31.
Division 40 Convention Highlights
Division 40 will sponsor diverse events during the APA convention in
Washington, D.C., August 14-18, 1992. The Program Committee, chaired by
Carl Dodrill, has scheduled 6 paper and 3 poster sessions, 6 symposia,
3 invited addresses, and 3 focussed conversation hours.
Each day of the convention will have a different topic area in which
sessions are presented. These include life span developmental neuropsychology
(Aug. 14), advances in neuropsychology (Aug. 15).
On Sunday, August 16, the presidential address, business meeting and
social hour will occur from 3:00-4:50 p.m. in the Washington Room of the
Sheraton Washington Hotel. President Steven Mattiswill first speak on Neuropsychology
in a Psychiatric Setting.” The Social Hour (5:00-5:50) will be co-sponsored
by Division 22, continuing a tradition for the past few years.
The invited addresses will feature Martha Bridge Denckla,A family study
approach to learning disabilities”; Jordan Grafman, Plans, mental sets,
action and the human prefrontal cortex” and Ralph Reitan, Clinical neuropsychology:
We have arrived but do we want to stay.”
Conversation hours will focus on prescription privileges, billing models,
and finding quality training in neuropsychology.
The six symposia will address the use of noncognitive measures in theevaluation
of dementia (A. John McSweeney, chair; Robert Bornstein, discussant); anatomic
dynamism of cognitive deficits in dementia (Carol Armstrong, chair and
discussant); computerized neuropsychological assessment (Oscar Parsons,
chair; Robert Kane, discusant); impairments in attention (Allan Mirsky,
chair and discussant); neuropsychological changesfollowingtemporal lobectomy
(Max Trennary, chair; Carl Dodrill, discussant), and everyday neuropsychology
(Mary Spiers, chair; Bruce Caplan, discussant).
[Page 2]
Newsletter 40
Minutes
Mid-Winter Meeting of the Executive Committee (EC)
Division of Clinical Neuropsychology (40)
American Psychological Association
Wednesday, February 5, 1991
Pan Pacific Hotel, San Diego, CA
Present: Adams, Barth, Bieliauskas, Bornstein, Butters, Horn, Chelune, Dodrill, Heaton, Matthews, Mattis, Meier, Parsons, Puente, White
1. Order. The meeting was called to order at 3: 15 p.m.
2. Minutes. The minutes of the Executive Committee meeting from San Francisco (August 1991) were reviewed and approved with minor ammendation.
3. Treasurer's Report. Dr. White reviewed the Division's financial status. As in previous years, the cash flow appears balanced, and the budgets submitted for various offices appear to be feasible. There was discussion regarding the need to establish a fixed per diem rate for Division-related business. It was concluded that there was no need for such a policy, and that specific instances should be considered on an individual basis. A motion was made and approved to establish a budget of $1,000 for the Treasurer's office. The Treasurer's report was approved and Dr. Mattis thanked Dr. White for her efforts on behalf of the Division.
4. Council Representatives. Dr. Heaton reported that the Division was only 315 votes short of the criteria for a third council representative. This will be communicated to the member ship in the next reapportionment mailing in an attempt to increase the number of votes cast for the Division.
5. Newsletter. The winter issue of the newsletter was late this year, due to APA's move to a new building. The winter issue of the newsletter will be large, in part due to the number of new members whose names are listed. It was decided to continue publishing the names of new members in the Division newsletter. The Executive Committee approved publication of information regarding the formation of a group which is developing mechanisms for credentialling of post-doctoral programs in neuropsychology.
6. Membership. The Division currently has 3,384 members, not including students. Dr. Horn proposed that the Division adopt a twice-yearly acceptance of new members, linked to the meetings of the Executive Committee. This proposal was approved by the Committee. Dr. Horn reported that prospective members received a descriptive statement of the Division. Members Newly elected members receive notification that their acceptance is in process, and a specific encouragement to cast their votes in support of Division. The Division can collect dues from individuals in their initial year of membership. The Committee approved a motion that new members should be sent a bill for the annual dues, and that there be no provision for billing of partial year dues. The Committee also decided to not assess dues to student members.
7. Elections. A nomination ballot will be sent to the membership in thebeginning of February. A nomination slate is due in the APA office by March 16.
8. Fellows. The new fellows in Div-ision are Jeffrey Barth, Eileen Fennell, Leslie Gonzales-Rothi, Kathleen Haaland, Barbara Uzzel, Jason Brandt, Paula Fuld, Jordan Grafman, and Robert Hart. The Committee accepted the report of the Fellows Committee, and thanked Dr. Meier for his work.
9. Program Committee. The new Chair of the Program Committee
is Dr. Ann Marcotte. She worked this year with
Dr. Dodrill as Committee Co-Chair. The number of program submissions
has remained at a high rate and remained stable in comparison to
1990 and 1991. There were a total of 152 submissions, each of which
was evaluated by 4 members of the Program Committee. One-hundred-seventeen
papers and 6 symposium were accepted. There will be 3invited addresses,
and 3 conversation hours. Dr. Dodrill reported that the meeting schedule
was condensed with all Division programs occurring on the first 4 days
of the meeting. The Committee approved sharing the csots of the joint Division
40/Division 22 Social Hour. The Committee accepted the report and thanked
Dr. Dodrill for his excellent work with the program committee.
10. Professional Affairs. Dr. Bieliauskas reviewed the results
of the survey on prescription privileges. There was a large response (1,206)
and a majority (51.7%) were strongly or somewhat in favor of training psychologists
to prescribe. The Executive Committee authorized the dissemination of the
survey results. The Committee authorized that the information be published
in the newsletter, and also suggested that some further analysis of the
data should be completed with the goal of submission as a manuscript to
The Clinical Neuropsychologist. It was proposed that the Division should
approach Division 28 (Psychopharmacology) to gather information regarding
that division's position regarding proposals for prescription privilege
training. This was endorsed by the Committee.
Technicians. A statement regarding the appropriateness of the
use of technicians was reviewed. This statement was approved for release
to interested parties by the Professional Affairs Committee, and also approved
for publication in the divisional newsletter. The Executive Committee authorized
the council representatives to present this statement in addition to the
divisional documents referred therein to the APA Legal Office.
11. Division 40/ASHA Committee. This committee met in Atlanta prior to the ASHA meeting and continues to work on several joint statements. There has been no significant progress in the development of these position statements since that meeting.
12. Publications. Dr. Butters reported that he has accepted the editorship of the APA journal Neuropsychology. He has constructed an editorial board that is balanced across all 3 major neuropsychological organizationsand is seeking both clinical and experimental manuscripts. He reported that he plans to make the journal more biologically oriented than other neuropsychology journals. He reported that he would welcome comments from any member of the Division regarding the journal.
13. Dr. Puente reviewed the progress of the Task Force to develop CPT codes for neuropsychological assessment. A final report is expected for the August meeting in Washington.
[Page 3]
Newsletter 40
14. Dr. Charles Matthews has been nominated for the APA Career Award for Contributions to Teaching and Training in Psychology.
15. The meeting was adjourned at 5:00 p.m.
--Subject to approval by Division 40 Executive Committee
Convention Program For Division 40
(August 14-18, 1992)
Thursday, August 13
7:00-8:50 p.m.
Professional Affairs Committee
Chair: Linas Bieliauskas
Woodley Room, Washington Sheraton Hotel
Friday, August 14
Developmental Neuropsychology and Aging
9:00-10:50 a.m.
Poster Session: Developmental Neuropsychology and Aging Co-Chairs:
Wiley Mittenberg, Nova University, and Ann Marcotte, Department of Psychiatry
and Human Behavior, Brown University School of Medicine
Co-sponsorship: Divisions 7 & 20
Exhibit Hall, Washington Hilton Hotel
11:00-12:50 a.m.
Symposium: The Use of Noncognitive Measures in the Evaluation of Dementia
Chair: A. John McSweeny, Dept. of Psychiatry, Medical College of Ohio
Co-sponsorship: Division 20
Hampton Room, Omni Shoreham Hotel
1:00-1:50 p.m.
Paper Session: Use of Neuropsychological Procedures in Children
Chair: Joseph D. Eubanks, San Antonio
Co-sponsorship: Division 7
Hampton Room, Omni Shoreham Hotel
1:00-1:50 p.m.
Paper Session: Neuropsychological Evaluation in Dementia Chair: Ronald
F. Zec, Department of Psychiatry, Southern Illinois School of Medicine
Co-sponsorship: Division 20
Diplomat Room, Omni Shoreham Hotel
2:00-2:50 p.m.
Invited Address: A Family Study Approach to Learning Disabilities
Participant: Martha Bridge Denckla, Departments of Neurology and Pediatrics,
Johns Hopkins University School of Medicine Chair: Ann Marcotte, Department
of Pediatrics, Memorial Hospital of Rhode Island
Co-sponsorship: Division 7
Diplomat Room, Omni Shoreham Hotel
3:00-4:50 p.m.
Symposium: Anatomic Dynamism of Cognitive Deficits in Dementia
Chair: Carol L. Armstrong, Department of Neurology, University of Pennsylvania
Co-sponsorship: Division 20
Ambassador Room, Omni Shoreham Hotel
4:00-6:50 p.m.
Executive Committee Meeting
Chair: Steven Mattis, New York Hospital, Cornell University medical
College
Thomas Paine Room, Sheraton Washington Hotel
Saturday, August 15
Advances in Neuropsychology
9:00-10:50 a.m.
Poster Session: Advances in Neuropsychology
Co-Chairs: David E. Nilsson, Salt Lake City, and Max R. Trenerry, Mayo
Clinic, Rochester
Exhibit Hall, Washington Hilton Hotel
11:00-12:50 a.m.
Symposium: Computerized Neuropsychological Assessment: Contributions
of a Developing Technology
Chair: Oscar A. Parsons, University of Oklahoma
Co-sponsorship: Division 22
Diplomat Room, Omni Sheraton Hotel
2:00-2:50 p.m.
Invited Address: Plans, Mental Sets, Action and the Human Prefrontal
Cortex
Participant: Jordan Grafman, National Institute of Neurological Disorders
and Stroke, National Institutes of Health
Chair: Jeffrey Evans, PM & R Dept., University of Michigan Hospitals
Co-sponsor: Division 6
Cotillion Room North, Sheraton Washington Hotel
3:00-4:50 p.m.
Paper Session: Blue Ribbon Sampler: Program Committee's Top Selections
and Student Award
Chair: Carl B. Dodrill, Dept. of Neurological Surgery University of
Washington School of Medicine
Cotillion Room North, Sheraton Washington Hotel
[Page 4]
Newsletter 40
5:00-5:50 p.m.
Conversation Hour: Prescription Privileges: Issues for the Clinical
Neuropsychologist
Participant: Robert Balster, Virginia Commonwealth University, Medical
College of Virginia
Chair: Antonio Puente, University of North Carolina at Wilmington Co-sponsorship:
Division 12
Cotillion Room North, Sheraton Washington Hotel
Sunday, August 16
Clinical Practice
9:00-10:50 a.m.
Symposium: Impairment of Attention: Causes and Consequences
Chair: Allan F. Mirsky, National institute of Mental Health
Blue Room, Omni Shoreham Hotel
11:00-11:50 a.m.
Invited Address: Clinical Neuropsycholo;gy: We Arrived, But Do We Want
To Stay?
Participant: Ralph M. Reitan, Reitan Neuro-psychology Laboratory, Tucson
Chair: Carl B. Dodrill, University of Washington School of Medicine
Blue Room, Omni Shoreham Hotel
12:00- 12:50 p.m.
Paper Session: Neuropsychology of Memory
Chair: Russell M. Bauer, Shands Teaching Hospital University of Florida
Co-sponsorship: Division 22
Empire Room, Omni Shoreham Hotel
1:00-1:50 p.m.
Conversation Hour: A Final Model for Billing Neuropsychological Services
Participant: Antonio E. Puente, University of North Carolina at Wilmington
Chair: David A. Sena, Colorado Springs Neuropshycology Laboratory and
Brain Training Clinic, Colorado Springs
Co-sponsor: Division 12
Blue Room, Omni Shoreham Hotel
2:00-2:50 p.m.
Paper Session: Historical and Professional Issues in Neuropsychology
Chair: Robert Heilbronner, Rehabilitation Institute of Chicago
Hampton Room, Omni Shoreham Hotel
3:00-3:50
Presidential Address: Neuropsychology in a Psychiatric Setting Participant:
Steven Mattis, New York Hospital, Cornell University Medical College
Chair: Raymond S. Dean, Ball State University
Washington Room, Sheraton Washington Hotel
Monday, August 17
Diversity in Neuropsychology
9:00-10:50 a.m.
Poster Session: Diversity in Neuropsychology
Co-Chairs: Molly Warner, Department of Neurological Surgery, University
of Washington School of Medicine, and Richard A. Berg, Cardinal Hill Hospital,
Lexington
Exhibit Hall, Washington Hilton Hotel
11:00-12:50 a.m.
Symposium: Neuropsychological Changes Following Temporal Lobectomy
for Medically Intractable Epilepsy
Chair: Max R. Trenerry, Mayo Clinic
Hampton Room, Omni Shoreham Hotel
1:00-1:50 p.m.
Paper Session: Emotional and Psychiatric Factors in Neuropsychological
Assessment
Chair: Denise A. Fiducia, Toronto -General Division
Co-sponsorship: Division 12
Cotillion Room North, Sheraton Washington Hotel
2:00-3:50 p.m.
Symposium: Everyday Neuropsychology: Directions in Research, Evaluation,
and Treatment
Chair: Mary V. Spiers, Drexel University
Palladian Room, Omni Shoreham Hotel
4:00-4:50 p.m.
Conversation Hour: How to Find Quality Training in Neuropsychology
Participants: Paul Malloy, Division of Neuropsychology Training, Brown
University; Robert K. Heaton, Neuropsychology Laboratory University of
California at San Diego: and, Charles G. Matthews, Department of Neurology,
University of Wisconsin
Chair: Lloyd I. Cripe, Sequim, Washington
Hampton Room, Sheraton Washington Hotel
[Page 5]
Newsletter 40
Results
Professional Affairs Committee
Division 40 Survey on Prescription Privileges for Psychologists
1206 Total Respondents
Results given in Numbers (%)
Survey Questions
1. Check the one statement that best characterizes your position.
316 (26.2) I am unconditionally in favor of train-ing psychologists to prescribe.
307 (25.5) I am geenerally in favor of training psychologists to prescribe but feel the issue should be studied further.
167 (13.8) I am undecided about training psychologists to prescribe and sup-port further study of this issue.
259 (29.7) I am generally opposed to training psychologists to prescribe but feel the issue should be studied further.
163 (13.5) I am unconditionally opposed to training psycholgists to prescribe.
2. Check the one statement which best characterizes your experience (interactions with other profes-sional colleagues) to date.
687 (57) I have had no negative professional experiences as a result of the pres-cription issue being raised.
274 (22.7) I am not certain whether or not there have been negative professional ex-periences as a result of the prescrip-tion issue being raised.
227 (18.8) I have had negative professional ex-periences as a result of the prescrip-tion issue being raised.
3. Check the one statement which best expresses your opinion.
923 (76.5) Based on the results of this survey and studied deliberation of the issue, Division 40 should issue a report and take a position regarding the training of psychologists to prescribe.
237 (19.7) Division 40 should remain neutral and take no position regarding the trainingof psychologists to prescribe.
4. Please write any additional comments you have concerning the issue of training psychologists to prescribe:
5. Employment of respondent:
239 (19.8) University Medical Center
444 (36.8) Private Practice
76 (6.3) University Academic Department
323 (26.8) Hospital/Rehabilitation Center
119 (9.9) Split appointment
Overall Split Percentages for Question #1:
51.7% Strongly or somewhat in favor
13.8% Undecided
34.2% Strongly or somewhat against
Overall Split percentages for Question #1:
In Favor Undecided Against
University Med Ctr
37.6
15.5
46.5
Private Practice &
nbsp;
56.1
11.9
32.0
Univ. Academic Dept &nbs
p;
57.9
5.3
36.8
Hospital/Rehab Ctr
;
53.3
19.2
27.5
Split Appointments
;
55.5
9.2
35.2
Collated by:
Don Chatel, Ph.D.
Greg Lamberty, Ph.D.
Linas Bieliauskas, Ph.D.
[Page 6]
Newsletter 40
Geropsychology Meeting at APA
A meeting will be held to review the recent APA/NIMH recommendations for the training of geropsychologists and to network about Medicare reimbursements. This meeting is jointly sponsored by the Psycologists in Long Term Care and Division 20's Task Force on Applied Gerontology. It will be held Sunday, August 16, 1992, 8:00-9:50a.m., Washington Hilton, State Room, Washington, D.C.
The agenda will include:
8:00-9:00 a.m. Report on the APA/NIMH National Conference on Clinical
Training in Geropsychology
9:00-9:30 a.m. Roundtable discussion on Medicare reimbursements for psychologists
9:30-9:50 a.m. Election of officers for Psychologists in Long Term Care (1993-1995 term)
A continental breakfast will be served. Anyone interested in training, research, or practice issues in serving the needs of older adults is welcome. For further information, contact Royda Crose, Ph.D., Institute of Gerontology, Ball State University, Muncie, IN 47306, (317) 285-1293.
Executive Committee
(August, 1991 - August, 1992)
President: Steven Mattis
President-elect: Oscar Parsons
Past president: Raymond Dean
Secretary: Robert Bornstein
Treasurer: Roberta F. White
Members-at-large:
Gordon Chelune
Jeffrey Barth
Jim Horn
Council representatives:
Nelson Butters
Kenneth Adams
Robert K. Heaton
Standing committee heads:
Elections: Charles G. Matthews
Fellows: Manfred Meier
Membership: Jim Horn
Program: Carl Dodrill
Ad hoc committee heads:
Computers: Charles G. Matthews
Training Databank: Lloyd I. Cripe
Ethics: Kenneth M. Adams
Minority/Ethnic Affairs: Antonio E. Puente
Newsletter: Roberta F. White
Professional Affairs: Linas Bieliauskas
Task Force: Robert Bornstein
Newsletter 40 is the official newsletter of the Division of Clinical Neuropsychology (Division 40) of the American Psychological Association. It is published biannually. Address changes are automatically forwarded to News-letter 40 when they are registered with APA.
Staff:
Roberta Firnhaber White, Editor
Psychology - 116B
Boston VA Medical Center
150 S. Huntington Ave.
Boston, MA 02130
Mark B. Moss, Associate Editor
Boston University Medical Center
Department of Neurology
720 Harrison Ave., Suite 707
Boston, MA 02118
[Page 7]
American Psychological Association
Clinical Neuropsychology
Division 40
Please print or type
Name____________________________________Application
Date____________________________________
Mailing Address (include
zip)___________________________________________________________________
Phone (include Area
Code)_____________________________________________________________________
Degree______________________________________________________________________________________
Institution___________________________________________________________________________________
Degree
Date_________________________________________________________________________________
Specialty Field of
Degree________________________________________________________________________
Current status within APA* (circle one):
Fellow* Member* Associate Member* Student Affiliate
(*Membership in Division 40 requires the attainment of a comparable
or higher
category of membership in the American Psychological Association.
Membership does not constitute a credential for the practice of clinical
neuropsychology.)
Title and Work
Affiliation_________________________________________________________________________
Other APA Divisions with which you are
affiliated________________________________________________________
In order for us to evaluate your qualification for membership (which
requires a
“demonstrated interest in the field of neuropsychology and its development”),
please list any activity, research, continuing education, professional
practice,
teaching focus, or other demonstration of interest in the field of
neuropsychology and its development. Brevity is entirely appropriate.
Return this form to:
Jim Horn, Ph.D.
Department of Psychiatry
University of Texas Southwestern Medical Center
5323 Harry Hines Boulevard
Dallas, TX 75235-9070
(214) 688-3353
[Page 8]
Newsletter 40
Roberta Firnhaber White
Psychology - 116B
Boston VA Medical Center
150 S. Huntington Ave.
Boston, MA 02130
(End of text)